Protection Strategies Research Articles

Design of energy management strategies for shared energy storage microgrid based on smart contracts under privacy protection

Park microgrids, valued for their efficiency and flexibility, require privacy-conscious energy management to ensure a trusted scheduling and trading environment. This paper, focusing on park microgrids with shared energy storage, designs an energy management strategy that comprehensively considers shared energy storage, scheduling transparency, and privacy security. First, a blockchain-based energy management platform is established, forming an energy dispatch consensus committee to execute decentralized scheduling management and decision-making. Next, an optimized energy scheduling smart contract for park microgrids is designed, considering Time-of-Use (ToU) pricing and storage arbitrage to formulate the day-ahead electricity purchase and sales plans as well as the shared energy storage operation plans. Then, a privacy protection strategy based on the Shamir secret sharing scheme is proposed, effectively preventing data leakage during blockchain interactions. Finally, through case analysis, the superiority of the proposed method in microgrid optimized scheduling, data tamper-resistance, and privacy protection is demonstrated.

Liposomal nano-encapsulation of bFGF combined with injectable BSA hydrogel for efficient burn wound healing

Rapid and scar-free healing of burn wounds is an urgent clinical issue. Basic fibroblast growth factor (bFGF) has been proven to promote the healing of burn wounds by accelerating ECM remodeling and angiogenesis. However, exudates from burn wounds can accelerate bFGF degradation, thereby affecting its bioactivity. This study proposes an effective protection strategy for bFGF that involves encapsulating bFGF in nanoliposomes (bFGF-NLip) and then incorporating bFGF-NLip into a bovine serum albumin (BSA) hydrogel. This hybrid hydrogel system (bFGF-NLip@B) could maintain the activity of bFGF, achieve sustained release, and allow phospholipids and cholesterol to penetrate the skin, thereby enabling bFGF to function in the dermis. The experimental results showed that the hydrogel was injectable with good mechanical properties and biocompatibility. In a mouse scald wound model, owing to the sustained release of bFGF and skin permeation function of the nanoliposomes, the hydrogel promoted granulation formation, collagen deposition, vascular regeneration, and re-epithelialisation, ultimately accelerating wound healing. In addition, the hydrogel effectively inhibited scar formation. This system provides novel insights into the delivery of bFGF and scar-free healing of burn wounds.

Protective mechanical ventilation in critically ill patients after surgery

Purpose of review This review aims to provide an updated overview of lung protective strategies in critically ill patients after surgery, focusing on the utility of postoperative open-lung ventilation during the transition from the operating room to the intensive care unit. Recent findings Mechanically ventilated patients after surgery represent a challenge in the intensive care unit. Different protective strategies have been proposed to minimize the risk of ventilator-induced lung injury (VILI) and facilitate adequate weaning from mechanical ventilation. Fast-track extubation protocols, increasingly standard in the care of critically ill patients postsurgery, have demonstrated improvements in recovery and reductions in acute lung injury, primarily based on retrospective studies. Open-lung ventilation strategies, such as individualization of positive-end expiratory pressure based on driving pressure and postoperative noninvasive ventilation support with high-flow nasal cannula, are becoming standard of care in high-risk surgical patients after major abdominal or thoracic surgeries. Summary Mechanical ventilation in surgical patients should adhere to lung protective strategies (i.e., individualizing positive end expiratory pressure and prioritize alveolar recruitment) during the transition from the operating room to the intensive care unit.

Natural Products and Derivatives as Japanese encephalitis virus antivirals.

Japanese encephalitis virus (JEV) causes acute Japanese encephalitis (JE) in humans and reproductive disorders in pigs. There are approximately 68,000 cases of JE worldwide each year, with approximately 13,600 to 20,400 deaths. JE infections have a fatality rate of one-third, and half of the survivors experience permanent neurological sequelae. The disease is prevalent throughout the Asia-Pacific region and has the potential to spread globally. JEV poses a serious threat to human life and health, and vaccination is currently the only strategy for long-term sustainable protection against JEV infection. However, licensed JEV vaccines are not effective against all strains of JEV. To date, there are no drugs approved for clinical use, and the development of anti-JEV drugs is urgently needed. Natural products are characterized by a wide range of sources, unique structures and low prices, and this paper provides an overview of the research and development of anti-JEV bioactive natural products.

The Ubiquitous Wilt-Inducing Pathogen Fusarium oxysporum-A Review of Genes Studied with Mutant Analysis.

Fusarium oxysporum is one of the most economically important plant fungal pathogens, causing devastating Fusarium wilt diseases on a diverse range of hosts, including many key crop plants. Consequently, F. oxysporum has been the subject of extensive research to help develop and improve crop protection strategies. The sequencing of the F. oxysporum genome 14 years ago has greatly accelerated the discovery and characterization of key genes contributing to F. oxysporum biology and virulence. In this review, we summarize important findings on the molecular mechanisms of F. oxysporum growth, reproduction, and virulence. In particular, we focus on genes studied through mutant analysis, covering genes involved in diverse processes such as metabolism, stress tolerance, sporulation, and pathogenicity, as well as the signaling pathways that regulate them. In doing so, we hope to present a comprehensive review of the molecular understanding of F. oxysporum that will aid the future study of this and related species.

Repellent Effects of Coconut Fatty Acid Methyl Esters and Their Blends with Bioactive Volatiles on Winged Myzus persicae (Sulzer) Aphids (Hemiptera: Aphididae).

Myzus persicae (Sulzer) (Hemiptera: Aphididae) is one of the most important aphid crop pests, due to its direct damage and its ability to transmit viral diseases in crops. The objective is to test whether spraying nanoemulsions of botanical products repels winged individuals of M. persicae in a bioassay in culture chambers. The bioactive volatiles were applied on pepper plants at a dose of 0.2% alone or at 0.1% of each component in blends. A treated plant and a control plant were placed at each side of an entomological cage inside a growth chamber. The winged individuals were released between the plants, in a black-painted Petri dish suspended by wires in the upper half of the cage. The most repellent products were farnesol (repellency index, RI = 40.24%), (E)-anethole (RI = 30.85%) and coconut fatty acid methyl ester (coconut FAME) (RI = 28.93%), alone or in the following blends: farnesol + (E)-anethole + distilled lemon oil (RI = 36.55%) or (E)-anethole + distilled lemon oil + coconut FAME (RI = 30.63%). The observed effect of coconut FAME on aphids is the first report of this product having a repellent effect on a crop pest. Repellent substances for viral disease vectors should be further investigated to develop new strategies for plant protection.

Trade Outwardness and International Financial Flows in Nigeria

This study used the Autoregressive Distributed Lag model to investigate the impact of international financial flows on trade outwardness in Nigeria. With dataset covering the period 1999 – 2023 drawn from the World Development Indicator, which is a repository of the World Bank, official development assistance (ODA), Foreign portfolio investment (FPI) and foreign direct investment (FDI) were used as proxies for international financial flows. The quotient of the sum of export and import over gross domestic product represented trade outward which found to positively and significantly respond to changes in ODA and FPI and insignificantly and negative respond to FDI. It is recommended that trade outwardness should be tailored in the direction of international financial flows while harnessing the benefits of trade and mitigating the adverse effects of trade relations. This can be done through protective import strategies and export promotion methods.

The Future of Cyber Threat Intelligence: Anticipating and Preparing for Evolving Threats

Modern cybersecurity protocols face unprecedented hurdles from the dynamic cyber threat ecology. In this context, the value of cyber threat intelligence as a prophylactic protective strategy increase (Abu, Selamat, Ariffin , & Yusof, 2018). This study provides a futuristic analysis of cyber threat intelligence, emphasizing the vital role that it will play in anticipating and becoming ready for evolving threats. This article also looks at threat actor methods, attack paths, and emerging technologies in an attempt to illustrate the dynamic nature of cyber threats and the need for adaptive intelligence solutions (Abu, Selamat, Ariffin , & Yusof, 2018). Ethical and legal considerations are also explored to highlight the necessity for a thorough and responsible approach to the gathering and implementation of cyber threat intelligence (Wagner, 2019). Through this thorough examination, readers will get a substantial comprehension of the technical developments and strategic requirements that will impact how cyber threat intelligence is developed (Abu, Selamat, Ariffin , & Yusof, 2018) (Wagner, 2019). This will provide enterprises with the agility and resilience to predict, mitigate, and respond to future cyber-attacks.

Viromes of Monocotyledonous Weeds Growing in Crop Fields Reveal Infection by Several Viruses Suggesting Their Virus Reservoir Role.

In 2019, random samples of Panicum miliaceum growing as a weed were surveyed to uncover their virus infections at two locations in Hungary. This pilot study revealed infection with three viruses, two appearing for the first time in the country. As follow-up research, in the summer of 2021, we collected symptomatic leaves of several monocotyledonous plants in the same locations and determined their viromes using small RNA high-throughput sequencing (HTS). As a result, we have identified the presence of wheat streak mosaic virus (WSMV), barley yellow striate mosaic virus (BYSMV), barley virus G (BVG), and two additional viruses, namely Aphis glycines virus 1 (ApGlV1) and Ljubljana dicistrovirus 1 (LDV1), which are described for the first time in Hungary. New hosts of the viruses were identified: Cynodon dactylon is a new host of BYSMV and LDV1, Echinocloa crus-galli is a new host of BVG, ApGlV1 and LDV1, Sorghum halepense is a new host of ApGlV1, and Panicum miliaceum is a new host of LDV1. At the same time, Zea mays is a new host of ApGlV1 and LDV1. Small RNA HTS diagnosed acute infections but failed to detect persistent ones, which could be revealed using RT-PCR. The infection rates at the different locations and plant species were different. The phylogenetic analyses of the sequenced virus variants suggest that the tested monocotyledonous weeds can host different viruses and play a virus reservoir role. Viral spread from the reservoir species relies on the activity of insect vectors, which is why their management requires an active role in plant protection strategies, which need careful planning in the changing environment.

Heterostructured melamine resin Spheres@GO reinforced epoxy composite achieving robust Corrosion-Resistance of Zn-Al-Mg coated steel for automotive applications

Dual threats of over-film (degradation) and under-film filiform corrosion (FFC) pose a significant challenge to the reliable application of Zn-Al-Mg coated steel (ZAM-steel), necessitating the development of effective protection strategies. This study introduces a novel MRS@GO nanohybrid, integrated within epoxy (EP) coatings, to enhance the corrosion resistance of ZAM-steel in 3.5 wt% NaCl solution. The hierarchical structure of MRS@GO synergistically combines the barrier properties of an insulating material (MRS) with the electrochemical benefits of a conducting material (GO), providing superior protection. This dual functionality significantly improves the overall performance and durability of ZAM-steel, making it a promising candidate as the decorative coating for the automotive industry.

Multi-Target and Multi-Phase Adjunctive Cerebral Protection for Acute Ischemic Stroke in the Reperfusion Era.

Stroke remains the leading cause of death and disability in some countries, predominantly attributed to acute ischemic stroke (AIS). While intravenous thrombolysis and endovascular thrombectomy are widely acknowledged as effective treatments for AIS, boasting a high recanalization rate, there is a significant discrepancy between the success of revascularization and the mediocre clinical outcomes observed among patients with AIS. It is now increasingly understood that the implementation of effective cerebral protection strategies, serving as adjunctive treatments to reperfusion, can potentially improve the outcomes of AIS patients following recanalization therapy. Herein, we reviewed several promising cerebral protective methods that have the potential to slow down infarct growth and protect ischemic penumbra. We dissect the underlying reasons for the mismatch between high recanalization rates and moderate prognosis and introduce a novel concept of "multi-target and multi-phase adjunctive cerebral protection" to guide our search for neuroprotective agents that can be administered alongside recanalization therapy.

Sustainable rewritable paper based on photoresponsive tungsten oxide quantum dots for anti-counterfeiting and waterproofing

Ink-free printing using photochromic paper has emerged as a promising technology for information recording, transmission, and secure interaction applications. Tungsten oxide quantum dots (WO3 QDs), with their rapid UV response, excellent photochemical stability, and outstanding fatigue resistance, exhibit significant potential as an ink-free medium in the construction of sustainable rewritable paper. However, challenges such as low binding force, poor stability, and weak scalability limit the development of reversible photochromic paper based on WO3. In this study, a novel sustainable rewritable paper based on a scalable strategy of covalent modification and hydrophobic layer protection has been reported. Specifically, cellulose papers modified with silane coupling agent were directly grafted with amino-modified WO3 QDs by covalent bonding through the addition reaction between epoxy and amine groups. Subsequently, the sustainable rewritable paper was obtained by the deposition of hydrophobic layer of polydimethylsiloxane (PDMS) via a dip-coating method. The rewritable paper exhibits exceptional properties, including high color contrast, extended color-retention (over 21 days), good rewritability (20 cycles) and excellent resistance to water or stains. Based on ink-free writing technology, the photo-responsive rewritable papers were utilized for anti-counterfeiting and encryption or decryption, demonstrating their great potential for information recording, storage, and security protection.

COMMD5 counteracts cisplatin-induced nephrotoxicity by maintaining tubular epithelial integrity and autophagy flux.

Oxidative stress mediated by reactive oxygen species (ROS) contributes to apoptosis of tubular epithelial cells (TECs) and renal inflammation during acute kidney injury (AKI). Copper metabolism MURR1 domain-containing 5 [COMMD5/hypertension-related, calcium-regulated gene (HCaRG)] shows strong cytoprotective properties. COMMD5 is highly expressed in proximal tubules (PTs), where it controls cell differentiation. We assessed its role in cisplatin-induced AKI using transgenic mice in which COMMD5 is overexpressed in the PTs. Cisplatin caused the accumulation of damaged mitochondria and cellular waste in PTs, thus increasing the apoptosis of TECs. COMMD5 overexpression effectively protected TECs from cisplatin nephrotoxicity by decreasing intracellular ROS levels, mitochondrial dysfunction, and apoptosis through the preservation of tubular epithelial integrity, thus alleviating morphological and functional kidney damage. Excessive ROS production by hydrogen peroxide led to long-term autophagy activation through an increased burden on the autophagy/lysosome degradation system in TECs, and autophagic elimination of damaged mitochondria and cellular waste was compromised. COMMD5 attenuated oxidative injury by increasing autophagy flux, possibly due to a reduction of intracellular ROS levels through maintained tubular epithelial integrity, which decreased JNK/caspase-3-dependent apoptosis. Meanwhile, COMMD5 inhibition by siRNA reduced the resistance of TECs to cisplatin cytotoxicity, as shown by disrupted tubular epithelial integrity and cell viability. These data indicated that COMMD5 protects TECs from drug-induced oxidative stress and toxicity by maintaining tubular epithelial integrity and autophagy flux and ultimately decreases mitochondrial dysfunction and apoptosis. Increasing COMMD5 content in PTs is proposed as a new protective and therapeutic strategy against AKI.NEW & NOTEWORTHY Oxidative stress overload by drug treatment causes the accumulation of damaged mitochondria that could contribute to tubulopathy. However, effective preventive treatment for drug-induced acute kidney injury remains incompletely understood. Our study showed that copper metabolism MURR1 domain-containing 5 (COMMD5) reduced mitochondrial dysfunction and increased autophagy flux by alleviating reactive oxygen species production through maintaining tubular epithelial integrity when tubular epithelial cells were under oxidative stress, thus ameliorating renal function in cisplatin-treated mice. These results uncover a novel renoprotective mechanism underlying tubular epithelial integrity and autophagy flux.

Efficacy of arginine kinase as a promising RNAi target in Aphis gossypii genome as revealed through aphid bioassay on field-grown transgenic cotton plants

The cotton aphid Aphis gossypii is a major agricultural pest of cotton that causes substantial damage to the crop not only by sucking sap but also through virus transmission. Globally adopted traditional and contemporary approaches to control aphid infestation have certain limitations and are hazardous to human health. RNA interference (RNAi) technology has unfolded its potential as an effective crop protection strategy against various pests. In this study, we adopted plant-mediated RNAi strategy to enhance aphid resistance in cotton by targeting arginine kinase (AK), which is a crucial enzyme responsible for energy homeostasis in insects. We selected a 312bp dsRNA fragment containing eight siRNAs and showing optimum GC content, Hb index, and stable secondary structure based on computational prediction studies. The binary construct expressing dsRNA was used to transform local cotton variety MNH886 and four transgenic lines were obtained in the T1 generation. Out of the four T1 transgenic cotton lines, dsA-7 exhibited the highest aphid mortality (73.3%), whereas, dsA-1, dsA-3 and dsA-6 revealed 60%, 61%, and 66.6% aphid mortality, respectively, in comparison to 13.3% mortality in the mock control cotton line. Moreover, significant knockdown in mRNA expression of AK was observed in aphids fed dsA-7 which was 79%. In comparison, 54%, 47%, and 45% downregulation was recorded in aphids which fed on dsA-6, dsA-3, and dsA-1 transgenic cotton lines, respectively. These results revealed that plant-mediated downregulation of aphid RNA induced significant RNA interference in A. gossypii which resulted in considerable aphid mortality and led to plant protection against aphids.

Vaccine hesitancy among parents of children in their first two years of life.

Vaccine hesitancy is considered a primary cause of outbreaks of vaccine-preventable infectious diseases. The Austrian vaccination plan includes 24 vaccinations in the first 2 years of life, 12 for free and 12 subject to a fee. Since preterm babies are more susceptible to severe infections, immunization is a vital protection strategy. This study examines the routine immunization schedule recommended for children in Austria, the number of timely vaccinations, and the number of delayed and rejected vaccinations. Possible reasons for vaccination delays and rejection and potential influencing factors (preterm birth, COVID-19 pandemic, information sources) are also analyzed. We included children aged 2 to 5 years who presented to Vienna's largest pediatric center with an Austrian mother-child pass and spent the first 2 years of their lives in Austria. Data was collected using questionnaires about the vaccination status, parents' reasons for any rejections or delays in the recommended vaccination regimen, the impact of the COVID-19 pandemic on individuals' vaccination behavior, and child-specific influencing factors such as preterm birth and socioeconomic factors. 90% of the 150 study subjects follow the recommendations on routine vaccinations, while 40-62% accept vaccinations subject to a fee. Preterm infants received less fee-based (53%) as well as gratuitous (88%) vaccinations. While free vaccinations tend to be delayed, more fee based vaccinations are rejected. With free vaccinations, delays and refusals occur due to illness or missed appointments. In the case of fee- required vaccinations, however, fears of side effects are also one of the main reasons. Due to the COVID-19 pandemic, about a quarter of parents have become more skeptical about vaccines. However, the vaccination rate of premature babies is usually just below that of full-term babies. Physicians remain the most trustworthy source of information about vaccinations. Free vaccinations are more accepted by parents than fee based vaccinations. Preterm babies, which are a high risk group for vaccination preventable diseases, show a lower or delayed vaccination rate, which must be prevented through intensive doctor education. In addition, vaccination hesitancy changed during the COVID-19 pandemic, which needs to be addressed during the medical consultation.

Explore Wen Zhenheng's Painting and Calligraphy Protection Concept and Strategy in Zhangwu Zhi

Zhangwu Zhi, written by Wen Zhenheng in Ming Dynasty, is a monograph on the appreciation and protection of antiquities, which contains a wealth of ideas and strategies for the protection of calligraphy and painting. This paper aims to explore the concept and strategy of painting and calligraphy protection proposed by Wen Zhenheng in Zhangwu Zhi, and analyze its inspiration and reference to contemporary painting and calligraphy protection. Through the in-depth study of Zhangwu Zhi, this paper analyzes Wen Zhenheng's views and measures on the protection of calligraphy and painting, and discusses the storage environment, light regulation, air pollution control and pest control of calligraphy and painting collections. And put forward to establish a good storage environment, reasonable control of temperature and humidity, do a good job in the warehouse heat insulation, moisture-proof and ventilation management of calligraphy and painting protection strategies. These strategies had a profound impact on the preservation of calligraphy and painting at that time and later. Although Wen Zhenheng's ideas and strategies for the protection of calligraphy and painting still have certain limitations in the contemporary era, the protection measures and methods proposed by Wen Zhenheng still have inspiration and reference significance for the protection of contemporary calligraphy and painting. Through in-depth study and understanding of Wen Zhenheng's painting and calligraphy protection concept and strategy, we can better protect and manage the painting and calligraphy collection to ensure its safe inheritance and long-term preservation.

Land Use Simulation and Ecological Network Construction around Poyang Lake Area in China under the Goal of Sustainable Development

The pivotal aspects of enhancing regional ecosystem services and augmenting socioeconomic growth lie in optimizing the land-space development and protection strategies, coupled with the establishment of a robust ecological network (EN). This article examines the Poyang Lake area and employs the MOP model, NSGA-II, and PLUS model to determine the best sustainable land use strategy. Subsequently, the MSPA, InVEST model, circuit theory, complex network, and others are employed to construct and analyze the land-space EN across three time periods. Ultimately, the EN is optimized based on spatial protection priority, ecological obstacle areas, and ecological nodes. The results show the following: (1) From 2005 to 2035, more construction land will be developed around the Greater Nanchang area and other urban centers. In the BAU scenario, construction land will expand faster, while cultivated land, forest, grassland, and bare land will continue to decline. In the SD scenario, the alteration to comparable land is minimal, the growth rate of construction land will slow, cultivated land, forest, grassland, and bare land will all decline little, and the water area will increase slightly; (2) While the area of ecological sources is decreased and ecological corridors become longer and narrower in the BAU scenario, the spatial distribution of ENs in different periods is small, and the quantitative structure and spatial distribution of ecological sources and corridors are essentially unchanged in the SD scenario; (3) Based on the topological structure of ENs, it is found that the clustering of nodes in the SD scenario is more obvious, the importance of ecological sources is enhanced, the efficiency of information transmission is improved, and the radiation range is wider and more stable; (4) The greatest priority ecological sources in each period are concentrated around Poyang Lake. In the SD scenario, the priority of ecological sources improves, and 7025 km2 of ecological obstacle restoration area is identified, with 41, 31, and 36 ecological breakpoints in the first, second, and third levels. The study’s findings can assist and shape theoretical and practical approaches to land governance and sustainable development in great lake areas.

Temperature-irrelevant superhydrophobic polyimide–SiO2 aerogels with a confined shrinkage strategy for high-temperature thermal protection (>400 °C)

Polyimide (PI) aerogels often experience substantial volume shrinkage when exposed to temperatures above 200 °C. Furthermore, research regarding the hydrophobic characteristics of PI aerogels under high-temperature conditions is limited. Herein, a confined shrinkage strategy was proposed, and the PI–SiO2 aerogels were prepared with ultralow thermal shrinkage and high-temperature superhydrophobic properties. Micrometer-sized silica aerogel powders were used in this strategy as shrinkage inhibitors during the production of PI aerogels. The silica aerogel powders were then pulled together using the PI chain and braced to each other, limiting the shrinkage of the PI aerogel matrix attached to the powders. Results indicated that the prepared aerogel experienced a shrinkage of only 6.2 % after heat treatment at 400 °C for 1 h in a muffle furnace. The surface area of the sample decreased from 669 m2/g to 649 m2/g after heat treatment, revealing a reduction of only 2.7 %. Previous studies have never reported this remarkable thermal stability. Furthermore, the aerogel exhibited superhydrophobic properties with a water contact angle of 157.4° and a water rolling angle of approximately 0° at 300 °C due to its high surface roughness.

Application of INTDOSKIT tool for assessment of uncertainties on dose coefficients for ingestion of uranium by workers

The International Commission on Radiological Protection (ICRP) has developed the Human Alimentary Tract Model (HATM) to calculate radiation doses from the ingestion of radionuclides for the protection of workers and the public. In parallel, the ICRP's Occupational Intake of Radionuclides (OIR) series provides biokinetic models and dose coefficients based on a reference human, primarily for regulatory purposes. Although these coefficients are not usually checked for uncertainties, the investigation of such uncertainties is crucial to ensure their reliability in radiation protection. This study uses INTDOSKIT, a software tool developed using the R programming language and RStudio as the Integrated Development Environment (IDE), to calculate doses and explore uncertainties following ingestion of U-238 by workers. Two scenarios were investigated: Case I, using the latest HATM model and the systemic uranium model from ICRP publications 100 and 137 respectively, and Case II, based on data from literature, using older ICRP models. In both cases, intake of U-238 in its soluble form (Type F) was modeled and the results were validated using the ICRP OIR dataviewer software. Following validation, uncertainty and sensitivity analyses were performed. In Case I, uncertainties were assigned to the particle transport parameters in both the systemic model model and HATM as well as the uranium uptake fraction into the blood. While in Case II they were limited to the uptake fraction (f1) and the systemic uranium model. A Monte Carlo simulation of 60,000 runs was performed for both cases, sampling model parameters from their respective probability distributions to generate dose distributions. The influence of each parameter on these distributions was also analyzed. Probability distributions were inferred to the calculated dose values using the maximum likelihood estimation method and the Kolmogorov-Smirnov goodness-of-fit. The results showed that for both cases the committed effective dose coefficient, e (50), followed a lognormal distribution. Case I had a geometric mean of 3.2E-08 Sv/Bq and GSD of 2.0, while case II had a slightly lower geometric mean of 3.1E-08 Sv/Bq and GSD of 1.9. Sensitivity analysis showed that the main contributor to dose uncertainty was the fraction of uranium absorbed from the small intestine into the blood. Both cases showed similar trends, with slightly higher results in case I. Overall, this study demonstrates the effectiveness of INTDOSKIT in calculating dose coefficients and analyzing uncertainties. It suggests that while the ICRP reference values remain useful for protection, the incorporation of additional statistical measures and distribution characteristics could further enhance radiation protection strategies.

Lung Protective Mechanical Ventilation in Severe Acute Brain Injured Patients: A Multicenter, Randomized Clinical Trial (PROLABI).

Lung protective strategies using low tidal volumes and moderate positive end expiratory pressures (PEEP) are considered best practice in critical care, but interventional trials have never been conducted in acutely brain-injured patients due to concerns about carbon dioxide control and effect of PEEP on cerebral hemodynamic. In this multicenter, open-label, controlled clinical trial 190 adult acute brain injured patients were assigned to receive either a lung-protective or a conventional ventilatory strategy. The primary outcome was a composite endpoint of death, ventilator dependency and ARDS at day 28. Neurological outcome was assessed at intensive care unit discharge by Oxford Handicap Scale and at six months by Glasgow Outcome Scale. The two study arms had similar characteristics at baseline. In the lung-protective and conventional strategy groups, using an intention-to-treat approach, the composite outcome at 28 days was 61.5% and 45.3% (RR 1.35; 95%CI 1.03-1.79; p=0.025). Mortality was 28.9% and 15.1% (RR 1.91; 95%CI 1.06-3.42; p=0.02), ventilator dependency was 42.3% and 27.9% (RR 1.52; 95%CI 1.01-2.28; p=0.039), and incidence of ARDS was 30.8% and 22.1% (RR 1.39; 95%CI 0.85-2.27; p=0.179) respectively. The trial was stopped after enrolling 190 subjects because of termination of funding. In acutely brain-injured patients without ARDS a lung-protective ventilatory strategy as compared to a conventional strategy did not reduce mortality, percentage of patients weaned from mechanical ventilation, incidence of ARDS and was not beneficial in terms of neurological outcomes. Due to the early termination, these preliminary results require confirmation in larger trials. Clinical trial registration available at www. gov, ID: NCT01690819.