Superior Coverage Research Articles

Meta Heuristic Technique with Reinforcement Learning for Node Deployment in Wireless Sensor Networks

Wireless Sensor Networks (WSNs) are vital in applications like environmental monitoring, smart homes, and battlefield surveillance. Comprising small devices with limited resources, WSNs require efficient node deployment for power optimization and prolonged network lifetime, ensuring sufficient coverage and connectivity. This study introduces an Intelligent Satin Bower Bird Optimizer augmented with reinforcement learning (ISBO-RL), enhancing coverage and connectivity. ISBO-RL focuses on optimal sensor placement for improved coverage and connectivity, using an Optimum Position Finding (OPF) method to identify key sensor node locations. Reinforcement learning is integrated into the ISBO algorithm, allowing nodes to adapt based on performance and changing conditions. Experimental results on diverse platforms highlight ISBO-RL’s efficacy and its superior coverage and connectivity performance as compared to other algorithms. ISBO-RL represents a significant advancement in the field of Wireless Sensor Networks, offering a promising solution to address the challenges of efficient node deployment and network optimization in various critical applications.

Multi-observation points setting problem based on stepwise maximum viewshed approach

Terrain visibility analysis is vital in geospatial research, employing computer geometry and graphics principles for computing and visualizing visibility between observation and target points. The observation point setup problem is crucial for tasks like sentry point selection and signal base station placement. This problem involves choosing the minimum viewpoints on terrain for optimal joint view coverage, presenting a combinatorial optimization challenge. As technology advances, data can be acquired with increasing precision, the number of viewpoints that can be extracted from the same area is gradually increasing as well, obtaining candidate viewpoints and determining optimal combinations become challenging. This paper proposes a novel method, Stepwise Maximum Viewshed (SMV), addressing observation point setup by stepwise filtering the maximum viewshed and can customize the size of the observation point combination. In complex mountainous terrain, the SMV algorithm demonstrates superior joint view coverage compared to Candidate Viewpoints Filtering (CVF) and Simulated Annealing (SA) algorithms. Experimental results reveal up to 5.59% improvement over CVF and a maximum of 12.52% over SA in joint viewshed coverage.

Comparative analysis of simultaneous integrated boost and sequential boost radiotherapy in node-positive cervical cancer: dosimetric and radiobiological considerations.

For locally advanced cervical cancer, the standard therapeutic approach involves concomitant chemoradiation therapy, supplemented by a brachytherapy boost. Moreover, an external beam radiotherapy (RT) boost should be considered for treating gross lymph node (LN) volumes. Two boost approaches exist with Volumetric Intensity Modulated Arc Therapy (VMAT): Sequential (SEQ) and Simultaneous Integrated Boost (SIB). This study undertakes a comprehensive dosimetric and radiobiological comparison between these two boost strategies. The study encompassed ten patients who underwent RT for cervical cancer with node-positive disease. Two sets of treatment plans were generated for each patient: SIB-VMAT and SEQ-VMAT. Dosimetric as well as radiobiological parameters including tumour control probability (TCP) and normal tissue complication probability (NTCP) were compared. Both techniques were analyzed for two different levels of LN involvement - only pelvic LNs and pelvic with para-aortic LNs. Statistical analysis was performed using SPSS software version 25.0. SIB-VMAT exhibited superior target coverage, yielding improved doses to the planning target volume (PTV) and gross tumour volume (GTV). Notably, SIB-VMAT plans displayed markedly superior dose conformity. While SEQ-VMAT displayed favorable organ sparing for femoral heads, SIB-VMAT appeared as the more efficient approach for mitigating bladder and bowel doses. TCP was significantly higher with SIB-VMAT, suggesting a higher likelihood of successful tumour control. Conversely, no statistically significant difference in NTCP was observed between the two techniques. This study's findings underscore the advantages of SIB-VMAT over SEQ-VMAT in terms of improved target coverage, dose conformity, and tumour control probability. In particular, SIB-VMAT demonstrated potential benefits for cases involving para-aortic nodes. It is concluded that SIB-VMAT should be the preferred approach in all cases of locally advanced cervical cancer.

Precision Irrigation Soil Moisture Mapper: A Thermal Inertia Approach to Estimating Volumetric Soil Water Content Using Unmanned Aerial Vehicles and Multispectral Imagery

To address the issue of estimating soil moisture at a hyper-resolution scale, a methodology referred to as Precision Irrigation Soil Moisture Mapper (PrISMM), that includes three key components, is developed: high-resolution remotely sensed optical and thermal data, surface energy balance modeling, and site-specific soil analysis. An Unmanned Aerial Vehicle/System (UAV or UAS) collects high-resolution multispectral imagery in the Dallas–Fort Worth metropolitan study area. Orthomosaics are converted to thermal inertia estimates in a spatially distributed format using the remotely sensed data combined with a set of surface energy balance modeling equations. Using thermal and physical properties of soil gained from site-specific soil analysis, thermal inertia estimates were further converted from thermal inertia to daily volumetric soil water content (VSWC) with a horizonal resolution of 8.6 cm. A ground truthing dataset of measured VSWC values taken from a Time Domain Reflectometer was compared with model results, producing a reasonable correlation with an average coefficient of determination of (R2) = 0.79, an average root mean square error (RMSE) = 0.0408, and mean absolute error (MAE) = 0.0308. This study highlights a practical approach of estimating VSWC for irrigation purposes while providing superior spatio-temporal coverage over in situ methods. The authors envision that PrISMM can be implemented in water usage management by relating VSWC with weather forecasts and evapotranspiration rates to develop time-based spatially distributed irrigation management plans.

Chemo- and enantioselective analysis of high hydrophilic organophosphate pesticides by liquid chromatography under different elution modes

Acephate and malathion are prevalent chiral organophosphate insecticides, giving rise to more toxic chiral metabolites such as methamidophos and malaoxon, respectively. Enantioselective separation of chiral pesticides is crucial due to the differing pharmacological, environmental, and toxicological profiles of enantiomers. This study systematically evaluates an enantio‑ and chemoselective performance of eight polysaccharide-based chiral columns (Chiralcel OB-H, Chiralcel OD-H, Chiralcel OJ-R, Chiralpak AD-H, Chiralpak AS-H, Chiralpak IG-3, Chiralpak IK-3, and Lux-Amylose-2) and ten mobile phases across multimodal elution (normal-phase, polar organic, and reversed-phase conditions). Within the 80 combinations per analyte, the chiral screening highlights specific enantioselectivity trends concerning hydrophilic and hydrophobic compounds when utilizing amylose- or cellulose-based polymers under different conditions. Notably, a set of columns including IK-3, OJ-R, AS-H, and AD-H demonstrated superior coverage, achieving at least a 62 % success rate for enantioseparation. For the resolution between the pairs acephate/methamidophos and malathion/malaoxon, where no further optimizations were undertaken, the success rate for enantio‑ and chemoselectivity was 10 % and 30 %, respectively.

Current practices of craniospinal irradiation techniques in Turkey: a comprehensive dosimetric analysis

ObjectiveThis study evaluates various craniospinal irradiation (CSI) techniques used in Turkish centers to understand their advantages, disadvantages and overall effectiveness, with a focus on enhancing dose distribution.MethodsAnonymized CT scans of adult and pediatric patients, alongside target volumes and organ-at-risk (OAR) structures, were shared with 25 local radiotherapy centers. They were tasked to develop optimal treatment plans delivering 36 Gy in 20 fractions with 95% PTV coverage, while minimizing OAR exposure. The same CT data was sent to a US proton therapy center for comparison. Various planning systems and treatment techniques (3D conformal RT, IMRT, VMAT, tomotherapy) were utilized. Elekta Proknow software was used to analyze parameters, assess dose distributions, mean doses, conformity index (CI), and homogeneity index (HI) for both target volumes and OARs. Comparisons were made against proton therapy.ResultsAll techniques consistently achieved excellent PTV coverage (V95 > 98%) for both adult and pediatric patients. Tomotherapy closely approached ideal Dmean doses for all PTVs, while 3D-CRT had higher Dmean for PTV_brain. Tomotherapy excelled in CI and HI for PTVs. IMRT resulted in lower pediatric heart, kidney, parotid, and eye doses, while 3D-CRT achieved the lowest adult lung doses. Tomotherapy approached proton therapy doses for adult kidneys and thyroid, while IMRT excelled for adult heart, kidney, parotid, esophagus, and eyes.ConclusionModern radiotherapy techniques offer improved target coverage and OAR protection. However, 3D techniques are continued to be used for CSI. Notably, proton therapy stands out as the most efficient approach, closely followed by Tomotherapy in terms of achieving superior target coverage and OAR protection.

Balancing Innovation and Patient Care in Breast Cancer: Integrating Hypofractionated Proton Therapy With Breast Reconstruction Outcomes.

This review aims to assess the application of hypofractionated proton therapy in breast cancer reconstruction, analyzing its advantages, challenges, and broader implications for patient care. The goal is to comprehensively understand how this innovative approach can be integrated into breast cancer treatment. Proton therapy exhibits superior target coverage and safety, reducing radiation-induced complications and sparing critical organs, but skin toxicity outcomes differ from photon therapy. Tissue expanders are vital in breast reconstruction, employing innovative planning for positive long-term outcomes and highlighting the importance of balancing cancer treatment effectiveness with cosmetic outcomes. Hypofractionated proton therapy and breast cancer reconstruction present promising innovations with notable advantages in target coverage and organ sparing. However, variations in skin toxicity outcomes and the need for a careful balance between treatment effectiveness and cosmetic outcomes underscore ongoing challenges. Future directions should focus on refining treatment protocols, optimizing patient selection criteria, and integrating emerging technologies to enhance therapeutic outcomes while minimizing adverse effects.

Tweaking the Non-Volatile Write-Once-Read-Many-Times (WORM) Memory using Donor-Acceptor Architecture with Isatin as Core Acceptor.

Organic memory devices have attracted attention because they promise flexible electronics, low manufacturing costs, and compatibility with large-scale integration. A series of new D-A architectures were synthesized employing different donor groups and the isatin moiety as the acceptor through Suzuki-Miyaura coupling reactions. Strong intramolecular interactions were observed in the synthesized compounds, further corroborated by an optimal bandgap. The SEM investigation confirmed good molecular ordering and superior thin film surface coverage. All the compounds demonstrated notable binary Write-Once-Read-Many-Times (WORM) memory behaviour. The threshold switching voltage for these D-A systems ranged from -0.79 to -2.37 V, with the compound having isobutyl substituent showing the lowest threshold voltage and maximum ON/OFF ratio of 102, thus outperforming others. The combined effects of charge transfer and charge trapping are responsible for the resistive switching mechanism prevailing in these systems. The alterations in D-A molecules that affect molecular packing, thin film morphology, and, finally, the memory performance of the active layer are highlighted in this work.

Energy-Efficient Computation Peer Offloading in Satellite Edge Computing Networks

Recently, MEC has been integrated with satellite networks to process remote terrestrial computation tasks with superior coverage and delay. Since single satellite computation is hard to tackle spatially uneven computation workloads, computation peer offloading among multiple satellites is urgently needed to further improve service quality and resource utilization. However, considering limited resources, deficient energy, and costly overheads of communication and computation, how to enable efficient offloading cooperation in the time-varying satellite networks is a significant challenge. In this paper, we first design a satellite peer offloading scheme, where offloading is performed along multi-hop paths to explore collaborative computing capabilities. Second, we formulate the Multi-Hop Satellite Peer offloading (MHSPO) problem, aiming to jointly minimize the delay and energy consumption under system resources and backlog constraints. Then, to adapt to the network dynamics, the decision-making process with uncertain future workloads is optimized by leveraging the delayed online learning method under the Lyapunov framework. Finally, we develop a practical online distributed algorithm to solve the MHSPO problem, which is proven to achieve close-to-optimal performance. Extensive simulations show that multi-hop peer offloading among satellites improves edge computing performance efficiently.

Profile likelihoods for parameters in trans-Gaussian geostatistical models

Profile likelihoods are rarely used in geostatistical models due to the computational burden imposed by repeated decompositions of large variance matrices. Accounting for uncertainty in covariance parameters can be highly consequential in geostatistical models as some covariance parameters are poorly identified, the problem is severe enough that the differentiability parameter of the Matern correlation function is typically treated as fixed. The problem is compounded with anisotropic spatial models as there are two additional parameters to consider. In this paper, we make the following contributions: Firstly, a methodology is created for profile likelihoods for Gaussian spatial models with Matérn family of correlation functions, including anisotropic models. This methodology adopts a novel reparameterization for generation of representative points, and uses GPUs for parallel profile likelihoods computation in software implementation. Then, we show the profile likelihood of the Matérn shape parameter is often quite flat but still identifiable, it can usually rule out very small values. Finally, simulation studies and applications on real data examples show that profile-based confidence intervals of covariance parameters and regression parameters have superior coverage to the traditional standard Wald type confidence intervals.

PET/SPECT/Spectral-CT/CBCT imaging in a small-animal radiation therapy platform: A Monte Carlo study-Part II: Biologically guided radiotherapy.

This study addresses the technical gap between clinical radiation therapy (RT) and preclinical small-animal RT, hindering the comprehensive validation of innovative clinical RT approaches in small-animal models of cancer and the translation of preclinical RT studies into clinical practices. The main aim was to explore the feasibility of biologically guided RT implemented within a small-animal radiation therapy (SART) platform, with integrated quad-modal on-board positron emission tomography (PET), single-photon emission computed tomography, photon-counting spectral CT, and cone-beam CT (CBCT) imaging, in a Monte Carlo model as a proof-of-concept. We developed a SART workflow employing quad-modal imaging guidance, integrating multimodal image-guided RT and emission-guided RT (EGRT). The EGRT algorithm was outlined using positron signals from a PET radiotracer, enabling near real-time adjustments to radiation treatment beams for precise targeting in the presence of a 2-mm setup error. Molecular image-guided RT, incorporating a dose escalation/de-escalation scheme, was demonstrated using a simulated phantom with a dose painting plan. The plan involved delivering a low dose to the CBCT-delineated planning target volume (PTV) and a high dose boosted to the highly active biological target volume (hBTV) identified by the 18F-PET image. Additionally, the Bayesian eigentissue decomposition method illustrated the quantitative decomposition of radiotherapy-related parameters, specifically iodine uptake fraction and virtual noncontrast (VNC) electron density, using a simulated phantom with Kidney1 and Liver2 inserts mixed with an iodine contrast agent at electron fractions of 0.01-0.02. EGRT simulations generated over 4,000 beamlet responses in dose slice deliveries and illustrated superior dose coverage and distribution with significantly lower doses delivered to normal tissues, even with a 2-mm setup error introduced, demonstrating the robustness of the novel EGRT scheme compared to conventional image-guided RT. In the dose-painting plan, doubling the dose to the hBTV while maintaining a low dose for the PTV resulted in an organ-at-risk (OAR) dose comparable to the low-dose treatment for the PTV alone. Furthermore, the decomposition of radiotherapy-related parameters in Kidney1 and Liver2 inserts, including iodine uptake fractions and VNC electron densities, exhibited average relative errors of less than 1.0% and 2.5%, respectively. The results demonstrated the successful implementation of biologically guided RT within the proposed quad-model image-guided SART platform, with potential applications in preclinical RT and adaptive RT studies.

Effect of the Key Geometry and Flow Parameters on Discharge Coefficient of Laidback Fan-Shaped Hole Under Coolant Crossflow Condition

Abstract A laidback fan-shaped hole is commonly used due to its superior lateral film coverage. Its discharge coefficient is significantly influenced by internal crossflow owing to its complex geometrical structure. In this paper, the authors numerically investigate the flow mechanisms of the laidback fan-shaped hole under the influence of internal crossflow. The numerical simulations utilize the validated SST k–ω turbulence model, with the Reynolds number of internal crossflow ranging from 20,000 to 160,000 and the ratio of pressure ranging from 1 to 1.6. The results show that the different orientations of internal crossflow cause varying degrees of in-hole separation that led to a discrepancy in the discharge coefficient. The larger the Reynolds number of the crossflow is, the more drastic the change in the discharge coefficient. Furthermore, a comparison between the results obtained with and without internal crossflow has shown that the length of the cylindrical section is the primary factor determining the discharge coefficient of the laidback fan-shaped hole. The magnitude of the discharge coefficient depended on the extent of flow separation within the cylindrical section. Additionally, the numerical simulations obtained the discharge coefficient under a high internal crossflow Reynolds number of internal crossflow and a wall with a constant thickness and compared it with the predictions of a low-dimensional model of the discharge coefficient (based on our previous experimental data). The discrepancy between the results is within 10%, thus verifying the scalability of the low-dimensional model.

Tailoring Bandgap and Photocatalytic Performance of Designed Zinc Oxide Platelets by Cobalt Doping

AbstractPlatelet‐shaped zinc oxide (ZnO) particles exhibit certain advantages compared to conventional micron and nano forms. Their superior surface coverage and excellent optical properties make these particles very attractive as UV filters in cosmetics and personal care applications. Although ZnO is non‐toxic, it exhibits photocatalytic activity (PCA), which increases when the size of particles approaches the nanoscale. High PCA of mineral/inorganic filters is not desired in cosmetics and personal care applications. Therefore, it is essential to develop strategies to reduce PCA of such materials under UV exposure. Accordingly, the research objective of this study is to develop an understanding of the effects of Co‐doping on the optoelectronic and crystal structure of platelet shaped ZnO particles with Zn1‐xMxO stoichiometry (x=0‐4 wt % cobalt). XRD‐based Rietveld refinement and WD‐XRF reveal that Co was successfully doped into the ZnO lattice. SEM and particle size analyses confirmed that the shape and size of the designed ZnO platelets did not change significantly after doping. ~85 % reduction in PCA has was achieved by 3 wt % Co doping which was attributed to reduced OH and O2 free radical concentration. These results clearly show that Co‐doping can be used to effectively tailor the bandgap and optical properties of the designed ZnO particles.

The Anterior Modified San Diego Acetabuloplasty Does Not Increase Superior-Anterior Coverage in Patient-Specific 3D-Printed Models.

Patients with developmental dysplasia of the hip may require pelvic osteotomies to improve acetabular coverage. The purpose of this study was to compare the changes in acetabular version, tilt, and regional coverage angles following the San Diego acetabuloplasty (SDA), the modified San Diego acetabuloplasty (mSDA), and the Pemberton acetabuloplasty (PA). Fourteen patients with developmental dysplasia of the hip and computed tomography (CT) imaging were identified. From CT images, 2 identical pelvises were 3-dimensional-printed for each patient. Bone was printed with rigid material, and cartilage with flexible material. For each model pair, the SDA was performed on one and the PA was performed on the other. CT scans were obtained before and after acetabuloplasties. Next, the bone graft in the SDA model was moved anteriorly, representing the mSDA, and the model was rescanned. Acetabular version, tilt, and coverage angles (posterior, superior-posterior, superior, superior-anterior, and anterior) were calculated. Preoperative to postoperative differences were compared (repeated measures analysis of variance or Wilcoxon signed rank test). The significance was set to P <0.05. The mean age at CT was 5.8±1.2 years (range: 3.9 to 7.5y). All 3 procedures (SDA, mSDA, and PA) significantly increased acetabular tilt; P <0.045), with a similar change observed for all 3 ( P =0.868). PA was the only procedure to significantly decrease relative acetabular version (6.5±6.5 degrees, preoperative: 12.9±5.3 degrees; P =0.004). Both the SDA and mSDA procedures significantly increased coverage in the superior-posterior octant (SDA: 92.6±9.3 degrees, mSDA: 92.3±9.8 degrees, preoperative: 81.9±9.5 degrees; P <0.02), with a similar percent change among the 2 ( P =1.0). All 3 procedures significantly increased superior coverage ( P <0.04); the increase was similar among the 3 ( P =0.205). The PA was the only procedure to produce a significant increase in coverage in the superior-anterior octant (91.0±16.7 degrees, preoperative: 74.0±12.1 degrees; P =0.005) or the anterior octant (50.7±11.7 degrees, preoperative: 45.8±8.9 degrees; P =0.012). The SDA and mSDA procedures produced similar postoperative changes, primarily in the superior and superior-posterior acetabular octants. Placing the graft more anteriorly did not increase anterior coverage in the mSDA, and only the PA increased coverage in the superior and superior-anterior acetabular octants.

(046) An Approach to the Thoughtful Selection of Antimicrobial Prophylaxis for Inflatable Penile Prosthesis Surgery

Abstract Introduction There is a growing body of evidence questioning the efficacy of the antibiotic prophylaxis regimens recommended by the American Urological Association (AUA) Best Practice Statement (BPS) for IPP surgery. However, since publication of the BPS the use gentamicin and vancomycin use has increased substantially. This is potentially due to a lack of other specific prophylaxis recommendations making it difficult for surgeons to know which agents to select. Objective We sought to create a simple process to enable surgeons to select an individualized prophylaxis regimen which accounts for local antibiotic resistance patterns. Methods We retrospectively collected IPP infection history from 3 surgeons from 3 different regions of the United States between 2016 and 2021. Local hospital antibiograms were obtained for each surgeons’ institution. Each surgeons IPP infection history was crossed with the resistance patterns on the local antibiograms to identify prophylactic antimicrobial regimens providing the highest level of coverage. Results The organisms causing implant infections for each surgeon during the inclusion period are reported in Table 1. Vancomycin and fluconazole provided excellent Gram-positive and fungal coverage for all surgeons, however Gram-negative coverage varied. Surgeon A had a history of ESBL-producing E. Coli and no infections from Pseudomonas sp. Gentamicin and tobramycin have poor coverage of ESBL-producing E. coli (61% and 52% respectively). However, pipercillin/tazobactam covers 92% of ESBL-producing E. coli. The only Gram-negative organism that pipercillin/tazobactam has worse coverage of than the aminoglycosides is Pseudomonas (gentamicin-92%, tobramycin-96%, pipercilin/tazobactam-80%); however, Surgeon A had no history of Pseudomonas infections. Therefore, the greatest level of coverage can be obtained with vancomycin, pipercillin/tazobactam, and fluconazole. All of Surgeon B’s infections were caused by non-ESBL producing E. coli. Gentamicin, tobramycin, and pipercillin/tazobactam all have excellent coverage of E. coli (95%, 94%, and 95% respectively). Comparing these agents to other common pathogens shows superior coverage of tobramycin over gentamicin and pipercillin/tazobactom for Pseudomonas. The highest level of coverage for Surgeon B can be obtained with vancomycin, tobramycin, and fluconazole. Surgeon C’s infection history has a predominance of Klebsiella sp., but also includes Pseudomonas. Both gentamicin and tobramycin have excellent coverage (&amp;gt;95%) of these Gram-negative organisms. The highest level of coverage can be obtained with vancomycin, an aminoglycoside, and fluconazole. Conclusions The use of local antibiograms and infection history is a simple strategy to tailor prophylaxis regimens to resistance patterns. We found a different regimen to be superior at each institution. Surgeon B’s experience demonstrates that all aminoglycosides may not be equal when factoring in local resistance patterns. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Coloplast, Cynosure, Antares Pharma, Clarus Pharmaceuticals, Acerus Pharma, Boston Scientific.

Feasibility of delivering vitamin A supplementation (VAS) and deworming through routine community health services in Siaya County, Kenya: A cross-sectional study.

Vitamin A deficiency and soil-transmitted helminth infection are serious public health problems in Kenya. The coverage of vitamin A supplementation and deworming medication (VASD) provided through mass campaigns is generally high, yet with a cost that is not sustainable, while coverage offered through routine health services is low. Alternative strategies are needed that achieve the recommended coverage of >80% of children twice annually and can be managed by health systems with limited resources. We undertook a study from September to December 2021 to compare the feasibility and coverage of VASD locally delivered by community health volunteers (CHV) ("intervention arm") to that achieved by the bi-annual Malezi Bora campaign event ("control arm"). This comparative cross-sectional study was conducted in sub-counties of Siaya County using both qualitative and quantitative methods. VASD were offered through the CHS in Alego Usonga and through Malezi Bora in Bondo Sub-County. Coverage was assessed by a post-event coverage survey among caregivers of children aged 6-59 months (n = 307 intervention; n = 318 control). Key informant interviews were conducted with n = 43 personnel across both modalities, and 10 focus group discussions were conducted with caregivers of children aged 6-59 months to explore knowledge, attitudes and perceptions of the two strategies. VAS coverage by CHV was 90.6% [95% CI: 87.3-93.9] compared to 70.4% [95% CI: 65.4-75.4] through the Malezi Bora, while deworming coverage was 73.9% [95% CI: 69.0-78.7] and 54.7% [95% CI: 49.2-60.2], respectively. With sufficient training and oversight, CHV can achieve superior coverage to campaigns.

A study on the efficiency of economic support policies in response to COVID-19

ABSTRACT This study evaluates the efficiency of economic support policies implemented by OECD countries during the COVID-19 pandemic from January 2020 to December 2021, using Data Envelopment Analysis (DEA). Distinguished from prior research, this study comprehensively considers both economic policy and public health perspectives. The results of this analysis can be summarized as follows: Firstly, government effectiveness was found to positively influence policy efficiency, underscoring the critical role of citizens’ trust in government policy execution in shaping policy outcomes. Secondly, nations with a high Universal Health Coverage (UHC) Service Index exhibited lower efficiency. Further examination of this finding revealed that countries with superior healthcare coverage experienced fewer COVID-19-related deaths, albeit with less robust economic performance. In these countries, despite the high quality of medical coverage and economic responses, the outcomes did not proportionately align with their efforts. Drawing from these insights, we present policy recommendations to enhance the effectiveness of government responses.

A comparative study of boost dose delivery techniques in breast cancer radiotherapy optimising efficacy and minimising toxicity.

The present study aims to compare three techniques for delivering a boost absorbed dose: conventional reduced tangential (3D), volumetric modulated arc therapy (VMAT) and fields forward-planned technique boost (3DF). The study included 15 postoperative breast cancer patients who received a boost absorbed dose following breast-conserving surgery. The conformity index and homogeneity index were used to evaluate treatment outcomes, along with the average absorbed dose received by organs at risk (OAR). All the calculated dosimetric plans are carried out using Monaco Treatment Planning System (TPS). VMAT offers superior conformity, dose homogeneity and target coverage, it is associated with higher absorbed doses to OAR such as the heart and lung. In contrast, the 3D and 3DF techniques exhibit advantages in reducing absorbed doses to critical structures, potentially minimising the risk of cardiac and pulmonary complications. Each technique has its advantages and disadvantages. The choice of technique should be individualised, taking into account patient-specific factors and treatment goals and involves a multidisciplinary approach.

Mitigating Defect States of All‐Inorganic CsPbI2Br Perovskite via Multifunctional 2‐Amino‐5‐Nitrothiazole Additive for an Efficient Air‐Processed Outdoor/Indoor Photovoltaics

All‐inorganic CsPbI2Br mixed halide perovskites show promise as wide‐bandgap photoabsorbers in photovoltaics. However, the rapid crystal growth observed in solution‐processed CsPbI2Br often leads to morphologies plagued by pinholes and defects, which limit device performance. This study introduces 2‐Amino‐5‐nitrothiazole (ANT), an innovative precursor additive, to enhance film quality. ANT's selective interactions with the perovskite precursor moderate the crystal growth, resulting in a dense, flawless CsPbI2Br film characterized by superior crystallinity and coverage. Furthermore, the NH2 group in ANT coordinates with Pb octahedra, effectively mitigating charge defects through NHI/Br bonds. Simultaneously, SCN sites interact with uncoordinated Pb2+ ions, reducing defect states and nonradiative recombination. This innovation achieves an impressive device efficiency of 17.13% with a fill factor (FF) of 83.41%, surpassing the control's efficiency of 15.21% (FF of 80.45%). Notably, the champion device maintains an efficiency of 29.47% under indoor light‐emitting diode lighting at 1000 lux. Additionally, the optimized perovskite solar cell demonstrates remarkable stability, retaining ≈90% of its efficiency for over 720 h at 85 °C in air, even without encapsulation.

Study the Quality of IMRT and VMAT Treatment Planning Techniques (TPS) Using Indices of Achievement (IOA) Nasopharyngeal Cancer Plans

Volumetric Modulated Arc Therapy (VMAT) and Intensity Modulated Radiation Therapy (IMRT) are comparable for nasopharyngeal cancerous radiation therapy. This research intends to analyze the high-quality plan using accomplishment, conformance, and homogeneity criteria. The study involved 40 patients with a postnasal cancerous tumor. The patients underwent computed tomography (CT) simulation to scan the anatomical details of the patients' heads. Then, their data was forwarded to the treatment planning system (TPS) workstation for IMRT and VMAT planning. The plans were evaluated using the IOA, HI, and CI indices. The nasopharynx coverage results consist of the GTV and PTV at 95%. The statistical study reveals that VMAT provides much more coverage than IMRT for 95% GTV and 95% PTV. The results reveal that VMAT has a substantially better-quality plan (IOA) than IMRT. IMRT provides a superior CI, but VMAT protects the cochlea and optic nerves more effectively. In addition, the IMRT is advantageous for the preservation of additional OARs. There is no statistical difference in protection for the mandible and parotid glands between the two procedures. The VMAT has superior coverage for the gross and planned target volumes and achievement indices. The conformity of IMRT in the tumor target area is better, while VMAT can better protect the cochlea and optic nerves.