Changes In System Research Articles

Multiple solutions and orbit change in energy harvesting system with a flag configuration

AbstractThe aim of this paper is to present a methodology for implementing the high-energy orbits which is still an open problem for nonlinear energy harvesters. To achieve it, this paper presents a new design of system with a flag configuration which potential function is shaped with the use of elastic elements. We have identified the lift force in FEM for wide spectrum of air velocities and used it as excitation in dimensionless mathematical model. On this basis we have conducted simulations of energy harvesting effectiveness. In the second part of the work, we focused on identifying the coexisting solutions. Due to the existence of high-energy orbits and low-energy orbits, we conducted simulations to investigate the possibility of changing the orbit. We used the Impulse Excitation Diagram here, but supplemented it with multi-colored probability distribution maps illustrating the possibility of achieving a stable orbit at given numerical values of the impulse amplitude and duration for various values of air flow velocity. The use of probability distribution maps allow to select the optimal impulse characteristics from the point of view of the energy necessary for its initiation.

An adaptive distance protection scheme considering fault resistance, injected current, and structural changes in the power system

AbstractFaults in power systems occur for various reasons, such as aging or natural disasters. Detecting, locating, and promptly clearing these faults is crucial for maintaining the safety and reliability of transmission lines (TLs). Distance relays (DRs), which protect TLs, detect faults, estimate their location, and send the required commands. However, these relays may experience mis‐detection due to manipulated impedance arising from both internal and external factors. These factors include measurement device errors, network topology changes, the presence of fault resistance (FR), and injected currents from remote line terminals. To address this challenge, an innovative adaptive protection scheme that considers FR, changes in network topology, and injected current from the opposite end of the line is proposed. By estimating the equivalent circuit impedances (ECIs) of the network connected to the terminal of the TL, this protection scheme utilizes impedance estimation techniques at the line terminals and offline network information. Simulation studies (tested on the IEEE 39‐bus standard network) show that the proposed scheme accurately estimates fault location (FL) and FR with high precision. The simulation results demonstrate its effectiveness in improving the performance of conventional distance protection relays in both the first and second protection zones ( and ).

“Aging” in co-amorphous systems: Dissolution decrease and non-negligible dissolution increase during storage without recrystallization

Developing co-amorphous systems is a promising strategy to improve the water solubility of poorly water-soluble drugs. Most of the studies focused on the initial dissolution rate of the fresh co-amorphous systems, and only physical stability was investigated after storage. However, the maintenance of the enhanced dissolution rate of co-amorphous systems after storage is necessary for further product development. The maintenance of amorphous forms after storage does not always mean the maintenance of the dissolution rate. In this study, indomethacin, arginine, tryptophan, and phenylalanine were used as the model drug and the co-formers to prepare co-amorphous systems and then stored under dry condition and RH 60 ± 5 % condition. No recrystallization was observed after the storage for 40 d and 80 d. Interestingly, both intrinsic dissolution rate (IDR) decrease and unexpected increase after storage were confirmed. The further mixing of IND and the co-former at a molecular level and the moisture changes of the co-amorphous systems during storage were supposed to play important roles in the aging. This study reminds us that the possible dissolution changes (both dissolution decrease and increase) of co-amorphous systems during storage should be carefully considered, though these samples maintained amorphous forms.

Informed consent in gynecological oncology: a JAGO/NOGGO survey on real-world practices in daily clinical routine.

Informed consent is a quintessential element of contemporary medicine, reflecting the fundamental right of patients to participate in decision-making regarding their health. Despite its critical importance, there is a lack of data on real-world practices regarding patient informed consent in the context of modern, high-pressure medical environments. Weconducted a multinational multicentric survey from February 24, 2022, to September 14, 2022, investigating the practices and challenges surrounding informed consent in hospitals across Germany, Austria, and Switzerland with the use of a specifically developed questionnaire. Drawing on over 200 responses from gynecologists, the survey shows a critical need for structured training in conducting informed consent discussions with over 80% of participants expressing interest in courses addressing this aspect. Notably, a considerable portion of the physicians (59.9%) reported conducting discussions on procedures they had never personally witnessed. Significant disparities between types of hospitals and professional groups were observed in the frequency of informed consent discussions, with limitations arising from factors such as time constraints, language barriers, and insufficient resources for patient education. Moreover, the psychological burden experienced by physicians after informed-consent discussions underscores the need for systemic changes to alleviate concerns regarding patient safety, legal repercussions, and patient satisfaction. This study serves as a call to action, emphasizing the need of enhancing resources and support for medical professionals to uphold the principles of empathic and comprehensive patient information and shared decision-making. DRKS00028295, 25.07.2024.

Transactional dynamics in hyperledger fabric: A stochastic modeling and performance evaluation of permissioned blockchains

Blockchain, often integrated with distributed systems and security enhancements, has significant potential in various industries. However, environmental concerns and the efficiency of consortia-controlled permissioned networks remain critical issues. We use a Stochastic Petri Net model to analyze transaction flows in Hyperledger Fabric networks, achieving a 95% confidence interval for response times. This model enables administrators to assess the impact of system changes on resource utilization. Sensitivity analysis reveals major factors influencing response times and throughput. Our case studies demonstrate that block size can alter throughput and response times by up to 200%, underscoring the need for performance optimization with resource efficiency.

Volatilome is Inflammasome- and Lipidome-dependent in Ischemic Heart Disease.

Ischemic heart disease (IHD) is a pathology of global interest because it is widespread and has high morbidity and mortality. IHD pathophysiology involves local and systemic changes, including lipidomic, proteomic, and inflammasome changes in serum plasma. The modulation in these metabolites is viable in the pre-IHD, during the IHD period, and after management of IHD in all forms, including lifestyle changes and pharmacological and surgical interventions. Therefore, these biochemical markers (metabolite changes; lipidome, inflammasome, proteome) can be used for early prevention, treatment strategy, assessment of the patient's response to the treatment, diagnosis, and determination of prognosis. Lipidomic changes are associated with the severity of inflammation and disorder in the lipidome component, and correlation is related to disturbance of inflammasome components. Main inflammasome biomarkers that are associated with coronary artery disease progression include IL-1β, Nucleotide-binding oligomerization domain- like receptor family pyrin domain containing 3 (NLRP3), and caspase-1. Meanwhile, the main lipidome biomarkers related to coronary artery disease development involve plasmalogen lipids, lysophosphatidylethanolamine (LPE), and phosphatidylethanolamine (PE). The hypothesis of this paper is that the changes in the volatile organic compounds associated with inflammasome and lipidome changes in patients with coronary artery disease are various and depend on the severity and risk factor for death from cardiovascular disease in the time span of 10 years. In this paper, we explore the potential origin and pathway in which the lipidome and or inflammasome molecules could be excreted in the exhaled air in the form of volatile organic compounds (VOCs).

Postoperative Outcome And Complications Among Peritoneal Carcinomatosis Patients

Introduction: Peritoneal carcinomatosis is a recurrence pattern in gastric cancer, commonly complicating the postoperative course, especially in high-risk individuals. These complications adversely affect quality of life, increase mortality, and have immediate postoperative clinical implications. Surgery is the best treatment for early-stage tumors, despite its associated risks, including mortality. Aim: To evaluate the impact of postoperative complications on the clinical outcomes of patients undergoing peritoneal cancer surgery. Methods: This cross-sectional observational study was conducted at the National Institute of Cancer Research and Hospital, Dhaka, Bangladesh, over twenty-one months from July 2017 to March 2019. Forty-two patients were selected based on inclusion and exclusion criteria and diagnosed clinically, radiologically, and histopathologically. Data were collected using a structured case record form and analyzed using SPSS-22. Results: The mean age of participants was 66.19 ± 10.38 years, with 33.3% aged 56-65 years. The cohort included 64.3% males and 35.7% females, with 52.4%, 40.5%, and 7.1% having a BMI of 18.5-24.9 kg/m², 25- 30 kg/m², and >30 kg/m², respectively. Smoking and betel leaf use were common (61.9% and 83.3%, respectively), with 69% from the middle class. Tumors primarily involved the proximal and distal stomach, with a mean size of 6.20 ± 1.86 cm, predominantly Type 3 and Type 4, and stages T4a and N2. No metastasis was observed. Total and lower radical gastrectomies were performed, with complications occurring in 9.5% (chest infection) and 14.3% (wound infection), while 76.2% had no complications. Conclusion: Complications can serve as indicators of postoperative clinical outcomes. The findings highlight the need for systemic changes in healthcare to reduce postoperative morbidity and mortality, thereby decreasing hospital stays.

Detection of Incidents and Anomalies in Software-Defined Network – Based Implementations of Critical Infrastructure Resulting in Adaptive System Changes

Detection of Incidents and Anomalies in Software-Defined Network – Based Implementations of Critical Infrastructure Resulting in Adaptive System Changes

Implementation and outcomes of a dementia-friendly training program in five hospitals

Background: Hospitalized patients living with dementia (PLWD) age 65+ generally experience poor outcomes. This study's purpose was to implement dementia-friendly training with staff, track patient outcomes, and implement sustainable system changes.Methods: We conducted a prospective study in five hospitals. The hospitals adopted HealthCare Interactive's CARES® Dementia 5-Step Method for Hospitals Online Training and Certification Program . After on-line modules completion, a didactic session was offered, and a retrospective pre/post survey was completed. Patient falls, length of stay, and readmission rates were collected.Results: 1,836 (41 %) staff completed the training. Positive changes in staff ratings from pre- to post- intervention were observed. Number of falls and readmissions did not change. The average number of stays per patient decreased by .24 (p=0.01). Hospitals made system changes including innovative identification for PLWD.Conclusions: Dementia-friendly hospital training is effective in improving staff recognition of the symptoms and needs of PLWD, and responding appropriately.

Changes of the Urothelial Barrier System in the Cyclophosphamide-Induced Cystitis in Rats by Using a Newly Established "Inside-Out" Urinary Bladder Preparation.

The study was aimed to establish the "inside-out" preparation with the urothelium and investigate the changes in urothelial permeability of the cyclophosphamide (CYP)-induced cystitis model in rats. In female rats with or without CYP injection, the isolated whole bladder was utilized as an "inside-out" preparation with the urothelium, which was created by reversing the bladder from a top portion. The preparation was fixed in the organ bath, and instilled with a Krebs solution (0.5 mL) through the bladder neck. After it was kept under an isovolumetric condition, high K+ (KCl: 50 mM) or acetylcholine (ACh: 10 μM) was added into the organ bath. In the normal bladder, the intravesical pressure of the inside-out preparation with the urothelium did not change with the addition of KCl or ACh. Contrarily, in the CYP-injected bladder 24 or 48 h after injection of CYP, the intravesical pressure of the inside-out preparation increased with the addition of KCl or ACh. Histological examinations showed a denuded and/or cracked surface of the urothelial layer, and the intensity of uroplakin III staining of the urothelial layer decreased in the CYP-injected rats. The study demonstrated the bladder urothelium has robust barrier mechanisms for preventing the absorption of water (urine) under the normal condition. However, these barrier mechanisms were disrupted in the CYP-induced cystitis, suggesting that water and urine insults can be permeabilized into the urinary bladder, specifically to the smooth muscle layer.

Immunological reactivity and natural resistance in patients with tuberculosis, toxocariasis and tuberculosis associated with toxocariasis

Introduction. Parasitic diseases continue to affect the population of many countries of the world. About 2 billion people on the planet are infected with helminths, including Toxocara canis. Invasion with Toxocara canis represents a strong endogenous factor in the formation of the regulatory imbalance of the immune system. The integral evaluation of these indices serves as an important criterion in the diagnosis of toxocarosis and the effectiveness of the applied therapy. In the context of the above, information about research on immune reactivity and natural resistance of tuberculosis patients in association with toxocariasis is of interest. Material and methods. This article is a systematic review of the relevant literature between the year 2001 and 2022. The material for the study was electronic sources published through the web Medline, EMBASE, Global Health, Scopus and Web of science; PubMed; crossref; Google Scholar and others. The following keywords were used “immunological reactivity”, “natural resistance”, “parasitic diseases”, “toxocara canis”, “tuberculosis and toxocariasis”, “immunity”, “helminthiasis”, “toxocariasis”. Bibliographic resources have been systematized by subject and content. The results were grouped and systematized according to the relevant criteria and the level of scientific evidence. Results. Parasites, in particular, Toxocara canis and M. tuberculosis use different mechanisms to alter the immune response, but these mechanisms can interact with significant consequences for the immunological reactivity of each infection. Chronic helminthic infection causes a wide range of changes in the immune system. Conclusion. The immune reactivity and natural resistance of tuberculosis patients in association with toxocarosis is insufficiently elucidated.

Full life cycle assessment of insect biomass allows estimation of bioflows across water, air, and land

AbstractAs global environmental change continues, animals face uncertain habitat availability and quality that influences life cycle phenology and population dynamics. For decades, the population abundance and emergence patterns of burrowing mayflies have been used as a sentinel for water quality changes in large freshwater systems around the world. Despite reduced point source pollutants, evidence is mounting that the interactions among habitat loss, contaminants, and changing climate could be causing declines in mayfly production and shifts in emergence timing. We combined radar observations with traditional field measures to identify changes in mayfly populations from nymph to adult. We studied Hexagenia sp. secondary production in a large reservoir, Lake Seminole, which has contrasting water sources and land use on each arm that could contribute to differences in emergence patterns. We predicted that mayfly secondary production would be higher, and emergence would be earlier in the Chattahoochee arm versus the Flint arm because of differences in available nutrients and temperature. Benthic declines in abundance and biomass followed radar observations of emergence. Mean annual water temperature was similar, with the Flint arm having less seasonal variation. Mayfly growth was similar across the lake, but production was higher in the upper Flint arm, perhaps because of temperature stability, higher nutrient concentrations, and more lotic conditions. The natural abundance of nitrogen‐stable isotopes in mayflies showed distinct patterns between the arms and from nymph to adult. Linking benthic sampling with radar observations verified our capability to track mayfly biomass across the landscape and begin to calibrate previous measures of production with radar‐derived abundance. Coupling radar observations with stable isotope and tissue nutrient measurements allowed us to further quantify the subsidies moving from aquatic to terrestrial ecosystems, setting the framework to examine both historic and future population changes and mayfly contributions to cross‐ecosystem subsidies.

When thinking about pain contributes to suffering: the example of pain catastrophizing

Abstract The extensive literature on the potent role negative thoughts about pain have on the experience of pain and pain-related suffering has documented associations with important neurobiological processes involved in amplifying nociceptive signals. We focus this review on pain catastrophizing (pCAT)— appraisals of pain as threatening, overwhelming, and unmanageable— and review the evidence that these thoughts are learned in childhood through experience and observation of others, particularly caretakers and parents. For children who have learned pCAT, repeated exposures to pain over time activate pCAT and likely contribute to further amplification of pain through changes in the neurobiological pain regulatory systems, which overlap with those regulating the stress response. We propose that repeated pain and stress exposures throughout childhood, adolescence, and into adulthood alter the neurobiology of pain via a repetitive positive feedback loop that increases risk for heightened pain sensitivity over time with repeated exposures. At some point, often precipitated by an acute episode of pain and possibly influenced by allostatic load, pCAT contributes to persistence of episodic or acute pain and exacerbates pain-related suffering. This developmental trajectory is not inevitable, as the impact of pCAT on pain and pain-related suffering can be influenced by various factors. We also present future directions for work in this area.

Carbohydrate Research Mini-review Relationships between bacteria and the mucus layer

The mucus layer on epithelial cells is an essential barrier, as well as a nutrient-rich niche for bacteria, forming a dynamic, functional and symbiotic ecosystem and first line of defense against invading pathogens. Particularly bacteria in biofilms are very difficult to eradicate. The extensively O-glycosylated mucins are the main glycoproteins in mucus that interact with microbes. For example, mucins act as adhesion receptors and nutritional substrates for gut bacteria. Mucins also play important roles in immune responses, and they control the composition of the microbiome, primarily due to the abundance of complex O-glycans. In inflammation or infection, the structures of mucin O-glycans can change and thus affect mucin function, impact biofilm formation and the induction of virulence pathways in bacteria. In turn, bacteria can support host cell growth, mucin production and can stimulate changes in the host immune system and responses leading to healthy tissue function. The external polysaccharides of bacteria are critical for controlling adhesion and biofilm formation. It is therefore important to understand the relationships between the mucus layer and microbes, the mechanisms and regulation of the biosynthesis of mucins, of bacterial surface polysaccharides, and adhesins. This knowledge can provide biomarkers, vaccines and help to develop new approaches for improved therapies, including antibiotic treatments.

Maternal obesity induces sex-specific changes in the endocannabinoid system of the hypothalamus and dorsal hippocampus of offspring associated with anxiety-like behavior in adolescent female rats

Maternal obesity during perinatal period increases the risk of metabolic and behavioral deleterious outcomes in the offspring, since it is critical for brain development, maturation, and reorganization. These processes are highly modulated by the endocannabinoid system (ECS), which comprises the main lipid ligands anandamide and 2-arachidonoylglycerol, cannabinoid receptors 1 and 2 (CB1R and CB2R), and several metabolizing enzymes. The ECS is overactivated in obesity and it contributes to the physiological activity of the hypothalamus-pituitary-adrenal (HPA) axis, promoting stress relief. We have previously demonstrated that maternal high-fat diet during gestation and lactation programmed the food preference for fat in adolescent male offspring and adult male and female offspring. In the present study, we hypothesized that maternal diet-induced obesity would induce sex-specific changes of the ECS in the hypothalamus and dorsal hippocampus of rat offspring associated with dysregulation of the HPA axis and stress-related behavior in adolescence. Rat dams were fed a control (C) or an obesogenic high-fat high-sugar diet (OD) for nine weeks prior to mating and throughout gestation and lactation. Maternal obesity differentially altered the CB1R in the hypothalamus of neonate offspring, with significant increase in male but not in female pups, associated with decreased CB2R prior to obesity development. In adolescence, maternal obesity induced anxiety-like behavior only in adolescent females which was associated with increased content of CB1R in the dorsal hippocampus. Our findings suggest that the early origins of anxiety disorders induced by maternal exposome is associated with dysregulation of the brain ECS, with females being more susceptible.

Evolving skills for people with diabetes

Drawing on nursing knowledge, professionals develop certains skills with people with diabetes. Some, such as the educational posture, seem to have been mastered by diabetes caregivers. But changes in the healthcare system, the advent of new technologies and climate change are prompting nurses to reinvent their daily practice.

Right bundle branch block in suspected acute coronary syndromes: Diagnostic challenges, treatment and prognosis

BackgroundThere is still conflicting evidence regarding the prognostic implications of right bundle branch block (RBBB) in the general population but also in patients with heart diseases like acute coronary syndromes (ACS). In accordance with current guidelines, RBBB in ACS patients is considered as STEMI equivalent. However, recent studies indicate that further differentiation is necessary in this group, as we will outline below. Methods and resultsA literature search was conducted in PubMed and Google Scholar.In previous studies, RBBB in the general population were mostly considered benign changes of the electrical conduction system. However, recent studies indicate that both complete and incomplete RBBB are associated with increased cardiovascular morbidity and mortality. In addition, among unselected patients with suspected ACS presenting to the emergency department, the prevalence of RBBB was 3 % and it was associated with elevated mortality. The subsequent angiographic identification of a culprit coronary artery stenosis leading to stent implantation was similar at approximately 2 % regardless of the initial ECG presentation with narrow QRS complexes, left bundle branch block (LBBB), or RBBB.Finally, in a group of high-risk patients for ST-elevation myocardial infarction (STEMI), the prevalence of RBBB was 12 %. While RBBB was associated with poor outcome compared to non-BBB and LBBB patients, diagnostic accuracy of STEMI criteria was not affected by the presence of RBBB. However, RBBB patients without distinct STEMI signs in ECG often showed acute STEMI on angiography indicating a potential benefit from immediate transfer to the cardiac catheterization laboratory. ConclusionIn the general population, patients with RBBB and risk factors may need further evaluation. Regarding ACS patients, recent studies support current guidelines that recommend acute invasive evaluation for high-risk ACS patients with RBBB, regardless of ST-T deviations. However, in an unselected group of ACS patients, differential diagnoses should also be investigated through additional diagnostic procedures.

Theorizing Labor in the Platform Economy: Labor Restructuring in Historical Perspective

ABSTRACTThe rise of the platform economy is one of the most widely debated issues in contemporary studies of work and labor relations. Scholarly work on platform labor has been permeated by claims of radical restructuring, either caused or exacerbated by the disruptive properties of algorithms, networks and data‐driven systems of control. However, a growing body of literature has drawn attention to the weaknesses of such claims, highlighting several continuities in the organization of work between the pre‐platform and platform economy, including in labor processes and in the regulation of labor‐capital relations. This article reviews key theoretical interventions within these areas of the literature, arguing that they eventually point toward the lack of historical distinctiveness of platform labor. It then suggests that a more nuanced and critical understanding of labor restructuring and platformization as part of a process of systemic social change would benefit from engagement with the theory of Uneven and Combined Development (U&CD). This engagement would build on two lines of inquiry: workforce diversity and spatial differentiation in the platform economy. The article concludes that U&CD is a useful meta‐theoretical framework to understand change within continuity, accounting for the variegated experiences of platform workers in interconnected spaces of capitalist accumulation.

Exploring the Spatially Compounding Multi‐Sectoral Drought Vulnerabilities in Colorado's West Slope River Basins

AbstractThe state of Colorado's West Slope Basins are critical headwaters of the Colorado River and play a vital role in supporting Colorado's local economy and natural environment. However, balancing the multi‐sectoral water demands in the West Slope Basins while maintaining crucial downstream deliveries to Lake Powell is an increasing challenge for water managers. Internal variability of the hydroclimatic system and climate change complicate future vulnerability assessments. This work contributes a detailed accounting of multi‐sectoral drought vulnerability in the West Slope Basins and the impacts of drought on downstream deliveries. We first introduce a novel multi‐site Hidden Markov Model (HMM)‐based synthetic streamflow generator to create an ensemble of streamflows for all West Slope basins that better characterizes the region's drought extremes. We capture the effects of climate change by perturbing the HMM to generate an ensemble of streamflows reflecting plausible changes in climate. We then route both ensembles through StateMod, Colorado's water allocation model, to evaluate spatially compounding drought impacts across the West Slope Basins. Our results illustrate how drought events emerging from the system's stationary internal variability in the absence of climate change can significantly impact local water uses and deliveries to Lake Powell, exceeding extreme conditions in the historical record. Further, we find that even modest climate change can cause a regime shift where historically low downstream delivery volumes and extreme drought impacts become routine. These results can inform future Colorado River planning efforts, and our methodology can be expanded to other snow‐dominated regions that face persistent droughts.

Research on Whether Quality Policies Can Promote the High-Quality Development of China’s Manufacturing Industry and Its Configuration Paths in the Context of Sustainable Development

High-quality development enhances economic quality and resource allocation efficiency through various effective and sustainable means, with particularly notable results in the manufacturing sector. Quality policies, through establishing standards, norms, and incentive measures, aim to foster technological innovation, efficient resource utilization, and quality improvement in manufacturing, thereby supporting its high-quality development. This study explores the impact of quality policies on high-quality development in manufacturing and their configurational pathways, providing theoretical foundations and practical guidance for optimizing policy combinations and promoting sustainable development. This analysis is based on quality policies released from 2013 to 2022 and sample data from 30 Chinese provinces. The findings reveal that quality policies significantly promote high-quality development in manufacturing, particularly through incentive, capacity building, and system changing instruments, while command instruments may exert certain pressures on high-quality development. Configuration analysis further indicates that a single instrument is insufficient to support high-quality development in manufacturing fully; the synergistic effect of multiple policy instruments is essential, and regions should optimize policy combinations according to their characteristics. This study provides valuable insights for sustainable development, offering a deeper understanding of the complex causal relationship between quality policies and high-quality development in manufacturing.