Search Results (96)

Purpose: This study evaluates the efficacy of a patient blood management (PBM) initiative in reducing unnecessary red blood cell (RBC) transfusions at a New York City community teaching hospital over eight years (2013–2020). Methods: A retrospective analysis of RBC transfusion data was performed, covering the period from 2013 to 2020. Findings: Post-PBM implementation, notable advancements were recorded annually. Mean pretransfusion hemoglobin (Hgb) levels decreased from 7.26 g/dL in 2013 to 6.68 g/dL in 2020. Annual RBC transfusion units decreased, with units transfused at Hgb ≥ 7 g/dL falling from 1210 (58.7%) in 2013 to 377 (20.0%) in 2020, a drop of 39%. Two-unit RBC orders at Hgb ≥ 7 g/dL declined from 65 in 2013 to 10 in 2020. Estimated cost savings from 2014 to 2020 totaled US Dollar (USD) 2.2 million. Conclusions: The PBM program significantly curtailed unnecessary RBC transfusions and optimized transfusion practices, demonstrating that resource-light, evidence-based strategies can yield substantial clinical and economic benefits. Full article

The global demand for sustainable energy has accelerated the development of biofuels, aiming to reduce fossil fuel reliance and environmental impact. Second-generation ethanol (2G), produced from lignocellulosic biomass such as sugarcane bagasse and straw, is a promising alternative aligned with the circular economy. Its production relies on pretreatments to improve the enzymatic access to polysaccharides. Among the available methods, the organosolv (O) and hydrothermal (H) pretreatments are effective in separating the biomass into cellulose-rich pulps and hemicellulosic liquors. In this study, these pretreatments were applied to sugarcane bagasse (SCB) and straw (SS), aiming to obtain hemicellulosic fractions for bioconversion. The characterization of pretreated biomasses showed increased cellulose content, indicating successful delignification. After the lignin precipitation, the hemicellulosic liquors were submitted to enzymatic hydrolysis, with increases in the total reducing sugar (TRS) concentrations, from 11.144 to 13.440 g·L⁻¹ (SBO), 16.507 to 22.492 g·L⁻¹ (SBH), 8.560 to 9.478 g·L⁻¹ (SSO), and 14.164 to 22.830 g·L⁻¹ (SSH), with highlights for the hydrothermal pretreated hydrolysates in the improvement of sugar release. HPLC confirmed these gains, notably in the xylose content. The results indicated the potential of hemicellulosic liquors for the fermentation of pentoses, supporting integrated bioethanol production. This approach promotes the efficient use of agro-residues and strengthens the role of biofuels in low-carbon and sustainable energy systems. Full article

Background/Objectives: Suicide is the leading cause of death among South Korean military soldiers, accounting for more than 70% of all deaths. This issue is particularly relevant in the military context due to the nature of living in groups in a controlled environment. This study was conducted active-duty south Korean male soldiers aged 18 to 28 who were performing mandatory military service for one year and six months. Additionally, it compares and analyzes the differences in suicidal ideation and risk factors between military soldiers and a comparison group consisting of males in their 20s without military experience. Methods: This study included 248 Korean soldiers and 292 general controls, totaling 540 participants. The research instruments used for evaluation included the Beck Scale of Suicide Ideation (BSI), the Childhood Trauma Questionnaire (CTQ-SF), the Perceived Stress Scale (PSS), the Difficulties in Emotion Regulation Scale (DERS-16), the Barratt Impulsiveness Scale Version 11 (BIS-11), the Rosenberg Self-Esteem Scale (RSES), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder 7-item scale (GAD-7), the UCLA Loneliness Scale (UCLAS), and the State-Beck Hopelessness Scale (S-BHS). Results: The results of this study showed that suicidal ideation, depression, anxiety, impulsivity, and self-esteem were significantly higher in the military group compared to the comparison group. Conversely, emotional dysregulation was considerably lower in the soldiers than in the comparison group. No significant differences were found in childhood trauma, stress, loneliness, and hopelessness between the two groups. Multiple regression analysis within the military group revealed that childhood trauma, hopelessness, and depression were major factors influencing suicidal ideation. Conclusions: These findings will help identify risk factors for suicide among soldiers and develop effective intervention strategies to prevent it. Full article

The promise of achieving desired outcomes in community-engaged research relies upon an ongoing and long-term connection between the community and researchers. However, many community–researcher relationships begin and end in the confines of a single project, often precluding the sustainability and scalability of programs and initiatives that can benefit the community. Few examples exist in the literature, especially for the focus of this paper—school behavioral health (SBH)—to understand how the complex, challenging, and nuanced process of continued engagement between researchers and community members can be sustained and succeed. In this article, we chronicle the development of the Southeastern School Behavioral Health Community across 13 years, from its inception in a single state to its regional expansion through two research awards, to illustrate how long-term community engagement and a history of community connections can shape SBH research and practice across project action cycles. We describe the strengths, challenges, and lessons learned from this long-term community engagement experience. Numerous examples illustrate proactive and responsive strategies for initiating and sustaining community engagement throughout all phases of the longitudinal initiative and demonstrate tangible ways in which meaningful engagement influenced both research and practice. The reflections include the extent to which engagement principles of the research funder (the Patient-Centered Outcomes Research Institute, PCORI) were enacted during this research program; our roles as researchers, facilitators, and community members; the impact of the COVID-19 pandemic; engagement facilitators and structures; and what was achieved regarding levels of engagement. Future directions are provided for sustaining interconnected, community-engaged research and practice in SBH. Full article

Diamond, renowned for its exceptional electrical, physical, and chemical properties, including ultra-wide bandgap, superior hardness, high thermal conductivity, and unparalleled stability, serves as an ideal candidate for next-generation high-power and high-temperature electronic devices. Among diamond-based devices, Schottky barrier diodes (SBDs) have garnered significant attention due to their simple architecture and superior rectifying characteristics. This review systematically summarizes recent advances in diamond SBDs, focusing on both metal–semiconductor (MS) and metal–interlayer–semiconductor (MIS) configurations. For MS structures, we critically analyze the roles of single-layer metals (including noble metals, transition metals, and other metals) and multilayer metals in modulating Schottky barrier height (SBH) and enhancing thermal stability. However, the presence of interface-related issues such as high densities of surface states and Fermi level pinning often leads to poor control of the SBH, limiting device performance and reliability. To address these challenges and achieve high-quality metal/diamond interfaces, researchers have proposed various interface engineering strategies. In particular, the introduction of interfacial layers in MIS structures has emerged as a promising approach. For MIS architectures, functional interlayers—including high-k materials (Al₂O₃, HfO₂, SnO₂) and low-work-function materials (LaB₆, CeB₆)—are evaluated for their efficacy in interface passivation, barrier modulation, and electric field control. Terminal engineering strategies, such as field-plate designs and surface termination treatments, are also highlighted for their role in improving breakdown voltage. Furthermore, we emphasize the limitations in current parameter extraction from current–voltage (I–V) properties and call for a unified new method to accurately determine SBH. This comprehensive analysis provides critical insights into interface engineering strategies and evaluation protocols for high-performance diamond SBDs, paving the way for their reliable deployment in extreme conditions. Full article

Fermi-level pinning (FLP) at metal–semiconductor interfaces remains a key obstacle to achieving low-resistance contacts in two-dimensional (2D) transition metal dichalcogenide (TMDC)-based heterostructures. Here, we present a first-principles study of Schottky barrier formation in WSe₂-MoSe₂ van der Waals heterostructures interfaced with four representative metals (Ag, Al, Au, and Pt). It was found that all metal–WSe₂/MoSe₂ direct contacts induce pronounced metal-induced gap states (MIGSs), leading to significant FLP inside the WSe₂/MoSe₂ band gaps and elevated Schottky barrier heights (SBHs) greater than 0.31 eV. By introducing a 2D metal-doped metallic (mWSe/mMoSe) layer between WSe₂/MoSe₂ and the metal electrodes, the MIGSs can be effectively suppressed, resulting in nearly negligible SBHs for both electrons and holes, with even an SBH of 0 eV observed in the Ag-AgMoSe-MoSe₂ contact, thereby enabling quasi-Ohmic contact behavior. Our results offer a universal and practical strategy to mitigate FLP and achieve high-performance TMDC-based electronic devices with ultralow contact resistance. Full article

The presence of various inhibitory compounds in lignocellulosic hydrolysates poses a significant challenge for bioethanol production, requiring yeasts with exceptional multistress tolerance. This study introduces the novel application and demonstrates the robust performance of the nonconventional yeast Saccharomycodes ludwigii APRE2 for efficient bioethanol production directly from undetoxified sugarcane bagasse hydrolysate (SBH) at 37 °C. This approach critically eliminates the need for the costly detoxification pretreatments often required in industrial processes. Initial experiments confirmed S. ludwigii APRE2’s capability to ferment undetoxified SBH. To optimize fermentation efficiency, a central composite design (CCD) approach was implemented. This statistical method identified the following precise optimal parameters: sugar concentration (143.95 g/L), diammonium phosphate (4.99 g/L), pH (4.98), yeast extract (8.94 g/L), and magnesium sulfate (2.22 g/L). Under these optimized conditions, impressive results were achieved: a maximum ethanol concentration of 38.11 g/L, productivity of 1.59 g/L·h, and yield of 0.45 g/g. Notably, the ethanol productivity and theoretical yield achieved by S. ludwigii APRE2 using this inhibitor-rich, undetoxified SBH (containing acetic acid, formic acid, furfural, and 5-(hydroxymethyl)furfural) were superior to those previously reported for other ethanologenic yeasts under similar challenging conditions. This research establishes S. ludwigii APRE2 as a highly promising and industrially viable candidate for sustainable bioethanol production from lignocellulosic biomass, with its key novelty being its superior performance on undetoxified feedstocks, potentially reducing overall production costs. Full article

Aligned carbon nanotubes (A-CNTs) are emerging as one of the most promising materials for next-generation nanoelectronics. However, achieving reliable ohmic contacts between A-CNTs and metals remains a critical challenge. In this study, we employ rapid thermal annealing (RTA) to facilitate the formation of transition metal carbides at the metal–CNT interface, significantly reducing contact resistance and enhancing stability. Using the transmission line method (TLM), we demonstrate that RTA reduces the contact resistance at the Ti/A-CNT interface from 112.26 k$\mathrm{\Omega }·\mathrm{\mu }$m to 1.57 k$\mathrm{\Omega }·\mathrm{\mu }$m and at the Ni/A-CNT interface from 81.72 k$\mathrm{\Omega }·\mathrm{\mu }$m to 1.17 k$\mathrm{\Omega }·\mathrm{\mu }$m, representing a reduction of over an order of magnitude. Moreover, the Schottky barrier heights (SBHs) for both the Ti/A-CNT and Ni/A-CNT interfaces decreases by approximately 50% after annealing. A comparative analysis with Pd/A-CNT contacts shows that Ti and Ni contacts exhibit superior reliability under harsh conditions. This work provides a viable solution for improving the electrical performance and reliability of CNT-based devices, offering a pathway toward the development of future CMOS technologies. Full article

The composition and bioactivity of honey are influenced by its botanical, geographical, and entomological origins. This study investigates the physicochemical characteristics, antioxidant capacity, and antimicrobial activity of stingless bee honey (SBH) produced by three Malaysian stingless bee species: Heterotrigona itama, Lophotrigona canifrons, and Tetrigona binghami. The moisture content ranges from 25.44% to 40.36%, while the honey color varies from light amber to dark amber. The fructose, glucose, and sucrose contents range from 5.45 to 16.91 g/100 g, 3.85 to 19.64 g/100 g, and undetectable to 2.47 g/100 g, respectively. Trehalulose is present at a level of 15.42 to 43.75 g/100 g, with L. canifrons honey exhibiting the highest trehalulose concentration. All samples show low 5-HMF content and no detectable diastase activity. T. binghami honey has the lowest pH, highest electricity conductivity and acidity, and exhibits the strongest antimicrobial activity against Staphylococcus aureus and Escherichia coli. H. itama honey exhibits the highest antioxidant potential based on ABTS, FRAP, and DPPH assays. Among the three species, L. canifrons honey contains the highest total phenolic content. These findings provide valuable insights into the unique properties of SBH, supporting further research, quality assessment, and the development of international standards. Full article

For the first time, the adsorption of hydrogen on the (110) surface of the A15 Ti₃Sb compound with a cubic structure (Cr₃Si type; space group $Pm\overline{3}n$) for the accumulation of hydrogen H was calculated using the density functional theory method (DFT SGGA-PBE). Taking into account the relaxation of the Ti₃Sb–H system, the equilibrium positions of hydrogen on the Ti₃Sb (110) surface were determined depending on the supercell size. Hydrogen adsorption on the Ti₃Sb (110) surface of supercells is preferable in pit sites. All DFT calculations of the Ti₃Sb–H system were performed on relaxed and optimized supercells (2 × 1 × 1, 3 × 3 × 3, and 5 × 5 × 5). Relaxation of the supercell reduced the calculated adsorption energy compared with the non-relaxed supercell. The calculated band structure and curves of local and partial densities of states of Ti₃Sb–H were used to explain the interaction of hydrogen with the Ti₃Sb (110) surface. The activation energy of H diffusion along the coordinates tetrahedral interstitial site → tetrahedral interstitial site (TIS–TIS) and tetrahedral interstitial site → octahedral interstitial site (TIS–OIS), along with the diffusion coefficient of H in the cubic lattice of Ti₃Sb, were calculated. Full article

The welfare of hens in cage-free systems is closely linked to their behaviors, such as feeding, drinking, pecking, perching, bathing, preening, and foraging. To monitor these behaviors, we developed and evaluated deep learning models based on YOLO (You Only Look Once), an advanced object detection technology known for its high accuracy, speed, and compact size. Three YOLO-based models—YOLOv5s_BH, YOLOv5x_BH, and YOLOv7_BH—were created to track and classify the behaviors of laying hens in cage-free environments. A dataset comprising 1500 training images, 500 validation images, and 50 test images was used to train and validate the models. The models successfully detected poultry behaviors in test images with bounding boxes and objectness scores ranging from 0 to 1. Among the models, YOLOv5s_BH demonstrated superior performance, achieving a precision of 78.1%, surpassing YOLOv5x_BH and YOLOv7_BH by 1.9% and 2.2%, respectively. It also achieved a recall of 71.7%, outperforming YOLOv5x_BH and YOLOv7_BH by 1.9% and 2.8%, respectively. Additionally, YOLOv5s_BH recorded a mean average precision (mAP) of 74.6%, exceeding YOLOv5x_BH by 2.6% and YOLOv7_BH by 9%. While all models demonstrated high detection precision, their performance was influenced by factors such as stocking density, varying light conditions, and obstructions from equipment like drinking lines, perches, and feeders. This study highlights the potential for the automated monitoring of poultry behaviors in cage-free systems, offering valuable insights for producers. Full article

Bimetallic NiCr nanoparticles decorated on carbon nanofibers (NiCr@CNFs) were synthesized through electrospinning and investigated as catalysts for hydrogen generation from the dehydrogenation of sodium borohydride (SBH). Four distinct compositions were prepared, with chromium content in the catalysts ranging from 5 to 25 weight percentage (wt%). Comprehensive characterization confirmed the successful formation of bimetallic NiCr@CNFs. Notably, among the compositions, the catalyst containing 20 wt% Cr exhibited the highest efficiency in SBH dehydrogenation. Kinetic studies revealed that hydrogen production followed a first-order reaction with respect to the catalyst quantity. Additionally, the reaction time decreased with increasing temperature. The activation energy (Ea), entropy change (ΔS), and enthalpy change (ΔH) were calculated as 34.27 kJ mol⁻¹, 93.28 J mol·K⁻¹, and 31.71 kJ mol⁻¹, respectively. The improved catalytic performance is attributed to the synergistic interaction between Ni and Cr. This study proposes a promising strategy for the advancement of Ni-based catalysts. Full article

Indonesian stingless bee honey (SBH) of Geniotrigona thoracica is popular and traded at an expensive price. Brown rice syrup (RS) is frequently used as a cheap adulterant for an economically motivated adulteration (EMA) in SBH. In this study, authentic Indonesian Geniotrigona thoracica SBH of Acacia mangium (n = 100), adulterated SBH (n = 120), fake SBH (n = 100), and RS (n = 200) were prepared. In short, 2 mL of each sample was dropped directly into an innovative sample holder without any sample preparation including no dilution. Fluorescence intensity was acquired using a fluorescence spectrometer. This portable instrument is equipped with a 365 nm LED lamp as the fixed excitation source. Principal component analysis (PCA) was calculated for the smoothed spectral data. The results showed that the authentic SBH and non-SBH (adulterated SBH, fake SBH, and RS) samples could be well separated using the smoothed spectral data. The cumulative percentage variance of the first two PCs, 98.4749% and 98.4425%, was obtained for calibration and validation, respectively. The highest prediction accuracy was 99.5% and was obtained using principal component analysis–linear discriminant analysis (PCA-LDA). The best partial least square (PLS) calibration was obtained using the combined interval with R²_cal = 0.898 and R²_val = 0.874 for calibration and validation, respectively. In the prediction, the developed model could predict the adulteration level in the adulterated honey samples with an acceptable ratio of prediction to deviation (RPD) = 2.282, and range error ratio (RER) = 6.612. Full article

Background/Objectives: Metabolic syndrome (MS) is diagnosed when at least three out of five key risk factors are present: obesity, high blood pressure, insulin resistance, high triglycerides (TG) and low high-density lipoprotein (HDL). MS is often associated with chronic low-grade inflammation. Recent studies have shown that raw stingless bee honey (SBH) can alleviate MS risk factors. However, the high moisture content in raw SBH predisposes it to fermentation, which can degrade its quality. Therefore, dehydrating SBH is necessary to prevent the fermentation process. This study aimed to compare the effects of dehydrated (DeGT) and raw (RGT) SBH from Geniotrigona thoracica species on high-carbohydrate, high-fat diet (HCHF)-induced MS in rats. Methods: Twenty-four male Wistar rats were divided into four groups: control (C), HCHF-induced MS without treatment (MS), HCHF-induced MS treated with DeGT (MS+DeGT) and HCHF-induced MS treated with RGT (MS+RGT). Group C received standard rat chow, while the other groups were fed with HCHF diet for 16 weeks. In the final eight weeks, two HCHF-induced groups received their respective SBH treatments. Results: Both DeGT and RGT treatments reduced energy intake, fat mass, high blood pressure, inflammatory (tumour necrosis factor-alpha (TNF-α)) and obesity (the leptin/adiponectin (L/A) ratio, corticosterone, 11 beta-hydroxysteroid dehydrogenase type-1 (11βHSD1)) markers, as well as prevented histomorphometry changes (prevented adipocyte hypertrophy, increased the Bowman’s space area and glomerular atrophy). Additionally, DeGT increased serum HDL levels, while RGT reduced serum TG, leptin and other inflammatory markers (interleukin-6 (IL-6) and interleukin-1 beta (IL-1β)), as well as hepatosteatosis. Conclusions: While DeGT demonstrates potential as a preventive agent for MS, RGT exhibited more pronounced anti-MS effects in this study. Full article

Brazilian nuts are native to the Amazon rainforest and are considered a non-timber forest-product of extreme economic importance to local populations. This study evaluated the lipid profile, bioactive compounds, and oxidative stability of semi-defatted Brazilian nut flour oil (BNSDFO) obtained using pressurized fluids (n-propane at 40 °C and 2, 4, and 8 MPa or a CO₂/n-propane mixture at 40 °C and 12 MPa). A Brazilian nut kernel oil (BNKO) processed by conventional cold pressing was also obtained. The BNKO showed a higher concentration of total phenolic compounds and saturated fatty acids, higher antioxidant activity, and the presence of gallic acid derivatives. The oils extracted using pressurized fluids showed a higher concentration of linoleic acid, β-sitosterol, and polyunsaturated fatty acids. The utilization of pressurized n-propane resulted in higher yields (13.7 wt%), and at intermediate pressures (4 MPa), the product showed myricetin 3-O-rhamnoside and higher oxidative stability (OSI, 12 h) than at lower pressures (2 MPa). The CO₂/n-propane mixture of pressurized solvents resulted in higher concentrations of squalene (4.5 times), the presence of different phenolic compounds, and a high OSI (12 h) but lower yield (2.2 wt%). In conclusion, oils with better fatty acid profiles (oleic e linoleic acids), phytosterol composition, and suitable radical scavenging activity may be obtained using pressurized fluids and Brazilian nut flour, a byproduct of oil extraction. The mixture of solvents may improve the concentration of squalene, whereas using only n-propane may increase oil yield. Full article