Search Results (2,473)

With the increasing demand to scale the chip industry, attention is turning to the vital role that phosphanes and silanes play in semiconductor manufacturing processes such as chemical vapor deposition, plasma etching, and impurity doping. High-performance semiconductors often require a supply of ultra-pure gaseous phosphine (≥99.999%) to ensure the formation of defect-free thin-film structures with high integrity and strong functionality. In recent years, research on high-purity PH₃ synthesis methods has mainly focused on two pathways: the acidic route with fewer side reactions, high by-product economics, and higher exergy of high-purity PH₃, and the alkaline alternative with greater potential for practical application through lower reaction temperatures and a simpler reaction process. This paper presents the first comparative study and analysis on the preparation of ultra-high-purity PH₃ and its process energy consumption. Using Aspen and its related software, the energy consumption and cost issues are discussed, and the process heat exchange network is established and optimised. By combining Aspen Plus V14 with MATLAB 2023, an artificial neural network (ANN) prediction model is established, and the parameters of the distillation section equipment are optimised through the NSGA-II model to solve problems such as low product yield and large equipment exergy loss. After optimisation, it can be found that in terms of energy consumption and cost indicators, the acidic process has greater advantages in large-scale production of high-purity PH₃. The total energy consumption of the acidic process is 1.6 × 10⁸ kJ/h, which is only one-third that of the alkaline process, while the cost of the heat exchange equipment is approximately three-quarters that of the alkaline process. Through dual-objective optimisation, the exergy loss of the acidic distillation part can be reduced by 1714.1 kW, and the economic cost can be reduced by USD 3673. Therefore, from the perspective of energy usage and equipment manufacturing, the comprehensive analysis of the acidic process has more advantages than that of the alkaline process. Full article

Obesity is closely associated with appetite dysregulation, influenced by behavioral, hormonal, and neurological factors. The Council on Nutrition Appetite Questionnaire (CNAQ) is a validated tool, translated into Arabic, but its application in weight-loss interventions remains underexplored. This secondary cross-sectional analysis evaluated whether the Arabic CNAQ can differentiate appetite levels after a 6-month telenutrition weight-loss intervention supported by telemonitoring and health coaching, and whether appetite is associated with weight-loss outcomes. A total of 36 participants were assessed: the intervention group (n = 21), who completed the program, and the control group (n = 15), who received no continuous support. Appetite was measured using the CNAQ after 6 months. Independent-samples t-tests and Mann–Whitney U tests were applied to compare appetite scores, while Chi-square tests were used for appetite categories. Results showed mean CNAQ scores of 27.87 (SD = 2.64) for the control group and 26.86 (SD = 4.46) for the intervention group (p = 0.402). Most participants reported moderate appetite (93.3% control; 76.2% intervention), with no significant between-group differences (p = 0.367). Although differences were not statistically significant, the findings demonstrate the feasibility of using the Arabic CNAQ in telehealth weight management. Larger studies with repeated measures are needed to confirm its utility in clinical and dietetic practice. Full article

Spawning habitat partitioning can be important for maintaining sympatric fish species. Likewise, critical spawning habitat loss may challenge the long-term persistence of sympatric fish species. The Bois Brule River, Wisconsin, USA, is a spring-fed, western Lake Superior tributary that supports five naturally reproducing populations of salmonids (native brook trout Salvelinus fontinalis; introduced brown trout Salmo trutta, rainbow trout Oncorhynchus mykiss, coho salmon O. kisutch, and chinook salmon O. tshawytscha). Given increases in recreational angler use and predicted climate-associated changes to trout stream habitat, a better understanding of species interactions during spawning is important to guide future management and conservation of these anthropogenically derived sympatric native and introduced salmonids. Our aim was to establish whether there was partitioning or overlapping in the redd site location preferences among native and introduced salmonids inhabiting the Bois Brule River. We mapped species-specific redd locations by canoe over a 15.3 river km section known to be important for salmonid spawning and evaluated physical, flow, and thermal conditions of these habitats of the Bois Brule River during 2021–2022. We found that spring spawning rainbow trout and fall spawning pacific salmonids and brown trout used the same spawning locations on mid-channel, larger gravel reefs downstream of riffle sections. Native brook trout spawned on smaller substrates with lower streamflow on the edges of the channel, with the highest spawning activity occurring in littoral areas of lentic portions of the river. Our findings provide valuable knowledge of critical spawning habitats for sympatric salmonids that may inform habitat conservation and enhancement efforts in the Bois Brule River and other Great Lakes tributaries with similar sympatric, naturally reproducing salmonids populations. Full article

Background/Objective: Osteoarthritis (OA) is a progressive joint disease. Physical therapists are essential in managing OA, improving patient outcomes, and slowing disease progression, making it vital to understand their beliefs about optimal knee OA treatment. The objective is to explore physical therapists’ beliefs and attitudes toward knee OA treatment in Saudi Arabia and their alignment with guidelines. Methods: This cross-sectional study includes physical therapists working in Saudi Arabia who had managed at least two knee OA patients in the past six months. The survey questionnaire included questions about attitude statements, clinical management, a case study of an elderly patient with knee OA, and measurements of the level of illness perceptions and treatment choices. Results: This study includes 373 physical therapists (average age: 31.25 (SD 7.17); male (52.4%)). The most commonly used interventions for knee OA were strengthening exercises (19.0%) and flexibility or range of movement exercises (14.7%). About 30.4% of therapists supervised exercises in the clinic, and 89.9% provided educational advice, often focusing on weight loss, analgesia, knee support, and the use of ice or heat. Most therapists opted for treatment programs involving four to seven sessions (45.7%), with 82.2% offering follow-up care through an open appointment after discharge. Conclusions: The results indicate good alignment between clinical practice guidelines and physical therapists’ attitudes toward knee OA management in Saudi Arabia, though some differences exist. Therapists frequently combined exercise with educational advice on weight loss and analgesia, monitored exercise adherence, and offered follow-up care. Full article

Objective: This pilot study investigated the association between chronic kidney disease (CKD) and oral health, focusing on the prevalence and severity of periodontal disease (PD) in the different CKD stages. Moreover, we explored how systemic alterations related to kidney dysfunction may influence oral conditions. Methods: A cross-sectional observational study was conducted on seventy-five adult CKD patients (stages G1–G5) under conservative therapy. Participants underwent clinical, biochemical, and dental assessments. Periodontal parameters, such as the plaque index, bleeding on probing, clinical attachment loss, and gingival recession, were evaluated. Results: A significant inverse relationship was found between the estimated glomerular filtration rate (e-GFR) and PD severity, plaque index, and gingival inflammation. Advanced CKD patients exhibited a higher prevalence of generalized gingivitis and more severe PD stages and grades. Patients with e-GFR below 44 mL/min/1.73 m² had a 3.3-fold higher risk of developing PD. In our population, the prevalence of xerostomia and dysgeusia was 45% and 15%, respectively, with taste alteration correlating directly with declining kidney function. Conclusions: CKD patients demonstrate compromised oral health, with an increased risk of PD. Renal dysfunction appears to be a significant factor influencing the onset and progression of PD. Further studies are necessary to clarify the underlying mechanisms and to develop integrated management strategies. Full article

The aim of this study was to examine the effect of a change of the beam support point within the same support cross section and that of a change in the location of load application points on critical load values. In the literature on the stability of structures, the problem of a change of a rod system’s support point (within the same cross section) is neglected. Solely the effect of a change in load application points on the critical load value is considered. In this study, displacement differential equations describing the general stability loss problem for any nonprismatic thin-walled beam were derived. To solve the equations an approximation method (described in earlier papers by the authors), using the Chebyshev series of the first kind to approximate the sought functions, was employed. In the provided numerical examples the buckling problem was solved for nonprismatic I-beams with a bisymmetric cross section and a monosymmetric cross section. The determined critical load values were compared with the results obtained using the finite element method and the commercial Sofistik software. The results obtained in this study show the significant effect of beam support point location (within the same cross section), as well as the effect of load application point location, on critical load values. Full article

Background/Objectives: Thyroid hormone deficiency may impair bone metabolism, but its mandibular impact remains uncertain. We aimed to compare the prevalence of altered Mandibular Cortical Index (MCI; C2–C3) and Panoramic Mandibular Index (PMI) on digital panoramic radiographs in adult women with primary hypothyroidism versus euthyroid controls, considering age and key clinical covariates. To our knowledge, this is the first study out of Spain addressing this question. Methods: This is a cross-sectional study (September 2021–June 2024) of 179 white women recruited at a university clinic. Cases were on L-thyroxine for ≥6 months, with TSH > 4.5 mIU/L and normal FT4; controls were euthyroid and untreated. Demographics, reproductive history, and BMI were recorded. Panoramic radiographs (Ratograph EVO 3D; 72 kV, 6 mA, 14.4 s) were analysed; MCI was graded (Klemetti C1–C3) distal to the mental foramen; PMI and mandibular cortical width (MCW) were measured bilaterally. Results: Women with hypothyroidism showed higher BMI and a greater number of years since menopause; age was slightly higher, but the difference was not significant. MCI distribution did not differ between groups (C3 and C2–C3, both p > 0.45). PMI (left/right) was similar (p = 0.253/0.160). Left MCW was higher in hypothyroidism in a crude analysis (4.86 ± 0.98 vs. 4.46 ± 0.94 mm; p = 0.039), but lost significance after age adjustment (adjusted p = 0.191); right MCW showed no differences. Total tooth loss tended to be higher (p = 0.055) without conclusive evidence. Conclusions: In this cohort, primary hypothyroidism was not associated with a differential mandibular cortical pattern by MCI or PMI; the crude MCW difference was explained by age. These Spain-based data refine heterogeneous prior findings and indicate that, in women treated for hypothyroidism, mandibular cortical metrics largely resemble those of their euthyroid peers. Longitudinal and multicentre studies are warranted to clarify trajectories and enhance generalisability. Full article

Bovine Viral Diarrhea Virus (BVDV) is a globally important cattle pathogen causing substantial economic losses. In Kazakhstan, BVDV’s epidemiological status remains poorly characterized due to the absence of systematic surveillance. We carried out a cross-sectional study of cattle herds across Kazakhstan, using ELISA to detect anti-BVDV antibodies and RT-PCR to identify active infections. Positive samples underwent sequencing for phylogenetic analysis of circulating strains. Additionally, a standard reference serum panel was developed to measure virus neutralization titers (ND₅₀) and to evaluate cross-neutralization with Border Disease virus (BDV). Antibodies against BVDV were prevalent, with seropositivity ranging from 28.89% to 96.13% across surveyed regions. Active BVDV infection was confirmed by RT-PCR in 17 animals. Phylogenetic analysis with 2 samples from Mangystau region classified the virus as BVDV2 genotype. The reference serum panel exhibited high neutralizing titers ND₅₀ up to 1:286 against the local BVDV-1 isolate. Notably, these sera also neutralized BDV, albeit at lower titers ND₅₀ 1:45. These findings provide crucial baseline epidemiological data and enhanced diagnostic tools for BVDV in Kazakhstan. They highlight the need for improved surveillance and will inform strategic control measures against this economically significant cattle disease. Full article

By employing thin section analysis, scanning electron microscopy (SEM), homogenization temperatures of fluid inclusions, and carbon–oxygen isotope analysis of carbonate cements, this study conducted a temporal-quantitative investigation into the porosity evolution of relatively high-quality reservoirs in the Second Member of the Xujiahe Formation (Xu-2 Member) in the Xinchang area of western Sichuan. The analysis focused on quantifying porosity loss due to compaction, cementation, and porosity enhancement from dissolution. Results indicate that compaction exerted the most significant impact on reservoir quality in the Xu-2 Member, causing over 70% of total porosity loss. Cementation processes, including carbonate cements, silica cements, and authigenic chlorite, further degraded reservoir properties. Authigenic chlorite precipitated earliest at burial depths of 600–800 m, while authigenic quartz and carbonate cements persistently affected the reservoir at depths of 2000–5000 m, reducing porosity by at least 10% (up to 21%). Dissolution processes initiated at approximately 3500 m burial depth, generating secondary porosity of ≥2%, with a maximum increase of 16%. Integrating these findings with the natural gas accumulation history, the coupling relationship between pore evolution and gas accumulation was elucidated. The study reveals that reservoir tightness in the Xu-2 Member developed at burial depths of 4050–5300 m, with large-scale gas accumulation predominantly occurring prior to reservoir densification. The findings provide critical guidance for identifying high-quality tight sandstone reservoirs and optimizing exploration targets in the Xu-2 Member of the Xinchang area, Western Sichuan Basin, thereby supporting efficient development of regional tight gas resources. Full article

Background/Objectives: Complete blood count tests are inexpensive and widely available and may help identify low-grade inflammation in otolaryngologic (Ear, Nose and Throat, ENT) diseases, such as facial paralysis and hearing loss. This study aimed to describe the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), eosinophil-to-lymphocyte ratio (ELR), and lymphocyte-to-monocyte ratio (LMR) in ENT diseases and to provide preliminary evidence supporting further research. Methods: Data from 62 patients with ENT diseases were analyzed in a cross-sectional design. Results: The prevalence of ENT diseases was higher in women (63%) and adults (85.5%), highlighting vertigo, hearing loss, and septal deviation. Most marker values were within normal ranges; however, NLR values were elevated in patients with either septal deviation or vertigo, and ELR values were increased in cases of allergic or infectious rhinitis and sinusitis. In contrast, LMR values were at the lower normal limits in patients with septal deviation. Conclusions: These findings highlight the need for further studies to clarify the role of these biomarkers in chronic conditions and morphological alterations associated with ENT diseases, using more complex study designs. Full article

In this study, the modeling of rough surfaces by eddy-viscosity-based roughness models is investigated, specifically focusing on surfaces representative of deterioration in aero-engines. In order to test these models, experimental measurements from a rough T106C blade section at a Reynolds number of 400 K are adopted. The modeling framework is based on the k–ω–SST with Dassler’s roughness transition model. The roughness model is recalibrated for the k–ω–SST model. As a complement to the available experimental data, a high-fidelity test rig designed for scale-resolving simulations is built. This allows us to examine the local flow phenomenon in detail, enabling the identification and rectification of shortcomings in the current RANS models. The scale-resolving simulations feature a high-order flux-reconstruction scheme, which enables the use of curved element faces to match the roughness geometry. The wake-loss predictions, as well as blade pressure profiles, show good agreement, especially between LES and the model-based RANS. The slight deviation from the experimental measurements can be attributed to the inherent uncertainties in the experiment, such as the end-wall effects. The outcomes of this study lend credibility to the roughness models proposed. In fact, these models have the potential to quantify the influence of roughness on the aerodynamics and the aero-acoustics of aero-engines, an area that remains an open question in the maintenance, repair, and overhaul (MRO) of aero-engines. Full article

Artificial intelligence (AI) is progressively being utilized in the healthcare sector to enhance efficiency, alleviate administrative burdens, and improve patient care outcomes. In the secondary healthcare sector, AI presents a range of opportunities as well as challenges. This study investigates the viewpoints of healthcare professionals regarding the adoption of AI in Greece, emphasizing the anticipated advantages and apprehensions associated with its integration. A cross-sectional descriptive study was carried out to collect responses from healthcare professionals at the General Hospital of “Evangelismos”, which is the largest hospital in Athens, Greece. A questionnaire was utilized and distributed over a period of four months, involving 513 registered healthcare professionals (comprising 136 physicians, 235 nursing staff, and 142 other healthcare personnel). Each participant had a minimum of one year of clinical experience and was selected using a convenience sampling method. The questionnaire comprised two parts: one focused on evaluating the AI knowledge and attitudes of healthcare professionals, and the other collected demographic data. The overall comprehension of knowledge pertaining to AI among healthcare professionals was evaluated as moderate, resulting in a mean score of 3.39. A distinction exists among different personnel categories, with physicians (M = 3.73) demonstrating a greater understanding of AI and a firm conviction that AI cannot supplant human positions. Conversely, nursing personnel appear to express apprehension regarding the implications of AI on the human experience, with a notable concern about potential replacement and job loss (M = 2.63), which was identified as the lowest-ranked issue. This latter concern is also echoed by other healthcare personnel (M = 2.90). Nevertheless, the majority of participants regard the prospective use of AI favorably, demonstrate confidence in its application, and contend that the benefits outweigh the possible risks. Sufficient training and ongoing updates would enhance employees’ comprehension of AI and their awareness of its potential benefits within the healthcare sector. Full article

Background: Self-medication (SM) among women during pregnancy poses a critical risk to maternal health, and SM is still commonly practiced in Saudi Arabia. Therefore, this study aims to assess the factors, attitudes, and prevalence of SM among pregnant women in the Ministry of Health (MOH) First Health Cluster. Methods: A cross-sectional design was used among 400 pregnant women who received care at primary, secondary, and tertiary healthcare levels. A structured tool was adopted and modified based on the literature review, expert and focus group interviews, and the experiences of the target participants. The dependent variables included history of illness, access to healthcare services, medication usage, and perception of SM, while the independent variables included socioeconomic status. Statistical Package for the Social Sciences (SPSS), Version 25 was used for analysis. Results: The prevalence of SM was 36.5%. Cough syrup and antipyretics were the most commonly used medications, while hair problems and weight loss were the most frequently reported reasons for SM. The primary sources of information guiding SM behavior were prior prescriptions and previous experience. Education level, occupation, age, number of pregnancies, and miscarriage history were all significantly associated with SM (p < 0.05). Conclusions: SM was found to be frequent among pregnant women in the First Health Cluster, highlighting the need for educational interventions and regulatory measures to reduce unsafe practices and improve maternal health. Full article

Tidal inlets regulate the exchange of water and sediment between the open sea and adjacent basins. In many locations, engineering interventions combined with coastal protections and polders have intensified erosion and scouring. This study reports on a three-year monitoring program following the implementation of a Nature-based Solution (NbS) at a previous engineering tidal inlet in the Zwin, located along the Belgian–Dutch coast. In 2019, large-scale modifications to the intertidal zone and the opening of a dyke doubled the surface area of the tidal inlet and its associated tidal marsh. Results revealed rapid and substantial morphological adjustments: the main channel deepened, widened, and migrated eastward. Sediment balance analyses showed stability at the inlet entrance but material loss further inland. Tidal prism and cross-sectional measurements indicated a fourfold increase in tidal prism immediately after NbS implementation, triggering strong channel responses. Within a year, the channel cross-sectional area reached a new equilibrium, which remained stable in the following years. These patterns highlight active sediment transport driven by coupled hydrodynamic and morphodynamic processes. Using an extensive data set, a conceptual model is presented to illustrate how the NbS influenced tidal inlet dynamics through the interaction of flow and sedimentation processes. Full article

This work analyzes the behavior of the boundary layer subjected to stresses by obstacles using hourly measurements, in the form of time series, of meteorological variables (temperature (T), relative humidity (RH), and magnitude of the wind speed (WS)) in a given period. The study region is Santiago, the capital of Chile. The measurement location is in a rugged basin geography with a nearly pristine atmospheric environment. The time series are analyzed through chaos theory, demonstrating that they are chaotic through the calculation of the parameters Lyapunov exponent (λ > 0), correlation dimension (D_C < 5), Kolmogorov entropy (S_K > 0), Hurst exponent (0.5 < H < 1), and Lempel–Ziv complexity (LZ > 0). These series are simultaneous measurements of the variables of interest, before and after, of three different volumetric geometries arranged as obstacles: a parallelepiped, a cylinder, and a miniature mountain. The three geometries are subject to the influence of the wind and present the same cross-sectional area facing the measuring instruments oriented in the same way. The entropies calculated for each variable in each geometry are compared. It is demonstrated, in a first approximation, that volumetric geometry impacts the magnitude of the entropic fluxes associated with the measured variables, which can affect micrometeorology and, by extension, the climate in general. Furthermore, the study examines which geometry favors greater information loss or greater fractality in the measured variables. Full article