MXene-antenna electrode with collective multipole resonances.

Two-dimensional transition metal carbides and nitrides (MXene-s) are the focus of extensive research due to their exceptional potential for practical applications. We study nanostructured MXene layers to design photodetector electrodes and increase their response through hot-electron generation. We demonstrate that the lattice arrangement plays a crucial role in exciting strong optical resonances in the nanostructured MXene, specifically Ti3C2Tx, despite its high loss and weak optical resonances in an isolated antenna. We use numerical simulations and analytical calculations with coupled dipole-quadrupole lattice sums for designing photodetector electrodes. We also provide proof-of-concept experimental demonstration of the enhanced resonances even for the case of lossy materials. We report on the excitation of strong lattice resonances of the MXene antenna array with enhanced absorption, resulting in a more efficient generation of hot electrons. Our findings reveal that a multi-period array of MXene antennas can improve narrowband and broadband photodetector functionality. We propose highly efficient absorbers based on MXene metasurfaces and transforming electrodes into hybrid photodetectors using MXene antennas to enhance their performance.

Adaptable leadership for arid/semi-arid wetlands conservation under climate change: Using Analytical Hierarchy Process (AHP) approach.

Adverse socio-economic and environmental impacts of climate change on wetlands have enforced the international community and many nations to develop adaptive policies for wetland management, which require effective leadership to influence relevant stakeholders. This study identifies and prioritizes leadership functions and theories for climate change adaptation (CCA) in wetlands ecosystems, particularly in arid and semi-arid regions. A mixed qualitative-quantitative research methodology was applied through focus groups and a survey with a sample of national, sub-national, and local experts on wetlands management and climate change in Iran. The Analytic Hierarchy Processing (AHP) technique identified the political-administrative (weight = 0.245), adaptive (W = 0.244), and enabling (W = 0.237) functions for CCA, respectively, as three prioritized leadership functions, followed by the dissemination function (W = 0.102), which emphasizes the necessity of applying and enhancing leaders' social capacities, knowledge, communication skills, and personal networks to facilitate social learning and actions regarding CCA in local communities and among relevant organizations. It is necessary to overcome structural and functional barriers for leaders and their followers to information access and involvement in participatory decision-making platforms. Moreover, network and communication leadership theories (W = 0.368) and sustainable leadership perspectives (W = 0.362), respectively, have the highest priority among leadership theories and are crucial for establishing participatory decision-making among relevant stakeholders and applying adaptive strategies for wetlands governance under climate change conditions. The reconceptualization of leadership as a complex adaptive notion draws attention to the social complexities and emerging characteristics of leadership in contemporary societies and organizations. The understanding of leaders' and followers' networks and identifying the core role of leaders provides a foundation for developing leadership functions and theories beyond hierarchical, individualistic, and one-way concepts of leadership.

Multiple Bubble Removal Strategies to Promote Oxygen Evolution Reaction: Mechanistic Understandings from Orientation, Rotation, and Sonication Perspectives.

Bubble coverage of catalytically active sites is one of the well-known bottlenecks to the kinetics of the oxygen evolution reaction (OER). Herein, various bubble removal approaches (electrode orientation, rotating, and sonication) were considered for the OER performance evaluation of a state-of-the-art Ir-based electrocatalyst. Key parameters, such as catalyst mass loss, activity, overpotential, and charge- and mass-transfer mechanisms, were analyzed. First, it was suggested that a suitable orientation of the working electrode facilitates coalescence and sliding bubble effects on the catalyst surface, leading to better electrochemical performance than those of the traditional rotating disk electrode (RDE) configuration. Then, the convection and secondary Bjerknes force were explained as the responsible phenomena in improving the OER activity in the RDE and sonication methods. Finally, simultaneous implementation of the methods enhanced the catalyst mass activity up to 164% and provided fast charge-transfer kinetics and low double-layer capacitance, which eventually led to a 22% reduction in overpotential, while the catalyst loss slightly increased from 1.93 to 3.88%.

Dipole-lattice nanoparticle resonances in finite arrays.

We investigate how the periodic lattices define the collective optical characteristics of the silicon and titanium nanoparticle arrays. We examine the effects of dipole lattice on the resonances of optical nanostructures, including those made of lossy materials, such as titanium. Our approach involves employing coupled-electric-magnetic-dipole calculations for finite-size arrays, as well as lattice sums for effectively infinite arrays. Our model shows that the convergence to the infinite-lattice limit is faster when the resonance is broad, requiring fewer array particles. Our approach differs from previous works by altering the lattice resonance through modifications in the array period. We observed that a higher number of nanoparticles is necessary to achieve convergence to the infinite-array limit. Additionally, we observe that the lattice resonances excited next to higher diffraction orders (such as second order) converge more quickly toward the ideal case of an infinite array than the lattice resonances related to the first diffraction order. This work reports on the significant advantages of using a periodic arrangement of lossy nanoparticles and the role of collective excitation in enhancing response from transition metals, such as titanium, nickel, tungsten, and so on. The periodic arrangement of nanoscatterers allows for the excitation of strong dipoles, boosting the performance of nanophotonic devices and sensors by improving the strength of localized resonances.

High-Voltage, High-Current Electrical Switching Discharge Synthesis of ZnO Nanorods: A New Method toward Rapid and Highly Tunable Synthesis of Oxide Semiconductors in Open Air and Water for Optoelectronic Applications.

A novel method of oxide semiconductor nanoparticle synthesis is proposed based on high-voltage, high-current electrical switching discharge (HVHC-ESD). Through a subsecond discharge in the HVHC-ESD method, we successfully synthesized zinc oxide (ZnO) nanorods. Crystallography and optical and electrical analyses approve the high crystal-quality and outstanding optoelectronic characteristics of our synthesized ZnO. The HVHC-ESD method enables the synthesis of ZnO nanorods with ultraviolet (UV) and visible emissions. To demonstrate the effectiveness of our prepared materials, we also fabricated two UV photodetectors based on the ZnO nanorods synthesized using the subsecond HVHC-ESD method. The UV-photodetector test under dark and UV light irradiation also had a promising result with a linear ohmic current-voltage output. In addition to the HVHC-ESD method's excellent tunability for ZnO properties, this method enables the rapid synthesis of ZnO nanorods in open air and water. The results demonstrate the preparation, highlight the synthesis of fine hexagonal-shaped nanorods under a second with controlled oxygen vacancies, and point defects for a wide range of applications in less than a second.

Haemoproteosis and avian malaria in Columbidae and Corvidae from Iran.

Avian malaria (Plasmodium) and related genera (Haemoproteus and Leucocytozoon) are diverse and widespread parasites. Despite the extent of knowledge on avian haemosporidian parasites, information about domestic and wild bird's blood parasites is overall insufficient in Iran. Prevalence of the haemosporidian parasites' and phylogenetic relationship of lineages are studied by using molecular and morphological results of 152 examined hosts belonging to 17 species. Molecular analysis for haemosporidian detections demonstrated overall prevalence 22.36%. Inspected hosts mostly belonging to Common Pigeons (Columba livia) parasitized by Haemoproteus spp., and Hooded Crows (Corvus cornix) and Carrion Crow (C. corone) were identified as hosting Plasmodium spp. Detected lineages COLIV03, COQUI05, LINN01, ROFI04 and SGS01 are identified as new reports from Iran. We detected no evidence of Leucocytozoon lineages, while the high prevalence of H. columbae was found in Common Pigeons. Such investigation on avian blood parasites contributes to providing new information on the prevalence, epidemiology and geographical distribution of haemosporidian parasites circulating in domestic, pets and wild birds.

Intraocular Pressure Measurements Using Rebound Tonometry in Eight Different Species of Companion Birds.

The purpose of this study was to determine reference interval intraocular pressure (IOP) values in 8 different species of companion birds. One hundred and nineteen companion birds (238 eyes) from a captive colony were examined: 21 pigeons (Columba livia; 18%), 17 African grey parrots (Psittacus erithacus; 14%), 22 common mynahs (Acridotheres tristis; 18%), 24 cockatiels (Nymphicus hollandicus; 20%), 12 zebra finches (Taeniopygia guttata; 10%), 9 budgerigars (Melopsittacus undulatus; 8%), 6 domestic canaries (Serinus canaria domestica; 5%), and 8 ring-necked parakeets (Psittacula krameri; 7%). Intraocular pressure was measured by rebound tonometry (TonoVet) avoiding induced, undesired pressure on the head, neck, or eyes. Mean IOP values varied by species. Mean (± SD) IOP values determined for each species were pigeon (5.42 ± 2.06 mm Hg), African grey parrot (4.93 ± 1.91 mm Hg), common mynah (6.22 ± 2.04 mm Hg), cockatiel (5.08 ± 1.76 mm Hg), zebra finch (5.90 ± 2.11 mm Hg), budgerigar (5.88 ± 2.31mm Hg), canary (5.83 ± 1.60 mm Hg), and ring-necked parakeet (6.25 ± 1.75 mm Hg). No statistically significant differences were found in IOP values between right and left eyes for the species studied (P > .22), with the exception of the ring-necked parakeet (P = .001). The results of this study provide representative IOP values measured using rebound tonometry in 8 different species of companion birds.

Complete genome sequence of a subgenotype XXI.1.1 pigeon paramyxovirus type 1 virus (PPMV­1) isolated from Iran in 2018 and phylogenetic analysis of a possible novel, but unassigned, PPMV-1 group isolated in 2014.

Newcastle disease (ND) is one of the most serious infectious and contagious viral diseases in avian species. Recently, several ND outbreaks in pigeon caused by pigeon paramyxovirus serotype-1 (PPMV-1) have been reported from Iran, but unfortunately, phylogenetic studies have been mostly conducted on partial sequence of NDV fusion (F) gene. In addition, a complete genome data of Iranian PPMV-1 strains are not available. In the present study, a PPMV-1, named Avian avulavirus 1/pigeon/Iran/UT-EGV/2018, isolated from an infected pigeon, was subjected to whole-genome sequencing. The isolate showed an MDT of 74 h, thus categorizing it as mesogenic. The phylogenetic analysis based on the F gene sequence revealed the isolate belongs to XXI.1.1 subgenotype (min 0.9 % and max 3 %). To our knowledge, our study is the first study to publish the complete genome of a PPMV-1 from Iran. According to BLAST results, the whole genome of UT-EGV had high homology with some Russian, Egyptian and Ukrainian strains (the highest was 96.55 %). Additionally, we conducted a phylogenetic analysis on five PPMV-1 that we isolated in 2014 to find that they may belong to a completely unreported subgenotype (6 % distance when compared as a group). The information obtained from this study can be useful in preventive measures, including constructing an effective vaccine against PPMV-1 in Iran.

An investigation into seasonal variations of groundwater nitrate by spatial modelling strategies at two levels by kriging and co-kriging models.

Nitrate pollution of groundwater through spatial models is investigated in this paper by using a sample of nitrate values at monitoring wells using the data from four seasons of a year, in which data are sparse. Two spatial modelling strategies are formulated at two levels, in which Strategy 1 comprises: three variations of kriging-based models (ordinary kriging, simple kriging and universal kriging), which are constructed at Level 1 to predict nitrate concentrations; and a Multiple Co-Kriging (MCoK) model is used at Level 2 to enhance the accuracy of the predictions. Strategy 2 is also at two levels but employs Indicator Kriging (IK) at Level 1 as a probabilistic spatial model to predict areas at risk of exceeding two thresholds of 37.5 mg/L and 50 mg/L of nitrate concentration, and Multiple Co-Indicator Kriging (MCoIK) at Level 2 for a better accuracy. The improvements at Level 2 for both strategies are remarkable and hence they are used to gain an insight into inherent problems. The results of a study delineate areas with excessive nitrate concentrations, which are in the vicinity of urban areas and hence reflect poor planning practices since the 1990s. The results further reveal the patterns on sensitivities to seasonal variations driven by aquifer recharge and strong dilution processes in spring times; and on the role of pumpage impacting aquifers giving rise to possible hotspots of nitrate concentrations.

Including 793/B type avian infectious bronchitis vaccine in 1-day-old chicken increased the protection against QX genotype.

Infectious bronchitis virus (IBV) is a highly infectious pathogen, which affects the respiratory tract, reproductive system, and kidney of chickens. Many different genotypes of IBV are recognized which cause different clinical manifestations. According to the antigenic differences, different serotypes of the virus do not cross-protect. Massachusetts serotype induces the best cross-protection against other serotypes. Recently, the IBV QX genotype has been detected in Iran. QX genotype causes permanent damage to the oviduct in layer and breeder flock if it occurs in the early life cycle. In this study, we compared two vaccination program using 793/B type and Massachusetts type vaccine. One-day-old SPF chickens were divided into four groups. Groups 1 and 2 were unvaccinated groups. Group 3 was vaccinated with the H120 vaccine at day 1 and 793/B at day 14 (eye drop), and group 4 was vaccinated with H120+793/B (eye drop) on the first day and 793/B at day 14. Groups 2, 3, and 4 challenged (oculonasal) with QX genotype (104 EID50) at day 35. Five days post challenge, the sample were clollected for ciliostasis test, histopathology, and quantitative real-time RT-PCR from trachea, lung, and kidneys. Results showed that two vaccination programs created more than 80% of protection against challenge virus, but no significant difference was recorded between two programs. Based on our results, it can be concluded that vaccination with two mixed vaccines (H120+793/B) on the first day of the life of a chick does not make any difference in comparison to single vaccine (H120) in reducing of pathological damages and viral load. As long as the second vaccination against IB may not be applied properly in farm situation, applying the mixture of 793/B type vaccine with H120 at day 1 (ocular or spray) may help to increase vaccination program efficacy.

Seroprevalence and genotyping of avian infectious bronchitis virus detected from Iranian unvaccinated backyard chickens.

BACKGROUND AND OBJECTIVES: Different epidemiological studies have found that backyard chickens are a reservoir for poultry diseases. Most backyard chicken flocks have a poor level of biosecurity, which increases the risk of spread of diseases. In recent years, the number of backyard chickens has been on the rise in Iran. However, the health status of backyard flocks is still poorly documented. Thus, this study aimed at examining the seroprevalence of antibodies against infectious bronchitis virus (IBV) and molecular surveillance and genotyping of IBV among backyard chickens (without vaccination history) in Mazandaran province, North of Iran, 2014. MATERIALS AND METHODS: A total of 460 blood samples of unvaccinated backyard chickens in the mentioned area were tested for antibodies against IBV using commercial ELISA. Also, cecal tonsils were collected from 75 chickens in the same area. Real time RT-PCR (for detection) and RT-PCR and sequencing spike gene were performed. RESULTS: The seropositivity rate was 54.5%. In addition, we detected 793/B, Variant 2, and QX in the backyard flocks and performed phylogenetic studies on them. The phylogenetic study revealed that the detected genotypes had high homology with IBV strains that were infected broilers, pullets, and layers in Iran. CONCLUSION: There is a need for continuous monitoring of IBV among avian species to complete the epidemiological map and work on the pathogenesis of Iranian IBV strains in Iranian backyard chickens.

Prevalence of avian metapneumovirus subtype B in live bird market in Gilan province, Iran.

Avian metapneumovirus (aMPV), also known as avian pneumovirus or turkey rhinotracheitis virus, is the causative agent of turkey rhinotracheitis and swollen head syndrome in chickens. Four aMPV subgroups (A-D) have been reported previously based on their genetic and antigenic differences. Evidence suggests that the live bird markets (LBMs) play an important role in the epidemiology of the avian viral diseases. A total number of 450 oropharyngeal samples from eight different species of birds (migratory and local) were collected from LBMs of Gilan province, Iran, from October to December 2016. The presence of aMPV was determined by reverse transcription polymerase chain reaction (RT-PCR) based on nucleoprotein gene. The aMPV was detected in 30.60% of the examined birds including chickens (37.00%), turkey (33.00%), Eurasian teal (25.00%), common blackbird (33.00%), and Eurasian woodcock (25.00%). Bioinformatics analysis and a phylogenetic tree based on partial nucleotide sequences of the N gene showed that the detected aMPVs were belonged to subtype B. This is the first report of aMPV in non-commercial birds in Iran. Knowledge of the frequency and types of infected birds with pneumoviruses allow a better understanding of the epidemiology of aMPV in Iran.

Effect of fiber inserts on gingival margin microleakage of Class II bulk-fill composite resin restorations.

This study evaluated the effect of fiber inserts combined with composite resins on enamel and dentin margin microleakage. The fiber inserts were used with high- (x-tra fil) and low-viscosity (x-tra base) bulk-fill composite resins and as well as conventional composite resins (Grandio and Grandio Flow). In 96 sound, recently extracted molars, 2 standardized Class II cavities were prepared. The teeth were randomly divided into 8 groups of 12 teeth each, based on composite resin type and presence or absence of fiber inserts: groups 1 and 2, x-tra fil with and without fiber inserts, respectively; groups 3 and 4, x-tra base with and without fiber inserts; groups 5 and 6, Grandio with and without fiber inserts; and groups 7 and 8, Grandio Flow liner (gingival floor)/Grandio (remainder of cavity) with and without fiber inserts. In all the groups, a 2-step etch-and-rinse adhesive was used. The specimens were processed in a dye penetration technique to determine microleakage percentages. Data were analyzed with analysis of variance, Tukey, and t tests. There was significantly less leakage at the enamel margins than the dentin margins. Fiber reinforcement significantly decreased enamel microleakage in all the groups, with no significant differences among the groups. Concerning dentin microleakage, there were no significant differences among the 4 groups without fiber inserts, while a significant difference was detected in groups 2 (x-tra fil plus fiber) and 8 (Grandio Flow plus fiber/Grandio). Fibers significantly improved dentin sealing in groups 2 and 8. These findings suggest that a fiber insert reinforcing bulk-fill and conventional composite resins might improve enamel sealing in shallow Class II cavi-ties. The effect of fiber reinforcement on the dentin margins of deep cavities depended on the viscosity of the composite resins; fiber reinforcement was effective for flowable bulk-fill and conventional composite resin restorations.

Efficacy of H120 and Ma5 avian infectious bronchitis vaccines in early challenge against QX strain.

Infectious bronchitis (IB) is a highly infectious avian pathogen, which affects the respiratory tract, gut, reproductive system, and kidney of chicks of all ages. Many different serotypes of IB virus (IBV) are recognized which cause different clinical manifestations. According to the antigenic differences, different serotypes of the virus do not cross-protect. Massachusetts serotype induces the best cross-protection against other serotypes. Recently, the IBV QX strain has been detected in Iran. QX strain causes permanent damage to the oviduct if it occurs in the early life cycle and is a significant factor in layer and breeder chicken flocks. In this study, we compare the H120 and Ma5 vaccines' protection against early challenge with the QX strain in commercial chicks. one-day-old commercial chicks were divided into six groups. Groups 1 and 2 were unvaccinated groups. Groups 3 and 5 were vaccinated with the H120 vaccine (eye drop) and groups 4 and 6 were vaccinated with Ma5 (eye drop) on the 6th day (5 days after vaccination). Groups 2, 3 and 4 challenged (oculonasal) with QX strain (10^4 EID50). Ciliostasis test, histopathology, and quantitative real-time RT-PCR were done at 11 days-old of age. Results showed that neither H120 nor Ma5 could induce proper cross-protection against QX early challenge, but the viral load and adverse pathological records in vaccinated chicks were less than that in the non-vaccinated groups. It can be concluded that vaccination on the first day of the life of a chick offers not full protection against the IBV QX strain but reduced the viral load and pathological damages in vaccinated chickens. Applying other forms of vaccination and using different genotypes on one-day-old chicks are suggested.

Correction to: Efficacy of H120 and Ma5 avian infectious bronchitis vaccines in early challenge against QX strain.

[This corrects the article DOI: 10.1007/s13337-017-0414-4.].

Grafting with Cryopreserved Amniotic Membrane versus Conservative Wound Care in Treatment of Pressure Ulcers: A Randomized Clinical Trial.

OBJECTIVE: To compare the healing process of pressure ulcers treated with cryopreserved human amniotic membrane allograft and routine pressure ulcer care in our hospital. METHODS: From January 2012 to December 2013, in a prospective randomized clinical trial (IRCT201612041335N2), 24 patients with second and third stage of pressure ulcers were enrolled in this study. All patients needed split-thickness skin grafts for pressure ulcer-wound coverage. Selected patients had symmetric ulcers on both upper and lower extremities. The patients were randomly divided into two groups: amnion and control. In the amnion group, the ulcer was covered with cryopreserved amniotic membrane and in the control group it was treated with local Dilantin powder application. The duration and success rate of complete healing was compared between the two groups. RESULTS: The study group was composed of 24 pressure ulcers in 24 patients (19 males and 5 females) with a mean age of 44±12.70 years. The demographic characteristics, ulcer area, and underlying diseases were similar in both groups. The early sign of response, such as decrease in wound discharge, was detected 12-14 days after biological dressing. Complete pressure ulcer healing occurred only in the amnion group (p< 0.001). Partial healing was significantly higher in the amnion group (p< 0.03). Healing time in this group was faster than that the control group (20 days versus 54 days). No major complication was recorded with amniotic membrane dressing. CONCLUSION: Cryopreserved amniotic membrane is an effective biologic dressing that promotes re-epithelialization in pressure ulcers.

Genotyping of Avian infectious bronchitis viruses in Iran (2015-2017) reveals domination of IS-1494 like virus.

Avian infectious bronchitis virus (IBV) is causing major economic losses to the poultry industry. The analysis of the S1 gene has been used to determine IBV genotype. The aim of this study was genotyping of IBVs circulating among the Iranian broiler flocks in the period between 2015 to 2017. Trachea samples from 278 broiler flocks were collected from broiler farms in eight provinces of Iran. After Real-time RT-PCR, IBV-positive samples were further characterized based on S1 gene. The results of the Real-time RT-PCR showed that 52.16% of flocks were IBV positive. Four genotypes were detected and the frequency of occurrence rates of IS-1494-like, 793/B, QX and Massachusetts IBV genotypes were 70.34%, 19.31%, 7.58% and 2.75%, respectively. Sequence analysis revealed that nucleotide identities within IS-1494-like group ranged between 98.86-100%, while each of the QX, Massachusetts and 793/B groups were 98.05-100%, 98.20-100% and 93.29-100% respectively. These results show that the IS-1494-like IBV is the dominant IBV genotype in Iran. Proper control strategies are essential to overcoming the high frequency of occurrence of IS-1494-like IBV. The phylogenetic relationship of the strains with respect to different sequences and geographical regions displayed complexity and diversity. Further studies are needed and should include the isolation and full-length molecular characterization of IBV in Iran.

Co-circulation of three clusters of 793/B-like avian infectious bronchitis virus genotypes in Iranian chicken flocks.

Avian infectious bronchitis (IB) is an acute and highly contagious viral disease causing severe economic losses in the poultry industry. The 793/B IB virus is an important infectious bronchitis virus (IBV) genotype currently circulating in several countries, including Iran. One hundred confirmed IBV samples (between 2014 and 2015; from 15 provinces in Iran) were selected for genotyping based on S1 sequencing. After phylogenetic analysis, it was found that 30% of the IBV isolates belonged to the 793/B genotype. Results showed that the Iranian 793/B-like IBV isolates could be divided in to three clusters: 4/91-like (50%), 1/96-like (40%), and IB88-like (10%). The sequence similarity between Iranian 793/B-like IBV isolates is 87.69%-100%. The highest identity is between the 4/91 and IB88 clusters (96.38%), and the lowest similarity is between the 1/96 and IB88 clusters (87.62%). This study provides a comprehensive analysis of 793/B-type IBV in Iran and characterization of IBV molecular epidemiology in the country.

Pathogenicity study of Iranian genotype of avian infectious bronchitis virus (IR-1).

Avian infectious bronchitis (IB) is a major cause of economic losses in poultry industry. The IB virus primarily affects respiratory tract, but various strains differ in their tropism for other target organs such as kidney and alimentary tract. The objective of this study was to estimate the pathogenicity of Iranian IBV variant (IR-1), which is limited exclusively to Iran. Specific pathogen free chicks were inoculated intranasally. Sera, fecal swabs and different tissue samples were collected on different days post infection (DPI). Clinical signs, gross pathology and histological changes were recorded. The viral load was quantified in the RNA extractions from different tissue samples using real-time PCR. Anti-IBV antibodies were detected in serum samples. The IgG antibody were found on 21 and 28 DPI. Severe histological lesions were observed in the trachea and lung while the lesions in kidney were appeared to be milder. Viral RNA was detected in all tested tissues from 1 DPI to the last day of the experiment. The highest viral load was measured in the trachea and feces on 1st and 5th DPI, respectively. It can be concluded the IR-1 had broad tropism for respiratory tract, digestive system, and renal tissue, reflecting its epitheliotropic nature, but it caused the most severe lesions in the respiratory tract. This was the first pathogenicity study of Iranian IR-1 IBV. Further knowledge of IBV pathogenesis provides the groundwork to inform more effective prevention practices.