Cosine similarity and distance measures for p , q - quasirung orthopair fuzzy sets: Applications in investment decision-making.

Similarity measures and distance measures are used in a variety of domains, such as data clustering, image processing, retrieval of information, and recognizing patterns, in order to measure the degree of similarity or divergence between elements or datasets. p , q - quasirung orthopair fuzzy ( p , q - QOF) sets are a novel improvement in fuzzy set theory that aims to properly manage data uncertainties. Unfortunately, there is a lack of research on similarity and distance measure between p , q - QOF sets. In this paper, we investigate different cosine similarity and distance measures between to p , q - quasirung orthopair fuzzy sets ( p , q - ROFSs). Firstly, the cosine similarity measure and the Euclidean distance measure for p , q - QOFSs are defined, followed by an exploration of their respective properties. Given that the cosine measure does not satisfy the similarity measure axiom, a method is presented for constructing alternative similarity measures for p , q - QOFSs. The structure is based on the suggested cosine similarity and Euclidean distance measures, which ensure adherence to the similarity measure axiom. Furthermore, we develop a cosine distance measure for p , q - QOFSs that connects similarity and distance measurements. We then apply this technique to decision-making, taking into account both geometric and algebraic perspectives. Finally, we present a practical example that demonstrates the proposed justification and efficacy of the proposed method, and we conclude with a comparison to existing approaches.

Exploring the chaotic structure and soliton solutions for (3 + 1)-dimensional generalized Kadomtsev-Petviashvili model.

The study of the Kadomtsev-Petviashvili (KP) model is widely used for simulating several scientific phenomena, including the evolution of water wave surfaces, the processes of soliton diffusion, and the electromagnetic field of transmission. In current study, we explore some multiple soliton solutions of the (3+1)-dimensional generalized KP model via applying modified Sardar sub-equation approach (MSSEA). By extracting the novel soliton solutions, we can effectively obtain singular, dark, combo, periodic and plane wave solutions through a multiple physical regions. We also investigate the chaotic structure of governing model using the chaos theory. The behavior of the collected solutions is visually depicted to demonstrate the physical properties of the proposed model. The solutions obtained in this paper can expand the existing solutions of the (3+1)-dimensional KP model and enhance our understanding of the nonlinear dynamic behaviors. This approach allows for consistent and effective treatment of the computation process for nonlinear KP model.

Dual-Arch Prosthesis: Revolutionizing Partial Dentate Rehabilitation.

The utilization of natural teeth as denture abutments offers a significant advantage in retarding the residual ridge resorption (RRR). This approach distributes stress concentration between the denture-bearing areas and abutment teeth, thereby mitigating issues such as loss of sensory feedback, compromised mastication, and aesthetic concerns. Overdentures, by providing additional support and stability, play a pivotal role in reducing RRR while enhancing stability and retention. A cast partial denture (CPD) becomes the first choice in cases of long edentulous span where cross-arch stabilization is required. The simplicity of insertion, removal, and maintenance, coupled with effective oral hygiene practices, make CPDs a practical solution. This case presentation illustrates the successful prosthetic rehabilitation of a partially dentate patient through the implementation of a maxillary overdenture and mandibular CPD underscoring the efficacy of this treatment modality in achieving optimal outcomes. The combination of these prostheses restored the masticatory function, improved the aesthetics, and enhanced the quality of life of the patient. This case highlights the effectiveness of dual-arch prosthetic solutions in achieving comprehensive rehabilitation in partially dentate patients.

Quantifying local and global mass balance errors in physics-informed neural networks.

Physics-informed neural networks (PINN) have recently become attractive for solving partial differential equations (PDEs) that describe physics laws. By including PDE-based loss functions, physics laws such as mass balance are enforced softly in PINN. This paper investigates how mass balance constraints are satisfied when PINN is used to solve the resulting PDEs. We investigate PINN's ability to solve the 1D saturated groundwater flow equations (diffusion equations) for homogeneous and heterogeneous media and evaluate the local and global mass balance errors. We compare the obtained PINN's solution and associated mass balance errors against a two-point finite volume numerical method and the corresponding analytical solution. We also evaluate the accuracy of PINN in solving the 1D saturated groundwater flow equation with and without incorporating hydraulic heads as training data. We demonstrate that PINN's local and global mass balance errors are significant compared to the finite volume approach. Tuning the PINN's hyperparameters, such as the number of collocation points, training data, hidden layers, nodes, epochs, and learning rate, did not improve the solution accuracy or the mass balance errors compared to the finite volume solution. Mass balance errors could considerably challenge the utility of PINN in applications where ensuring compliance with physical and mathematical properties is crucial.

Field performance of 15 rain gardens in different cities in Taiwan.

Rain gardens are widely used for low impact development (LID) or as a nature-based solution (NbS). They help to reduce runoff, mitigate hot temperatures, create habitats for plants and insects, and beautify landscapes. Rain gardens are increasingly being established in urban areas. In Taiwan, the Ministry of Environment (MoE) initiated a rain garden project in Taipei city in 2018, and 15 rain gardens have since been constructed in different cities. These Taiwanese-style rain gardens contain an underground storage tank to collect the filtrated rainwater, which can be used for irrigation. Moreover, the 15 rain gardens are equipped with sensors to monitor temperature, rainfall, and underground water levels. The monitoring data were transmitted with Internet of Things (IoT) technology, enabling the capture and export of real-time values. The water retention, temperature mitigation, water quality, and ecological indices of the rain gardens were quantified using field data. The results from the young rain gardens (1-3 years) showed that nearly 100 % of the rainfall was retained onsite and did not flow out from the rain gardens; however, if the stored water was not used and the tanks were full, the rainwater from subsequent storms could not be stored, and the tanks overflowed. The surface temperatures of the rain garden and nearby impermeable pavement differed by an average of 2-4 °C. This difference exceeded 20 °C in summer at noon. The water in the underground storage tanks had very low levels of SS and BOD, with averages of 1.6 mg/L and 5.6 mg/L, respectively. However, the E. coli concentrations were high, and the average was 6283 CFU/100 mL; therefore, washing or drinking water is not recommended. The ecological indices, i.e., the Shannon and Simpson indices, demonstrated the good flora status of the rain gardens after one year. Although the weather differed by city, the performance of the rain gardens in terms of water retention, temperature mitigation, rainwater harvesting, and providing biological habitats was consistent. However, maintenance influences rain garden performance. If the stored water is not frequently used, the stored volume is reduced, and the stored water quality degrades.

Investigation of the Mechanical Properties of Thermoplastic Materials Influenced by Different Chemicals.

Objective: The quality of orthodontic forces in aligners is mainly influenced by their mechanical properties. At present, there is insufficient information on how environmental factors affect the mechanical function of aligners, and studies have shown that patients do not pay enough attention to removing aligners while eating and drinking. Therefore, in this study, we investigated the effect of different chemicals on the mechanical properties of thermoplastic materials. Methods: In this study, 175 thermoplastic samples from Easy-Vac gasket (3A Medes, Korea) were prepared, and their chemical composition, tensile strength, and hardness before and after exposure to solutions of orange juice, Cola, chlorhexidine mouthwash, and distilled water were measured. One-Way analysis of variance (ANOVA), Tamhane's test, and Tukey's test were used for statistical analysis. Results: The tensile strength of the sheets increased with continuous exposure to orange juice and chlorhexidine mouthwash, and their hardness decreased with continuous exposure to carbonated beverages. There was no change in the chemical composition of the samples after exposure to different chemicals. Conclusion: Although these changes are statistically significant, they do not have a significant effect on the result of aligner performance. Therefore, the only concern is the cariogenicity of orange juice and Cola during treatment with aligners and the administration of chlorhexidine mouthwash.

Embedding community and public voices in co-created solutions to mitigate antimicrobial resistance (AMR) in Thailand using the 'Responsive Dialogues' public engagement framework.

The use of antimicrobials in Thailand has been reported as one of the highest in the world in human and animal sectors. Our engagement project aimed to improve our understanding of the issue of antimicrobial use and antimicrobial resistance (AMR) among adult Thai communities, and co-create locally relevant solutions to AMR, especially those focusing on raising awareness to improve related policies in Thailand.We conducted a series of online and in-person 'conversations' according to Wellcome's 'Responsive Dialogues' engagement approach, designed to bring together different voices to understand complex AMR problems and find potential solutions. This approach enabled key AMR stakeholders and policy makers to hear directly from communities and members of the public, and vice versa. Conversations events took place between 25 November 2020 and 8 July 2022, and we engaged 179 AMR key stakeholders and members of the public across Thailand.The issues found were: there were quite a lot of misunderstandings around antimicrobials and AMR; participants felt that communications and engagement around antimicrobial resistance had limited reach and impact; asking for and taking antibiotics for self-limiting ailments is a social norm in Thailand; and there appeared to be a wide availability of cheap antimicrobials. To mitigate the spread of AMR, participants suggested that the messages around AMR should be tailored to the target audience, there should be more initiatives to increase general health literacy, there should be increased availability of AMR related information at the local level and there should be increased local leadership of AMR mitigation efforts.Trial registration Thaiclinicaltrials.org registration: TCTR20210528003 (28/05/2021).

Framework for mapping large-scale nature-based solutions for drought mitigation: Regional application in Flanders.

Droughts are classified as the most expensive climate disasters as they leave long-term and chronic impacts on the ecosystem, agriculture, and human society. The intensity, frequency, and duration of drought events have increased in the past and are expected to continue rising at global, continental, and regional scales. Nature-based solutions (NBS) are highlighted as effective solutions to cope with the future impacts of these events. Despite this, there has been limited comprehensive research on the effectiveness of NBS for drought mitigation, and existing suitability mapping frameworks often overlook drought-specific criteria. To address this gap, a new framework is proposed to identify areas suitable for two drought-coping NBS types at a regional scale: detention basins and managed aquifer recharge. Two multi-criteria decision-making techniques (MCDM), i.e. Boolean logic and Analytic- Hierarchy Process (AHP), were used to map suitable large-scale NBS. The new framework accounts for unique criteria to specifically address drought conditions. By incorporating climate change scenarios for both surface and groundwater, recharge, and different groundwater characteristics, it identifies suitable and sustainable locations capable of managing extreme drought events. Executed through Boolean logic at a regional scale in Flanders (Belgium), the framework's strict approach yields significant potential areas for detention basins (298.7 km²) and managed aquifer recharge (867.5 km²). Incorporating AHP with the same criteria introduces a higher degree of flexibility for decision-makers. This approach shows a notable expansion across Flanders, varying with the level of suitability. The results underscore the highly suitable potential for detention basins (2552.2 km²) and managed aquifer recharge (2538.7 km²), emphasizing the adaptability and scalability of the framework for addressing drought in the region. The comparison between potential recharge volume due to detention basin and groundwater use in the region indicated that the detention basins could partially compensate for the high water demand. Therefore, creating a framework targeting drought is vital for the sustainable management of water scarcity scenarios.

Food self-provisioning: Implications for sustainable agroecological transition in rural Nigeria.

Agroecology is a sustainable farming method that has the potential to revolutionize the global agricultural sector by promoting cleaner and more environmentally friendly practices. However, the question of how to effectively transition to a sustainable agroecology system remains a topic of debate, particularly in developing economies. In many developing countries, subsistence farming plays a crucial role in supporting the livelihoods of countless households. Therefore, it is essential to explore the connection between food self-provisioning and the shift towards agroecology. Using primary data from rural Nigeria and by applying an ordered logistic regression, the study demonstrates that when farmers are primarily dependent on their own produce for sustenance, there is a natural inclination towards methods ensuring long-term soil health and ecological balance. We observed that self-provisioning leads to a 10.9 % increase in agroecology transition, and this result was statistically significant (P-value 0.001). This paradigm not only promotes sustainable agricultural practices but also underscores a holistic approach where agriculture coexists harmoniously with nature. As the global challenges of climate change and increasing food demand loom large, understanding and supporting these farmer-driven solutions become paramount. The results beckon policymakers and stakeholders to frame strategies grounded in farmers' intrinsic motivations, ensuring a sustainable agricultural future that is ecologically viable, culturally resonant, and economically beneficial.

Advancing the Management of Nontraumatic Brain Injuries with Hypertonic Saline and Mannitol.

How to cite this article: Shetty RM. Advancing the Management of Nontraumatic Brain Injuries with Hypertonic Saline and Mannitol. Indian J Crit Care Med 2024;28(7):634-636.

Parenteral nutrition compatibility and stability: Practical considerations.

Parenteral nutrition (PN) is a complex preparation that contains multiple component products with the associated risk for incompatibilities and diminished stabilities when combined together as an admixture. Significant patient harm can result from prescribing, preparing, and administering PN without confirming compatibility and stability. Incompatibility or instability is rarely obvious to the unaided eye, so safe PN admixture relies on incorporating physicochemical properties of the included components into compatibility and stability decisions. Practices include applying active ingredient concentration limits to reduce risk for incompatibilities and instabilities. The purpose of the current article is to distill the wide-ranging information on PN compatibility and stability into a feasible blueprint that individual healthcare organizations can then use to design and implement practical initiatives. Compatibility and stability considerations can be incorporated into the routine tasks of PN prescribing, order reviewing, preparing, and administering. The focus of this review is on identifying potential physicochemical interactions that can be addressed at each step in the PN use process. Organizations should incorporate compatibility and stability considerations into the routine procedures and practices of all clinicians involved with PN therapy. Those clinicians in healthcare organizations and caregivers in the home should then be in a position to safely provide the appropriate PN admixtures in terms of compatibility and stability.

Water quality and wetland vegetation responses to water level variations in a university stormwater reuse reservoir: Nature-based approaches to campus water sustainability.

In response to climate-driven water shortages, Duke University in 2014 constructed a water reuse reservoir and wetland complex (Pond) to capture urban stormwater and recycle water to provide campus cooling and reduce downstream loading of nutrients and sediment into Jordan Lake, a regional water supply. We postulated that even with significant water level changes due to withdrawals, the Pond would function to reduce downstream nutrients and sediment once wetland plants became established in the littoral zone. Throughout the project (2015-2021), baseflow nutrient concentrations downstream decreased, with Unfiltered Total Nitrogen (UTN) falling by 44 % and Unfiltered Total Phosphorus (UTP) by 50 %. Storm mean concentrations decreased by 31 % for UTN, 54 % for UTP, and 72 % for Total Suspended Solids (TSS). The annual reductions in mass fluxes (UTN, UTP, and TSS) were between 58 and 85 % across a range of storm intensities. Regardless of water level, temperature, pH, and oxygen concentrations downstream were not significantly changed. Between 2015 and 2020, a littoral survey of planted and naturally introduced species showed that wetter years resulted in a greater number of species across a gradient of three inundation zones (i.e., moist, wet, and aquatic). Conversely, dryer years resulted in fewer species across overlapping zones. The dominant plants that successfully colonized the Pond are all obligate wetland species despite the Pond's highly variable water depths and periods of inundation. The final plant populations were dominated by invasive native species supporting the self-design theory of plant succession as nearly half of the original planted species died. The reuse Pond design (pond-wetland complex) showed the capability of using stormwater runoff for campus cooling while improving water quality services and providing habitat for wetland plants. Thus, campuses with watershed runoff capture capability should consider a nature-based recycling approach as part of their water sustainability program.

Removal efficiency of a fast setting pozzalan-based bioactive cement: a micro CT study.

AIM: The aim of this study was to evaluate the removal efficiency of PRMTA and ECMPremixed applied to the coronal third according to the RET by UI and to examine the effect of different solutions on material removal. MATERIALS AND METHODS: 40 permanent upper central teeth were used to simulate immature teeth. The samples were irrigated with 1.5% NaOCl and calcium hydroxide was placed. Samples were incubated in PBS. Then irrigation was done with 17% EDTA, the samples were randomly divided into 2 groups (n = 20):Group 1: PRMTA, Group 2: ECM Premixed. The materials were placed in the samples. Then the samples were scanned with micro-CT. Materials were removed by UI. Micro-CT scan of the samples was performed. Each material group was divided into 2 subgroups (n = 10): Group1 was MTAD, group2 was irrigated with 10% CA; then micro-CT was performed. Obtained images were positioned in DataViewer and analyzed with CTAn. The obtained data were statistically analyzed in IBM SPSS 25. The significance level was determined as 5%. RESULTS: There was no significant difference between the initial volumes of the materials (p > 0.05). The amount of the remaining material after UI was significantly higher in the PRMTA (0.7471%) group compared to the ECM Premixed (0.0093%). There was no significant difference in terms of remaining material after irrigation with MTAD and CA in both groups (p > 0.05). CONCLUSION: A great deal of the materials were removed by UI under the operation microscope. ECM Premixed was removed more effectively compared to the PRMTA. And, acidic solutions did not provide any additional benefit in material removal.

Physical properties of soft contact lens multipurpose solutions commercially available in Ghana.

Purpose: To investigate the physical properties of commercially available multipurpose soft contact lens solutions in Ghana. Methods: pH (Kelilong ICL-099 pH meter, China), osmolality (OSMOMAT 3000, GONOTEC, Germany), surface tension (Sigma 700 Tensiometer, Sweden), and viscosity (CFOC-200 Viscometer, Cannon Company, USA) of various soft contact lens multipurpose solutions (MPS) were measured in triplicates at room temperature. Viscosity measurements were also taken at 34 °C ocular surface temperature. The solutions examined were Opti-Free Replenish (OFR), Trufresh (TF), Avizor (AV), Freshlook (FL), and Refresh (RF). Results: Several solutions were largely hypo-osmotic in the range of 108-231 mOsm/kg, the exception being Avizor, which had osmolality values that were closer to human tears (301 ± 0.58 mOsm/kg). The range of pH values of the solutions (6.33-8.24, mean (SD) = 7.53 ± 0.18) fell within the reported tolerable range for the ocular surface (6.20-9.00). Surface tension values ranged from 35.86 to 42.27 mNm with a mean of 38.49 ± 2.32 mNm. The average viscosity of most solutions at room temperature (25 °C) was 1.44 ± 0.49 cP with a range of 1.04-2.15 cP. Significantly lower values ranging from 0.79 to 1.58 cP were obtained at ocular surface temperature (34 °C), p = 0.0001). Conclusions: The physical properties of many of the solutions used as MPS in Ghana are markedly variable. Nevertheless, pH, surface tension, and viscosity fall within the acceptable limits of ocular physiological tolerance; except for osmolality, which majority were outside the reported tolerable range for the ocular surface. This information may partly explain the reason some patients exhibit strong preferences for certain care systems and should aid clinical decision-making when prescribing eye care systems to patients.

On the cost-effectiveness of Nature-based Solutions for reducing disaster risk.

The potential of ecosystem-based interventions, also known as Nature-based Solutions (NbS), for Disaster Risk Reduction (DRR) and Climate Change Adaptation (CCA) is now recognized by major national policies and international framework agreements. However, there is limited scientific evidence about their economic viability and equity impacts. We examined English-language peer-reviewed studies, published between 2000 and 2021, which undertook economic evaluations of NbS for DRR and CCA. Based on our results, 71 % of studies indicated that NbS have consistently proven to be a cost-effective approach to mitigating hazards and 24 % of studies found NbS cost-effective under certain conditions. The ecosystem-based interventions most frequently found effective in mitigating hazards are associated with mangroves (80 %), forests (77 %), and coastal ecosystems (73 %). Studies comparing the cost-effectiveness of NbS and engineering-based solutions for mitigating certain hazards showed that NbS are no less effective than engineering-based solutions. Among these studies, 65 % found that NbS are always more effective in attenuating hazards compared to engineering-based solutions and 26 % found that NbS are partially more effective. Our findings illustrate a range of factors, including the geographic locations of the NbS analyzed, their contribution to the restoration and increase of biodiversity, their property rights structure, their source of financing, and the economic methodologies employed to assess cost-effectiveness and distributional effects. The geographic location of the NbS observations included in this analysis was examined considering global projected temperature and precipitation changes.

Crosslinked Polydiallyldimethylammonium Chloride Adsorbent for the Selective Separation of Rhenium Ions from Pregnant Leach Solutions.

The depletion of valuable mineral reserves has rendered effluents generated from mining and industrial processing activities a promising resource for the production of precious elements. The synthesis and improvement of new adsorbents to extract valuable compounds from industrial wastes and pregnant leach solutions, besides increasing wealth, can play a significant role in reducing environmental concerns. In this work, a new and low-cost adsorbent for the selective extraction of rhenium (perrhenate ions, ReO4-) was synthesized by the free-radical polymerization (FRP) of a diallyl dimethylammonium chloride monomer (quaternary amine) in the presence of a crosslinker. Various methods were employed to characterize the polymeric adsorbent. The results revealed that the designed polymeric adsorbent had a high surface area and pores with nano-metric dimensions and a pore volume of 6.4 × 10-3 cm3/g. Four environments-single, binary, multicomponent, and real solutions-were applied to evaluate the adsorbent's performance in the selective separation of Re. Additionally, these environments were used to understand the behavior of molybdenum ions, the primary competitors of perrhenate ions in the ion exchange process. In competitive conditions, using variations in qe,mix/qe, an antagonism phenomenon (qe,mix/qe < 1) occurred due to the inhibitory effect of surface-adsorbed molybdenum ions on the binding of the perrhenate ions. However, across all conditions, the separation values for Re were higher than those for the other studied elements (Mo, Cu, Fe).

Digital and technological solutions in cardiovascular nursing and perspectives for a smooth digital shift: A discussion paper.

Digital and technological solutions (DTS) in cardiovascular nursing are profoundly transforming the landscape of patient care by integrating advanced data-driven approaches. DTS help to enhance patient outcomes and streamline clinical workflows, supporting the shift of the traditional roles of healthcare providers and patients towards more engaged and collaborative care processes. This article presents a perspective in this regard. The adoption of DTS, including mobile health applications and wearable devices, enables continuous monitoring and management of patient health, fostering significant improvements in cardiovascular health management. However, the rapid incorporation of such technologies presents various challenges, such as robust data standardization, the development of digital literacy among healthcare professionals, and addressing privacy and security concerns. Effective integration of DTS into nursing practice demands structured clinical curricula that equip nurses with essential technological skills and a deep understanding of ethical considerations. Theoretical frameworks should guide the systematic implementation and integration of digital tools, ensuring comprehensive consideration of the complexities involved in digital transformations in healthcare.

Care practices of contact lens solutions and microbial contamination among wearers in Ghana.

PURPOSE: This study sought to assess contact lens solutions care practices, and their microbial contamination among contact lens wearers in Ghana and to profile their antibiotic susceptibility pattern. METHODS: The study employed a biphasic approach which involved a cross-sectional design that investigated participants' habits related to care for the solutions with a two-part questionnaire and a microbiological analysis of samples of contact lens care solutions of the participants for microbial contamination. A snowball sampling method provided access to 32 different contact lens wearers in four care facilities in Ghana. In most cases, the participants had no pre-existing familial relationship with each other or with the care facilities. RESULTS: Out of 32 samples of contact lens solutions, 30 were tested for microbial contamination. A total of 23 (76.67 %) samples of contact lens solution were found to be contaminated with Enterobacter sp. (34.80 %), Pseudomonas sp. (21.70 %), Bacilli sp. (21.70 %), Klebsiella sp. (17.20 %), and Escherichia coli (4.60 %). The duration of solution storage in the open bottle and nonadherence to manufacturer instructions for solution storage showed a statistically significant association with microbial contamination (p ≤ 0.05). CONCLUSION: Contact lens care solutions have been found to harbour multiple antibiotic-resistant bacteria that are potentially pathogenic to the corneal surface. The contamination is associated with some unhealthy solution-care practices among wearers.

Detection of Salt Content in Canned Tuna by Impedance Spectroscopy: A Feasibility Study for Distinguishing Salt Levels.

The electrical impedance of dilute aqueous solutions containing extracts from five brands of canned tuna is analyzed using impedance spectroscopy in order to analyze their salt content and detect the potential presence of other salts beyond the well-stated NaCl. A complex electrical impedance is modeled with an equivalent electrical circuit, demonstrating good agreement with experimental data. This circuit accounts for the contribution of ions in the bulk solution, as well as those contributing to electrode polarization. The parameters describing the equivalent circuits, obtained through fitting data to the electrical impedance, are discussed in terms of the various ion contributions to both the electrical double layer at the electrode interface and the electrical conductivity of each solution. The ionic contribution to the electrical impedance is compared with that of a pure NaCl solution at the same concentration range. This comparison, when extended to real samples, allows for the development of a model to estimate the electrical conductivity of canned tuna samples, thereby determining the salt concentration in tuna. The model enables differentiation among the various samples of tuna studied. Subsequently, the potential presence of other ions besides Na+ and Cl- and their contribution to the electrical properties of each canned tuna extract is considered, especially for samples with a higher ratio of the sum of K+ and phosphates to Na+ concentration. This analysis shows the potential of impedance spectroscopy for on-site and rapid analysis of salt content and/or detection of additives in canned tuna fish.