Fatigue, a common complaint in individuals with postpolio syndrome (PPS), is defined as an overwhelming sustained feeling of exhaustion and diminished capacity for physical and mental work. A comprehensive medical work-up is needed to rule out all other causes of fatigue. A sleep study should be considered for individuals with PPS who complain of fatigue. Self-reported outcome measures, such as the Fatigue Severity Scale, are reliable and valid tools to measure fatigue in this population. Fatigue management consists of individualized treatment of underlying medical conditions, energy conservation, pacing techniques, and lifestyle modifications.
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http://dx.doi.org/10.1016/j.pmr.2021.02.011 | DOI Listing |
Sci Rep
January 2025
North Carolina School of Science and Mathematics, Durham, NC, 27705, USA.
Mobile Ad Hoc Networks (MANETs) are increasingly replacing conventional communication systems due to their decentralized and dynamic nature. However, their wireless architecture makes them highly vulnerable to flooding attacks, which can disrupt communication, deplete energy resources, and degrade network performance. This study presents a novel hybrid deep learning approach integrating Convolutional Neural Networks (CNN) with Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) architectures to effectively detect and mitigate flooding attacks in MANETs.
View Article and Find Full Text PDFSci Rep
January 2025
Water Conservancy Project & Civil Engineering College, Tibet Agriculture & Animal Husbandry University, Linzhi, 860000, China.
The paper addresses the economic operation optimization problem of photovoltaic charging-swapping-storage integrated stations (PCSSIS) in high-penetration distribution networks. It proposes a dual-layer optimization scheduling model for PCSSIS clusters and distribution network systems. Firstly, a master-slave game model is constructed.
View Article and Find Full Text PDFEcotoxicol Environ Saf
January 2025
School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China. Electronic address:
The derivation of water quality criteria (WQC) for antibiotics is influenced by the inclusion of various organisms' toxicity data, including microbial data, though no definitive conclusions have been reached. This study focuses on sulfonamide antibiotics, common in the Yangtze River Delta (YRD), to assess the influences of different organisms' toxicity data on determining WQCs and subsequent evaluation of ecological risks. A total of 263 toxicity data points from eight sulfonamides, including sulfamethoxazole (SMX) and sulfamethazine (SM2), were selected to derive WQCs using Species Sensitivity Distribution (SSD) methods.
View Article and Find Full Text PDFJ Hazard Mater
December 2024
Key Laboratory of Mariculture (Ocean University of China), Ministry of Education, Qingdao, PR China; Joint Research Center for Conservation, Restoration & Sustainable Utilization of Marine Ecology, Ocean University of China-China State Shipbuilding Corporation Environmental Development Co., Ltd., Qingdao, PR China; Observation and Research Station of Yellow-Bohai Sea Temperate Seagrass Bed Ecosystem, Ministry of Natural Resources, Qingdao, PR China. Electronic address:
Perfluorooctanoic acid (PFOA), an anthropogenic organic pollutant known for its persistence, resistance to degradation, and toxicity, has raised significant concerns about its potential ecological impacts. Zostera marina, a common submerged seagrass species in temperate offshore areas, is highly vulnerable to pollutant stressors. However, the impact of PFOA on Z.
View Article and Find Full Text PDFPhys Rev Lett
December 2024
Institute of Physics, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
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