Achieving simultaneous removal of carbon and nitrogen by an integrated process of anaerobic membrane bioreactor and flow-through biofilm reactor.

In this study, a combined system consisting of an anaerobic membrane bioreactor (AnMBR) and flow-through biofilm reactor/CANON (FTBR/CANON) was developed to simultaneously remove carbon and nitrogen from synthetic livestock wastewater. The average removal efficiencies of total nitrogen (TN) were 64.2 and 76.

Clinical Considerations for Crown Lengthening: A Comprehensive Review.

Clinical crown lengthening is a surgical procedure that involves the manipulation of gingival tissue, designed to expose sound tooth structure for restorative purposes by apically repositioning the gingival tissue, with or without the removal of alveolar bone. Crown lengthening may be subdivided as functional or esthetic, according to the purpose of treatment. Functional crown lengthening pertains to the exposure of subgingival caries, fractures, or to avoid invading the biologic width.

Psychological antecedents of vaccine inequity: keys to improve the rates of vaccination.

Background: The World Health Organization (WHO) stresses the importance of worldwide vaccine coverage of coronavirus-19 (COVID-19) vaccination. This study fills a critical gap in the literature by providing empirical evidence on the factors influencing COVID-19 vaccine hesitancy and inequity in the Middle East and North Africa (MENA) region. This study investigated the determinants of psychological antecedents and other factors behind COVID-19 vaccination and their role in vaccine coverage in MENA.

Evaluation of modified fire hawk optimizer for new modification in double diode solar cell model.

The evaluation of photovoltaic (PV) model parameters has gained importance considering emerging new energy power systems. Because weather patterns are unpredictable, variations in PV output power are nonlinear and periodic. It is impractical to rely on a time series because traditional power forecast techniques are based on linearity.

Improved hydrogen production performance of an S-scheme NbO/LaO photocatalyst.

Addressing the intricate challenge of simultaneously improving the separation of photoinduced electron-hole pairs and enhancing redox potentials to produce hydrogen fuel demands the rational design of S-scheme heterojunction photocatalysts. Herein, we used a hydrothermal process to integrate NbO nanorods and LaO nanosheets to design an NbO/LaO S-scheme system for photocatalytic hydrogen production under simulated sunlight illumination. Notably, the optimal hydrogen production performance of NbO/LaO (the molar ratio of NbO to LaO is 0.

Dual Coronary Artery Dissection With Contrasting Healing Patterns: Spontaneous Left Circumflex and Iatrogenic Right Coronary Artery.

Spontaneous coronary artery dissection (SCAD) is an uncommon but important cause of acute coronary syndrome (ACS), particularly in postpartum women without traditional cardiac risk factors. Our case involves a 29-year-old postpartum woman who presented with severe substernal chest pain eight days after an emergency cesarean section for pregnancy-associated hypertension. Electrocardiography showed ST elevation in the inferior and posterior leads, and coronary angiography revealed a spontaneous dissection in the left circumflex artery (LCx) with an intramural hematoma, alongside a dissection of the right coronary artery (RCA) extending from the ostium to the mid-vessel.

Band Gap Engineering of Binary and Cobalt-Doped PbS Thin Films Integrated by SILAR Method for Optoelectronic Potentials.

Thin films of PbS, both undoped and cobalt-doped (Co-PbS), were produced on glass substrates using the straightforward and controllable approach of sequential ionic layer adsorption and reaction (SILAR). The reactive substances employed to deposit the PbS thin films were lead nitrate (Pb(NO)), cobalt nitrate (Co(NO₃)₂(H₂O)₆), sodium thiosulphate (NaSO) and HO for different dipping concentrations of lead and cobalt. The films were adherent to the substrate and were compact, and crack-free with a shiny silver color.

Kinetic and Isothermal Analysis of the Adsorptive Elimination of Direct Yellow 26 Dye Utilizing Activated Bioadsorbent From Textile Effluent.

Due to their widespread usage in recent years, synthetic dyes may be difficult to remove and pose a health concern. Bioadsorbents proved a low-cost and sustainable method for dye removal. In this study, straight yellow 26 is extracted from textile effluent using sugarcane bagasse.

Psychometric properties of the Arabic Stress Numerical Rating Scale (SNRS-11) in adolescents.

Meta-analytic results have revealed a significant influence of stress on a wide array of psychological and behavioral markers, underscoring its considerable clinical importance. Providing a simple and cost-effective tool assessing stress for the Arabic-speaking population would be immensely beneficial. Therefore, our research objective was to examine the psychometric properties of an Arabic version of the Stress Numerical Rating Scale-11 (Arabic SNRS-11), including its reliability, and construct validity.

Assessment of groundwater potential zones in Kuwait's semi-arid region: a hybrid approach of multi-criteria decision making, Google earth engine, and geospatial techniques.

Recently, the use and management of water resources have become a critical issue, especially in arid and semi-arid surroundings. In such areas, the importance of mapping groundwater potential zones is unmeasurable since water is a critical human resource. Focused on the semi-arid region of Kuwait, our research integrates Google Earth Engine and multi-criteria decision-making (MCDM), offering a robust admission to identifying groundwater potential zones.

Impact of Extreme Heat on Cardiovascular Health in Kuwait: Present and Future Projections.

Background: The Middle East, especially Kuwait, is experiencing rapidly rising temperatures due to climate change. Cardiovascular diseases (CVD) are the leading cause of mortality in the country, and extreme heat is expected to exacerbate hospitalizations for cardiovascular diseases. There is limited data quantifying the historical and future impacts of heat on hospitalizations for cardiovascular diseases in Kuwait.

One-Year Insights into the GLOBOSTAD Multinational Prospective Observational Study of Patients Receiving Dupilumab for Atopic Dermatitis.

Introduction: Currently, limited data are available on long-term use of dupilumab to treat atopic dermatitis (AD) in a multinational real-world setting. The aim of this analysis was to report the interim 1-year data for patients with AD enrolled in the GLOBOSTAD registry, including treatment patterns, dupilumab effectiveness and safety, and healthcare burden.

Methods: GLOBOSTAD is an ongoing, 5-year, multinational, prospective, observational study of adult/adolescent (aged ≥ 12 years at baseline) patients with AD who initiated dupilumab in real-world settings according to their local country-specific prescribing guidelines.

Treatment of cancer patients by generalizing a Fermatean normal vague set with aggregation operators.

Multi-attribute decision-making problems can be solved using a Fermatean vague set. Fermatean vague sets are extension of vague sets. We initiated generalized Fermatean vague weighted averaging, generalized Fermatean vague weighted geometric, power generalized Fermatean vague weighted averaging and power generalized Fermatean vague weighted geometric.

Impact of Insurance Status on Clinical Management and Outcomes of Patients with ST-Segment Elevation Myocardial Infarction: Findings from the Kuwait Catheterization Laboratory Project Registry.

Background: Emerging evidence from various countries suggests that ST-segment elevation myocardial infarction (STEMI) patients with differing health-care insurance types experience discrepancies in clinical management and outcomes. Kuwait government provides free essential treatments and medications to noninsured patients with certain emergency conditions. We aimed to compare differences in clinical management and in-hospital and 30-day outcomes in STEMI patients with different insurance types in Kuwait.

Global trends of secondhand smoke exposure among young adolescents from 27 countries, 2003-2021: findings from the World Health Organization database.

The issue of adolescent secondhand smoke (SHS) is globally significant, given that it serves as a preventable risk factor for disease prevalence and mortality rates among youth. This study evaluates trends in adolescent SHS across 27 countries from 2003 to 2021, aiming to identify global variations and sex-specific differences, providing insights for future policy recommendations. The data for this study were collected from the Global School-based Student Health Survey conducted by the World Health Organization, 2003-2021.

Understanding Multiple Sclerosis Pathophysiology and Current Disease-Modifying Therapies: A Review of Unaddressed Aspects.

Multiple sclerosis (MS) is a complex autoimmune disorder of the central nervous system (CNS) with an unknown etiology and pathophysiology that is not completely understood. Although great strides have been made in developing disease-modifying therapies (DMTs) that have significantly improved the quality of life for MS patients, these treatments do not entirely prevent disease progression or relapse. Identifying the unaddressed pathophysiological aspects of MS and developing targeted therapies to fill in these gaps are essential in providing long-term relief for patients.