Managing uncertainty

Ecological risk assessments for potential pesticide impacts on species listed as threatened or endangered must ensure that decisions to grant registration or establish water quality standards will not jeopardize species or their critical habitats. Pesticides are designed to affect pest species via physiological pathways that may be shared by some nontarget species for which toxicity data are usually unavailable, creating a need for robust methods to estimate acute and chronic toxicity with minimal data. We used a unique probabilistic approach to estimate the risk of chronic effects of two organophosphate (OP) pesticides on the vernal pool fairy shrimp Branchinecta lynchi...

OBJECTIVE: Recent evidence suggests that alexithymic deficits in emotional processing may also affect physical health, and alexithymia may also be associated with organic disorders. The emotional well-being of patients with primary ciliary dyskinesia (PCD) is often negatively affected by uncertainty about the prognosis, lack of ongoing medical care, and lack of symptom control. This study aims to evaluate the frequency of alexithymia and its possible impact on the management of childhood PCD...

Background Diffuse large B-cell lymphoma (DLBCL) exhibits notable heterogeneity in clinical presentations and treatment responses, posing challenges in predicting outcomes and tailoring therapeutic strategies for affected patients. Despite advancements in molecular subtyping and prognostic assessment, uncertainties persist regarding the optimal management of DLBCL, highlighting the need for localized investigations to better understand treatment responses and outcomes within specific patient populations. Objective To assess the frequency of complete remission (CR) in diffuse large B-cell lymphoma (DLBCL) patients undergoing first-line rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP) therapy within a specific adult population...

BACKGROUND: The most common and debilitating side effects of radiation therapy (RT) for prostate cancer (PC) are fatigue, sleep disturbance, anxiety, and depression. Previous research has reported palliative benefits from certain self-management approaches, such as mindfulness meditation. OBJECTIVE: To develop, pre-test, and evaluate the feasibility, acceptability and initial benefit of brief, audio-based mindfulness delivered during daily RT for PC compared to a relaxing music control...

This research addresses the pressing need for heightened grid security amid increasing uncertainties in photovoltaic PV generation. The research problem lies in the limitations of conventional contingency analysis metrics, failing to adequately consider both contingency occurrences and uncertainties inherent in PV generation. In response, a comprehensive algorithm is proposed that introduces a novel severity function framework, enhancing traditional contingency ranking metrics. This approach incorporates grid remedial actions and refines line and bus voltage classification by considering available correction time, aiming to offer a more robust security assessment...

Understanding how human actions and environmental change affect water resources is crucial for addressing complex water management issues. The scientific tools that can produce the necessary information are ecological indicators, referring to measurable properties of the ecosystem state; environmental monitoring, the data collection process that is required to evaluate the progress towards reaching water management goals; mathematical models, linking human disturbances with the ecosystem state to predict environmental impacts; and scenarios, assisting in long-term management and policy implementation...

BACKGROUND: The COVID-19 pandemic has adversely affected students pursuing higher education, but limited studies highlight student's psychological experiences, especially from Western India. OBJECTIVE: The present study aimed to understand psychological experiences, coping behaviors, and the perceived role of tele-counseling services among final-year students of Masters of Business Administration from leading business schools (B-schools) in Western India. DESIGN: A qualitative research design was adopted for the study...

BACKGROUND: Residents in long-term care homes (LTCHs) are often diagnosed with chronic, life-limiting illnesses, and it is now a common site to provide high levels of care and eventual death. There is an urgent need to address communication gaps and uncertainties surrounding resident's end of life preferences. Nurses are well situated to be key facilitators of necessary advance care planning (ACP), ensuring residents have discussions with family, substitute decision-makers and healthcare providers regarding future health and personal care preferences...

Despite the American Academy of Pediatrics guidelines for the evaluation, treatment, and management of urinary tract infections (UTIs), UTI diagnosis and management remains challenging for clinicians. Challenges with acute UTI management stem from vague presenting signs and symptoms, diagnostic uncertainty, limitations in laboratory testing, and selecting appropriate antibiotic therapy in an era with increasing rates of antibiotic-resistant uropathogens. Recurrent UTI management remains difficult due to an incomplete understanding of the factors contributing to UTI, when to assess a child with repeated infections for kidney and urinary tract anomalies, and limited prevention strategies...

Direct-to-onsumer telemedicine (DTCT) has become popular as an alternative to traditional care. However, uncertainties about the potential risks associated with the lack of comprehensive quality evaluation could influence its long-term development. This study aimed to assess the quality of care provided by DTCT platforms in China using unannounced standardised patients (USP) between July 2021 and January 2022. The study assessed consultation services on both hospital and enterprise-sponsored platforms using the Institute of Medicine quality framework...

This work proposes a process design and techno-economic assessment for the production of γ-valerolactone from lignocellulosic derived fructose at industrial scale, with the aim of exploring its feasibility, identifying potential obstacles, and suggesting improvements in the context of France. First, the conceptual process design is developed, the process modelled and optimized. Second, different potential scenarios for the energy supply to the process are analyzed by means of a set of economic key performance indicators, aimed at highlighting the best potential profitability scenario for the sustainable exploitation of waste biomass in the context analyzed...

AIM: People with chronic kidney disease experience high rates of cardiovascular disease. Cholesterol-lowering therapy is a mainstay in the management but there is uncertainty in the treatment effects on patient-important outcomes, such as fatigue and rhabdomyolysis. Here, we summarise the updated CARI Australian and New Zealand Living Guidelines on cholesterol-lowering therapy in chronic kidney disease. METHODS: We updated a Cochrane review and monitored newly published studies weekly to inform guideline development according to international standards...

OBJECTIVES: To estimate the cost-effectiveness of methenamine hippurate compared with antibiotic prophylaxis in the management of recurrent urinary tract infections. DESIGN: Multicentre, open-label, randomised, non-inferiority trial. SETTING: Eight centres in the UK, recruiting from June 2016 to June 2018. PARTICIPANTS: Women aged ≥18 years with recurrent urinary tract infections, requiring prophylactic treatment...

INTRODUCTION: When predicting future events, we often rely on analyzing past occurrences and projecting them forward. This methodology is crucial in various fields, including toxicology, in which predicting outcomes in poisoned patients plays a vital role in guiding treatment decisions and improving patient care. IMPORTANCE OF PREDICTING OUTCOMES IN POISONED PATIENTS: In cases of poisoning, understanding a patient's medical history, current physiological status, and the toxicokinetics of the ingested substance is essential for predicting potential outcomes and determining appropriate interventions...

BACKGROUND: The research gap regarding Attention Deficit Hyperactivity Disorder (ADHD) in people who were assigned female at birth has led to a lack of knowledge and adequate approaches in clinical practice, as well as diagnosis processes. Recent studies report potential associations between reproductive hormones and ADHD, but existing research remains scarce. AIM: This study aims to explore the experiences of people who perceive an association between their menstrual cycle and their ADHD symptoms...

Urban flooding has made it necessary to gain a better understanding of how well gully pots perform when overwhelmed by solids deposition due to various climatic and anthropogenic variables. This study investigates solids deposition in gully pots through the review of eight models, comprising four deterministic models, two hybrid models, a statistical model, and a conceptual model, representing a wide spectrum of solid depositional processes. Traditional models understand and manage the impact of climatic and anthropogenic variables on solid deposition but they are prone to uncertainties due to inadequate handling of complex and non-linear variables, restricted applicability, inflexibility and data bias...

Urban rivers provide an excellent opportunity for water recreation. This study probabilistically assessed health risks associated with water recreation in urban rivers in the Bitan Scenic Area, Taiwan, by employing quantitative microbial risk assessment and disability-adjusted life years (DALYs). Moreover, the effects of urbanization on the health risks of river recreation induced by waterborne pathogenic Escherichia coli (E. coli) were investigated. First, data on river E. coli levels were collected in both the Bitan Scenic Area and the upstream river section, and model parameters were obtained through a questionnaire administered to river recreationists...

Energy efficiency is an important issue in industry, especially with the ever-increasing consumption of electrical energy. The power quality and the traceability of metering devices are essential when integrating energy metering systems for energy efficiency. This management requires an understanding of electrical current events such as pulse and transient currents. Current transducers are widely used to measure these electrical current events up to a few megahertz. Their use makes it possible to measure not only the main current flowing through the transducer, but also the bypass current that affects electrical equipment...

This study aims to enhance diagnostic capabilities for optimising the performance of the anaerobic sewage treatment lagoon at Melbourne Water's Western Treatment Plant (WTP) through a novel machine learning (ML)-based monitoring strategy. This strategy employs ML to make accurate probabilistic predictions of biogas performance by leveraging diverse real-life operational and inspection sensor and other measurement data for asset management, decision making, and structural health monitoring (SHM). The paper commences with data analysis and preprocessing of complex irregular datasets to facilitate efficient learning in an artificial neural network...

In this paper, we consider an integrated sensing, communication, and computation (ISCC) system to alleviate the spectrum congestion and computation burden problem. Specifically, while serving communication users, a base station (BS) actively engages in sensing targets and collaborates seamlessly with the edge server to concurrently process the acquired sensing data for efficient target recognition. A significant challenge in edge computing systems arises from the inherent uncertainty in computations, mainly stemming from the unpredictable complexity of tasks...