BACKGROUND In this cross-sectional, international study, we aimed to analyze vector-borne and zoonotic infections (VBZI), which are significant global threats. METHOD VBZIs' data between May 20-28, 2018 was collected. The 24 Participatingcountries were classified as lower-middle, upper-middle, and high-income. RESULTS 382 patients were included. 175(45.8%) were hospitalized, most commonly in Croatia, Egypt, and Romania(P = 0.001). There was a significant difference between distributions of VBZIs according to geographical regions(P < 0.001). Amebiasis, Ancylostomiasis, Blastocystosis, Cryptosporidiosis, Giardiasis, Toxoplasmosis were significantly more common in the Middle-East while Bartonellosis, Borreliosis, Cat Scratch Disease, Hantavirus syndrome, Rickettsiosis, Campylobacteriosis, Salmonellosis in Central/East/South-East Europe; Brucellosis and Echinococcosis in Central/West Asia; Campylobacteriosis, Chikungunya, Tick-borne encephalitis, Visceral Leishmaniasis, Salmonellosis, Toxoplasmosis in the North-Mediterranean; CCHF, Cutaneous Leishmaniasis, Dengue, Malaria, Taeniasis, Salmonellosis in Indian Subcontinent; Lassa Fever in West Africa. There were significant regional differences for viral hemorrhagic fevers(P < 0.001) and tick-borne infections(P < 0.001), and according to economic status for VBZIs(P < 0.001). The prevalences of VBZIs were significantly higher in lower-middle income countries(P = 0.001). The most similar regions were the Indian Subcontinent and the Middle-East, the Indian Subcontinent and the North-Mediterranean, and the Middle-East and North-Mediterranean regions. CONCLUSIONS Regional and socioeconomic heterogeneity still exists for VBZIs. Control and eradication of VBZIs require evidence-based surveillance data, and multidisciplinary efforts.

Scholastic factors (academic achievement) are hypothesized to be important determinants of health-related behaviors in adolescents, but there is a lack of knowledge on their influence on physical activity levels (PAL), especially considering the COVID-19 pandemic and the imposed lockdown. This study aimed to investigate the associations between scholastic factors and PAL before and during the pandemic lockdown. The participants were adolescents form Bosnia and Herzegovina (n = 525, 46% females), who were observed prospectively at the baseline (before the pandemic lockdown) and during the lockdown in 2020 (follow-up). The scholastic factors (grade point average, behavioral grade, school absences, unexcused absences) were evidenced at the baseline (predictors). The outcome (PAL) was evaluated using the Physical Activity Questionnaire for Adolescents at the baseline and the follow-up. Gender, age, parental/familial conflict, and sport participation were observed as confounders. No significant influence of the predictors on PAL were evidenced at the baseline or at the follow-up. The scholastic variables were significantly associated with the changes of PAL which occurred due to pandemic lockdown, with a lower risk for negative changes in PAL among adolescents who were better in school (OR = 0.56, 95%CI: 0.34–0.81, and OR = 0.66, 95%CI: 0.34–0.97, for the grade point average and behavioral grade, respectively). Students who do well in school are probably more aware of the health benefits of proper PAL, and therefore are devoted to the maintenance of their PAL even during the home-confinement of lockdown. Public health authorities should focus more on helping adolescents to understand the importance and benefits of proper PAL throughout the school system.

Abstract Pneumonia is a leading cause of mortality in limited resource settings (LRS), which are common in low- and middle-income countries (LMICs). Accurate referrals can reduce the devastating impact of pneumonia, especially in LRS. Discriminating pneumonia from other respiratory conditions based only on symptoms is a major challenge. Machine learning has shown promise in overcoming the diagnostic difficulties of pneumonia (i.e., low specificity of symptoms, lack of accessible diagnostic tests and varied clinical presentation). Many scientific papers are now focusing on deep-learning methods applied to clinical images, which is unaffordable for initial patient referral in LMICs. The current study used a dataset of 4500 patients (1500 patients affected by bronchitis, 3000 by pneumonia) from a middle-income country, containing information on subject population characteristics, symptoms and laboratory test results. Manual feature selection was performed, focusing on clinical symptoms that are easily measurable in LRS and in community settings. Three common machine learning methods were tested and compared: logistic regression; decision tree and support vector machine. Models were developed through a holdout process of training-validation and testing. We focused on six clinically relevant, easily interpreted patient symptoms as best indicators for pneumonia. Our final model was a decision tree, achieving an AUC of 93%, with the advantage of being fully intelligible and easily interpreted. The performance achieved suggested that intelligible machine learning models can enhance symptom-based referral of pneumonia in LRS and in community settings.

Miltefosine is an alkylphosphocholine agent with a broad spectrum of antiparasitic properties. For over two decades now, miltefosine remains the first and only oral drug licensed and used in treatment of the neglected tropical disease leishmaniasis. An extensive review on the pharmacology of miltefosine was last published in 2012, while additional data on the clinical pharmacokinetics (PK) and pharmacodynamics (PD) of miltefosine became available in the past decade, along with ongoing and future studies in this area. Miltefosine PK are characterized by slow absorption and elimination resulting in accumulation of drug in plasma until the end of treatment. Several recent studies established exposure-response relationships for various treatment regimens of miltefosine in the treatment of visceral and cutaneous leishmaniasis, leading to the identification of PK parameters predictive of clinical relapse and outcome. This review provides an update on the most recent developments in the area of clinical pharmacology of miltefosine, including a discussion of the current dosing regimens.

Healthcare users and providers increasingly utilize social media to interact with one another. For a future understanding of when and how these interactions supplement or replace offline doctor-patient interactions, it is essential to understand who interacts, about what, and how these interactions can be categorized in a taxonomy. We draw on affordance theory and employ a mixed-methods approach to study social media interactions among healthcare users and providers. We first engage in qualitative content analysis, which is followed by cluster analysis. We identify five archetypal interactions and categorize these in a taxonomy that adds to current literature on how social media is utilized in the healthcare context. We also provide a clear and systematic overview of the interactions in different social media categories that can stimulate future research regarding doctor-patient interactions. Furthermore, we identify a new and distinct type of social media enabled interaction in healthcare, namely lifestyle support, focusing on prevention.

Abstract In recent years, significant achievements have been made with respect to the development of SF6-free gas insulated substations (GIS). In parallel, the interest in installing SF6-free GIS by utilities increased steadily and tenders for new substations or upgrades, which regularly also include alternative technologies. The excellent performance of SF6 was unequivocally accepted by all vendors and users so that the community became used to single technology solutions. This is no longer the case with alternative gas mixtures, and multiple technological solutions are available. However, from the present body of literature it is not possible to make a full and comparative evaluation of different alternative gas switchgear, i.e. circuit-breakers and disconnectors. Thus, the High-Voltage Laboratory of ETH Zürich started investigations and measurements of basic experiments that allow an unbiased comparison of properties of alternative gas mixtures relevant for switching. The two main purposes of these investigations are to define a set of measurements that allow an estimation and comparison of switching performance with different gas mixtures, independent of a specific interruption nozzle geometry, drive system, electrostatic design, and other design specific features, and to perform (some of) these measurements comparing pure SF6, with air, pure CO2, CO2/O2 mixture, and further specific gas mixtures that are currently proposed by manufacturers for SF6 replacement. The basic analysis behind the definition of measurements will be given in detail and the design principles of the chosen test devices and the derived test currents and diagnostics will be introduced. Test results themselves will not be given, rather they will be the subject of separate future publications.

Abstract The importance of the high voltage circuit breaker for the power system’s safe and reliable operation is paramount. This research aims to analyse and provide the most significant high voltage circuit breaker health state indices based on the non-invasive vibration fingerprint measurement method. Results obtained and presented in this paper are validated on the data set acquired from the vacuum circuit breaker.

Background: The peculiar reigning and private life of Maria Theresa in the tumultuous time of continuous wars in the then Europe was interwoven with her predominant maternal/obstetric history, as presented below. Objective: All the sixteen pregnancies of Empress Maria Theresa ended in spontaneous vaginal deliveries at term, with no information on pregnancies ended in spontaneous abortion or preterm delivery. Methods: Medicohystorical review of the obstetrical anamnesis of Empress Maria Theresia. Results: There were fifteen live births, whereas one female baby was born without signs of life. Cephalic presentation was recorded in fourteen and breech presentation in two deliveries, one of the latter with lethal fetal outcome. Thirteen deliveries were free from complications, whereas three deliveries, i.e. second, tenth and sixteenth, were very difficult, associated with obstetric complications including one manual lysis of the placenta with postpartum bleeding and two difficult deliveries with breech presentation. Maria Theresa had all her deliveries accomplished with assistance of the Court midwife (Hofhebamme), whereas the Court physician performed manual lysis of the placenta. Following delivery, the Habsburg-Lorraine archduke or archduchess was baptized by papal nuncio, but two children were baptized by the midwife in life-threatening conditions Conclusion: Considering her policy of renewing her multiethnic empire and its population that suffered great losses at various battlefields, Maria Theresa was a true representative and record-holder in perinatal contribution among the then courts worldwide.

A few days ago authors of the papers deposited on the ResearchGate platform informed us by a letter from the ResearchGate team titled: "A note on recent content takedowns" where has been noticed that ResearchGate recently received demands from two publishers: Elsevier and the American Chemical Society (ACS) "to remove certain content that they alleged infringed their copyrights" (1). The main statement of the ResearchGate (RG) is: "These types of requests are not new: we have received many similar requests from them in the past, and, in accordance with applicable law, have complied with them. But these most recent requests were notable because of the number of articles involved. Although privately stored files were not affected, the demands by Elsevier and ACS resulted in the removal of around 200,000 public files. In the context of a community of over 20 million researchers, this is unfortunate, rather than existential, but it has sparked an acute reaction from many of our members who believe in the importance of open science" (1). Further RG explains: "Some of you have commented on the serious nature of our communications with you regarding the removal of content. We appreciate that the tone of our messaging was rather direct. International laws require that we implement a policy regarding repeat takedown requests from publishers, and we felt duty-bound to communicate these policies to you in no uncertain terms. This is done for the protection of users and the benefit of the ResearchGate community" (1). Concerning the future work (perspectives) RG stated: "Finally, we are mindful of recent changes in European copyright law in some countries, particularly relating to Article 17 of the Directive on Copyright in the Digital Single Market (2). While we believe we are not subject to such laws due to the nature of our business, we decided to nonetheless take advantage of advancements in technology which we believe will be beneficial for researchers. In particular, we have started implementing a new system called "Jarvis" which matches publisher rights information with user content at the time of upload. Where a publisher has provided the required information, Jarvis can prevent a researcher from unintentionally uploading content that is not allowed to be public. As always, it remains the responsibility of researchers to know and confirm their rights before uploading any content" (1). The final message of the RG team sent to its users’ is: "The future of academic publishing is open. Let’s work together to unlock its true potential" (1). According to this letter and content of the message from the RG team, as an experienced former and current Editor of a few indexed journals and prolific contributor and author of a lot of papers, especially in the Science Editing field and Scientometrics (3-9), let me expressed some views and comments regarding important facts and problems within Science Editing area and concerns of the scientific and academic community. Two extremely important problems in scientific publishing represent plagiarism and predation. More and more authors of articles in this scientific field, in the absence of other opportunities to engage in science, in this period of the Corona pandemic crisis imposed as a devastating consequence, began to deal with these topics, write about plagiarism and predation, conduct meta-analyze, and recommend what and how authors, especially who are not EDITORIAL

Abstract This paper presents the study of deformations and Von-Misses stresses of the main shaft system during opening and closing operations of a rotary SF6 load break switch (LBS). The shaft consists of three axially connected parts made of steel where components are on ground potential and of plastic material, which is on high potential. The insulating shaft carries three rotating knife-blade contacts for the three phases. Static deformation of the insulating shaft is calculated by applying a defined torque between the two ends of the shaft. The results allow deducing the dynamic deformation. Maximum values of Von-Misses stresses are located at the geared connection between the plastic and the steel shaft. The rotation of the shaft system is measured synchronously by two optical rotary encoders in the front and rear sides of the LBS. The results confirm the twisting of the shaft system and provide its elastic deformation values. Travel curves obtained on both side of the LBS show different courses with respect to overtravel and rebound. Discrepancies can be explained by the deformation of the main shaft due to the acting forces, whereas manufacturing tolerances resulting in loose have a certain contribution.

Abstract The breaking capacity of a medium voltage (MV) rotary SF6 load break switch (LBS) can be improved by incorporating permanent magnets into the stationary contacts. The magnetic field is intended to blow the switching arc root towards a recessed space at the stationary contacts thereby preventing reignition of the arc after current zero. Making and breaking tests of load current 630 A were performed comparing the switching performance of load break switches equipped without a permanent magnet, with a ferrite and with a neodymium magnet. The impact of different polarity arrangements of the magnets in the three phases is also considered and analysed. In order to understand the arc behaviour caused by the effect of permanent magnet, arcing times and arc voltage were measured and evaluated. The results show that the arc voltage depends on the direction of the electromagnetic force, which is determined by the phase current direction but also by the polarity of the magnets. When the force is directed towards the recessed space at the stationary contacts, the arc voltage is notably higher than in the case where the arc is blown in the opposite direction. The higher arc voltage is a reliable indication that the length of the arc is increased, which significantly reduces the risk of both thermal and dielectric breakdowns after the first current zero. The consequences are noticed first in the reduction of the number of missed current zeroes and second in shorter minimum arcing times. An adverse arrangement of the magnet polarity in the three phases increases the number of missed current zeroes.

Abstract Rationale: Peutz-Jeghers syndrome (PJS), a rare autosomal dominant disorder, is characterized by mucocutaneous pigmentations, hamartomatous polyps in the gastrointestinal tract, and a high risk of developing various malignancies. To the best of our knowledge, only 1 case of appendiceal carcinoid associated with PJS has been previously reported in the pediatric population. Patient concerns: We report a 7-year-old girl who was admitted for severe, intermittent abdominal pain and cramps, nausea, and vomiting. Multiple brown melanotic macules on the lips, buccal mucosa, and the tongue were noted. Diagnosis: A plain abdominal X-ray in a standing position revealed dilated intestinal loops with multiple air-fluid levels. A computed tomography scan of the abdomen showing a “coffee bean” appearance of the jejunal loop with a transition point to the duodenal loop. Axial-contrast-enhanced computed tomography scan of the abdomen showing dilated jejunum loops, filled with fluid with the swirled appearance of mesentery typical for volvulus. The diagnosis of PJS was based on clinical findings along with the histopathologic confirmation of the hamartomatous polyps. Interventions: An emergency laparotomy was performed, revealing a jejunojejunal intussusception starting 40 cm from the duodenojejunal flexure. Jejunotomy revealed that a lead-point intussusception was a necrotic hamartomatous polyp. After resecting the involved jejunal necrotic segment, including the polyp, end-to-end jejuno-jejunal anastomosis was performed. Further exploration revealed the presence of a jejunal mass 80 cm from the duodenojejunal flexure identified as another hamartomatous pedunculated polyp. The polyp was resected, and the enterotomy was then closed transversely. The grossly normal appendix was also removed. Outcomes: Clinical findings along with the histopathologically confirmed hamartomatous polyps were consistent with PJS. An appendiceal carcinoid (well-differentiated neuroendocrine tumor, European Neuroendocrine Tumor Society stage pT2) was incidentally detected during histological examination of the appendix. The patient and parents were counseled accordingly, focusing on active surveillance and control of symptoms. Two additional hamartomatous polyps (gastric and jejunal) were detected endoscopically and resected in the fourth postoperative week. A regular, 1-year follow-up and surveillance revealed no complications or recurrences. Lessons: Unusual neoplasms can occasionally be encountered in well-defined syndromes such as PJS. Therefore, active follow-up and surveillance are mandatory for all patients with PJS.