Introduction: Stenoses in the path of arteriovenous fistulas (AVF) for hemodialysis are a very prevalent problem and there is long experience in their treatment by percutaneous angioplasty (PTA). These procedures, however, involve non-negligible equipment requirements, exposure to radiation and intravenous contrast that are not beneficial for the patient and make their performance more complex. This study reviews our initial experience with Doppler ultrasound-guided angioplasty. Methods: Prospective cohort of patients with native AVF dysfunction due to significant venous stenosis treated by Doppler echo-guided PTA. AVF puncture, lesion catheterization, balloon localization and inflation, and outcome verification were performed under ultrasound guidance. Only one fistulography was performed before and another one after dilatation. As a control, the cases performed during the same period by the usual angiographic method were also collected. Results: Between February 2015 and September 2018, 51 PTAs were performed on native AVF, of which 27 were echogenic (mean age, 65.3 years; 63% male). The technical success rate was 96%. In 26% of cases, PTA was repeated due to residual stenosis after angiographic imaging. There were 7.3% periprocedural complications. 92% of the AVFs were punctured at 24 hours. Primary patency at 1 month, 6 months and 1 year was 100%, 64.8% and 43.6%, and assisted patency was 100%, 87.2% and 74.8%. There were no significant differences in immediate or late results with respect to angiographically guided AVF angioplasty. Conclusions: AVF-PTA can be performed safely and effectively guided by Doppler ultrasound, which simplifies the logistics required for its performance, although we still need to improve the capacity for early verification of the result with this imaging technique.

In green construction, sustainable resources are essential. One such material is copper, which is widely utilized in electronics, transportation, manufacturing, and residential buildings. As a very useful material, it has many beneficial impacts on human life. Observed from the recent demand spike is in line with the overall trend and the current growing smelter construction in Indonesia. Researchers intend to adapt the existing Copper Smelting Plant Building into an environmentally friendly building as a part of the production chain, in addition to reducing public and environmental concerns about the consequences of this development. We have identified a disparity in cost, where the high cost of green buildings is an obstacle to its implementation to enhance the cost performance with increased renewable energy of the Smelter Construction Building, this study investigates the application of LEED parameters to evaluate green retrofit approaches through system dynamics. The most relevant features of the participant assessments were identified using the SEM-PLS approach, which is used to build and test statistical models of causal models. We have results for this Green Retrofitting study following significant variables according to the following guidelines: innovation, low-emission materials, renewable energy, daylighting, reducing indoor water usage, rainwater management, and access to quality transit.

Different color-promoting treatments were tested on table grape cv. “Flame Seedlees” to evaluate changes on flavonoids such as anthocyanins and the residual ethylene produced. Treatments were spray-applied at the onset of veraison. The control was Ethrel at 250 ppm (ETH), Salicylic Acid at 100 ppm (AS), Melatonin at 25 ppm (MEL) and 1:1 mixtures of ETH+AS, ETH+MEL and AS+MEL. The trials were conducted in triplicate after harvest, measuring Total Soluble Solids (% TSS), total acidity (% tartaric acid), pH, residual ethylene (ppm) and anthocyanin content (mg∙cm^-2). It was found that treatments ETH, AS, MEL and ETH+AS reached 16% TSS, standing out with lower values ETH +MEL (14.27%) and AS+MEL (15.17%) (p ≤ 0.05). ETH reached 0.83 ppm of residual ethylene, while a sum effect was appreciated in ETH+AS (0.5 ppm) and ETH+MEL (0.35 ppm), but not beneficial as it did not reflect quality characteristics. Only differences (p ≤ 0.05) in anthocyanin content were recorded between ETH (0.019 mg∙cm^-2) and AS+MEL (0.003 mg∙cm^-2). The subjective color of the grape bunches in the field made it possible to relate it to the objective results of the analyses performed. This research provides commercially important information on the substitution of Ethrel by natural compounds such as AS and MEL, as they show similar effects on the quality of “Flame Seedless” table grapes. In addition, these compounds do not have an ethylene residual greater than 0.2 mg/kg.

Countries employ various strategies to strengthen their soft power through education, public campaigns, mandatory service, and community involvement, essential for building a well-informed, prepared, and resilient citizenry. In Indonesia, the Civic Awareness for State Defence (CASD) program is designed to instil state defence awareness among citizens. This study introduces the Indonesia State Defence Index (SDI), a novel metric grounded in theoretical constructs such as national identity, nationalism, patriotism, and national pride. Differentiating from previous indices, our SDI employs advanced methodologies including Principal Component Analysis (PCA) and Structural Equation Modeling (SEM) to enhance measurement accuracy. Unlike earlier approaches that used traditional aggregation methods, our use of PCA ensures the reduction of dimensions for each state defence indicator, thereby guaranteeing that only the intended dimensions are measured. Utilising data from the State Defence Survey conducted by the Indonesian Ministry of Defence from 1 March to 26 June 2024, we aim to measure and benchmark SDI values across Indonesian regions, thereby elucidating the civic awareness profile in the context of state defence. The refined SDI provides critical insights for policymakers, highlighting regions that require focused interventions to bolster state defence preparedness.

The major goal of decisions made by a business organization is to enhance business performance. These days, owners, managers and other stakeholders are seeking for opportunities of modelling and automating decisions by analysing the most recent data with the help of artificial intelligence (AI). This study outlines a simple theoretical model framework using internal and external information on current and potential clients and performing calculations followed by immediate updating of contracting probabilities after each sales attempt. This can help increase sales efficiency, revenues, and profits in an easily programmable way and serve as a basis for focusing on the most promising deals customising personal offers of best-selling products for each potential client. The search for new customers is supported by the continuous and systematic collection and analysis of external and internal statistical data, organising them into a unified database, and using a decision support model based on it. As an illustration, the paper presents a fictitious model setup and simulations for an insurance company considering different regions, age groups and genders of clients when analysing probabilities of contracting, average sales and profits per contract. The elements of the model, however, can be generalised or adjusted to any sector. Results show that dynamic targeting strategies based on model calculations and most current information outperform static or non-targeted actions. The process from data to decision-making to improve business performance and the decision itself can be easily algorithmised. The feedback of the results into the model carries the potential for automated self-learning and self-correction. The proposed framework can serve as a basis for a self-sustaining artificial business intelligence system.

In this paper, a study developed at the University of Seniors in Aragón is presented. The Sono-libro, used as an innovative resource, is assessed in the proposal with an educational and pedagogical purpose. The aim is to understand the motivational and learning perception variation after the incorporation of the Sono-libro in the sample. In this quantitative longitudinal design study, the listening habits of the participants are comparatively analyzed at two moments: The first data collection took place before the implementation of the proposal, and the second collection occurred after the proposal. The sample consists of 116 subjects, with 64.16% being women and an average age of 66 years of age. Data was obtained through a validated ad hoc questionnaire judged by experts. The results of the data collections showed an increase in both motivation and perception of the learning obtained, indicating the benefits of incorporating digital resources into contexts of adult students.