We all remember the technocrats and the so-called “experts” and other proponents of medical tyranny repeated “follow the science” over and over during COVID and beyond, all the while they were lying to our faces with prevaricating mantras such as, “safe & effective.” One notorious instigator, Anthony Fauci, of the democide actually said he was the “science.” Given he controlled billions of dollars of grants and also controlled those who would get them, he was in full control of the scientific research environment. While he had a job at the NIH, he seemed to be the top biowarfare man of the USA in charge of making sure there were plenty of contagious pathogens that could be used against humanity. Culling humanity was the ultimate agenda. What he should have said is “I am the Scientism.” It is not speculation that we have been subjected to a democide, and as of this writing no one has been held criminally accountable. Thus, they will try again…. after all… why not?

This research examines the architectural and cultural significance of traditional tower houses in Albania, emphasizing their unique characteristics, historical context, and the challenges posed by neglect and abandonment. It underscores the potential of restoring and revitalizing these structures to enhance their structural integrity and foster economic development in rural areas. By employing traditional surveying methods alongside archival documentation, the study aims to digitize some of these culturally significant buildings through the creation of digital models and maps. This approach enables a comprehensive assessment of their current condition and suitability for restoration. A key contribution of this research is its integration of modern technology with traditional preservation practices, offering a framework for restoring these historical structures while safeguarding Albania's architectural heritage. The study highlights the critical role of public awareness campaigns, community engagement, and funding strategies in ensuring the sustainability of preservation efforts. By merging technological innovation with sustainable development strategies, this research provides a holistic roadmap for the protection and economic revitalization of Albania’s tower houses, serving as a model for preserving cultural heritage worldwide.
Keywords: Restoration; Cultural Heritage; Traditional Towers; Digital Documentation; Economic Development

Long Covid arises in individuals previously infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), irrespective of whether they exhibited symptomatic or asymptomatic infection. This condition typically emerges around four weeks following recovery from the acute phase of the illness, persisting for weeks, months, and sometimes even years thereafter. Clinical diagnosis relies on a history of new, recurring, or ongoing health issues, often presenting with a perplexing array of symptoms and typically normal test results, leading to a delay in the diagnosis and management. The documented common symptoms of long-term COVID-19 are fatigue, insomnia, post-exertional malaise, cognitive dysfunction, and muscle aches [1].

We report the case of a patient with a 2-year history of IgA nephropathy who was prescribed an SGLT-2 inhibitor. Within a month of initiating therapy, the patient developed onychomycosis, which was confirmed by fungal culture. Treatment with antifungal agents resulted in significant improvement. This case underscores the potential for fungal infections to occur in areas beyond the genito-urinary region in patients taking SGLT-2 inhibitors. Although the link between SGLT-2 inhibitors and onychomycosis is not well documented, our findings suggest a need for further investigation into this association and the risk factors involved.
Keywords: nail diseases; anti-fungal treatment; fungal infection; medication-induced nephropathy; sglt-2 inhibitor; onychomycosis

I begin this article with the description of the birth of the two most influential medical journal of the present – the Lancet and the New England Journal of Medicine (NEJM). They are now indispensible for expanding our medical knowledge in various fields. Unhesitatingly, I should admit at the outset, this is an overview, NOT comprehensive review, of the milestones of developments in medicine. A number of important fields remain outside my discussion.

Mental health conditions can appear in subtle and severe forms. Few challenges are as significant for patient care as anosognosia, which is the lack of awareness of one’s illness. Individuals with anosognosia genuinely cannot recognize that they have a psychiatric or neurological condition. This is not a matter of stubbornness or denial; rather, it stems from underlying neurobiological changes that affect self-awareness. The repercussions can include refusal of medication, early termination of therapy, relapses, and profound consequences to overall well-being.

Organizational employee health is critical for the success of companies, effectiveness, and efficiency, in addition to maintenance costs. Corporations that commit adequately to wellness care initiatives record remarkable improvements in their financial and organizational bottom lines, reduced medical costs and truancy included. Evidence by Baicker, Cutler, and Song indicates how effective workplace wellness programs bear fruit in reducing healthcare expenditures by $3.27 for every dollar spent towards wellness initiatives and reducing by $2.73 those costs related to absenteeism per dollar invested. Employees with the proper nutritional habits are fully motivated, so they are more productive and active during their working time. As with prior outcomes, these point to integrating wellness activities within organizational management.

Psychoendocrinolgy is a field of study but almost nothing from this field is applied in a practical way that can actually help people. I hope to make a small dent herewith in my discussion of the hormone oxytocin (not to be confused with oxycontin).
I believe oxytocin is perhaps the most powerful neuropsychiatric intervention on the planet. Very few know about it outside its application in Maternal Medicine or how significant an influence it is in all our lives.

Excess moisture accumulation in residential bathrooms significantly impacts indoor air quality (IAQ) and occupant comfort, especially in tropical climates like Dhaka, where high humidity levels from activities such as showering and bathing are common. Inadequate ventilation exacerbates moisture buildup, leading to condensation, microbial growth, and structural damage. This research aims to assess moisture generation and accumulation in residential bathrooms, evaluate ventilation strategies, and propose architectural guidelines to address moisture-related issues. The study was conducted in two bathrooms in Dhaka's Wari area, characterized by hot, humid, and rainy conditions typical of tropical climates. Environmental factors such as temperature, humidity, surface temperature, and moisture accumulation were measured in both the bathroom and adjacent changing room. Ten male participants bathed under various ventilation conditions (High, Low, and Off modes), with standardized bathing styles (showering and tub bathing) and door opening durations. The results revealed that relative humidity in the bathroom reached 100% during bathing, regardless of ventilation settings. Moisture accumulation on surfaces was higher in one bathroom, attributed to floor material differences. Effective ventilation removed a higher proportion of moisture in the bathroom with better airflow, demonstrating the critical role of ventilation and material selection in moisture control. The study highlights the importance of optimizing ventilation systems and architectural design to manage moisture accumulation, improve IAQ, and reduce the risk of mold and mildew growth in tropical residential bathrooms.
Keywords: Moisture accumulation; indoor air quality (IAQ); bathroom humidity; temperature; natural ventilation; condensation; mold growth

Solar cells play a major role in building up energy storage solutions throughout the world. There are advancements happening in the development of more efficient panels, more efficient designs and materials for more efficient light absorption etc. Development of cost efficient PVs have provided a path for the installation of solar PV installations at various sectors throughout the world.

To make real-time driving decisions such as adjusting lanes, avoiding obstacles, and collision prevention, autonomous vehicles (AVs) depend on precise trajectory prediction. Long Short-Term Memory (LSTM)[1] and Bidirectional LSTM (BiLSTM)[2], two conventional deep learning models, are frequently employed for trajectory forecasting. Variable temporal dependencies and dynamic spatial relationships are often not easy for these models to capture. The introduction of spatial and temporal attention processes has improved the accuracy, resilience, and adaptability of trajectory prediction [1].

Dementia, a neuro-degenerative disorder affecting various cognitive functions, including speech and language, presents significant challenges in rehabilitation. This research paper introduces a comprehensive tele-neurorehabilitation system designed for speech therapy in dementia patients, leveraging cutting-edge technology. The system incorporates nine distinct activities, employing text comparison models. Users engage in interactive exercises, where their spoken words are transcribed to text, fostering language engagement and cognitive stimulation. This application explores the dynamic correlation between dementia and speech therapy, analyzing advancements, challenges, and therapeutic applications. The outcomes of our study aim to deepen comprehension of this intricate relationship, providing a foundation for more precise and impactful speech therapy interventions, ultimately contributing to improved rehabilitation for those affected by dementia.
Keywords: Dementia; Speech Therapy; Tele-Neurorehabilitation; Gamification; Automated Speech and Language Therapy; Text Comparison; Cognitive Stimulation; Interactive Experience

Decentralized Finance (DeFi) has once again been in the news for the wrong reasons. Is it time for unsophisticated investors to be proscribed from accessing?
Even before President Trump chinked his first alcohol-free glass in celebration, the DeFi industry was looking forward to a welcome reset after Gary Gensler’s capricious SEC. Many giants of the new economy attended his inauguration. A new era of optimism was palpable.
Nevertheless clouds of concern were not far away. The double launch of the President’s and First Lady’s memecoins, hit hard by two whales dumping at large on 25 February 2025, shows the continuing volatility of memecoins, where intrinsic value is difficult, if not impossible, to discover.

OxTube, a new water treatment innovation clarifies water matrices in tube condition with nature respect within seconds. It can be integrated in ships and other watercrafts. The seas suffer low oxygen, algae, toxins and micro plastics. A cargo ship can clarify sea water 288 000 m³ a day in depth of 4 to 5 meter when cruising without additional fuel consumption.
OxTube generates huge amount of air bubbles along with water clarification. Mixture of air bubbles and water is coherent and viscosity up to ten times lower than water. It can be led under the cruising ship in order to reduce flow resistance and fuel consumption. All kinds of combined processing is economically and environmentally beneficial. According to MIT Group combined energy and water system could provide for millions.
Keywords: Water Clarification; Water Treatment; Sea Water Refreshing; Water Oxygenation; Flow Resistance Reduction; Fuel Saving

Not only is the global prevalence of Diabetes Mellitus (DM) and Diabetic Retinopathy (DR) expected to increase, but concomitantly the global prevalence of vision-threatening DR (VTDR), which includes diabetic macular edema, severe non-proliferative (NPDR) and proliferative disease (PDR), is also projected to increase. The international number of patients with VTDR is estimated to increase by 57% from 28.5 million in 2020 to 44.8 million in 2045 [1]. Screening to detect early sight-threatening lesions of DR for timely monitoring and treatment is an important strategy to reduce the burden of vision loss due to DR.

The study was conducted on fish. My research on fish: their current state, the role of environmental factors in their development, and the study of negative factors affecting their development were given priority.
In the early stages of toxicosis, the body color may be lighter than normal due to the disappearance of black pigment. The most severe signs of toxicosis are shrunken scales or the appearance of ulcers on the body. It is known that all changes in body color are clearly related to the amount of heavy metals in the fish's body. It should be noted that when water is polluted, the skin, gills, and digestive system of the fish are damaged first; then, through the blood, toxicants spread to the muscles, skeleton, liver, kidneys, and gonads. The organs for the main "extraction" of toxic substances from the body are the liver and kidneys, that is, the most harmful substances accumulate in them and morphological anomalies are more noticeable.
Keywords: Heavy metals; fish; Nakhchivan fauna; pathology

Shingles is a painful skin condition caused by the reactivation of the chickenpox virus, which can pose a greater risk to the elderly and those with a weakened immune system. In adults, the most common risk factors are advanced age, stress, other infections (such as AIDS or COVID-19), and immunosuppression. HZ reactivation has recently been observed following vaccination with COVID-19. Different clinical stages with variable clinical manifestations characterize the disease. Some of the symptoms carry a greater risk of complications than others. Postherpetic neuralgia, a chronic pain disease, is one of the most common possible complications. HZ vasculitis is linked to mortality and morbidity. gastrointestinal and renal complications have been reported. Early intervention with acyclovir or brivudine is the cornerstone of therapy. There are second-line treatments available. Management of pain is essential. Vaccination is a protective measure against shingles, and it can be administered alongside the COVID-19 vaccine. Healthy older individuals have access to two HZV vaccines for secondary prophylaxis: a live attenuated VZV vaccine and a recombinant adjuvanted VZV glycoprotein E subunit vaccine. A fully Covid-19 vaccinated patient was treated for Shingles which he received after he recovered from Covid-19. Our case study and recent research indicate a link between COVID-19 and shingles.

Ackerknecht has describe “hospital medicine” quite succinctly in this way – “it was only at the hospital that the three pillars of the new medicine – physical examination, autopsy, and statistics – could be developed” [1].
Following Ackerknecht, “hospital medicine” developed in tandem with the onslaught of industrial revolution in Europe – “These were essentially a consequence of the tremendous influx of uprooted and penniless boys and girls from the country and of the beginnings of the Industrial Revolution” [2]. Such idea is substantiated by other researchers too – “The patients were poor, less articulate, less troublesome, and it was much easier to carry out research on them (especially statistically based research which required large numbers in one place – the hospital). Moreover, the advantage of the poor was that the large numbers of post-mortems that were carried out would elicit no complaints from influential families” [3].

Human beings tend to experience or possess non-material and material objects in the world such as love and care or wealth and power. However, Aristotle contends that the well-being of a human being is to be appreciated in the human-centric fact that he has the distinct ability to exercise reason. If he manages to exercise his reason well then, he can realize his state of well-being as an objective state in the world. Such an objective state of well-being or being virtuous is the telos or purpose of being human and other objects in the world as mentioned above are subservient to this ultimate end of human life.

This manuscript discusses the use of earthworms and their extracts as used in ancient and recent medical practice. Although there have been many studies involved using earthworms for medical remedies, this report is restricted to those where the patients are humans vis-à-vis other animal species.
Keywords: earthworm extracts; medicine; treatments; Lumbricus rubellus; L. terrestris; Eisenia fetida

Supramolecules in chemotherapy refer to larger, complex structures formed by non-covalent interactions between molecules, often used in drug delivery systems or as therapeutic agents themselves. These structures can enhance the effectiveness and specificity of chemotherapy treatments by enabling more targeted drug delivery, improving the pharmacokinetics, and minimizing side effects.

Forensic toxicology presents a significant challenge in the field of forensic medicine. Forensic Toxicology is one of the most impressive and important subfields of forensic science. Over the past 40 years, forensic science has grown significantly. Forensic toxicology is the scientific discipline that focuses on the detection, analysis, and interpretation of substances such as drugs, alcohol, and poisons in the human body, especially in relation to legal cases. It plays a crucial role in criminal investigations, post-mortem examinations, and determining causes of death or impairment in legal contexts.

Background: Kidney transplantation is well established as the best treatment for restoring quality of life to patients with end stage kidney disease(ESKD). Living donor kidney transplantation (LDKT) is reported to have better graft survival and overall patient outcomes compared to deceased donation. The safety and quality of life of a Living kidney donor is important both for the sustainability of the transplant programs and for prospective donors aspiring to become living kidney donors.
Methodology: Data was collected from all participants using a self/interviewer administered questionnaire to help evaluate their socio demographic and socio economic status pre and post kidney donation.
Results: During the study period, 84 Living Donors who had undergone donor nephrectomy for kidney donation between January 2010 and September 2014 were interviewed. 48 [57.1%] were male and 36 [42.9%] were female. 64.3% of the donors were discharged from the hospital by the 5th day after surgery and 58.3% resumed their normal duties before 2 months.84.5% maintained their previous occupation and 15.5% changed their occupation with reasons of better paying job than what they were doing previously. 97.6% reported no hospitalization after kidney donation compared with 78.6 % before kidney donation.  84.5% of the respondents reported no change in their social life after kidney donation. 97.6 % could recommend somebody to donate a kidney, 94% reporting that kidney donation changed lives of the recipients and that their lives did not change negatively, they were able to go on with their normal life. Ninety-eight percent (98%) of Living Donors believed that their quality of life did not decrease after Living Kidney Donation.
Conclusion: Kidney donation does not have a significant negative impact on quality of life of kidney donors since even after donation the donors remained physically and mentally healthy and maintained their social life.
Keywords: Kidney transplant; Living kidney donor; End stage kidney disease

Cardio-Kidney-Metabolic (CKM) disease represents an interconnected spectrum of cardiovascular, renal, and metabolic dysfunctions that significantly contribute to global morbidity and mortality. Recent advances in biomarkers, including trimethylamine N-oxide (TMAO), neutrophil gelatinase-associated lipocalin (NGAL), and soluble ST2 (sST2), have enhanced the precision of early detection and risk stratification. Emerging innovations in artificial intelligence (AI) have further revolutionized CKM care, enabling dynamic risk prediction, personalized treatment, and real-time monitoring. This article discusses cutting- edge biomarkers, AI-driven prevention strategies, and cost-effective interventions while highlighting the integration of environmental and social determinants into CKM prevention frameworks.
Keywords: Cardio-Kidney-Metabolic Disease; Biomarkers; Artificial Intelligence; Prevention Strategies

No one can live in isolation. People must exchange goods or services as necessary since they cannot possess or know everything. How they do that influences their health and life trajectory.
In the healthcare industry, delivering medical services to needy people and accessing such products represent a part of the provider-customer relationship.

Introduction: Limited access to water and toilet facilities in schools increases the exposure of the school population to diseases related to hydro-fecal hazard. The objective of this study was to assess the factors associated with the availability of Water, Hygiene and Sanitation (WASH) services in schools in the city of Kisangani.
Methods: a cross-sectional study with analytical aims was conductedin 10 schools in the commune of Makiso, with 422 students and 120 teachers, during the period from September 1 to November 30, 2024.Pearson's chi-square test was used to investigate factors associated with EHA service availability.
Results: 25% of schools had a sanitation brigade. Almost all schools had toilets (98%), the most common number being 3 to 4 toilets (48%), 52% of schools lacked urinals and 100% did not have ramps for students with disabilities. School waste was more often disposed of by open burning (86%) and 48% of schools had farming equipment. The availability of Water, Hygiene and Sanitation (WASH) services was significantly high in schools in the denominational network and in those connected to the water distribution network (REGIDESO). The availability of farming equipment for sanitation work was significantly high in schools in the denominational network and almost zero for schools in the official network (p≤0.05).
Conclusion: The WASH service meeting the standards is poorly available at school level, the school's network of belonging is a factor associated with the availability of this service.
Keywords: Water; Hygiene; Sanitation; Schools; Kisangani; DRC

One crucial aspect of systems engineering is the critical interplay between humans and technology. My recent research, titled "Management of Operational Usability Requirements: The Key to Saving Resources and Good Performance of Military Materials," underscores this point. While this research focuses on the Brazilian Army, its findings and recommendations have broader implications for the development of complex systems across various engineering disciplines.

China’s aluminum reduction industry faces strict energy consumption and environmental protection challenges. In response, an enterprise upgraded and optimized its 330 kA aluminum reduction cell, initially commissioned years ago. By analyzing issues related to magnetic field distribution, cathode structure, lining design, and upper cell structure, they proposed several enhancement measurements. Using new technologies to optimize the busbar magnetic field significantly improved the magnetohydrodynamic stability of the cells. The introduction of graphitized cathode blocks reduced cathode voltage drop and horizontal current in the aluminum liquid. Additionally, improvements in the cell lining insulation and gas collection efficiency of cell upper structure were made. The upgraded cell line now operates at a higher current and have significantly lower energy consumption, with a reduction of about 692 kWh per ton of aluminum. This results in an annual energy savings of approximately 187 million kWh and an increase in aluminum production by about 20,000 tons.
Keywords: aluminum reduction cell; cell lining; busbar magnetic field; cell upper structure; cell control system; energy conservation and consumption reduction; upgrade and optimization

The U.S. Federal Government is currently engaged in multiple major modernization initiatives. Cloud computing is largely implemented across the federal government, but artificial intelligence (machine learning), cybersecurity, and quantum computing are all competing for resources and management attention. Artificial intelligence adoption is further along than quantum computing and can serve as a framework for predicting and preventing quantum adoption issues. This paper provides an analysis of the federal government’s implementation history for the four major technology areas. It outlines an approach for leveraging artificial intelligence adoption in the federal government to help predict quantum adoption challenges, including the creation of a time series analysis to leverage the Federal Government’s AI investment, progress, and challenges to help predict federal quantum adoption challenges.
Keywords: quantum; quantum computing; quantum computing adoption; artificial intelligence; machine learning; cybersecurity; enterprise modernization; federal adoption