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Genetic tracking of Crimean-Congo haemorrhagic orthonairovirus in Hyalomma population infesting cattle in Nigeria
Crimean-Congo haemorrhagic fever virus (CCHFV), a Biosafety level 4 pathogen transmitted by ticks, causes severe haemorrhagic diseases in humans but remains clinically silent in animals. Over the past forty years, Nigeria lacks comprehensive genetic data on CCHFV in livestock and ticks. This study aimed to identify and characterize CCHFV strains in cattle and their Hyalomma ticks, the primary vector, in Kwara State, Nigeria. Blood samples and Hyalomma ticks were collected from cattle, with ticks identified to species, pooled, and homogenized for RNA extraction. The CCHFV S-segment was detected using specific primers via reverse transcriptase polymerase chain reaction, followed by sequencing of amplicons. Among 318 cattle, 318 sera samples and 2855 Hyalomma ticks (H. dromedarii (49.0%), H. truncatum (44.5%), and H. rufipes (6.5%)) were obtained. Only two tick pools of H. truncatum tested (2/319 pools) were positive for CCHFV, with no positive cattle sera detected. The sequenced positive pools, denoted as CCHFV/NGR/ILN/2021/F22_S-segment (1228 bp) and CCHFV/NGR/ILN/2021/F101_S-segment (863 bp), showed 98.21% nucleotide identity with 15 variations. These strains shared 98.13% and 98.93% nucleotide identity with CCHFV IbAr10200/UCCR4401 isolated from Nigerian ticks, but only 93.88% and 93.63% similarity with CCHFV isolated in 2016 from humans in Nigeria. Additionally, compared to CCHFV isolate IbAr10200 (KY484036), sequences from this study exhibited 9–23 nucleotide variable positions with 3–4 non-synonymous amino acid replacements. Phylogenetic analysis revealed clustering of these strains around IbAr10200, suggesting ongoing circulation. This study underscores the need for broader surveillance to understand the full spectrum of CCHFV strains and clades circulating in Nigeria.
Community and familial dynamics influencing risk behavior for HIV acquisition among adolescent girls and young women in Uganda: Qualitative analysis using Protective Motivation Theory
Background In Uganda, adolescent girls’, and young women’s (AGYW-15-24 years) current HIV prevalence is fourfold compared with their male counterparts due to compounded social, economic, and environmental factors. Using the Protective Motivation Theory (PMT), we explored HIV-acquisition risk sources and perceived protective factors from AGYW and caregivers’ perspective. Materials and methods During 2018, we conducted a qualitative study guided by PMT to explore factors influencing HIV acquisition among AGYW. We purposively sampled two groups of key informants, AGYW at high-risk for HIV acquisition (uninfected) and AGYW living with HIV, varied by age and place of residence (urban/rural). We conducted 34 focus group discussions with AGYW, nine with AGYW parents, and 25 key informant interviews. Data were analyzed using the framework method based on the PMT and developed from participants’ narratives. Results AGYW were knowledgeable about HIV, HIV acquisition risk factors, and HIV prevention interventions. Nonetheless, few AGYW knew about pre-exposure prophylaxis (PrEP). Imbalance in power relations between the genders explained inability of AGYW making safe healthy decisions, with social norms giving men power over women. Parents modelling positively influenced HIV risk behavior. Many AGYW viewed staying in school a protective factor both while at school and further for life. AGYW identified alcohol use, desire for material possessions, discounting HIV disease severity, social norms, and poverty as barriers to engaging in self-protective behaviors. Several AGYW believed that access to AGYW-focused programs would facilitate healthy sex-positive, protective behaviors. Discussion While PMT focuses on individual factors confirmed by our findings, we found HIV risk behavior to be influenced by complex contextual factors including poverty, gender inequality and cultural norms. Distinct HIV risk factors among AGYW require policy and comprehensive targeted interventions addressing violence, alcohol consumption, increased economic opportunities, educational opportunities, safe-sex practices, and PrEP scale-up which may prevent HIV in AGYW and facilitate HIV epidemic control.
Low-profile double plating versus conventional single plating in midshaft clavicle fractures: A retrospective study and initial experience with this novel technique
Background Low-profile double plating seems a viable alternative to conventional single plating for fixation of midshaft clavicle fractures. This study aims to compare the two techniques regarding healing, complications, and removal rate. Methods This retrospective cohort study included all patients >16 years that underwent plate fixation for midshaft clavicle fractures between 2020 and 2022 at one trauma-center. Exclusion criteria encompassed pathological or open fractures, refractures and delayed presentation or treatment more than 14 days after the accident. Patients were categorized into two treatment groups: Single plating (Synthes 3.5mm LCP superior / anterior or Synthes 2.7mm VA-LCP superior) and low-profile double plating (2.0 superior combined with either 2.4 or 2.7mm anterior mini-plate). Treatment groups were compared regarding healing, complications, and removal rate. Results A total of 99 patients were included: 74 in the single plating and 25 in the double plating group. Implant failures within the first three months were comparable in both groups (4.0% double plating versus 2.7% single, p = 0.744, of which one was caused by infection). Low-profile double plating had a significantly lower operation duration (95 versus 111 minutes, p = 0.019). Long-term follow-up data was available in 60 patients in the single plating and 20 in the double plating group. The need for reintervention was significantly lower in the double plating group (n = 5, 25.0% vs. n = 31, 51.7%, p = 0.038). These reinterventions were predominantly caused by implant irritation in both groups (n = 4, 20% double plating versus n = 29, 48.3% single plating, p = 0.026). All fractures healed in both groups. Conclusion Low-profile double plating attains comparable healing rates as single plating and has a significantly lower risk for re-intervention as well as a shorter operation duration. The lower reintervention rate is mainly explained by a lower incidence of implant irritation in the double plating group.
Impact of mergers and acquisitions on firms’ performance adjusted to business cycle fluctuations in China
This research mainly explored the effects of mergers and acquisitions (M&As) on the financial performance of Chinese listed companies and the determinants of post-M&A financial performance of mergers by incorporating adjustments for business cycle fluctuations. The research was divided into two parts. The first part applied data envelopment analysis (DEA) models for the calculation of the financial performance scores of mergers and non-mergers in six major sectors before and after M&As. Comparative analyses of financial performance trends between mergers and non-mergers in similar sectors revealed that M&As often decrease financial performance scores of mergers compared with non-mergers. The second part adopted regression analyses and robustness test to evaluate the effects of listing duration, financial leverage level, free cash flow and target type on post-M&A financial performance. The results showed that mergers’ sufficient listing duration, high financial leverages, adequate free cash flow and asset as target had significant positive impact on the post-M&A performance of mergers. Opposite to the free cash flow hypothesis, this study revealed that free cash flow is beneficial for mergers in China. These findings emphasized that lack of experience and managerial hubris are the primary factors contributing to the underperformance observed within the Chinese M&A market.
Prognostic value of composite inflammatory markers in patients with chronic obstructive pulmonary disease: A retrospective cohort study based on the MIMIC-IV database
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease, and inflammation plays a key role in the pathogenesis of COPD. The aim of this study is to investigate the association between systemic immune inflammation index (SII), systemic inflammatory response index (SIRI),pan-immune inflammation value (PIV), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) and all-cause mortality in patients with chronic obstructive pulmonary disease (COPD), and to evaluate the effect of composite inflammatory markers on the prognosis of COPD patients. We obtained data on COPD patients from the Medical Information Mart for Intensive Care (MIMIC) -IV database and divided patients into four groups based on quartiles of baseline levels of inflammatory markers, The primary outcomes were in-hospital and ICU mortality. We comprehensively explored the association between composite inflammatory markers and mortality in patients with COPD using restricted cubic splints (RCS), COX proportional hazards regression models, Kaplan-Meier curves, receiver operating characteristic (ROC), and subgroup analyses. A total of 1234 COPD patients were included in this study. RCS results showed that SII, SIRI, PLR, PIV and NLR were positively and non-linearly correlated with the increased risk of in-hospital mortality in COPD patients. Multivariate COX regression analysis showed that compound inflammatory markers were independent risk factors for in-hospital mortality in COPD patients. The KM curve results showed that COPD patients with higher SII, SIRI, PLR and PIV had a significantly lower survival probability. 5 kinds of compound between inflammatory markers and mortality in patients with COPD is related to nonlinear correlation, can increase the risk of mortality in patients with COPD is a risk factor for the prognosis of patients with COPD, and may serve as potential biomarkers for clinical COPD risk stratification and treatment management in critical patients.
Physiological growth of ocular axial length among Chinese children and teenagers: A 6-year cohort study
To investigate the pattern and threshold of physiological growth, defining as axial length (AL) elongation that results in little refraction progression, among Chinese children and teenagers, a total of 916 children aged between 7 and 18 years from a 6-year longitudinal cohort study were included for analysis. Ocular biometry, cycloplegic refraction and demographic data were obtained annually. Physiological growth was calculated based on myopic progression and Gullstrand eye model, respectively. The annual change in AL was found to be significantly smaller in the persistent emmetropia (PE) group compared to the incident myopia (IM) and persistent myopia (PM) group at all ages (all P < 0.05). In children with non-progressive myopia, there was observed axial elongation ranging from 0.17 to 0.23 mm/year between the ages of 9 and 12. This growth rate persisted at approximately 0.10 mm/year beyond the age of 12. While the compensated AL growth calculated using Gullstrand model was only 0.02 to 0.15 mm/year at age of 9–12, and decreased to around 0 mm/year after age of 12. For children aged 7–9 years, the cutoff point for AL growth to distinguish between progressive myopia and non-progressive myopia was 0.19 mm/year. These findings indicate a notable disparity between the thresholds of physiological growth calculated using myopic progression and Gullstrand eye model. This observation suggests that when formulating effective myopia control strategies, consideration should be given to different calculation methods when applying physiological AL growth as a starting point or target.
Study on the evolution of the spatial patterns and driving factors of national agricultural cultural heritage in China
The study analyzed the spatial distribution characteristics, evolution rules, and driving factors of 138 China’s national agricultural cultural heritage sites from 2013 to 2021 at the overall and regional levels, using kernel density analysis, Centres for standard deviation ellipse analyses, spatial autocorrelation analysis, and geographical detector analysis.The results showed that: ①From an overall perspective, the spatial pattern of China’s national agricultural cultural heritage changed greatly from 2013 to 2021, with a highly uneven spatial distribution, gradually showing a distribution pattern of "widely distributed, locally concentrated". The spatial distribution of China’s national agricultural cultural heritage is increasingly evident, and the spatial distribution type has evolved from discrete to clustered. The spatial distribution center of gravity shows a shift trajectory of "north-east, then south-east". During the study period, the X axis of the standard deviation ellipse was always greater than the Y axis, but the difference between the X and Y axes was small, indicating that the spatial distribution direction was northeast-southwest, but the directionality was weak. The types of national agricultural cultural heritage are diverse and rich, involving farmland landscapes, composite systems, crop varieties, vegetables and melons, tea, forest fruits, special products, farmland irrigation, and animal breeding, in which forest and fruit class heritage site dominate. ②From a regional perspective, the spatial distribution of China’s national agricultural cultural heritage varies greatly, with strong national and regional characteristics. The high-density core area of the national agricultural cultural heritage in 2013 was located in the intersection of Fujian, Zhejiang and Jiangxi. After 2017, the high-density core area moved northward to the Yangtze River Delta region, which was caused by a combination of economic, cultural, and geographical factors. In addition, the agglomeration of the intersection edge area of Guizhou, Hunan and Yunnan provinces has emerged in 2021. In analyzing spatial autocorrelation, drawing on existing relevant research results, the study selected county-level administrative districts as the research unit. The analysis results show that there is a positive spatial correlation between China’s national agricultural cultural heritage sites in 2017 and beyond, with the spatial distribution types mainly being LL and LH. During the study period, the number of LL and HH type areas has been increasing, indicating that the positive spatial correlation between China’s national agricultural cultural heritage sites is gradually strengthening.③In terms of influencing factors, the spatial pattern of China’s national agricultural cultural heritage is affected by factors such as regional economic development level, policy guarantee, transportation accessibility, cultural environment, per capita economic development level, population status, primary industry economic development level, secondary industry economic development level, tourism resource endowment, temperature, precipitation, terrain, and rivers. Among them, the impact of tourism resources, regional economic development level, and policy guarantees are more significant. The explanatory power of the interaction between any two factors is greater than that of a single factor, and there are differences in the strength of the interaction between each influencing factor.
Fiscal vertical imbalance and income inequality: A threshold effect analysis based on government expenditure
This study aims to investigate the complex relationship between vertical fiscal imbalance, public expenditure structure, and income distribution disparities, with the goal of providing policy insights for achieving shared prosperity. Employing Generalized Method of Moments (GMM) and threshold analysis, the research reveals key findings: (1) an exacerbation of vertical fiscal imbalance significantly widens the urban-rural income gap; (2) public expenditure structure exhibits threshold effects, resulting in non-linear impacts on income disparity; (3) a unique contribution of our study is the identification of varying threshold effects of urban public expenditure on income disparities within rural areas, urban areas, and the gap between them, underscoring the need for targeted fiscal interventions. These findings highlight the critical role of public expenditure in addressing income distribution issues and offer valuable guidance for upcoming fiscal and tax reforms.
Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis
Objective This study aimed to investigate long-acting reversible and permanent contraceptives (LARPCs) utilization and its associated factors among married women who desire no more children in Ethiopia. Methods Secondary datasets from the 2016 Ethiopian Demographic and Health Survey was used for the study. A total weighted sample of 3,756 married or in union reproductive age women who desire no more children were included in the analysis. Data was cleaned, weighted, and analyzed using STATA Version 14 software. A multi-level logistic regression analysis was conducted to consider the hierarchal nature of the demographic and health survey data. In a multivariable multilevel logistic regression model, an adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI) and p value <0.05 was used to declare the significant associated factors of LARPCs utilization. Results The overall utilization of LARPCs among married women who desire no more children was 12% [95%CI: 10.99, 13.07]. In the multivariable multilevel analysis; being female household heads [AOR = 0.60; 95%CI: 0.40, 0.92], husband primary level of education [AOR = 1.57; 95%CI: 1.18, 2.07], employed women [AO R = 1.34; 95%CI: 1.04, 1.74], women from middle wealth index [AOR = 1.45; 95%CI: 1.02, 2.07], women who visited health facility in the last 12 months [AOR = 0.69; 95%CI: 0.54, 0.88], women residing in small peripherals [AOR = 0.20, 95%CI: 0.05, 0.82], and women from communities with low poverty [AOR = 2.25, 95%CI: 1.26, 3.99] were significantly associated with LARPCs utilization. Conclusion In Ethiopia, LARPCs utilization among married women who desire no more children was very low. Both individual and community-level factors were significantly associated with LARPCs utilization. Thus, individual and community-level interventions that encourage husband education, maternal occupation, and giving special attention for women who live in small peripheral areas and female-headed households are better.
Comparative metabolic study of planktonic and sessile cells in Salmonella Enteritidis ATCC 13076: Elucidating metabolic pathways driving biofilm formation
Microorganisms tend to accumulate on surfaces, forming aggregates such as biofilms, which grant them resistance to various environmental stressors and antimicrobial agents. This ability has hindered the effective treatment of diseases caused by pathogenic microorganisms, including Salmonella, which is responsible for a significant number of deaths worldwide. This study aimed to compare the metabolic profiles of planktonic and sessile cells of Salmonella Enteritidis using a metabolomics approach. The metabolites extracted from the bacterial cells were analyzed by LC/MS approach. Raw data were analyzed using Thermo Xcalibur v 3.1 software. For data processing, XCMS was used for feature detection, retention time, correction and alignment. The data matrix was analyzed by uni- and multivariate statistical methods (PCA, PLS-DA, Heatmap) in MetaboAnalyst software v 6.0. A total of 121 metabolites were presumptively identified as differential metabolic characteristics between the two bacterial states, and they were associated with their corresponding metabolic pathways. Among the metabolites that exhibited positive modulation in planktonic cells were proline, phenylalanine, which act as precursors of essential metabolites and part of the stress adaptation mechanisms. In addition, putrescine and cadaverine, play crucial roles in growth, stress response, and cell stability In contrast, the most representative metabolites in sessile cells included lysine, adenosine, purines, pyrimidines, and citrate, mainly associated with maintaining cellular homeostasis, stress response and metabolic regulation. Finally, pathway enrichment analysis identified metabolic changes in 11 pathways, predominantly involving purine and pyrimidine metabolism, arginine and proline metabolism, and vitamin B6 metabolism. These findings facilitated the identification of potential metabolic pathways associated with biofilm formation in the sessile cells of Salmonella Enteritidis.
Acceptability, feasibility and appropriateness of intensified health education, SMS/phone tracing and transport reimbursement for uptake of voluntary medical male circumcision in a sexually transmitted infections clinic in Malawi: A mixed methods study
Introduction Uptake of voluntary medical male circumcision (VMMC) remains a challenge in many settings. Innovative implementation strategies are required to scale-up VMMC uptake. Methodology RITe was a multi-faceted intervention comprising transport reimbursement (R), intensified health education (IHE) and SMS/Telephone tracing (Te), which increased the uptake of VMMC among uncircumcised men with sexually transmitted infections (STIs) in Malawi. Using a concurrent exploratory mixed-method approach, we assessed the intervention’s acceptability, feasibility and appropriateness among men with STIs and healthcare workers (HCWs) at Bwaila District Hospital. Participants completed Likert scale surveys and participated in-depth interviews (IDIs) and focus group discussions (FGDs). We calculated percentages of responses to survey items and summarized common themes using thematic analysis. Median scores and interquartile ranges (IQR) were calculated for acceptability, feasibility and appropriateness of each strategy at baseline and end-line and compared using the Wilcoxon signed rank test. Results A total of 300 surveys, 17 IDIs and 4 FGDs were conducted with men and HCWs between baseline and end-line. The mean age for men in the survey was 29 years (SD ±8) and most were married/cohabiting (59.3%). Mean age for HCWs was 38.5 years (SD ±7), and most were female (59.1%). For acceptability, participants agreed that RITe was welcome, approvable, and likable. Despite participants agreeing that RITe was a good idea, fit and suitability influenced appropriateness, particularly at baseline, which improved at end-line for Te and R. For feasibility, HCWs agreed that RITe was easy to implement, but expressed concerns that R (end-line median = 4, IQR: 2, 4) and Te (end-line median = 4, IQR: 4, 4), were unsustainable. Interviews corroborated the survey results. Participants reported that IHE provided important information, Te was a good reminder and R was attractive, but they reported barriers to R and Te such as electricity, limited access to phones and distrust in the government. Conclusions The RITe intervention was acceptable, feasible and appropriate. However, culture/religion and structural barriers affected perceptions of appropriateness and feasibility, respectively. Continued awareness raising on VMMC and addressing setting-specific structural factors are required to overcome barriers that impede demand-creation interventions for VMMC.
Parametric modeling of under-5 children survival among 30 African countries: Lognormal accelerated failure time gamma shared frailty model
Background Under-five mortality continues to be a serious public health concern in low-and middle-income countries, particularly in Africa. This study investigates the probability of under-five survival and its predictors of mortality in the African continent using a recent demographic health survey from 2014–2022. Methods This study utilized recent Demographic and Health Survey data from 30 African countries, encompassing 226,862 live births. This study employed a multivariable lognormal accelerated failure time gamma shared frailty parametric survival regression analysis to identify the predictors of time-to-death among under-five children in these African nations. Result The overall under-five child mortality rate in Africa was 37.55 per 1,000 live births (95% CI: 37.35, 37.74. In this study, children born in Western Africa; children born in Eastern Africa; children born to mothers aged 15–19 years; maternal educational status; maternal decision autonomy; being female; place of delivery; number of ANC visits; children born among mothers who delivered by Cesarean section; mothers who have multiple birth outcome; children who were second birth order; and third birth order and third birth order; children who were small in size at birth; children who were born from a community with a low women education; having poor wealth index; respondents working; mothers delivered at the age between 20–35 were significant predictors of survival time to event of under-five children in Africa. Conclusion This study found that the overall under-five mortality rates remain high across Africa. In this study country region, maternal age, maternal education status, maternal age at first birth, respondent’s employment status, birth outcome, wealth index, birth order, place of delivery, mode of delivery, women’s autonomy in healthcare decision-making, number of antenatal care visits, child’s size at birth, sex of the neonate, and community-level women’s education were found to be significant predictors of survival time to death of under-five children. Addressing these multilevel factors is crucial for developing targeted interventions to reduce under-five mortality further and improve child survival in African countries.
Mathematical and statistical approaches in epidemiological investigation of hospital infection: A case study of the 2015 Middle East Respiratory Syndrome outbreak in Korea
Mathematical and statistical methods are invaluable in epidemiological investigations, enhancing our understanding of disease transmission dynamics and informing effective control measures. In this study, we presented a method to estimate transmissibility using patient-level data, with application to the 2015 MERS outbreak at Pyeongtaek St. Mary’s Hospital, the Republic of Korea. We developed a stochastic model based on individual case data to derive a likelihood function for disease transmission. Through scenario-based analysis, we explored transmission dynamics, including the role of superspreaders, and investigated how mask-wearing impacted infection control within the hospital. Our findings indicated that the superspreader during the MERS outbreak had approximately 25 times higher transmissibility compared to other patients. Under scenarios of prolonged hospital transmission periods, the number of cases could potentially increase threefold. The impact of mask-wearing in the hospital was significant, with reductions in the epidemic scale ranging from 17% to 77%, depending on the type of mask and intervention intensity. This study quantifies key risk factors in hospital-based transmission, demonstrating the effectiveness of intervention measures. The methodology developed here can be readily adapted to other infectious diseases, providing valuable insights for future outbreak preparedness and response strategies.
Correction: An enigma of Malaysia’s low-income young adults: Mediation of financial behaviour on financial well-being and locus of control cohesion
Star ecologist accused of misconduct loses university post
Correction: Correction: A neural network model for online one-shot storage of pattern sequences
Bluesky’s science takeover: 70% of Nature poll respondents use platform
Empowering drones in vehicular network through fog computing and blockchain technology
The performance of drones, especially for time-sensitive tasks, is critical in various applications. Fog nodes strategically placed near IoT devices serve as computational resources for drones, ensuring quick service responses for deadline-driven tasks. However, the limited battery capacity of drones poses a challenge, necessitating energy-efficient Internet of Drones (IoD) systems. Despite the increasing demand for drone flying automation, there is a significant absence of a comprehensive drone network service architecture tailored for secure and efficient operations of drones. This research paper addresses this gap by proposing a safe, reliable, and real-time drone network service architecture, emphasizing collaboration with fog computing. The contribution includes a systematic architecture design and integration of blockchain technology for secure data storage. Fog computing was introduced for the Drone with Blockchain Technology (FCDBT) model, where drones collaborate to process IoT data efficiently. The proposed algorithm dynamically plans drone trajectories and optimizes computation offloading. Results from simulations demonstrate the effectiveness of the proposed architecture, showcasing reduced average response latency and improved throughput, particularly when accessing resources from fog nodes. Furthermore, the model evaluates blockchain consensus algorithms (PoW, PoS, DAG) and recommends DAG for superior performance in handling IoT data. Fog; Drones; Blockchain; PSO; IoT; Vehicular.
‘Do I need to lead this lifestyle to succeed?’ The mental health crises that forced faculty members to change tack
Mathematical and computational modeling for organic and insect frass fertilizer production: A systematic review
Organic fertilizers have been identified as a sustainable agricultural practice that can enhance productivity and reduce environmental impact. Recently, the European Union defined and accepted insect frass as an innovative and emerging organic fertilizer. In the wider domain of organic fertilizers, mathematical and computational models have been developed to optimize their production and application conditions. However, with the advancement in policies and regulations, modelling has shifted towards efficiencies in the deployment of these technologies. Therefore, this paper reviews and critically analyzes the recent developments in the mathematical and computation modeling that have promoted various organic fertilizer products including insect frass. We reviewed a total of 35 studies and discussed the methodologies, benefits, and challenges associated with the use of these models. The results show that mathematical and computational modeling can improve the efficiency and effectiveness of organic fertilizer production, leading to improved agricultural productivity and reduced environmental impact. Mathematical models such as simulation, regression, dynamics, and kinetics have been applied while computational data driven machine learning models such as random forest, support vector machines, gradient boosting, and artificial neural networks have also been applied as well. These models have been used in quantifying nutrients concentration/release, effects of nutrients in agro-production, and fertilizer treatment. This paper also discusses prospects for the use of these models, including the development of more comprehensive and accurate models and integration with emerging technologies such as Internet of Things.