Search Results (33)

Society’s adaptation to shared mobility services is a growing topic that requires detailed understanding of the local circumstances of potential and current users. This paper focuses on analyzing barriers to the adoption of urban bike-sharing systems in post-industrial cities, using a case study of the Silesian agglomeration in Poland. Methodologically, the article integrates quantitative survey methods with multivariate statistical analysis to analyze the demographic, socioeconomic, and motivational factors that underline the adoption of shared micromobility. The study highlights a detailed segmentation of users by income, age, professional status, and gender, as well as the observation of profound disparities in access and perceived usefulness. Of note is the study’s identification of a highly concentrated segment of young, low-income users (mostly students), which largely accounts for the general perception of economic and infrastructural barriers. These include the use of factor analysis and regression to plot the interaction patterns between individual user characteristics and certain system-level constraints, such as cost, infrastructure coverage, weather, and health. The study’s findings prioritize problem-specific interventions in urban mobility planning: bridging equity gaps between user groups. This research contributes to the current literature by providing detailed insights into the heterogeneity of user mobility behavior, offering evidence-based recommendations for inclusive and adaptive options for shared transportation infrastructure in a changing urban context. Full article

Bike-sharing initiatives play a crucial role in sustainable urban transportation, addressing vehicular congestion, air quality issues, and sedentary lifestyles. However, the connection between bike-sharing facilities and the advantages perceived by users remains insufficiently explored particular in post-industrial regions, such as Silesia, Poland. This study develops a multidimensional framework linking infrastructure elements—such as station density, bicycle accessibility, maintenance standards, and technological integration—to perceived benefits. Using a mixed-methods approach, a survey conducted in key Silesian cities combines quantitative analysis (descriptive statistics, factor analysis, and regression modelling) with qualitative insights from user feedback. The results indicate that the most valuable benefits are health improvements (e.g., improved physical fitness and mobility) and environmental sustainability. However, infrastructural deficiencies—disjointed bike path systems, uneven station placements, and irregular maintenance—substantially hinder system efficiency and accessibility. Inadequate bike maintenance adversely affects efficiency, safety, and sustainability, highlighting the necessity for predictive upkeep and optimised services. This research underscores innovation as a crucial factor for enhancing systems, promoting seamless integration across multiple modes, diversification of fleets (including e-bikes and cargo bikes), and the use of sophisticated digital solutions like real-time tracking, contactless payment systems, and IoT-based monitoring. Furthermore, the transformation of post-industrial areas into cycling-supportive environments presents strategic opportunities for sustainable regional revitalisation. These findings extend beyond the context of Silesia, offering actionable insights for policymakers, urban mobility planners, and Smart City stakeholders worldwide, aiming to foster inclusive, efficient, and technology-enabled bike-sharing systems. Full article

The rapid urbanization and pursuit of sustainability have elevated shared mobility as a cornerstone of smart cities. Among its modalities, scooter-sharing has gained popularity for its convenience and eco-friendliness, yet it faces significant adoption barriers. This study investigates the challenges to scooter-sharing systems within smart cities, focusing on the Silesian region of Poland as a case study. It aims to identify region-specific barriers and opportunities for scooter-sharing adoption in Central and Eastern Europe and to provide insights into its long-term development trends and potential challenges. Using comprehensive statistical methods, including factor analysis and regression models, this study identifies key barriers such as insufficient bike paths, poor path conditions, inadequate signage, fleet maintenance issues, and complex rental processes. External factors like adverse weather and heavy traffic, coupled with health and safety concerns, further hinder adoption, particularly among vulnerable populations. Additionally, the study explores future trends in scooter-sharing, emphasizing the role of advanced technologies, adaptive urban planning, and sustainable fleet management in ensuring long-term feasibility. Drawing on global case studies, it underscores the need for tailored infrastructural investments, advanced fleet management, and user-centric policies to align scooter-sharing systems with smart city goals of sustainability, accessibility, and improved mobility. These findings offer actionable insights for policymakers and service providers striving to integrate scooter-sharing into the evolving landscape of urban mobility. Full article

Peer-to-peer car-sharing systems are an evolving branch of urban mobility, aligning with global trends focused on sustainable development and reducing congestion in cities. A research gap has been identified concerning the specific vehicle attributes that would encourage the public to potentially use these services. Addressing this gap, and in the context of launching a new peer-to-peer car-sharing service in Katowice, Poland, this article investigates the technical features influencing the choice of vehicles in peer-to-peer car-sharing systems, particularly from the perspective of individuals who currently do not use such platforms. The study employs Social Network Analysis (SNA) to examine the interrelationships between vehicle attributes. The analysis reveals that key factors influencing users’ decisions include fuel/energy consumption, safety features, and technological advancement, with a particular emphasis on driver assistance systems, including autonomous driving capabilities. The network structure, characterized by a relatively low density (0.2536) and a short average path length (1.872), suggests that a few central vehicle features dominate user decisions, and improvements in these key areas can quickly propagate through the decision-making process, enhancing overall user satisfaction. To validate the findings, a Gradient Boosting Regression (GBR) analysis was conducted, confirming the significance of the key factors identified by the SNA, such as fuel efficiency, battery capacity, and safety systems, thus strengthening the reliability of the results. This study underscores the growing importance of sustainability and technological innovation in the automotive industry, particularly in the context of the sharing economy. It suggests that car-sharing platforms and vehicle manufacturers should prioritize these features to meet user expectations and preferences. These findings provide valuable insights for the strategic and operational management of peer-to-peer car-sharing services, emphasizing the importance of targeted vehicle selection and user-centered innovations to improve platform performance and scalability. Full article

Background/Objectives: In the course of COVID-19, there may be an excessive immune response of the body with the release of large amounts of pro-inflammatory cytokines, causing a “cytokine storm”, also known as cytokine release syndrome (CRS). The COVID-19 pandemic has shown how important an integrated approach to health care is, with physiotherapy being one of its fundamental aspects. The aim of this study was to analyze the potential relationship between the level of selected cytokines (IL-6, IL-10, IL-12, IL-15, TNF-α) and inflammatory markers (CRP, NLR, PLR, LMR, SII) and the duration of rehabilitation in patients after COVID-19. Methods: The examined patients participated in a comprehensive rehabilitation program, which included breathing exercises, aerobic training, and strength and endurance training. Peripheral venous blood samples were also collected from each patient. Results: Factors such as gender, smoking status, IL-10, and the presence of pneumonia during infection were significantly associated with the length of rehabilitation after COVID-19. Conclusions: The course of rehabilitation after COVID-19 may depend on many factors, including smoking, the presence of pneumonia due to infection, and some parameters of inflammation. Full article

Car-sharing services, which provide short-term vehicle rentals in urban centers, are rapidly expanding globally but also face numerous challenges. A significant challenge is the effective management of fleet selection to meet user expectations. Addressing this challenge, as well as methodological and literature gaps, the objective of this article is to present an original methodology that supports the evaluation of the suitability of vehicle fleets used in car-sharing systems and to identify the vehicle features preferred by users necessary for specific types of travel. The proposed methodology, which incorporates elements of transportation system modeling and concurrent analysis, was tested using a real-world case study involving a car-sharing service operator. The research focused on the commuting needs of car-sharing users for work or educational purposes. The study was conducted for a German car-sharing operator in Berlin. The research was carried out from 1 January to 30 June 2022. The findings indicate that the best vehicles for the respondents are large cars representing classes D or E, equipped with a combustion engine with a power of 63 to 149 kW, at least parking sensors, navigation, hands-free, lane assistant, heated seats, and high safety standards as indicated by Euro NCAP ratings, offered at the lowest possible rental price. The results align with market trends in Germany, which focus on the sale of at least medium-sized vehicles. This suggests a limitation of small cars in car-sharing systems, which were ideologically supposed to be a key fleet in those kinds of services. The developed methodology supports both system operators in verifying whether their fleet meets user needs and urban policymakers in effectively managing policies towards car-sharing services, including fleet composition, pricing regulations, and vehicle equipment standards. This work represents a significant step towards enhancing the efficiency of car-sharing services in the context of smart cities, where personalization and optimizing transport are crucial for sustainable development. Full article

Background: Chronic kidney disease is a significant public health issue associated with reduced physical activity. This can lead to mineral and bone disorders and increased levels of inflammatory markers. One innovative solution that can significantly contribute to increasing patient motivation is the combination of physical training with virtual reality technology during haemodialysis sessions. The aim of this study is to comprehensively assess the impact of regular virtual reality-based physical activity on plasma sclerostin and interleukin 6 levels, as well as on physical performance and the level of physical activity in patients undergoing renal replacement therapy through haemodialysis. Methods: This study is a prospective cohort study. Patients included in the study were randomly assigned to two groups: the study group and the control group. The study group consisted of patients who were entrusted with the task of conducting training using the prototype of the NefroVR system. The duration of the study period for both the study and control groups was 3 months. Results: One hundred and two (102) patients with stage 5 chronic kidney disease who underwent haemodialysis as a renal replacement therapy participated in the study. Patients from the study group were characterized by higher physical activity compared to the control group. There was a significant difference in the level of IL-6 and SOST between the study and control groups in the second measurement. Conclusions: Regular physical activity, especially using approaches such as virtual reality, contributes to improving physical fitness and overall activity levels in patients undergoing haemodialysis. The study demonstrated that regular exercise may be associated with a reduction in inflammatory parameters and positive effects on bone metabolism in patients undergoing haemodialysis. Full article

In the context of the global COVID-19 pandemic, understanding the intricate mechanisms of the body’s response to infection and inflammation has become a priority for the medical and research communities. It has been proven that during COVID-19 infection, molecules are secreted—namely organokines, which may directly or indirectly play a role in the pathophysiology of COVID-19. The objective of this study was to scrutinize the potential correlation between the levels of selected myokines (myostatin, agrin, irisin, and myonectin) and the duration of rehabilitation in post-COVID-19 patients. Additionally, the study aimed to investigate whether there is a correlation between the levels of these myokines and the length of hospitalization during COVID-19 treatment. The study was conducted at the Rehabilitation Hospital in Szczecin (Poland). Patients in the study participated in a comprehensive rehabilitation program following COVID-19 treatment. In order to assess the effectiveness of rehabilitation, the following tests were performed: a 6 min walk test with an assessment of exercise tolerance (Borg scale), an assessment of dyspnea severity (mMRC scale), a spirometric assessment of respiratory function, a measurement of arm strength, and an assessment of fatigue using the Fatigue Assessment Scale (FAS). Myokine levels were measured using commercially available enzyme-linked immunosorbent assays (ELISA) according to the manufacturer’s instructions. Statistical analysis was performed using Statistica 13.1 software. Lower concentrations of irisin and myonectin and higher concentrations of myostatin correlated with longer rehabilitation time. Baseline levels of specific myokines in post-COVID-19 patients could play a crucial role in anticipating the duration of rehabilitation. The duration of hospitalization for the infection may influence myokine levels in patients recovering from COVID-19. Full article

(1) Background: It is relevant to find new diagnostic biomarkers for endometrial cancer. This study aimed to investigate whether PDGF-AB, PDGF-BB, TGF-α, EGF and ANG-2 could be considered new useful markers for diagnosis and survival of endometrial cancer. (2) Methods: A total of 93 women diagnosed with endometrial cancer (EC) and 66 patients with non-cancerous endometrial lesions (NCEL) were included in this study. (3) Results: Median serum levels of PDGF-AB, PDGF-BB, TGF-α, EGF and ANG-2 were significantly higher in the EC group compared to the NCEL group (for PDGF-AB, PDGF-BB, TGF-α and ANG-2, p = 0.0000; for EGF, p = 0.0186). The cut-off level of PDGF-AB was set at 127.69 pg/mL with a sensitivity of 87.1% and a specificity of 66.67% (AUC = 0.78, p < 0.000001). The cut-off level of PDGF-BB was set at 207.86 ng/L with a sensitivity of 82.8% and a specificity of 75.76% (AUC = 0.85, p < 0.000001). The cut-off level of TGF-α was set at 33.85 ng/L with a sensitivity of 82.8% and a specificity of 75.76% (AUC = 0.82, p < 0.000001). The cut-off level of EGF was set at 934.76 pg/mL with a sensitivity of 83.87% and a specificity of 28.79% (AUC = 0.61, p = 0.018472). The cut-off level of ANG-2 was set at 3120.68 pg/mL with a sensitivity of 72.04% and a specificity of 93.94% (AUC = 0.87, p < 0.000001). (4) Conlusion: It was concluded that all the proteins studied could be potential diagnostic markers in endometrial cancer. Full article

Scooter-sharing services, that is, short-term rental of electric scooters, have been gaining popularity among last-mile transport solutions in recent years, winning both their supporters and opponents. Recognizing the different approaches of societies to scooters in the world, the objective of this work was to determine the perception of scooter-sharing services in Poland, that is, the fifth largest European market in terms of micromobility. The study was based on survey data conducted using the CAWI method among the points of active users of scooter-sharing systems. The article presents the results regarding the perception of electric scooters in terms of safety, use, operation, education, and elements of communication behavior. The results indicate that the respondents perceive the Polish market of sharing electric scooters well. They believe that riding a scooter is safe (despite pointing out numerous technical faults that may indicate insufficient technical knowledge about what they can mean for users), and they are against mobility hubs and disrupting free systems. Interestingly, respondents emphasize the need to modernize the regulations, the need for penalties for damage to vehicles, and the need to reduce fees. The results provide valuable clues on how to manage the new electric mobility. They also indicate a different approach of Polish users to the issue of perceiving scooters in relation to other European societies (such as France or Denmark), which is a valuable clue for modeling transport behavior. Full article

Shared mobility is developing at a very fast pace around the world, becoming an alternative to classic forms of travel and, according to the public, providing innovative services. In recent years, these innovative services have also gained wide interest among scientists from a multicriteria point of view. However, among the topics and reviews in the literature, no review paper considering shared mobility in terms of innovation was identified. This article’s research objective was to indicate the perception of innovation in shared mobility in scientific works. The results indicate that innovations in shared mobility are a niche topic considered in few scientific works. What is more, in most cases, shared mobility services are perceived as innovative in themselves without detailed service analysis. Moreover, the issues of open innovation, which are closely related to the concept of accessible Mobility as a Service system and smart cities, are often overlooked. In addition, there was no work identified that fully referred to all areas of innovative service. The article supports researchers in the determination of further research directions in the field of shared mobility and fills the research gap in the field of knowledge about open innovation, especially in the context of the development of shared mobility services in smart cities. Full article

Car-sharing systems, i.e., short-term car rental services, are solutions indicated as an alternative to individual motorization; they can be used in an increasing number of cities around the world. These services, along with their intensive development, are becoming more and more complex. Due to their complexity, they involve not only an increasing number of stakeholders or infrastructure elements, but also indicate numerous links with the functioning of cities, especially smart cities. To properly implement or improve the car-sharing system, both in terms of operational issues regarding the system’s functioning or changes in the vehicle fleet, it is important to be familiar with the elements that make up car-sharing, as well as the factors that affect it. This work aims to present the factors affecting car-sharing, as well as the transport model of car-sharing services. This work fills the research gap stemming from the lack of comprehensive studies and knowledge on car-sharing. A detailed analysis of the literature shows that there are six main groups of factors affecting car-sharing: economic and technical, transport, social, environmental, organizational, and other issues; among these factors, more than 150 quantitative and qualitative criteria can be distinguished. Furthermore, the work also showed factors that are a niche in the literature and can be the basis for further research on car-sharing. Detailed familiarity with these factors could translate into increased profitability and, above all, success in the functioning of on-the-market services. This article supports the implementation and improvement of car-sharing services. In addition, it supports scientists in the preparation of scientific papers and mathematical models in the field of car-sharing and the factors that affect it. Full article

Currently, short-term car rental services (car-sharing) are a solution that is an alternative to individual motorization, which can be used in cities. With the level of sophistication of the relevant systems, there are more and more problems with their proper functioning. However, to understand the essence of some of the problems or properly introduce a new system to the market, it is important to understand how the systems work and the main relationships between the factors affecting car-sharing. This work aims to comprehensively present the most important aspects related to the functioning of car-sharing in light of the current research, as a form of compendium of knowledge about car-sharing. A review of the literature indicates that the leading areas of research in the field of car-sharing are seven topics related to the origin and history of services, the analysis of the functioning of the services market and criteria affecting the development of the relevant systems, the management of vehicle systems and location, issues related to the sustainable development of transport, IT systems, electromobility in car-sharing, and service optimization and modeling. A detailed analysis of the work carried out in this area allowed for the identification of 15 leading factors influencing car-sharing. This article supports the implementation and improvement of car-sharing services. In addition, it supports researchers during literature reviews and the search for a coherent list of the factors influencing car-sharing. Full article

Car-sharing services are developing at an ever-increasing pace. Taking into account the reduction of carbon dioxide emissions and pursuit of the sustainable development of transport, implementing electric cars in car-sharing fleets is being proposed. On the one hand, these types of vehicles are referred to as emission-free, but on the other hand, their environmental friendliness is questionable due to the emission of carbon dioxide during the production of energy to power them. Although many scientific papers are devoted to the issue of reducing emissions through car sharing, there is a research gap concerning the real production of carbon dioxide by car-sharing vehicles during car-sharing trips. To fill this research gap, the objective of the article was to analyze the actual level of carbon dioxide emissions from combustion and electric vehicles from car-sharing systems produced when renting rides. The test results showed that the electric car turned out to be significantly less emitting. The use of electric vehicles in car-sharing fleets can reduce carbon dioxide emissions from 14% to 65% compared to using cars with internal combustion engines. However, the key role during car-sharing trips is played by the driving style of the drivers, which has been omitted from the literature to date. This should be properly regulated by service providers and focus on the proper use of energy from electric vehicle batteries, especially at low temperatures. The article provides support for operators planning to modernize their fleet of vehicles and fills the research gap concerning car-sharing emissions. Full article

Car-sharing systems, i.e., short-term car rentals, are one of the solutions that can be an alternative to individual motorization in cities. However, these services must adapt well to customers’ needs to develop appropriately. Currently, there have been attempts in scientific research to make numerous optimizations of car-sharing systems, but little emphasis was placed on the type of car fleet used in the systems, which is particularly important at the stage of transformation of the automotive industry towards electric mobility. In response to this research gap, this article was dedicated to the selection of vehicles for car-sharing systems. The work focuses on users of Polish car-sharing systems who use the services of short-term vehicle rental occasionally, i.e., up to five times a year. The research made it possible to determine the types of vehicles (cars with electric, hybrid and internal combustion engines) that the users are interested in and to indicate the specific features that the cars should have. Interestingly, large family vehicles with hybrid engines turned out to be the leading ones. In turn, small city cars, so far dominant in car-sharing, turned out to be the worst choice from the point of view of occasional users. This showed that the current systems are not properly adapted to the needs of society. The results support car-sharing operators who want to upgrade their vehicle fleet accordingly to encourage the public to use car-sharing more often. It is also a guide to identifying a vehicle for fleet modernization towards hybrid and electric vehicles. Full article