Search Results (6,561)

An experimental investigation was conducted to examine the resistance to sulfate attack and chloride ion diffusion of concrete incorporating multiple industrial wastes (MIWC), including limestone powder (LP), tailings sand, and silica fume (SF). The degradation mechanisms of the MIWC under coupled sulfate wet‒dry cycles and chloride ion penetration are systematically revealed. Nine concrete mixtures were designed with variable water-to-binder (w/b) ratios, LP contents, SF dosages, and tailings sand/machine-made sand ratios. The results indicate that reducing the w/b ratio significantly enhances resistance to sulfate attack and chloride penetration. A moderate LP dosage optimizes pore structure and improves long-term sulfate resistance, whereas SF effectively refines the pore matrix and reduces the chloride diffusion coefficient. The coupled action of chloride and sulfate accelerates early-stage pore filling by corrosion products but promotes later-stage cracking because of expansive erosion products. A modified sulfate damage model and a multifactor coupled chloride diffusion model are established, which consider damage evolution, chloride binding, and time-dependent diffusivity. The predicted service life of the MIWC under marine exposure is in reasonable agreement with the experimental trends. This work provides a theoretical basis for durable design and industrial waste utilization in marine concrete structures. Full article

Background: Quality of life (QoL) after transradial access in diagnostic cerebral angiography may be shaped by procedural demands as well as by the ambulatory setting itself. This study, for the first time, prospectively explored this dimension through follow-up assessments of QoL after the procedure. Methods: In this prospective study, QoL was assessed using the 36-Item Short Form Survey (SF-36), including the Physical and Mental Component Summary (PCS and MCS) as well as eight domain-specific subscales. After right transradial cerebral angiography, the SF-36 questionnaire was administered at baseline (pre-procedure), as well as at 1-month and 3-month follow-up visits. Mean PCS and MCS values were analyzed over time using linear mixed-effects regression models. In post hoc analyses, univariate and multivariable models were used to assess the influence of potential confounders. For subgroup analysis, patients were classified as transient deteriorators if PCS and/or MCS worsened by more than 0.5 SD at 1 month compared with baseline but not at 3 months. Permanent deteriorators were defined as worsening by more than 0.5 SD at both 1 month and 3 months compared with baseline. Results: A total of 35 patients (62.9% female) were recruited over the 12-month study period, with a mean age of 59.1 ± 10.1 years. No significant overall time effect was observed for mean PCS and MCS (p = 0.970 and p = 0.076). MCS showed a significant increase at 1 month compared with baseline (p = 0.046), with a trend toward significance at 3 months (p = 0.053). In post hoc analyses, sex, neurosurgical status, and dose area product were associated with MCS in univariate analyses (p < 0.05), but these associations did not persist after multivariable adjustment. For PCS, only age showed a significant association in univariate analysis (p < 0.05). In subgroup analyses, transient deterioration was more frequent in PCS than in MCS (11.4% [95% CI 3.2–26.7%] vs. 5.7% [95% CI 0.7–19.2%]), and permanent deterioration was also more common in PCS at 1- and 3-month follow-up (14.3% [95% CI 4.8–30.3%] vs. 8.6% [95% CI 1.8–23.1%]). Impairment predominantly involved the bodily pain subscale (88.9% [95% CI 51.8–99.7%]) within PCS and the vitality (80.0% [95% CI 28.4–99.5%]) and mental health sub-scales (80.0% [95% CI 28.4–99.5%]) within MCS. Conclusions: This short-term follow-up assessment demonstrated preserved QoL following transradial diagnostic cerebral angiography. Transient or permanent deterioration occurred in no more than five patients per subgroup (14%). These findings support the notion that a radial-first approach can be safely considered for diagnostic cerebral angiography without compromising patient-reported outcomes. Full article

Porous thin-film getters are extensively utilized in the field of MEMS vacuum packaging. Nevertheless, their effectiveness is frequently constrained by the comparatively modest effective surface area of conventional planar structures. In this work, a porous Au/Ti thin-film getter based on a three-dimensional black silicon scaffold is developed to enhance the effective surface area and improve gettering performance. The fabrication of black silicon nanostructures is achieved through an SF₆/O₂-based inductively coupled plasma (ICP) etching process, followed by the deposition of Au/Ti bilayer films by DC magnetron sputtering. The morphological evolution of the Ti film on the nanostructured substrate and the activation behavior of the Au/Ti bilayer are systematically investigated using scanning electron microscopy (SEM) and X-ray photoelectron spectroscopy (XPS). The results demonstrate that the shadowing effect during sputtering leads to the formation of a porous film with increased surface roughness and an open structure. XPS analysis demonstrates that there is a significant increase in the oxygen content on the surface at higher activation temperatures. This suggests that effective sorption capability is achieved following activation. In comparison with planar substrates, the three-dimensional black silicon scaffold has been demonstrated to promote the formation of a more open and functional structure. The results obtained from this study indicate that the proposed fabrication strategy offers a feasible and MEMS-compatible approach for the construction of porous thin-film getters, thereby enhancing their effective surface area. Full article

Background: Health-related behaviors often cluster during young adulthood, potentially increasing the risk of long-term adverse health outcomes. Understanding how lifestyle risk behaviors co-occur among university students is essential for developing targeted health promotion strategies. Objective: This study aimed to identify lifestyle risk profiles among university students based on the co-occurrence of smoking behavior, alcohol consumption, sedentary behavior, and body weight status. Methods: A cross-sectional study was conducted with 147 university students enrolled in a physical education and sport undergraduate program (mean age: 20.58 ± 2.94 years; 80.3% male). Physical activity and sedentary behavior were assessed using the International Physical Activity Questionnaire–Short Form (IPAQ-SF), while smoking and alcohol consumption were self-reported. Body mass index was used to classify weight status. Lifestyle risk profiles were identified using two-step cluster analysis based on regular smoking, alcohol consumption, sedentary behavior, and overweight/obesity. Differences in cluster distribution according to sex and federated athlete status were examined using chi-square tests. A two-step cluster analysis based on the Bayesian Information Criterion (BIC) and silhouette measure was used to identify lifestyle risk profiles. Results: Overall, 46.9% of participants had experimented with tobacco, 11.6% were current smokers, and 74.8% reported alcohol consumption. Participants accumulated an average of 3772.25 ± 1957.99 MET-min/week of physical activity. Three distinct lifestyle risk profiles were identified. Cluster 1 (46.9%), labeled the alcohol profile, was characterized by alcohol consumption without smoking and no prevalence of being overweight. Cluster 2 (20.4%), the multiple-risk profile, included participants who reported regular smoking, with nearly half presenting sedentary behavior and overweight/obesity. Cluster 3 (32.7%), the overweight profile, was characterized by overweight/obesity combined with alcohol consumption but no smoking. No significant differences were observed in the distribution of lifestyle profiles according to sex (p = 0.111) or federated athlete status (p = 0.087). Conclusions: Lifestyle risk behaviors cluster into distinct profiles among university students, with alcohol consumption appearing across multiple profiles and smoking concentrated in a specific high-risk group. These findings highlight the need for targeted health promotion strategies addressing multiple co-occurring behaviors within university populations. Full article

Background/Objectives: Physical activity behaviours are established early in life and tend to track across developmental stages. However, the role of continuity of sport participation across multiple developmental periods in shaping current physical activity levels remains insufficiently understood. This study aimed to examine the association between continuity of sport participation across developmental stages and current physical activity levels in university students, and to assess whether this association followed a graded pattern and differed by sex. Methods: A cross-sectional study was conducted among 796 fourth-year undergraduate students enrolled in a Primary School Education degree program at the University of Turin. Data were collected using an anonymous online survey. Current physical activity was assessed using the International Physical Activity Questionnaire—Short Form (IPAQ-SF) and categorised as non-active, sufficiently active, or active. Sport participation across six developmental stages was retrospectively assessed and summarised into a three-level continuity variable (discontinuous, intermediate, continuous). Associations were examined using chi-square tests and ordinal logistic regression models adjusted for sex, age, and body mass index (BMI). Predicted probabilities were estimated to aid interpretation. Results: Continuity of sport participation was significantly associated with current physical activity levels (χ²(6) = 67.55, p < 0.001), with a graded pattern evident. In adjusted models, discontinuous participation (OR = 0.24, 95% CI 0.14–0.39) and intermediate participation (OR = 0.62, 95% CI 0.46–0.82) were associated with lower odds of belonging to higher physical activity categories than continuous participation. Predicted probabilities showed a clear dose–response pattern, with progressively higher likelihoods of being active as continuity increased. This pattern was consistent across sexes, although males exhibited higher overall activity levels. Conclusions: Greater continuity of sport participation across developmental stages is associated with higher current physical activity levels. Promoting sustained engagement in sport may support the development of active lifestyles across the lifespan. Full article

In ultra-high-voltage GIS and GIL systems, epoxy resin insulators are still the mainstream choice. However, as a thermosetting material, epoxy resin is difficult to recycle after disposal, which limits its environmental benefits. Thermoplastic insulators, due to their recyclability, are potential alternatives. This study focuses on 30% glass fiber-reinforced PET and PA6 materials. Their injection molding behavior, hydraulic pressure performance, and insulation performance were systematically analyzed using Moldflow, ANSYS, and COMSOL, respectively. For injection molding, Moldflow simulations were conducted for filling, packing, and cooling stages. Melt temperature was varied from 260 to –310 °C (PET) and 250–300 °C (PA6), while mold temperature was varied from 80 to –130 °C (PET) and 70–120 °C (PA6). An optimization objective function, Y = Δp/20 + Δx/0.5 + Δs/1.8, was developed to determine optimal processing parameters. Based on this function, the optimal parameters identified are: PET at 290 °C melt temperature and 120 °C mold temperature; PA6 at 250 °C melt temperature and 70 °C mold temperature. For hydraulic testing, Moldflow–ANSYS coupled simulations were performed under 2.4 MPa pressure with the compliance criteria of bulk stress < 90 MPa and insert-contact stress < 20 MPa. PA6 passed within a processing window of melt temperature < 270 °C and mold temperature < 120 °C. PET failed under all tested conditions, with insert-contact stress ranging from 24.25 to 27.55 MPa, consistently exceeding the 20 MPa threshold. In terms of insulation performance, this paper utilizes COMSOL to study the electric field distribution of thermoplastic insulators in SF₆ GIS/GIL and provides optimization suggestions for insulator geometry design. This study systematically compares the injection molding processes and hydraulic pressure performance of PET and PA6 thermoplastic insulators. These results provide important process insights and design guidance for evaluating thermoplastic materials as potential alternatives to epoxy resin in GIS/GIL applications. Full article

High-resolution remote-sensing semantic segmentation requires models to simultaneously capture global scene semantics and preserve fine-grained local structures. Although satellite-pretrained vision foundation models provide strong transferable representations, the features extracted by a frozen backbone remain insufficiently adapted to dense prediction, particularly for representing high-frequency details and multiscale local patterns. In addition, correcting residual prediction errors with dense full-map refinement introduces substantial computational redundancy, since hard errors are typically concentrated in only a small subset of locations. To address these challenges, we propose ADVMSeg, an efficient remote-sensing semantic segmentation framework built upon a frozen satellite-pretrained DINOv3 backbone. Specifically, we introduce a Spatial-Frequency Adapter (SF-Adapter) to improve backbone-level dense feature adaptation by jointly modeling global frequency responses and multiscale local spatial details in a lightweight bottleneck space. We further design an Adaptive Sparse Refinement (ASR) module after the pixel decoder, which identifies hard regions from coarse predictions via uncertainty and boundary cues, and performs targeted local cross-attention refinement only on selected critical locations. Extensive experiments on GID-15, LoveDA, and ISPRS Potsdam validate the effectiveness of the proposed framework. Under the unified setting, ADVMSeg achieves 63.1% mIoU on GID-15, 63.5% mIoU on LoveDA, and 81.4% mIoU on ISPRS Potsdam. These results validate the effectiveness of jointly improving backbone-level feature adaptation and prediction-stage computation allocation under the evaluated setting of frozen DINOv3, and three representative remote-sensing semantic-segmentation datasets. Full article

Background: Emotional distress (ED) is common among patients with gynecological malignancies and is associated with reduced quality of life and suboptimal health outcomes. Total-score approaches may overlook the complex interrelationships among individual emotional symptoms. Objective: This study provides a theory-informed contextual application and empirical boundary test of symptom network analysis, organized by the Stress Process Model (SPM), to examine not only how ED symptoms cluster and connect with psychosocial correlates and quality-of-life domains, but also whether psychosocial stratification is reflected in altered symptom topology or primarily in differences in distress burden. Methods: A cross-sectional study was conducted among 415 patients with gynecological malignancies recruited from a tertiary hospital in China. ED was assessed using the Brief Profile of Mood States-Short Form (BPOMS-SF30). An exploratory three-track screening strategy was used to derive a focused 16-node set of frequent negative mood symptoms. Gaussian graphical models with EBICglasso regularization were estimated for the symptom network and for extended networks including demographic/clinical variables, SPM-related psychosocial variables, and quality-of-life indicators. Results: The ED network showed dense positive connectivity, with strong within-domain clustering and several cross-domain associations. Exhaustion, restlessness, and irritability were relatively more relationally prominent in the primary network, although centrality stability was low to moderate across models. Fatigue-related symptoms were closely connected with anxiety, depressive symptoms, and impaired quality of life. Among psychosocial variables, self-perceived burden showed the strongest conditional association with fatigue. Adjusting for demographic and clinical variables did not materially alter the core symptom network, and no significant subgroup differences in global strength or overall structure were observed across psychosocial strata. Conclusions: In this sample, psychosocial risk stratification appeared to relate more to the overall severity and burden of distress than to major reorganization of symptom topology. The study therefore contributes primarily as a theory-informed contextual application of network methods and as an empirical boundary test showing that several psychosocial strata did not exhibit major topological differences. Because the retained nodes were selected for prevalence, association strength, and selection stability, the observed prominence of fatigue- and activation-related symptoms should be interpreted as conditional on this focused symptom subset. Overall, the findings are correlational, exploratory, and hypothesis-generating. Full article

Municipal solid waste (MSW) landfill site selection is a complex multi-criteria decision-making (MCDM) problem involving uncertainty and conflicting criteria. Although spherical fuzzy extensions of the Technique for Order Preference by Similarity to Ideal Solution (SF-TOPSIS) are widely used, existing studies rely on conventional distance measures that do not fully capture the geometric structure of spherical fuzzy sets. To address this limitation, this study proposes an enhanced SF-TOPSIS framework incorporating a novel spherical distance measure to improve consistency, discrimination capability, and structural compatibility. The framework integrates Spherical Fuzzy Weighted Arithmetic Mean (SWAM) and Spherical Fuzzy Weighted Geometric Mean (SWGM) operators and evaluates robustness using Spearman rank correlation. Additionally, a coefficient of variation (CV)-based analysis is conducted to examine the dispersion of closeness coefficients. The applicability of the approach is demonstrated through a landfill site selection case; however, the main contribution lies in a generalized distance-based formulation applicable to various MCDM problems. Results show that the proposed distance improves agreement between aggregation operators, increasing correlation values from 0.905 to 0.976, while producing a more stable distribution of closeness coefficients. Overall, the study advances spherical fuzzy MCDM by introducing a geometrically consistent distance formulation. Full article

Purpose: Black soils in Northeast China are declining in fertility under intensive fertilization, motivating strategies that integrate crop residue return with microbial inoculation. We conducted a field experiment to test whether maize straw return combined with compound microbial inoculants improves soil properties, bacterial communities, and soybean performance. Methods: A field experiment compared four treatments: fertilization alone (F), fertilization + inoculants (CF), fertilization and straw (SF), and fertilization and straw with inoculants (CSF). Soil physicochemical properties, enzyme activities, 16S rDNA-based bacterial communities, and soybean agronomic yield were measured across growth stages. Results: CSF produced the highest soybean performance, and increased yield by 3.91–5.46% compared with F. CSF increased soil pH, moisture, and nutrient availability (notably available P and K) and enhanced sucrase, urease, catalase, and acid phosphatase activities compared with other treatments. Bacterial communities were dominated by Acidobacteriota and Proteobacteria. CSF increased bacterial abundance and shifted community composition, and pH and available P were key factors associated with community variation. Conclusions: Co-applying maize straw and compound microbial inoculants enhances soybean yield while improving soil biochemical functioning and reshaping bacterial communities in black soil. Full article

Viral internal ribosome entry sites (IRESs) are specialized RNA structures that facilitate cap-independent translation as a strategy to usurp the host translational machinery. The Type 6 IRESs are the most streamlined mechanism to date, as they adopt a three pseudoknot RNA structure to initiate factorless translation initiation by directly recruiting the ribosome and drive translation. The Halastavi árva virus (HalV) IRES represents the most minimalistic subclass identified to date, whereby the IRES lacks specific pseudoknot domains that bind to the 40S subunit but instead recruits pre-assembled 80S ribosomes via a mechanism that is not fully understood. Here, we examined cellular conditions that can support HalV IRES translation. We demonstrated that the HalV IRES is translationally active in insect Sf21 lysates and Drosophila S2 cells, but inactive in mammalian RRL and wheat germ extract. Cells treated with heat shock or serum starvation suppressed HalV IRES activity, whereas virus infection robustly enhanced HalV IRES-mediated translation. Finally, the HalV IRES can support viral translation and replication using a heterologous viral replicon. These findings highlight the context-specific cellular conditions that allow ribosome assembly and translation by a factorless minimalist IRES. Full article

The growth of Internet of Things (IoT) applications is driving demand for Low-Power Wide-Area Networks (LPWANs) to support higher data rates with the same energy efficiency. While Long Range (LoRa) provides excellent noise immunity and receiver sensitivity, its data rate might be insufficient for some applications, including those real-time applications in which LoRa is required to have infrequent transmissions to maintain low power consumption. In this paper, a novel modulation is introduced to address these limitations by utilizing narrowband chirp to represent a data symbol with chirp slopes, called a multi-slope chirp signal. At the receiver, a new blind non-coherent detection technique is also presented to recover the proposed signal. The simulation results confirm that the proposed scheme can successfully transmit information at 2 to 4 bits per symbol, and when compared to LoRa SF 6, it reduces the Time-on-Air (ToA) by half and also achieves an improvement in spectral efficiency in the frequency domain. Full article

Descemet stripping automated endothelial keratoplasty (DSAEK) is a well-established surgical technique for the treatment of endothelial dysfunction, in which intracameral gas tamponade plays a critical role in graft adherence. We report the case of a 67-year-old pseudophakic woman with advanced Fuchs endothelial corneal dystrophy and symptomatic pseudophakic bullous keratopathy in the right eye, who presented with progressive visual deterioration and underwent DSAEK using an 8.25 mm donor graft inserted with a Busin glide and tamponaded with a 25% sulfur hexafluoride (SF6) gas–air mixture. On the first postoperative day, slit-lamp examination suggested an appropriate anterior chamber configuration and satisfactory graft attachment. However, detailed multiplanar anterior segment optical coherence tomography (AS-OCT), defined here as assessment using vertical, horizontal, and rotational scan orientations, revealed subtle posterior migration of the gas bubble beneath the iris plane. This clinically occult finding indicated altered anterior segment anatomy associated with a risk of secondary angle-closure mechanisms and raised concern for malignant glaucoma. Prompt surgical re-intervention was undertaken on postoperative day one, involving decompression of the misdirected gas bubble and reinjection of a centrally positioned tamponade. This resulted in restoration of normal anterior chamber configuration and stable graft adherence. Best-corrected visual acuity (BCVA) improved from 0.1 Snellen (1.0 logMAR) preoperatively to 0.7 Snellen (0.15 logMAR) at 2 weeks following surgery. This case highlights the added value of multiplanar AS-OCT in detecting clinically occult posterior gas migration after DSAEK, particularly when the abnormality is scan-orientation-dependent and not apparent on slit-lamp examination, thereby enabling timely intervention in the presence of a potentially sight-threatening postoperative configuration. Full article

Background/Objectives: Stress urinary incontinence (SUI) remains a common and functionally relevant complication after radical prostatectomy (RP) and substantially impairs quality of life (QoL). Although pelvic floor muscle training (PFMT) is guideline-recommended, its real-world effectiveness is often limited by accessibility, standardization, and adherence. Digital health interventions may improve adherence to PFMT, potentially influencing continence recovery. We conducted a multicenter randomized controlled trial to evaluate whether a structured, modular app-based PFMT program improves early continence recovery compared with conventional physiotherapist-guided training. Methods: Between September 2022 and September 2024, 62 preoperatively continent men undergoing radical prostatectomy were enrolled in this multicenter randomized controlled trial (Pelvintense). Both groups received perioperative PFMT: Patients were randomized 1:1 to either a modular app-based PFMT program (intervention group) or a standard physiotherapist-guided PFMT (control group). Both app-based PFMT and standard physiotherapist-guided PFMT started three weeks before surgery and continued for 90 days postoperatively. The primary endpoint was continence at 90 days, defined as ICIQ-SF Q1 = 0 (absence of involuntary SUI). Secondary endpoints included continence sub-scores, QoL, erectile function, adherence, and decision regret. Analyses were performed using a modified intention-to-treat approach applying logistic regression and non-parametric tests with sensitivity analyses. Results: A total of 62 patients were included in the study and randomized, with 31 allocated to the app-based PFMT arm and 31 to the standard physiotherapist-guided arm. Three patients in the control arm withdrew consent for data usage after randomization, resulting in a modified intention-to-treat population of 59 patients. At 90 days, continence rates were higher in the app-based group compared with the control group (74.2% versus 21.4%; p < 0.001), corresponding to an absolute risk reduction of 52.8% and a number needed to treat of two. In multivariable analysis, participation in the app-based program was independently associated with higher odds of continence recovery (odds ratio 13.80, 95%-confidence interval 3.22–59.12; p < 0.001). Continence at 30 days and continence-related QoL favored the intervention, whereas no significant differences were observed in erectile function at 90 days. Adherence to the PFMT was higher in the intervention group. Sensitivity analyses confirmed the robustness of the primary outcome. Conclusions: In this randomized controlled trial, a modular app-based PFMT program was associated with early continence recovery after prostatectomy compared with the standard-of-care physiotherapist-guided PFMT. Improved adherence, modular progression of exercises, and a more structured training delivery may have contributed to the effect. App-based PFMT might represent a scalable strategy to implement guideline-recommended supportive care. These findings warrant confirmation in studies with a longer follow-up. Full article

The global aging process has increased the number of older individuals providing care for relatives with severe mental disorders (SMD). This population faces unique health challenges. The present cross-sectional study examined the relationship between self-perceived health (SPH) and clinical, functional, and sociodemographic variables among 71 older caregivers (median age: 65 years) in Bogotá, Colombia. SPH was assessed by answering the question: “How would you describe your overall health status?” and dichotomized into good versus poor perception. Comorbidity was measured as the number of self-reported chronic conditions. Caregiver burden was evaluated using the Zarit Caregiver Burden Interview, and health-related quality of life (HRQoL) was assessed using the SF-36, including dimensions such as physical functioning, emotional well-being, bodily pain, and general health. Descriptive analyses, non-parametric comparisons, and logistic regression models were conducted. The results revealed a marked feminization of caregiving (92.96%) and a high prevalence of good SPH (70.42%), despite a substantial burden of physical comorbidities (mean: 3.21). Dimensions such as physical functioning, emotional well-being, and pain were significant in univariate analyses. However, the multivariate model identified general health as the only independent predictor of good SPH (adjusted odds ratio [OR]: 1.112; 95% confidence interval [CI]: 1.053–1.174; p < 0.001). These findings suggest that subjective health assessment may transcend objective disease counts for older caregivers. Public health policies could prioritize wellness-based interventions and emotional support over traditional disease-centered approaches to improve the quality of life of this growing, active, socially valuable, yet vulnerable population. Full article