Search Results (9,287)

The process of urbanization has intensified the urban heat environment, with the degradation of thermal conditions closely linked to the morphological characteristics of different functional zones. This study delineated urban functional areas using a multivariate dataset and investigated the seasonal and threshold effects of landscape and architectural features on land surface temperature (LST) through boosted regression tree (BRT) modeling and Spearman correlation analysis. The key findings are as follows: (1) LST exhibits significant seasonal variation, with the strongest urban heat island effect occurring in summer, particularly within industry, business, and public service zones; residence zones experience the greatest temperature fluctuations, with a seasonal difference of 24.71 °C between spring and summer and a peak temperature of 50.18 °C in summer. (2) Fractional vegetation cover (FVC) consistently demonstrates the most pronounced cooling effect across all zones and seasons. Landscape indicators generally dominate the regulation of LST, with their relative contribution exceeding 45% in green land zones. (3) Population density (PD) exerts a significant, seasonally dependent dual effect on LST, where strategic population distribution can effectively mitigate extreme heat events. (4) Mean building height (MBH) plays a vital role in temperature regulation, showing a marked cooling influence particularly in residence and business zones. Both the perimeter-to-area ratio (LSI) and frontal area index (FAI) exhibit distinct seasonal variations in their impacts on LST. (5) This study establishes specific indicator thresholds to optimize thermal comfort across five functional zones; for instance, FVC should exceed 13% in spring and 31.6% in summer in residence zones to enhance comfort, while maintaining MBH above 24 m further aids temperature regulation. These findings offer a scientific foundation for mitigating urban heat waves and advancing sustainable urban development. Full article

While boreal forests constitute 30% of the Earth’s forested area and are responsible for 20% of the global carbon sink, there is considerable concern about their sustainability. This paper focuses on the role of elevated CO₂, examining whether wood volume in these forests has responded to increased CO₂ over the last 60 years. To accomplish this, we use a rich set of wood volume measurement data from the Province of Alberta, Canada, and deploy quasi-experimental techniques to determine the effect of elevated CO₂. While the few experimental studies that have examined boreal forests have found almost no effect of elevated CO₂, our results indicate that a 1.0% increase in lifetime exposure to CO₂ leads to a 1.1% increase in aboveground wood volume in these boreal forests. This study showcases the value of research designs that use natural settings to better account for the effects of prolonged exposure to elevated CO₂. Our results should enable improved delineation of the drivers of historical changes in wood volume and carbon storage in boreal forests. In addition, when combined with other studies, these results will likely aid policymakers in designing management or policy approaches that will enhance the sustainability of forests in boreal regions. Full article

Background: Computed tomography urography (CTU) is routinely used to evaluate the upper urinary tract in patients with hematuria. CTU may detect incidental findings outside the urinary tract, but it remains unclear if this adds value. This study aimed to develop a deep learning algorithm that automatically segments and selectively visualizes the urinary tract on CTU. Methods: The urinary tract (kidneys, ureters, and urinary bladder) was manually segmented on 2 mm dual-phase CTU slices of 111 subjects. With this dataset, a deep learning-based AI was trained to automatically segment and selectively visualize the urinary tract on CTU scans (including accompanying unenhanced CT scans), which we dub “focused view CTU”. Focused view CTU was technically optimized and tested in 39 subjects with hematuria. Results: The technically optimized focused view CTU algorithm provided complete visualization of 97.4% of kidneys, 80.8% of ureters, and 94.9% of urinary bladders. All urinary tract organs were completely visualized in 66.6% of cases. In these cases (excluding 33.3% of cases with incomplete visualization), focused view CTU intrinsically achieved a sensitivity, specificity, positive predictive value, and negative predictive value of 100.0%, 92.3%, 92.9%, and 100.0% for lesions in the urinary tract compared to unmodified CT, although interrater agreement was moderate (κ = 0.528). All incidental findings were successfully hidden by focused view CTU. Conclusions: Focused view CTU provides adequate urinary tract segmentation in most cases, but further research is needed to optimize the technique (segmentation does not succeed in about one-third of cases). It offers selective urinary tract visualization, potentially aiding in assessing relevance and cost-effectiveness of detecting incidental findings in hematuria patients through a prospective randomized trial. Full article

We planned a systemic review and meta-analysis to evaluate the diagnostic accuracy of Monocyte Distribution Width (MDW) in aiding the diagnosis of sepsis in the Emergency Department (ED) and Intensive Care Unit (ICU). A systematic literature search was performed in PubMed, Scopus, and OVID to retrieve studies published up to 29 January 2024. We examined results using mean difference and conducted a diagnostic test accuracy (DTA) meta-analysis using a bivariate random effects model. Pooled results showed that MDW was significantly higher in sepsis patients admitted to the ED (MD = 5.59, 95%CI: 4.14–7.05) or to the ICU (MD = 8.30, 95%CI: 2.98–13.62). Nine studies conducted in the ED were included in the DTA review. The overall sensitivity was 0.80 (95%CI: 0.75–0.85), the specificity was 0.76 (95%CI: 0.66–0.83), and the false-positive rate (FPR) was 0.24 (95%CI: 0.17–0.34). Three studies were conducted in the ICU, but only two were included in the DTA meta-analysis. Of the 662 patients admitted to the ICU, 175 developed sepsis, showing higher MDW values than non-septic patients. However, significant heterogeneity was noted among the studies. MDW is a helpful biomarker for sepsis in adult patients admitted to the ED and ICU. In the ED, MDW could aid clinicians in ruling out sepsis. Full article

Background: The majority of parotid gland tumors are benign, e.g., pleomorphic adenoma (PA) and Warthin’s tumor (WT). From a biomedical point of view, oxidative stress is of significant importance due to its established association with the initiation and progression of various types of cancer, including parotid gland cancers. This study aimed to assess whether blood prooxidant–antioxidant markers could aid in diagnosing and guiding surgery for recurrent malignancies after parotid tumor treatment. Methods: We examined patients (n = 20) diagnosed with WT (n = 14) and PA (n = 6) using histopathological verification and computed tomography (CT) who qualified for surgical treatment. Blood samples were taken before the surgery and again 10 days later for biochemical analysis. The activities of the antioxidant enzymes (SOD, CAT and GPx), the non-enzymatic antioxidants (GSH and UA) and oxidative stress markers (MDA and TOS) were determined in the blood. The activities of CK and LDH and the concentrations of Cor and TAS were measured in the serum. Hb and Ht were determined in whole blood. Results: The patients’ SOD, CAT, and GPx activities after surgery did not differ significantly from their preoperative levels. However, following surgery, their serum TOS levels were significantly elevated in all the patients compared to baseline. In contrast, the plasma MDA concentrations were markedly reduced after surgery. Similarly, the GSH concentrations showed a significant decrease postoperatively. No significant changes were observed in the CK and LDH activities, TAS concentrations, or levels of Hb, Ht and Cor following surgery. Conclusions: The surgical removal of salivary gland tumors did not result in a reduction in oxidative stress at 10 days after surgery. Therefore, further studies are needed to determine the effectiveness of endogenous defense mechanisms in counteracting the oxidative stress induced by salivary gland tumors. Full article

Porosity and roughened surfaces of implant materials have been shown to lead to improved cellular attachment and enhanced osseointegration. These topography changes in the surface also aid in the mechanical interlocking of the material to the bone. Polyetheretherketone (PEEK) has emerged as a popular alternative to titanium-based implants due to its lack of stress-shielding effect, radiolucency, and high chemical resistance. However, PEEK is bioinert, thus requiring surface modifications to elicit appropriate cellular responses that lead to successful osteointegration of the material in vivo. Sulfonation is a process used to modify the surface of PEEK, which can be controlled by varying parameters such as soak time and soak temperature, thereby fabricating a porous surface on the material. This work aimed to ensure the repeatability of a previously optimized sulfonated and hydrothermally treated PEEK surface and subsequently observe the mechanical properties, bacterial attachment, and cellular response of pre-osteoblast MC3T3-E1 cells on the surface. This study found that while all PEEK surfaces had similar cell and Staphylococcus aureus attachment, the sulfonated and hydrothermally treated PEEK (peak mean load of 605 N, p ≤ 0.0001) and the sulfonated only PEEK (peak mean load of 495 N, p = 0.0240) had a higher level of performance in expulsion testing than smooth PEEK due to its mechanical interlocking ability. Imaging and contact angle analysis confirm that a surface with repeatable porosity can be achieved. Full article

Based on our question, “Are reels/short-videos the real deal in video-based learning?” this study explores the effectiveness of short (around 2 min) video-based learning in engaging medical students from the second large medical Portuguese school. With the increasing integration of digital tools in education, video content has emerged as a dynamic method to enhance learning experiences. This cross-sectional survey was conducted by using anonymous self-administered questionnaires, prepared with reference to previous studies, and distributed to 264 informed students who voluntarily agreed to participate. This sample represented 75.5% of the students attending the classes. The questionnaires included topics related to the 65 short videos about practical classes, as well as the students’ learning preferences. The collected data were analyzed using descriptive and comparative statistics. The students considered that the content and format of the videos were adequate (99.6% and 100%, respectively). Specifically, the videos helped the students to better understand the practical classes, consolidate and retain the practical content, and simplify the study for the exams. Additionally, the videos were praised for their high-quality audiovisual content, being innovative, complete, concise, short and/or adequate, or better than other formats such as printed information. The combination of written and audiovisual support materials for teaching and studying is important and has been shown to improve students’ performance. This pedagogical methodology is well-suited for the current generation of students, aiding not only in study and exam preparation but also in remote learning. Full article

In this study, we focus on solving the nonlinear time-fractional Hirota–Satsuma coupled Korteweg–de Vries (KdV) and modified Korteweg–de Vries (MKdV) equations, using the Yang transform iterative method (YTIM). This method combines the Yang transform with a new iterative scheme to construct reliable and efficient solutions. Readers can understand the procedures clearly, since the implementation of Yang transform directly transforms fractional derivative sections into algebraic terms in the given problems. The new iterative scheme is applied to generate series solutions for the provided problems. The fractional derivatives are considered in the Caputo sense. To validate the proposed approach, two numerical examples are analysed and compared with exact solutions, as well as with the results obtained from the fractional reduced differential transform method (FRDTM) and the q-homotopy analysis transform method (q-HATM). The comparisons, presented through both tables and graphical illustrations, confirm the enhanced accuracy and reliability of the proposed method. Moreover, the effect of varying the fractional order is explored, demonstrating convergence of the solution as the order approaches an integer value. Importantly, the time-fractional Hirota–Satsuma coupled KdV and modified Korteweg–de Vries (MKdV) equations investigated in this work are not only of theoretical and computational interest but also possess significant implications for achieving global sustainability goals. Specifically, these equations contribute to the Sustainable Development Goal (SDG) “Life Below Water” by offering advanced modelling capabilities for understanding wave propagation and ocean dynamics, thus supporting marine ecosystem research and management. It is also relevant to SDG “Climate Action” as it aids in the simulation of environmental phenomena crucial to climate change analysis and mitigation. Additionally, the development and application of innovative mathematical modelling techniques align with “Industry, Innovation, and Infrastructure” promoting advanced computational tools for use in ocean engineering, environmental monitoring, and other infrastructure-related domains. Therefore, the proposed method not only advances mathematical and numerical analysis but also fosters interdisciplinary contributions toward sustainable development. Full article

Accurate diagnosis of gastrointestinal (GI) diseases typically requires invasive procedures or imaging studies that pose the risk of various post-procedural complications or involve radiation exposure. Bowel sounds (BSs), though typically described during a GI-focused physical exam, are highly inaccurate and variable, with low clinical value in diagnosis. Interpretation of the acoustic characteristics of BSs, i.e., using a phonoenterogram (PEG), may aid in diagnosing various GI conditions non-invasively. Use of artificial intelligence (AI) and improvements in computational analysis can enhance the use of PEGs in different GI diseases and lead to a non-invasive, cost-effective diagnostic modality that has not been explored before. The purpose of this work was to develop an automated AI model, You Only Listen Once (YOLO), to detect prominent bowel sounds that can enable real-time analysis for future GI disease detection and diagnosis. A total of 110 2-minute PEGs sampled at 44.1 kHz were recorded using the Eko DUO^® stethoscope from eight healthy volunteers at two locations, namely, left upper quadrant (LUQ) and right lower quadrant (RLQ) after IRB approval. The datasets were annotated by trained physicians, categorizing BSs as prominent or obscure using version 1.7 of Label Studio Software^®. Each BS recording was split up into 375 ms segments with 200 ms overlap for real-time BS detection. Each segment was binned based on whether it contained a prominent BS, resulting in a dataset of 36,149 non-prominent segments and 6435 prominent segments. Our dataset was divided into training, validation, and test sets (60/20/20% split). A 1D-CNN augmented transformer was trained to classify these segments via the input of Mel-frequency cepstral coefficients. The developed AI model achieved area under the receiver operating curve (ROC) of 0.92, accuracy of 86.6%, precision of 86.85%, and recall of 86.08%. This shows that the 1D-CNN augmented transformer with Mel-frequency cepstral coefficients achieved creditable performance metrics, signifying the YOLO model’s capability to classify prominent bowel sounds that can be further analyzed for various GI diseases. This proof-of-concept study in healthy volunteers demonstrates that automated BS detection can pave the way for developing more intuitive and efficient AI-PEG devices that can be trained and utilized to diagnose various GI conditions. To ensure the robustness and generalizability of these findings, further investigations encompassing a broader cohort, inclusive of both healthy and disease states are needed. Full article

The growing number of senior experts leaving the workforce (especially in more developed economies, such as in Europe), combined with the ubiquitous access to artificial intelligence (AI), is triggering organizations to review their knowledge transfer programs, motivated by both financial and management perspectives. Our study aims to contribute to the field by analyzing options to integrate intergenerational tacit knowledge transfer (InterGenTacitKT) with AI-driven approaches, offering a novel perspective on sustainable Knowledge and Human Resource Management in organizations. We will do this by building on previous research and by extracting findings from 36 in-depth semi-structured interviews that provided success factors for junior/senior tandems (JuSeTs) as one notable format of tacit knowledge transfer. We also refer to the literature, in a grounded theory iterative process, analyzing current findings on the use of AI in tacit knowledge transfer and triangulating and critically synthesizing these sources of data. We suggest that adding AI into a tandem situation can facilitate collaboration and thus aid in knowledge transfer and trust-building. We posit that AI can offer strong complementary services for InterGenTacitKT by fostering the identified success factors for JuSeTs (clarity of roles, complementary skill sets, matching personalities, and trust), thus offering organizations a powerful means to enhance the effectiveness and sustainability of InterGenTacitKT that also strengthens employee productivity, satisfaction, and loyalty and overall organizational competitiveness. Full article

Adhesive capsulitis is a painful and progressive condition marked by significant limitations in shoulder mobility, particularly affecting external rotation. Although magnetic resonance imaging is regarded as the reference standard for assessing intra-articular structures, its high cost and limited availability present challenges in routine clinical use. In contrast, musculoskeletal ultrasound has emerged as an accessible, real-time, and cost-effective imaging modality for both the diagnosis and treatment guidance of adhesive capsulitis. This narrative review compiles and illustrates current evidence regarding the role of ultrasound, encompassing static B-mode imaging, dynamic motion analysis, contrast-enhanced techniques, and sonoelastography. Key sonographic features—such as thickening of the coracohumeral ligament, fibrosis in the axillary recess, and abnormal tendon kinematics—have been consistently associated with adhesive capsulitis and demonstrate favorable diagnostic performance. Advanced methods like contrast-enhanced ultrasound and elastography provide additional functional insights (enabling evaluation of capsular stiffness and vascular changes) which may aid in disease staging and prediction of treatment response. Despite these advantages, the clinical utility of ultrasound remains subject to operator expertise and technical variability. Limited visualization of intra-articular structures and the absence of standardized scanning protocols continue to pose challenges. Nevertheless, ongoing advances in its technology and utility standardization hold promise for the broader application of ultrasound in clinical practice. With continued research and validation, ultrasound is positioned to play an increasingly central role in the comprehensive assessment and management of adhesive capsulitis. Full article

Climate change mitigation Official Development Assistance (ODA) primarily aims to reduce greenhouse gas (GHG) emissions in developing countries while also seeking to enhance human welfare as a fundamental goal of development aid. This study investigates whether climate mitigation ODA contributes to achieving the principles of the doughnut framework—staying within the ecological ceiling (mitigating GHG emissions) while meeting the social foundation (enhancing human development index, HDI). We analyzed data from 77 developing countries between 2010 and 2020, including subgroup analyses by income level (high-, middle-, and low-income groups), using an instrumental variable–fixed effect approach. The results show that climate change mitigation ODA significantly improved the HDI but had no impact on reducing overall GHG emissions, including fossil fuel-based and land use change and forestry-based mitigations. When disaggregated by income level, ODA was found to improve the HDI and reduce fossil fuel-based GHG emission in low-income countries; however, these effects weakened as income levels increased. Across all income groups, there was no significant reduction in GHG emissions resulting from land use change or forestry. These findings suggest that climate change mitigation ODA can yield a greater impact when prioritized for low-income countries and that current ODA strategies for addressing GHG emissions related to land use change and forestry should be reconsidered. Full article

To address multiple disturbance threats such as system anomalies and cyberattacks faced by power systems, an intelligent optimized secure filter method is developed in this paper for state estimation of power systems with the aid of the improved sparrow search algorithm–optimized unscented Kalman filter (ISSA-UKF). Firstly, the problem of insufficient robustness in noise modeling and parameter selection of the conventional unscented Kalman filter (UKF) is analyzed. Secondly, an intelligent optimization method is adopted to adaptively update the UKF’s process and measurement noise covariances in real time, and an ISSA-UKF fusion framework is constructed to improve the estimation accuracy and system response capability. Thirdly, an adaptive weight function based on disturbance observation differences is provided to strengthen the stability of the algorithm in response to abnormal measurements at edge nodes and dynamic system changes. Finally, simulation analysis under a typical power system model shows that compared with the conventional UKF method, the developed ISSA-UKF algorithm demonstrates significant improvements in estimation accuracy, robustness, and dynamic response performance and can effectively cope with non-ideal disturbances that may occur in power systems. Full article

More recently, artificial intelligence (AI)-generated content (AIGC) is fundamentally transforming multiple sectors, including materials discovery, healthcare, education, scientific research, and industrial manufacturing. As for the complexities and challenges of intelligent robot design, AIGC has the potential to offer a new paradigm, assisting in conceptual and technical design, functional module design, and the training of the perception ability to accelerate prototyping. Taking the design of an apple-harvesting robot, for example, we demonstrate a basic framework of the AIGC-assisted robot design methodology, leveraging the generation capabilities of available multimodal large language models, as well as the human intervention to alleviate AI hallucination and hidden risks. Second, we study the enhancement effect on the robot perception system using the generated apple images based on the large vision-language models to expand the actual apple images dataset. Further, an apple-harvesting robot prototype based on an AIGC-aided design is demonstrated and a pick-up experiment in a simulated scene indicates that it achieves a harvesting success rate of 92.2% and good terrain traversability with a maximum climbing angle of 32°. According to the tentative research, although not an autonomous design agent, the AIGC-driven design workflow can alleviate the significant complexities and challenges of intelligent robot design, especially for beginners or young engineers. Full article

Double-censored data are frequently encountered in pharmacological and epidemiological studies, where the failure time can only be observed within a certain range and is otherwise either left- or right-censored. In this paper, we present a Bayesian approach for analyzing double-censored survival data with crossed survival curves. We introduce a novel pseudo-quantile I-splines prior to model monotone transformations under both random and fixed censoring schemes. Additionally, we incorporate categorical heteroscedasticity using the dependent Dirichlet process (DDP), enabling the estimation of crossed survival curves. Comprehensive simulations further validate the robustness and accuracy of the method, particularly under the fixed censoring scheme, where traditional approaches may NOT be applicable. In the randomized AIDS clinical trial, by incorporating the categorical heteroscedasticity, we obtain a new finding that the effect of baseline log RNA levels is significant. The proposed framework provides a flexible and reliable tool for survival analysis, offering an alternative to parametric and semiparametric models. Full article