Search Results (13,620)

Background and Objectives: Syndactyly is a common congenital hand anomaly that may affect hand appearance, function, and psychosocial well-being. This study aimed to evaluate long-term patient-centered outcomes after congenital syndactyly reconstruction, including aesthetic, functional, and psychosocial domains. Methods: This retrospective study included 53 patients with 90 reconstructed web spaces. Aesthetic outcomes were assessed using the Withey score, functional outcomes using the QuickDASH questionnaire, and psychosocial outcomes using an exploratory patient-centered survey developed by the authors. Results: The median follow-up duration was 10 years. The median outcome scores suggested generally favorable long-term results, with a Withey score of 2, a QuickDASH score of 14, and a psychosocial survey score of 29, all within the favorable range of their respective scales. Poorer aesthetic outcomes were observed in patients with complicated syndactyly, those who underwent surgery between 1 and 5 years of age, and those who underwent multiple surgeries. Female sex was associated with poorer functional and psychosocial scores. Complicated syndactyly was associated with less favorable outcomes across all domains. The psychosocial survey demonstrated high internal consistency and significant correlations with both functional and aesthetic outcomes. Conclusions: Congenital syndactyly reconstruction was associated with generally favorable long-term patient-centered outcomes. Less favorable results were observed particularly in patients with complicated syndactyly, while age- and surgery-related associations should be interpreted cautiously because of the retrospective design. These findings support the importance of individualized counseling and long-term assessment that includes aesthetic, functional, and psychosocial dimensions. Full article

In embodied-intelligence Industrial Internet of Things (IIoT), multi-AGV intelligent warehousing requires continuous processing of latency-sensitive tasks, such as environmental perception, inventory monitoring, and anomaly detection. Due to limited onboard computing capability and energy capacity, purely local execution can hardly satisfy real-time requirements, whereas fully cloud-based processing may incur excessive transmission delay and backhaul overhead. To address this issue, this paper investigates the joint optimization of AGV service-point migration and task offloading under a cloud-edge-end collaborative architecture. Considering the impact of service-point selection on wireless access, MEC resources, movement delay, and energy consumption, as well as the effect of offloading decisions on transmission, computation, and AGV-side energy cost, a dual-time-scale optimization model is formulated to minimize the long-term accumulated system delay while satisfying task latency and AGV energy constraints. To solve the resulting mixed discrete problem, a DPSO-MAPPO algorithm is proposed, where DPSO searches service-point plans satisfying movement and conflict constraints at the slow time scale, and MAPPO learns coordinated multi-AGV offloading policies at the fast time scale. The delay and energy feedback further enables coordination between the two types of decisions. Simulation results show that the proposed algorithm converges stably, reduces system delay by 13.55% compared with benchmark algorithms, and improves total energy consumption and energy-violation control. Full article

River water quality monitoring data are often non-stationary and nonlinear and may contain occasional abnormal values. To support anomaly early warning, this study proposes an LSTM–SOA–DA framework. Water quality monitoring data for six indicators, including pH, DO, COD_Mn, NH₃-N, TP, and TN, were collected from the Bahekou section in Xi’an at 4 h intervals from 2021 to 2023 and chronologically divided into training and testing sets at an 8:2 ratio. The Seagull Optimization Algorithm (SOA) was used to optimize the L2 regularization coefficient, initial learning rate, and number of hidden units of the Long Short-Term Memory (LSTM) network, establishing an LSTM-SOA forecasting model. Compared with traditional LSTM, BP neural network, Support Vector Machine (SVM), Extreme Learning Machine (ELM), and other optimization-based LSTM models, the proposed model achieved better RMSE and R² performance, indicating improved prediction accuracy. Based on the residuals between observed and predicted values, the DA method was then used to determine indicator-specific anomaly thresholds from the residual distributions. The model identified 193 abnormal points in the test set. After manual rechecking, the Precision, Recall, and F1-score reached 87.6%, 93.9%, and 90.64%, respectively. These results suggest that the LSTM–SOA–DA framework can effectively identify abnormal fluctuations in river water quality data and support timely water environment management. Full article

Introduction: Obstructed HemiVagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome, also known as Herlyn–Werner–Wunderlich syndrome, is a rare congenital Müllerian duct anomaly, characterized by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. Symptoms typically appear shortly after menarche and include dysmenorrhea and pelvic pain. The psychological burden associated with fertility and reproductive outcomes in women with OHVIRA syndrome remains poorly investigated. Materials and methods: A 30-year-old primigravida with left renal agenesis and a history of vaginal abscess, dysmenorrhea, and chronic pelvic pain received a delayed OHVIRA syndrome diagnosis. The patient had previously been informed that spontaneous conception and an uncomplicated pregnancy were highly unlikely because of her congenital gynecological condition, resulting in significant fertility-related anxiety and psychological distress. Under careful supervision and counseling, she conceived successfully, and the pregnancy progressed without complications; an elective cesarean section was performed at term. A literature search using the PubMed and Embase databases was conducted between November 2025 to April 2026 to identify studies reporting reproductive outcomes and psychological aspects in patients diagnosed with OHVIRA syndrome and other Müllerian anomalies. Results: Evidence-based counseling contributed to improvement of quality of life and reduction of pregnancy-related anxiety of the reported patient with OHVIRA syndrome. A limited number of studies discuss the mental burden and fertility-related anxiety of patients with OHVIRA syndrome and other Müllerian anomalies. Conclusions: Spontaneous conception and uncomplicated pregnancy are possible for women with OHVIRA syndrome. The psychological burden associated with congenital gynecological conditions remains under-recognized and requires further investigation. Comprehensive counseling and interdisciplinary care are essential to improve reproductive education, mental health support, and pregnancy outcomes in patients with congenital gynecological anomalies. Full article

This study presents a multi-indicator remote sensing framework for assessing satellite-derived water-quality-related and trophic-state-related dynamics across four freshwater systems in Türkiye Egirdir Lake, Sapanca Lake, Catalan Dam, and Yuvacik Dam between the baseline (2015–2018) and recent (2023–2025) periods. Rather than providing a regulatory or use-specific satellite-based assessment of water-quality-related indicators, the study evaluates optically and thermally detectable surface water indicators derived from Sentinel-2 MSI and Landsat 8/9 imagery processed in Google Earth Engine. The Normalized Difference Chlorophyll Index (NDCI), the Normalized Difference Turbidity Index (NDTI), and land surface temperature (LST, applied to water surfaces) were used to detect change patterns through period-mean difference mapping (Δ-mask) and interannual time series analysis. Results reveal distinct spatial and temporal dynamics broadly consistent with the interplay of climatic, hydrological, and anthropogenic drivers. In the southern Mediterranean systems, positive ΔNDCI anomalies in littoral and inflow zones were associated with increasing summer LST, with Egirdir Lake exhibiting a statistically significant warming trend of +0.170 °C yr⁻¹ (Mann–Kendall τ = 0.53, p = 0.029), interpreted cautiously as a physically plausible signal consistent with regional climate trends, suggesting elevated thermally mediated eutrophication-related optical risk. In the northern Marmara systems, satellite-observed patterns were more strongly associated with anthropogenic nutrient loading and morphological constraints, with turbidity-related optical increases concentrated in western and marginal zones despite relatively stable thermal conditions. As concurrent in situ measurements were unavailable, cross-sensor consistency checks and literature-based benchmarking were applied as alternative validation strategies. Across all four systems, positive ΔNDCI anomalies were systematically concentrated in shallow marginal and inflow zones, while ΔNDTI patterns varied by system, underscoring the role of littoral dynamics as early indicators of optically detectable water-quality deterioration and trophic-state-related change. The proposed framework offers a scalable, cost-effective approach for freshwater quality surveillance in data-scarce environments and provides direct support for integrated water resource management under Türkiye’s National Water Plan (2026–2036). Full article

This study presents an intelligent framework for the analysis of multidimensional geomechanical states in underground mining systems based on numerical simulation and machine learning methods. A three-dimensional geomechanical model of the Zholymbet deposit was developed in the RS3 environment using the generalized Hoek–Brown failure criterion. Numerical simulations were performed for representative mining scenarios characterized by complex excavation interaction and stress redistribution. The modelling results were transformed into a multidimensional geomechanical dataset containing stress, deformation, displacement, and yielding parameters. Principal component analysis (PCA) was applied to investigate the internal structure of the geomechanical state space and identify dominant patterns controlling the rock mass behavior. Clustering analysis revealed several geomechanical regimes corresponding to stable, transitional, and instability-prone conditions. Isolation Forest anomaly detection demonstrated that atypical geomechanical states are not randomly distributed but spatially localized near excavation systems and mining horizons. The obtained results indicate that hazardous geomechanical conditions are governed by complex interactions between stress concentration, deformation intensity, yielding processes, and excavation geometry. The proposed approach provides a basis for intelligent interpretation of large-scale numerical modelling results and may support geomechanical risk assessment in underground mining operations. Full article

IoT devices operate as integrated systems spanning hardware, firmware/software layers, and communication layers. In operational settings, many faults and performance degradations are emergent: they arise from cross-layer interactions, workload changes, and telemetry artifacts, rather than a single physics-of-failure mechanism. These realities make traditional supervised fault classification difficult because labeled fault data are rarely available during deployment, and the fault surface is unknown and a priori. This paper presents a practitioner-oriented, label-free fault detection and diagnosis (FDD) pattern based on Dynamic Time Warping (DTW) for rapid implementation in production IoT telemetry. The method represents a device as a sequence of overlapping episodes and organizes telemetry into interpretable layers (hardware sensors, communication health proxies, and software/firmware-derived KPIs). A reference library of regular episodes is built from an assumed-healthy training window; new episodes are scored using constrained DTW distances against this library, while retaining per-layer and per-channel contributions for attribution. We show that production performance depends strongly on operational parameterization, including episode length, DTW constraints, robust threshold learning, and temporal validation. Within a verified-healthy evaluation window, the tuned configuration achieves an AUROC of 0.97 for the temporally structured faults DTW is suited to (bias, drift, and interaction faults, with spikes detected at an AUROC of 0.93), detecting 100% of injected faults, with a mean delay under 25 min. We further show that constant-value (stuck-at) and missing-data (dropout) faults fall outside DTW’s shape-matching scope (AUROC about 0.66) and are better served by complementary variance- and missingness-based detectors, a consequence of DTW’s shape-matching scope rather than a parameter choice. This work contributes a system-level methodological framework for deploying DTW as an IoT fault-detection-and-diagnosis capability: an episode-and-layer architecture aligned with hardware, communication, and software/firmware ownership; a label-free reference library requiring only assumed-healthy data; per-layer and per-channel attribution for cross-domain triage; and a reproducible operational tuning procedure. Together, these deliver a fast-to-deploy, scalable, and accurate first-line detector for label-scarce IoT systems. Full article

Industrial control systems (ICSs) are cyber–physical environments in which physical process data and network communication data are generated simultaneously. Existing studies have mainly focused on either sensor-based or network-based anomaly detection, making it difficult to capture diverse attack indicators and motivating the use of multimodal methods that can leverage complementary information from both modalities. In this paper, we propose an unsupervised multimodal anomaly detection framework for ICSs that jointly uses sensor and network modalities. For each modality, autoencoder-based single-modality models are trained in an unsupervised manner, and their anomaly scores and latent feature vectors are extracted. These outputs are temporally aligned to construct a time-aligned multimodal table, which is then used to implement and compare two fusion strategies: anomaly score fusion and latent feature fusion. In latent feature fusion, aligned modality-specific latent features are combined with canonical correlation analysis (CCA)-derived cross-modal correlation features. The experimental results showed that latent feature fusion achieved stable performance across multiple sensor–network encoder combinations. In particular, the gated recurrent unit–convolutional neural network (GRU–CNN) combination achieved the best F1-score of 0.9166 and ROC-AUC of 0.9795. In addition, the complementarity analysis showed that latent feature fusion recovered some missed detections by integrating complementary sensor and network evidence. These results demonstrate that latent feature fusion is an effective multimodal strategy for ICS anomaly detection. Full article

Power systems continuously generate large-scale load time series data for forecasting, consumption analysis, and equipment health monitoring. However, real-world load measurements are often contaminated by anomalies caused by sensor faults, communication errors, and abnormal consumption behaviors, which may degrade data quality and affect operational decision-making. To address this issue, this paper proposes an integrated anomaly detection framework named PEL, which combines Prophet-based seasonal-trend decomposition, ensemble empirical mode decomposition (EEMD), and a multilayer long short-term memory (LSTM) network. Prophet is first employed to decompose the original series into trend, seasonal, holiday, and residual components. Sample entropy analysis and white noise tests are then adopted to evaluate whether the residual component still contains complex structured information requiring secondary decomposition. Next, EEMD is applied to the residual component to extract multi-scale intrinsic mode functions. Finally, all decomposed components are normalized and fed into a multilayer LSTM model for anomaly detection. Experiments on a real-world power load dataset demonstrate that the proposed PEL framework achieves an accuracy of 99.92%, a precision of 97.33%, a recall of 100%, an F1-score of 98.65%, and an AUC of 0.9996, outperforming or matching several baseline and hybrid models. Full article

The growing complexity of software-defined automotive systems generates massive heterogeneous sensor and ECU data during real and virtual validation, and conventional rule-based analysis of such multivariate time series struggles under dynamic operating conditions, noise, and diverse fault scenarios. Deep learning-based anomaly detection has shown promising performance, yet existing approaches remain limited by static thresholds, insufficient robustness, and reduced interpretability. This study proposes an adaptive framework for intelligent fault detection in test recordings of automotive software systems (ASSs), integrating deep denoising autoencoders (DAEs), adaptive Gaussian thresholding, and explainable artificial intelligence (XAI) techniques. Four DAE architectures (ANN-, RNN-, GRU-, and LSTM-DAE) are systematically evaluated under different noise levels, system versions, and fault conditions, with detection thresholds that adapt dynamically to the statistical behavior of the reconstructed signals, thereby reducing false alarms under varying operating conditions. The framework was evaluated using real-world test recordings from IAV and Hardware-in-the-Loop (HIL)-based digital test drives, where ANN-DAE achieved the most robust detection performance, with F1-scores of 93.91% and 96.39% on the real and virtual test-drive data, respectively. Furthermore, the integration of XAI improved the transparency of anomaly interpretation at the signal level. Overall, the proposed framework shows strong potential for intelligent anomaly detection and quality assurance in safety-critical automotive systems. Full article

Accurate and robust detection of leaf diseases is a key enabler for precision agriculture and large-scale crop health monitoring. Despite the strong generalization of modern one-stage detectors (e.g., YOLOv8), two domain-specific challenges remain: (i) weak or blurry lesion boundaries hinder precise localization, and (ii) low color contrast between diseased and healthy tissues forces models to rely on subtle texture patterns rather than salient shapes. To tackle these challenges, we reframe the core agricultural disease detection task as the identification of “asymmetric morphological anomalies” and propose a domain-tailored enhancement framework. First, we introduce an Edge Enhancement Module (EEM) that explicitly strengthens boundary-aware representations. Inspired by the natural symmetry of healthy leaves, our EEM is specifically designed to capture symmetry-breaking boundary discontinuities and localized asymmetric edges caused by disease lesions. Our method enhances edge and texture cues that are indicative of disease lesions, which often exhibit local asymmetries and boundary discontinuities. The EEM includes a Differential Normalized Pooling Block (DNPB) that highlights edge responses through discrepancies between max pooling and average pooling, which also models cross-group edge correlations. Second, the Lightweight Texture-Sensitive Feature Enhancement (LTSFE) mechanism amplifies texture-discriminative channels under low-contrast conditions by leveraging complementary global statistics and efficient channel mixing, all with negligible computational overhead. We evaluated our method on a self-constructed dataset of 106,434 images with 225,640 annotations covering diverse crops. Experiments show that the proposed method achieves state-of-the-art accuracy (81.54% mAP@0.5:0.95) while maintaining real-time inference (142 FPS), consistently outperforming strong baselines. Ablations confirm the effectiveness and complementarity of EEM and LTSFE, demonstrating that domain-specific architectural design, inspired by biological symmetry, can substantially improve agricultural vision systems. Full article

The Terziali is a shear-hosted orogenic gold prospect located in the Central Anatolian Crystalline Complex, Türkiye. This study focuses on soil geochemistry, element correlations, background and threshold values, and evaluates exploration implications over a survey area of 35.5 km². A total of 1826 soil samples were collected from the B horizon using a grid of 100 × 50 m and were analyzed using ICP-AES, ICP-MS, and fire assay techniques. Statistical techniques of median + 2MAD threshold calculations, descriptive statistics, Kolmogorov–Smirnov tests, correlation analysis, hierarchical clustering, and Q–Q plots were carried out to identify geochemical anomalies. The data demonstrate Au threshold (28 ppb) and peak concentration (460 ppb), non-normal distributions characterized by strong positive skewness, revealing the outliers linked to mineralization. Soil geochemistry indicates a moderate association between Au and As in the four-acid dataset (r = 0.465), although the correlations between Au and Sb and Ag and W are relatively weak. The spatial analysis indicates that Au anomalies are predominantly linked to the NW–SE-oriented Demirli Thrust Fault. As displays extensive dispersion halos surrounding the gold anomalies; it establishes itself as an efficient pathfinder element. Conversely, Sb and W exhibit unique anomaly patterns, whereas Ag patterns are weak and dispersed. The Terziali prospect provides a substantial geochemical framework for identifying structurally controlled orogenic gold systems in Central Anatolia and the western Tethyan metallogenic belt. Full article

Oil and gas pipelines are critical infrastructures that require continuous and reliable monitoring to detect leaks, pressure anomalies, corrosion, and unauthorized activities. Wireless sensor networks (WSNs) have emerged as an effective solution for large-scale pipeline monitoring due to their low deployment cost and real-time sensing capabilities. However, the resource-constrained nature of sensor nodes and the open wireless communication environment expose pipeline monitoring systems to various routing attacks, for example, blackhole, sinkhole, selective forwarding, and false data injection attacks, while simultaneously demanding strict energy efficiency to prolong network lifetime. In this paper, we propose SEER-PM (Secure and Energy-Efficient Routing for Pipeline Monitoring): a novel protocol that integrates an Artificial neural network (ANN)-based trust mechanism with energy-aware routing metrics. SEER-PM dynamically evaluates node trustworthiness based on packet forwarding behavior, residual energy, and signal consistency. By training the ANN on historical behavioral data, the system accurately detects malicious nodes with high precision. Simulation results demonstrate that SEER-PM outperforms existing secure routing protocols (Sec-AODV and T-LEACH) in terms of packet delivery ratio (PDR) by 14%, detection rate by 9.5%, and network lifetime by 12% under heavy attack scenarios. The proposed protocol enhances the reliability, security, and sustainability of pipeline monitoring WSNs operating in harsh and remote environments. Full article

With the widespread adoption of intelligent terminals, edge devices, and distributed information systems in the financial domain, financial security sensing data exhibit multisource heterogeneity, dynamic temporal patterns, and high privacy sensitivity. Traditional centralized anomaly detection methods are no longer able to simultaneously satisfy the requirements of cross-institutional or cross-node collaborative modeling, client data privacy protection, and robust monitoring of transaction and system anomalies. To address this challenge, a data-local federated deep anomaly detection framework has been proposed for distributed financial security sensing systems. Initially, a local deep financial security sensing representation module is constructed to perform temporal encoding and attention-based modeling on multisource financial signals, including terminal operation status, network transaction communication, backend server operation, identity authentication, and anomaly alerts, thereby extracting representations relevant to anomalous behaviors. Subsequently, a data-local federated optimization and personalized aggregation mechanism is developed to enable cross-node knowledge sharing without transmitting raw transaction or client data, while local personalized detection heads are employed to adapt to non-independent and identically distributed (non-IID) financial institution data. Furthermore, an adversarially robust security detection and trust-aware aggregation strategy is introduced to enhance model stability under input noise, feature masking, anomaly camouflage, and potential malicious client updates. Experimental results demonstrate that the proposed method achieves an Accuracy of $92.37\%$, a Precision of $89.41\%$, a Recall of $88.26\%$, an F1-score of $88.83\%$, an AUC of $93.06\%$, and a PR-AUC of $89.15\%$ in the primary financial anomaly detection task, significantly outperforming baseline methods such as Isolation Forest, Autoencoder, LSTM, Transformer, FedAvg, FedProx, SCAFFOLD, and MOON. In robustness experiments, the method attains F1-scores of $87.95\%$, $86.42\%$, $86.88\%$, $84.57\%$, $86.73\%$, and $83.91\%$ under Gaussian noise, feature masking, temporal shift, adversarial perturbation, and $20\%$ and $30\%$ malicious client scenarios, respectively. Ablation studies further confirm the effectiveness of local representation learning, personalized federated optimization, adversarial training, and trust-aware aggregation mechanisms. Overall, the proposed approach provides an efficient intelligent anomaly detection solution for financial AI security monitoring scenarios characterized by data localization requirements, node heterogeneity, and attack perturbations. Full article

Background/Objectives: The trajectory of influenza hospitalization burden from pre-COVID-19 pandemic baseline through post-pandemic recovery remains poorly characterized at the national level. This study characterized phase-stratified burden and seasonal structure, quantified racial and ethnic disparities, and assessed whether post-pandemic seasons represent anomalous departures from pre-pandemic expectations. Methods: Sixteen complete seasons of FluSurv-NET surveillance data (2009–2010 through 2024–2025; 509 observation weeks) were analyzed across pre-pandemic, disruption, and recovery phases using OLS regression with effect-size estimation, bootstrapped age-adjusted rate ratios, seasonal-trend decomposition (STL), Prophet time-series forecasting, and Isolation Forest anomaly detection. Results: Mean peak weekly hospitalization rate nearly doubled from pre-pandemic to recovery (5.1 to 11.1 per 100,000), cumulative seasonal burden increased from 46.3 to 87.0 per 100,000, and median peak timing advanced from MMWR week 9 to week 50. STL decomposition revealed a marked shift from weak pre-pandemic seasonality (Fs = 0.14) to substantially stronger annual regularity (Fs = 0.98) across three recovery seasons, with threefold amplitude increase. Non-Hispanic Black persons had rate ratios of 1.72, 2.16, and 1.99 relative to White persons across phases; American Indian and Alaska Native persons showed the highest disruption-phase ratio (2.24, 95% CI 1.90–3.53), based on two contributing seasons. A flat-growth Prophet model detected first exceedance in February 2020, outperforming a linear-growth specification on held-out validation. Isolation Forest identified 2017–2018, 2023–2024, and 2024–2025 as robust anomalies across all contamination thresholds. Conclusions: Post-COVID-19 pandemic influenza recovery is characterized by intensified and restructured seasonality, persistent racial and ethnic disparities, and anomalous burden exceeding pre-pandemic projections, identified independently by time-series forecasting and unsupervised anomaly detection. Full article