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38 pages, 3784 KiB  
Article
Comparative Analysis of the Effects of Contact and Online Biology Teaching
by Ines Radanović, Slavica Šimić Šašić and Mirela Sertić Perić
Educ. Sci. 2025, 15(8), 1000; https://doi.org/10.3390/educsci15081000 - 5 Aug 2025
Abstract
This study investigates the effectiveness of contact and online biology teaching by assessing student performance and gathering perceptions from students, teachers, and parents. Conducted in autumn 2021 with 3035 students, 124 biology teachers, and 719 parents, this study combined post-instruction assessments of student [...] Read more.
This study investigates the effectiveness of contact and online biology teaching by assessing student performance and gathering perceptions from students, teachers, and parents. Conducted in autumn 2021 with 3035 students, 124 biology teachers, and 719 parents, this study combined post-instruction assessments of student performance in knowledge reproduction and conceptual understanding with questionnaires examining perceptions of contact and online biology teaching effectiveness across students, teachers, and parents. To investigate how various teaching-related factors influence perceived understanding of biological content, we applied a CHAID-based decision tree model to questionnaire responses from students, teachers, and parents. Results indicated that students value engaging, flexible instruction, sufficient time to complete tasks and support for independent thinking. Teachers emphasized their satisfaction with teaching and efforts to support student understanding. In contact lessons, students preferred problem-solving, teacher guidance, and a stimulating environment. In online learning, they preferred low-stress, interesting lessons with room for independent work. Parents emphasized satisfaction with their child’s learning and the importance of a focused, stimulating environment. This comparative analysis highlights the need for student-centered, research-based biology teaching in both formats, supported by teachers and delivered in a motivating environment. The results offer practical insights for improving biology instruction in different teaching modalities. Full article
(This article belongs to the Section STEM Education)
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19 pages, 4045 KiB  
Article
Response Surface Optimization Design for High-Speed Ball Bearing Double-Lip Seals Considering Wear Characteristics
by Hengdi Wang, Yulu Yue, Yongcun Cui, Lina Lou and Chang Li
Lubricants 2025, 13(8), 343; https://doi.org/10.3390/lubricants13080343 - 1 Aug 2025
Viewed by 219
Abstract
This paper focuses on the sealing failure problem of double-lip seal rings for high-speed ball bearings used in unmanned aerial vehicles. By using ANSYS 2023R1 software, a thermal–stress–wear coupled finite element model was established. Taking the contact pressure and volume loss due to [...] Read more.
This paper focuses on the sealing failure problem of double-lip seal rings for high-speed ball bearings used in unmanned aerial vehicles. By using ANSYS 2023R1 software, a thermal–stress–wear coupled finite element model was established. Taking the contact pressure and volume loss due to wear as indicators to evaluate sealing performance, this study analyzed the influence of lip seal structural parameters on sealing performance, performed response surface optimization of the seal structure parameters and conducted a comparative test on lip seals before and after optimization. The research results show that the contact pressure at the main lip of the lip seal was the greatest, which was 0.79 MPa, and the volume loss due to wear lip seal was 7.94 × 10−7 mm3. Optimal sealing performance is achieved when the seal lip inclination angle is 41.68°, the middle width of the lip seal is 0.153 mm, the main lip height is 0.179 mm, the spring center distance is 0.37 mm and the radial interference is 0.0034 mm. After optimization, the grease leakage rate of the sealing ring decreased by 48% compared to before optimization. Full article
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16 pages, 1134 KiB  
Article
Neural Correlates of Loudness Coding in Two Types of Cochlear Implants—A Model Study
by Ilja M. Venema, Savine S. M. Martens, Randy K. Kalkman, Jeroen J. Briaire and Johan H. M. Frijns
Technologies 2025, 13(8), 331; https://doi.org/10.3390/technologies13080331 - 1 Aug 2025
Viewed by 217
Abstract
Many speech coding strategies have been developed over the years, but comparing them has been convoluted due to the difficulty in disentangling brand-specific and patient-specific factors from strategy-specific factors that contribute to speech understanding. Here, we present a comparison with a ‘virtual’ patient, [...] Read more.
Many speech coding strategies have been developed over the years, but comparing them has been convoluted due to the difficulty in disentangling brand-specific and patient-specific factors from strategy-specific factors that contribute to speech understanding. Here, we present a comparison with a ‘virtual’ patient, by comparing two strategies from two different manufacturers, Advanced Combination Encoder (ACE) versus HiResolution Fidelity 120 (F120), running on two different implant systems in a computational model with the same anatomy and neural properties. We fitted both strategies to an expected T-level and C- or M-level based on the spike rate for each electrode contact’s allocated frequency (center electrode frequency) of the respective array. This paper highlights neural and electrical differences due to brand-specific characteristics such as pulse rate/channel, recruitment of adjacent electrodes, and presence of subthreshold pulses or interphase gaps. These differences lead to considerably different recruitment patterns of nerve fibers, while achieving the same total spike rates, i.e., loudness percepts. Also, loudness growth curves differ significantly between brands. The model is able to demonstrate considerable electrical and neural differences in the way loudness growth is achieved in CIs from different manufacturers. Full article
(This article belongs to the Special Issue The Challenges and Prospects in Cochlear Implantation)
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13 pages, 692 KiB  
Article
Contrast Sensitivity Comparison of Daily Simultaneous-Vision Center-Near Multifocal Contact Lenses: A Pilot Study
by David P. Piñero, Ainhoa Molina-Martín, Elena Martínez-Plaza, Kevin J. Mena-Guevara, Violeta Gómez-Vicente and Dolores de Fez
Vision 2025, 9(3), 67; https://doi.org/10.3390/vision9030067 - 1 Aug 2025
Viewed by 169
Abstract
Our purpose is to evaluate the binocular contrast sensitivity function (CSF) in a presbyopic population and compare the results obtained with four different simultaneous-vision center-near multifocal contact lens (MCL) designs for distance vision under two illumination conditions. Additionally, chromatic CSF (red-green and blue-yellow) [...] Read more.
Our purpose is to evaluate the binocular contrast sensitivity function (CSF) in a presbyopic population and compare the results obtained with four different simultaneous-vision center-near multifocal contact lens (MCL) designs for distance vision under two illumination conditions. Additionally, chromatic CSF (red-green and blue-yellow) was evaluated. A randomized crossover pilot study was conducted. Four daily disposable lens designs, based on simultaneous-vision and center-near correction, were compared. The achromatic contrast sensitivity function (CSF) was measured binocularly using the CSV1000e test under two lighting conditions: room light on and off. Chromatic CSF was measured using the OptoPad-CSF test. Comparison of achromatic results with room lighting showed a statistically significant difference only for 3 cpd (p = 0.03) between the baseline visit (with spectacles) and all MCLs. Comparison of achromatic results without room lighting showed no statistically significant differences between the baseline and all MCLs for any spatial frequency (p > 0.05 in all cases). Comparison of CSF-T results showed a statistically significant difference only for 4 cpd (p = 0.002). Comparison of CSF-D results showed no statistically significant difference for all frequencies (p > 0.05 in all cases). The MCL designs analyzed provided satisfactory achromatic contrast sensitivity results for distance vision, similar to those obtained with spectacles, with no remarkable differences between designs. Chromatic contrast sensitivity for the red-green and blue-yellow mechanisms revealed some differences from the baseline that should be further investigated in future studies. Full article
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12 pages, 697 KiB  
Article
Together TO-CARE: A Novel Tool for Measuring Caregiver Involvement and Parental Relational Engagement
by Anna Insalaco, Natascia Bertoncelli, Luca Bedetti, Anna Cinzia Cosimo, Alessandra Boncompagni, Federica Cipolli, Alberto Berardi and Licia Lugli
Children 2025, 12(8), 1007; https://doi.org/10.3390/children12081007 - 31 Jul 2025
Viewed by 200
Abstract
Background: Preterm infants and their families face a challenging experience during their stay in the neonatal intensive care unit (NICU). Family-centered care emphasizes the importance of welcoming parents, involving them in their baby’s daily care, and supporting the development of parenting skills. NICU [...] Read more.
Background: Preterm infants and their families face a challenging experience during their stay in the neonatal intensive care unit (NICU). Family-centered care emphasizes the importance of welcoming parents, involving them in their baby’s daily care, and supporting the development of parenting skills. NICU staff should support parents in understanding their baby’s needs and in strengthening the parent–infant bond. Although many tools outline what parents should learn, there is a limited structured framework to monitor their involvement in the infant’s care. Tracking parental participation in daily caregiving activities could support professionals in effectively guiding families, ensuring a smoother transition to discharge. Aims: The aim of this study was to evaluate the adherence to and effectiveness of a structured tool for parental involvement in the NICU. This tool serves several key purposes: to track the progression and timing of parents’ autonomy in caring for their baby, to support parents in building caregiving competencies before discharge, and to standardize the approach of NICU professionals in promoting both infant care and family engagement. Methods: A structured template form for documenting parental involvement (“together TO-CARE template”, TTCT) was integrated into the computerized chart adopted in the NICU of Modena. Nurses were asked to complete the TTCT at each shift. The template included the following assessment items: parental presence; type of contact with the baby (touch; voice; skin-to-skin); parental involvement in care activities (diaper changing; gavage feeding; bottle feeding; breast feeding); and level of autonomy in care (observer; supported by nurse; autonomous). We evaluated TTCT uploaded data for very low birth weight (VLBW) preterm infants admitted in the Modena NICU between 1 January 2023 and 31 December 2024. Staff compliance in filling out the TTCT was assessed. The timing at which parents achieved autonomy in different care tasks was also measured. Results: The TTCT was completed with an average of one entry per day, during the NICU stay. Parents reached full autonomy in diaper changing at a mean of 21.1 ± 15.3 days and in bottle feeding at a mean of 48.0 ± 22.4 days after admission. The mean length of hospitalization was 53 ± 38 days. Conclusions: The adoption of the TTCT in the NICU is feasible and should become a central component of care for preterm infants. It promotes family-centered care by addressing the needs of both the baby and the family. Encouraging early and progressive parental involvement enhances parenting skills, builds confidence, and may help reduce post-discharge complications and readmissions. Furthermore, the use of a standardized template aims to foster consistency among NICU staff, reduce disparities in care delivery, and strengthen the support provided to families of preterm infants. Full article
(This article belongs to the Section Pediatric Neonatology)
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29 pages, 10070 KiB  
Article
The Influence of MoS2 Coatings on the Subsurface Stress Distribution in Bearing Raceways
by Bing Su, Chunhao Lu and Zeyu Gong
Lubricants 2025, 13(8), 336; https://doi.org/10.3390/lubricants13080336 - 30 Jul 2025
Viewed by 296
Abstract
Many low-temperature applications, such as rocket engines and liquefied natural gas (LNG) transport pumps, necessitate ultra-low-temperature operational environments. In these conditions, the properties of lubricating oils and greases are significantly influenced by temperature, leading to the widespread adoption of solid lubrication. Currently, there [...] Read more.
Many low-temperature applications, such as rocket engines and liquefied natural gas (LNG) transport pumps, necessitate ultra-low-temperature operational environments. In these conditions, the properties of lubricating oils and greases are significantly influenced by temperature, leading to the widespread adoption of solid lubrication. Currently, there is no international research regarding the influence of bearing coatings on the subsurface stress distribution in raceways. The Lundberg–Palmgren (L-P) theory states that subsurface stress variations govern bearing lifespan. Therefore, this paper utilizes existing formulas and Python programming to calculate the subsurface stress field of the inner raceway in a MoS2 solid-lubricated angular contact ball bearing. Furthermore, it analyzes the impacts of factors such as coating material properties, slide-to-roll ratio, traction coefficient, and load on its subsurface stress field. The results reveal that for solid-lubricated ball bearings, as the load increases, the maximum subsurface stress shifts closer to the center of the contact area, and the maximum subsurface shear stress becomes more concentrated. As the traction coefficient increases, the stress on the XZ-plane side increases and its position moves closer to the surface, while the opposite trend is observed on the other side. Additionally, the maximum value of the subsurface von Mises stress is approximately 0.64P0, and the maximum value of the orthogonal shear stress component τyz in the subsurface is approximately 0.25P0. Full article
(This article belongs to the Special Issue Tribological Characteristics of Bearing System, 3rd Edition)
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20 pages, 3903 KiB  
Article
Void Detection of Airport Concrete Pavement Slabs Based on Vibration Response Under Moving Load
by Xiang Wang, Ziliang Ma, Xing Hu, Xinyuan Cao and Qiao Dong
Sensors 2025, 25(15), 4703; https://doi.org/10.3390/s25154703 - 30 Jul 2025
Viewed by 247
Abstract
This study proposes a vibration-based approach for detecting and quantifying sub-slab corner voids in airport cement concrete pavement. Scaled down slab models were constructed and subjected to controlled moving load simulations. Acceleration signals were collected and analyzed to extract time–frequency domain features, including [...] Read more.
This study proposes a vibration-based approach for detecting and quantifying sub-slab corner voids in airport cement concrete pavement. Scaled down slab models were constructed and subjected to controlled moving load simulations. Acceleration signals were collected and analyzed to extract time–frequency domain features, including power spectral density (PSD), skewness, and frequency center. A finite element model incorporating contact and nonlinear constitutive relationships was established to simulate structural response under different void conditions. Based on the simulated dataset, a random forest (RF) model was developed to estimate void size using selected spectral energy indicators and geometric parameters. The results revealed that the RF model achieved strong predictive performance, with a high correlation between key features and void characteristics. This work demonstrates the feasibility of integrating simulation analysis, signal feature extraction, and machine learning to support intelligent diagnostics of concrete pavement health. Full article
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14 pages, 4627 KiB  
Article
A Numerical Study on the Influence of an Asymmetric Arc on Arc Parameter Distribution in High-Current Vacuum Arcs
by Zaiqin Zhang, Yue Bu, Chuang Wang, Qingqing Gao and Chi Chen
Energies 2025, 18(15), 4025; https://doi.org/10.3390/en18154025 - 29 Jul 2025
Viewed by 189
Abstract
During high-current vacuum arcing, asymmetric arcing with off-center plasma columns may occur due to stochastic discharge initiation and mechanical motion, receiving less research attention than symmetric arcing. The objective of this paper is to numerically analyze the influence law of asymmetric arc ignition [...] Read more.
During high-current vacuum arcing, asymmetric arcing with off-center plasma columns may occur due to stochastic discharge initiation and mechanical motion, receiving less research attention than symmetric arcing. The objective of this paper is to numerically analyze the influence law of asymmetric arc ignition on arc parameters. For 60 mm diameter contacts, three arc conditions of symmetric arcing, 33% arc offset, and 67% arc offset were modeled. The results show that the arc offset causes asymmetry in the arc’s distribution. For 33% offset, the pressure and number density on the side away from the root of the arc is about 50% of root values, while these parameters fall below 20% for the 67% offset. Simultaneously, arc offset elevates peak parameter values: under 33% offset, maxima for ion pressure, ion density, ion temperature, electron temperature, and current density rise 12%, 11%, 6%, 6%, and 14% versus symmetric arcing; during 67% offset, these escalate significantly to 67%, 61%, 12%, 18%, and 47%. This study contributes to providing reference for the analysis of vacuum interruption processes under asymmetric arcing conditions. Full article
(This article belongs to the Special Issue Simulation and Analysis of Electrical Power Systems)
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14 pages, 623 KiB  
Article
Forest- and Nature-Based Recreation for Older Adults: Preferences, Well-Being, and the Need for Inclusive Planning
by Yaara Spiegel, Noga Collins-Kreiner and Eran Ketter
Forests 2025, 16(8), 1213; https://doi.org/10.3390/f16081213 - 23 Jul 2025
Viewed by 350
Abstract
This study provides user-centered insights into how inclusive forest design can support the physical, emotional, and social well-being of older adults. It operationalizes universal design principles in natural settings and confirms their relevance through empirical evidence. With the acceleration of global population aging, [...] Read more.
This study provides user-centered insights into how inclusive forest design can support the physical, emotional, and social well-being of older adults. It operationalizes universal design principles in natural settings and confirms their relevance through empirical evidence. With the acceleration of global population aging, adapting forest recreation environments to meet the specific needs of older adults is increasingly urgent. This study investigates how infrastructure influences both participation and emotional well-being among older visitors to forest recreation areas. Data were collected from 446 participants aged 65 and older, using a structured survey distributed through in-person contact and digital snowball sampling. Participants reported their infrastructure preferences and their emotional responses related to forest visits. The findings show that older adults highly value site cleanliness, shaded seating, accessible restrooms, and clear signage. Expectations varied significantly according to health status, age group, and visitation frequency. Emotional well-being was positively associated with both comfort and visit frequency. These results demonstrate how inclusive infrastructure plays a vital role in supporting older adults’ access to and enjoyment of forest environments. The study affirms that universally designed forests not only reduce barriers but also promote psychological health and active aging, contributing to developing more equitable and sustainable nature-based recreation areas. Full article
(This article belongs to the Special Issue The Sustainable Use of Forests in Tourism and Recreation)
39 pages, 714 KiB  
Review
Exploring the Evolving Role of Pharmaceutical Services in Community Pharmacies: Insights from the USA, England, and Portugal
by M. Luísa G. Cunha Leal, Ana Rita Rodrigues, Victoria Bell and Mário Forrester
Healthcare 2025, 13(15), 1786; https://doi.org/10.3390/healthcare13151786 - 23 Jul 2025
Viewed by 547
Abstract
Chronic diseases are a leading cause of death worldwide and have a significant negative impact on public health, overall well-being, national economies, and the long-term sustainability of already burdened health systems. In addressing some of the current health challenges, the contribution of pharmacists [...] Read more.
Chronic diseases are a leading cause of death worldwide and have a significant negative impact on public health, overall well-being, national economies, and the long-term sustainability of already burdened health systems. In addressing some of the current health challenges, the contribution of pharmacists and community pharmacies is of particular significance. Pharmacists play a vital role in the medication use process, enhancing the efficacy of pharmacological interventions and facilitating the delivery of health services. Community pharmacies occupy a key position within the healthcare system, acting as a primary point of contact with the public and frequently representing the most accessible healthcare facility for patients. In recent times, community pharmacies have undergone a process of adaptation, shifting from a narrow focus on the dispensing of medications towards a more comprehensive approach that is patient-centered and incorporates a range of healthcare services, while also prioritizing the quality of the services provided. This work aims to explore the role of pharmacists in the provision of pharmaceutical services in three countries with distinct healthcare systems, examining how these services operate, the requirements for their delivery, the associated remuneration structures, and the extent of out-of-pocket costs for patients—ultimately analyzing their impact on health outcomes. Full article
18 pages, 2268 KiB  
Article
Effects of a Novel Mechanical Vibration Technology on the Internal Stress Distribution and Macrostructure of Continuously Cast Billets
by Shuai Liu, Jianliang Zhang, Hui Zhang and Minglin Wang
Metals 2025, 15(7), 794; https://doi.org/10.3390/met15070794 - 14 Jul 2025
Viewed by 262
Abstract
In this paper, a new mechanical vibration technology applied to continuous casting production is studied, which is used to break the dendrite at the solidification front, expand the equiaxed dendrite zone, and improve the center quality of the billet. The exciting force of [...] Read more.
In this paper, a new mechanical vibration technology applied to continuous casting production is studied, which is used to break the dendrite at the solidification front, expand the equiaxed dendrite zone, and improve the center quality of the billet. The exciting force of this vibration technology is provided by a new type of vibration equipment (Vibration roll) independently developed and designed. Firstly, an investigation is conducted into the impacts of vibration acceleration, vibration frequency, and the contact area between the Vibration roll (VR) and the billet surface on the internal stress distribution within the billet shell, respectively. Secondly, the billet with and without vibration treatment was sampled and analyzed through industrial tests. The results show that the area ratio of equiaxed dendrites in transverse specimens treated with vibration technology was 11.96%, compared to 6.55% in untreated specimens. Similarly, for longitudinal samples, the linear ratio of equiaxed dendrites was observed to be 34.56% in treated samples and 22.95% in untreated samples. Compared to the specimens without mechanical vibration, the billet treated with mechanical vibration exhibits an increase in the area ratio and linear ratio of equiaxed dendrite ratio by 5.41% and 11.61%, respectively. Moreover, the probability of bridging at the end of solidification of the billet treated by vibration technology was significantly reduced, and the central porosity and shrinkage cavities of the billet were significantly improved. This study provides the first definitive evidence that the novel mechanical vibration technology can enhance the quality of the billet during the continuous casting process. Full article
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16 pages, 3138 KiB  
Article
Analysis of Vibration Characteristics of Angular Contact Ball Bearings in Aviation Engines Under Changing Conditions
by Yanfang Dong, Zibo Yan, Jianyong Sun, Wei Yu, Hai Zhang, Wenbo Zhou and Jihao Jin
Aerospace 2025, 12(7), 623; https://doi.org/10.3390/aerospace12070623 - 11 Jul 2025
Viewed by 319
Abstract
This paper addresses the vibration characteristics of angular contact ball bearings in aircraft engines under variable load conditions. Based on multibody dynamics theory, a dynamic model of the bearing was established. Vibration data under actual operating conditions were obtained using an experimental test [...] Read more.
This paper addresses the vibration characteristics of angular contact ball bearings in aircraft engines under variable load conditions. Based on multibody dynamics theory, a dynamic model of the bearing was established. Vibration data under actual operating conditions were obtained using an experimental test platform. This study systematically investigated the influence of rotational speed, axial load, and radial load on the vibration acceleration level of the bearing outer ring. Through a comparison of simulation and experimental data (with an error rate below 10%), the reliability of the model was validated. The results indicate that the bearing vibration acceleration level exhibits a nonlinear increasing relationship with rotational speed. An increase in radial load significantly amplifies the amplitude of acceleration-level fluctuations, while appropriately increasing axial load can reduce bearing vibration intensity. Under variable load coupling conditions, the dynamic interaction between axial and radial forces results in complex nonlinear vibration responses, with a 2 s acceleration time achieving the optimal balance between vibration suppression and efficiency (steady-state average of 70.4 dB). Additionally, the morphological characteristics of the cage center-of-gravity trajectory (such as trajectory disorder and poor smoothness) are closely related to vibration characteristics, revealing the critical role of dynamic load changes in bearing stability. The research results provide a theoretical basis for optimizing the operating conditions, vibration control, and reliability design of aircraft engine bearings. Full article
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17 pages, 980 KiB  
Article
Non-Contact Current Measurement Method Based on Field-Source Inversion for DC Rectangular Busbars
by Qishuai Liang, Zhongchen Xia, Jiang Ye, Yufeng Wu, Jie Li, Zhao Zhang, Xiaohu Liu and Shisong Li
Energies 2025, 18(14), 3606; https://doi.org/10.3390/en18143606 - 8 Jul 2025
Viewed by 271
Abstract
With the widespread application of DC technology in data centers, renewable energy, electric transportation, and high-voltage direct current (HVDC) transmission, DC rectangular busbars are becoming increasingly important in power transmission systems due to their high current density and compact structure. However, space constraints [...] Read more.
With the widespread application of DC technology in data centers, renewable energy, electric transportation, and high-voltage direct current (HVDC) transmission, DC rectangular busbars are becoming increasingly important in power transmission systems due to their high current density and compact structure. However, space constraints make the deployment of conventional sensors challenging, highlighting the urgent need for miniaturized, non-contact current measurement technologies to meet the integration requirements of smart distribution systems. This paper proposes a field-source inversion-based contactless DC measurement method for rectangular busbars. The mathematical model of the magnetic field near the surface of the DC rectangular busbar is first established, incorporating the busbar eccentricity, rotation, and geomagnetic interference into the model framework. Subsequently, a magnetic field–current inversion model is constructed, and the DC measurement of the rectangular busbar is achieved by performing an inverse calculation. The effectiveness of the proposed method is validated by both simulation studies and physical experiments. Full article
(This article belongs to the Special Issue Electrical Equipment State Measurement and Intelligent Calculation)
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9 pages, 1212 KiB  
Article
20-Year Efficacy of Endoscopic Thoracic Sympathectomy for Primary Hyperhidrosis: A Cohort Study
by Anna Ureña, Leandro Grando, Lluisa Rodriguez-Gussinyer, Ivan Macía, Francisco Rivas, Nestor Iván Quiroga, Camilo Moreno, Xavier Michavilla and Ricard Ramos
J. Clin. Med. 2025, 14(14), 4831; https://doi.org/10.3390/jcm14144831 - 8 Jul 2025
Viewed by 468
Abstract
Background: Primary focal hyperhidrosis, characterized by excessive sweating primarily affecting the hands and axillae, can significantly impact quality of life. Bilateral thoracic sympathectomy is the gold standard treatment, providing permanent resolution of palmar hyperhidrosis. Most studies evaluating outcomes and patient satisfaction after sympathectomy [...] Read more.
Background: Primary focal hyperhidrosis, characterized by excessive sweating primarily affecting the hands and axillae, can significantly impact quality of life. Bilateral thoracic sympathectomy is the gold standard treatment, providing permanent resolution of palmar hyperhidrosis. Most studies evaluating outcomes and patient satisfaction after sympathectomy focus on short- to medium-term follow-up, typically up to 5 years. This study aimed to assess anxiety, satisfaction, and sweat redistribution 20 years after bilateral endoscopic thoracic sympathectomy. Methods: Between January 2002 and December 2003, 106 patients with primary hyperhidrosis underwent bilateral endoscopic thoracic sympathectomy targeting ganglia T2–T3 at our center. The patients were contacted via telephone in 2023 and asked to complete the same survey they had filled out preoperatively and 12 months postoperatively. The survey evaluated sweat redistribution, anxiety, hyperhidrosis-related symptoms, and satisfaction. Anxiety, satisfaction, and perceived sweating were rated using a 5-point visual analog scale (VAS) ranging from 0 (unsatisfied/no symptoms) to 4 (very satisfied/severe symptoms). Results: Of the 106 eligible patients, 24 (22.6%) completed the survey. Most reported persistent anhidrosis (palmar or palmar–axillary) 20 years post-surgery. The survey results remained consistent with those at the 1-year follow-up. Significant sweat redistribution to the abdomen and back was observed. Patient satisfaction remained high, with no significant differences between the 1-year and 20-year assessments. Anxiety significantly decreased compared to preoperative levels (p < 0.001). Conclusions: Bilateral endoscopic thoracic sympathectomy is an effective long-term treatment for reducing excessive sweating. Patient satisfaction remains high over time, despite the persistence of compensatory sweating. Full article
(This article belongs to the Special Issue Thoracic Surgery: Current Challenges and Future Perspectives)
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28 pages, 4733 KiB  
Article
The Margin of Stability During a Single-Turn Pirouette in Female Amateur Dancers: A Pilot Study
by Annalisa Dykstra, Ashley Kooistra, Nicole Merucci, David W. Zeitler and Gordon Alderink
Appl. Sci. 2025, 15(13), 7519; https://doi.org/10.3390/app15137519 - 4 Jul 2025
Viewed by 301
Abstract
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine [...] Read more.
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine the MoS as a metric of balance during a single-turn en dehors pirouette in healthy female amateur ballet dancers. Four participants performed pirouettes until five successful pirouettes were achieved without hopping or loss of balance. Three-dimensional motion capture was used to record the motion trajectories of anatomical markers based on the Plug-in-Gait and Oxford Foot models. Motion synchronized with ground reaction forces was used to calculate the center of pressure (CoP), base of support (BoS), center of the pivot foot, center of mass (CoM), and extrapolated center of mass (XCoM) throughout the turn phase, using laboratory (LCS) and virtual left foot (LFT) coordinate systems. In the LCS and LFT coordinate system, the excursions and patterns of motion of both the CoM and XCoM relative to the CoP were similar, suggesting a neurological relationship. Two different measures of the margin of stability (MoS) in the LFT coordinate system were tabulated: the distance between the (1) XCoM and CoP and (2) XCoM and BoS center. The magnitude of both versions of the MoS was greatest at turn initiation and toe-touch, which was associated with two foot contacts. The MoS values were at a minimum approximately 50% of the stance during the turn phase: close to zero along the anteroposterior (A/P) axis and approximately 50 mm along the mediolateral (M/L) axis. On average, MoS magnitudes were reduced (mean across participants: approximately 20 mm) along the A/P axis, and larger MoS magnitudes (mean across participants: approximately 50 mm) along the M/L axis throughout the turn phase. Although all turns analyzed were completed successfully, the larger MoS values along the M/L axis suggest a fall potential. The variability between trials within a dancer and across participants and trials was documented and showed moderate inter-trial (16% to 51%) and across-participant CV% (range: 10% to 28%), with generally larger variations along the A/P axis. Although our results are preliminary, they suggest that the MoS may be useful for detecting faults in the control of dynamic balance in dehors pirouette performance, as a part of training and rehabilitation following injury. Full article
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