Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (398)

Search Parameters:
Keywords = cumulated ranks

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
30 pages, 3188 KiB  
Article
A Multimodal Bone Stick Matching Approach Based on Large-Scale Pre-Trained Models and Dynamic Cross-Modal Feature Fusion
by Tao Fan, Huiqin Wang, Ke Wang, Rui Liu and Zhan Wang
Appl. Sci. 2025, 15(15), 8681; https://doi.org/10.3390/app15158681 (registering DOI) - 5 Aug 2025
Abstract
Among the approximately 60,000 bone stick fragments unearthed from the Weiyang Palace site of the Han Dynasty, about 57,000 bear inscriptions. Most of these fragments exhibit vertical fractures, leading to a separation between the upper and lower fragments, which poses significant challenges to [...] Read more.
Among the approximately 60,000 bone stick fragments unearthed from the Weiyang Palace site of the Han Dynasty, about 57,000 bear inscriptions. Most of these fragments exhibit vertical fractures, leading to a separation between the upper and lower fragments, which poses significant challenges to digital preservation and artifact restoration. Manual matching is inefficient and may cause further damage to the bone sticks. This paper proposes a novel multimodal bone stick matching approach that integrates image, inscription, and archeological information to enhance the accuracy and efficiency of matching fragmented bone stick artifacts. Unlike traditional methods that rely solely on image data, our method leverages large-scale pre-trained models, namely Vision-RWKV for visual feature extraction, RWKV for inscription analysis, and BERT for archeological metadata encoding. A dynamic cross-modal feature fusion mechanism is introduced to effectively combine these features, enabling better interaction and weighting based on the contextual relevance of each modality. This approach significantly improves matching performance, particularly in challenging cases involving fractures, corrosion, and missing sections. The novelty of this method lies in its ability to simultaneously extract and fuse multiple sources of information, addressing the limitations of traditional image-based matching methods. This paper uses Rank-N and Cumulative Match Characteristic (CMC) curves as evaluation metrics. Experimental evaluation shows that the matching accuracy reaches 94.73% at Rank-15, and the method performs significantly better than the comparative methods on the CMC evaluation curve, demonstrating outstanding performance. Overall, this approach significantly enhances the efficiency and accuracy of bone stick artifact matching, providing robust technical support for the research and restoration of bone stick cultural heritage. Full article
Show Figures

Figure 1

13 pages, 3512 KiB  
Article
Cumulative Risk for Periprosthetic Fracture and Operative Treatment Options After Revision Total Hip Arthroplasty with a Modular and Tapered Revision Device—A Consecutive Series of 117 Cases in a Mid-Term Duration
by Oliver E. Bischel, Matthias K. Jung, Max Pilgrim, Arnold J. Höppchen, Paul M. Böhm and Jörn B. Seeger
J. Clin. Med. 2025, 14(15), 5321; https://doi.org/10.3390/jcm14155321 - 28 Jul 2025
Viewed by 280
Abstract
Background: Implantation of modularly built-up stems with a tapered and fluted design is currently state of the art in revision total hip arthroplasty (RTHA). Nevertheless, implant-specific major complications like breakage of taper junctions as well as periprosthetic fractures (PPFs) may lead to failure [...] Read more.
Background: Implantation of modularly built-up stems with a tapered and fluted design is currently state of the art in revision total hip arthroplasty (RTHA). Nevertheless, implant-specific major complications like breakage of taper junctions as well as periprosthetic fractures (PPFs) may lead to failure of reconstruction during follow-up. Methods: A cohort of 117 cases receiving femoral RTHA by a modular stem was investigated retrospectively with a mean follow-up of 5.7 (0.5–13.7) years. Cumulative risk and potential factors affecting the occurrence of PPFs were calculated with the Kaplan–Meier method. In addition, cases were presented to discuss operative treatment options. Results: A cumulative risk of PPF of 12.1% (95% CI: 0–24.6%) was calculated at 13.7 years. Female patients had significantly higher risk compared to male patients (0% after 13.5 years for male patients vs. 20.8% (95% CI: 0.5–41.2%) after 13.7 years for female patients; log-rank p = 0.0438) as all five patients sustaining a PPF during follow-up were women. Four fractures were treated by open reduction and internal fixation. Non-union and collapse of the fracture occurred in one patient after closed reduction and internal fixation. Conclusions: Postoperative PPF after femoral revision with a modular stem has shown to be a frequent complication within this mid-term follow-up. Female patients were at a significantly higher risk in this aged cohort, indicating osteoporosis as a risk factor. The surgical treatment of PPF with an integrated long-stemmed prosthesis is challenging and thorough considerations of adequate operative treatment of PPFs are strongly advised in order to limit complication rates. Full article
Show Figures

Figure 1

19 pages, 3117 KiB  
Article
Feasibility and Accuracy of a Dual-Function AR-Guided System for PSI Positioning and Osteotomy Execution in Pelvic Tumour Surgery: A Cadaveric Study
by Tanya Fernández-Fernández, Javier Orozco-Martínez, Carla de Gregorio-Bermejo, Elena Aguilera-Jiménez, Amaia Iribar-Zabala, Lydia Mediavilla-Santos, Javier Pascau, Mónica García-Sevilla, Rubén Pérez-Mañanes and José Antonio Calvo-Haro
Bioengineering 2025, 12(8), 810; https://doi.org/10.3390/bioengineering12080810 - 28 Jul 2025
Viewed by 299
Abstract
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) [...] Read more.
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) system for intraoperative guidance in PSI positioning and osteotomy execution using a head-mounted display (HMD). The system provides dual-function support by assisting both PSI placement and osteotomy execution. Methods: Ten fresh-frozen cadaveric hemipelves underwent AR-assisted internal hemipelvectomy, using customized 3D-printed PSIs and a new in-house AR software integrated into an HMD. Angular and translational deviations between planned and executed osteotomies were measured using postoperative CT analysis. Absolute angular errors were computed from plane normals; translational deviation was assessed as maximum error at the osteotomy corner point in both sagittal (pitch) and coronal (roll) planes. A Wilcoxon signed-rank test and Bland–Altman plots were used to assess intra-workflow cumulative error. Results: The mean absolute angular deviation was 5.11 ± 1.43°, with 86.66% of osteotomies within acceptable thresholds. Maximum pitch and roll deviations were 4.53 ± 1.32 mm and 2.79 ± 0.72 mm, respectively, with 93.33% and 100% of osteotomies meeting translational accuracy criteria. Wilcoxon analysis showed significantly lower angular error when comparing final executed planes to intermediate AR-displayed planes (p < 0.05), supporting improved PSI positioning accuracy with AR guidance. Surgeons rated the system highly (mean satisfaction ≥ 4.0) for usability and clinical utility. Conclusions: This cadaveric study confirms the feasibility and precision of an HMD-based AR system for PSI-guided pelvic osteotomies. The system demonstrated strong accuracy and high surgeon acceptance, highlighting its potential for clinical adoption in complex oncologic procedures. Full article
Show Figures

Figure 1

31 pages, 4964 KiB  
Article
Conventional vs. Photoselective Nets: Impacts on Tree Physiology, Yield, Fruit Quality and Sunburn in “Gala” Apples Grown in Mediterranean Climate
by Sandra Afonso, Marta Gonçalves, Margarida Rodrigues, Francisco Martinho, Verónica Amado, Sidónio Rodrigues and Miguel Leão de Sousa
Agronomy 2025, 15(8), 1812; https://doi.org/10.3390/agronomy15081812 - 26 Jul 2025
Viewed by 1038
Abstract
The impact of five different nets—conventional black, grey, white, and photoselective red and yellow—on the performance of “Gala Redlum” apples was evaluated over a five-year period (2020–2024) and compared to an uncovered control. The cumulative production over this period, ranked from highest to [...] Read more.
The impact of five different nets—conventional black, grey, white, and photoselective red and yellow—on the performance of “Gala Redlum” apples was evaluated over a five-year period (2020–2024) and compared to an uncovered control. The cumulative production over this period, ranked from highest to lowest, was as follows: white net (182.4 t/ha), grey net (178.5 t/ha), yellow net (175.8 t/ha), black net (175.5 t/ha), red net (169.5 t/ha), and uncovered control (138.8 t/ha). Vegetative growth results were inconsistent among the studied years. The cumulative photosynthetic rate (An) was slightly higher under the white net (57.9 µmol m−2 s−1). Fv/Fm values remained closest to optimal levels under the black and grey nets. Netting effectively protected fruits from elevated temperatures, particularly under the grey net, and reduced sunburn damage, with the grey, black, and yellow nets performing best in this regard. Overall profitability was increased by netting: the black net provided the highest cumulative income per hectare over a five-year period (EUR 72,315) alongside the second-lowest sunburn loss (0.69%), while the yellow net also showed strong economic performance (€64,742) with a moderate sunburn loss (1.26%) compared to the red net. Fruit dry matter and soluble solids content (SSC) were generally higher in the uncovered control, whereas °Hue values tended to be higher under the red and yellow nets. In summary, the black and yellow nets provided more balanced microclimatic conditions that enhanced tree performance, particularly under heat stress, leading to improved yield and profitability. However, the economic feasibility of each net type should be evaluated in relation to its installation and maintenance costs. Full article
Show Figures

Figure 1

16 pages, 2247 KiB  
Article
Feasibility of Hypotension Prediction Index-Guided Monitoring for Epidural Labor Analgesia: A Randomized Controlled Trial
by Okechukwu Aloziem, Hsing-Hua Sylvia Lin, Kourtney Kelly, Alexandra Nicholas, Ryan C. Romeo, C. Tyler Smith, Ximiao Yu and Grace Lim
J. Clin. Med. 2025, 14(14), 5037; https://doi.org/10.3390/jcm14145037 - 16 Jul 2025
Viewed by 473
Abstract
Background: Hypotension following epidural labor analgesia (ELA) is its most common complication, affecting approximately 20% of patients and posing risks to both maternal and fetal health. As digital tools and predictive analytics increasingly shape perioperative and obstetric anesthesia practices, real-world implementation data are [...] Read more.
Background: Hypotension following epidural labor analgesia (ELA) is its most common complication, affecting approximately 20% of patients and posing risks to both maternal and fetal health. As digital tools and predictive analytics increasingly shape perioperative and obstetric anesthesia practices, real-world implementation data are needed to guide their integration into clinical care. Current monitoring practices rely on intermittent non-invasive blood pressure (NIBP) measurements, which may delay recognition and treatment of hypotension. The Hypotension Prediction Index (HPI) algorithm uses continuous arterial waveform monitoring to predict hypotension for potentially earlier intervention. This clinical trial evaluated the feasibility, acceptability, and efficacy of continuous HPI-guided treatment in reducing time-to-treatment for ELA-associated hypotension and improving maternal hemodynamics. Methods: This was a prospective randomized controlled trial design involving healthy pregnant individuals receiving ELA. Participants were randomized into two groups: Group CM (conventional monitoring with NIBP) and Group HPI (continuous noninvasive blood pressure monitoring). In Group HPI, hypotension treatment was guided by HPI output; in Group CM, treatment was based on NIBP readings. Feasibility, appropriateness, and acceptability outcomes were assessed among subjects and their bedside nurse using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) instruments. The primary efficacy outcome was time-to-treatment of hypotension, defined as the duration between onset of hypotension and administration of a vasopressor or fluid therapy. This outcome was chosen to evaluate the clinical responsiveness enabled by HPI monitoring. Hypotension is defined as a mean arterial pressure (MAP) < 65 mmHg for more than 1 min in Group CM and an HPI threshold < 75 for more than 1 min in Group HPI. Secondary outcomes included total time in hypotension, vasopressor doses, and hemodynamic parameters. Results: There were 30 patients (Group HPI, n = 16; Group CM, n = 14) included in the final analysis. Subjects and clinicians alike rated the acceptability, appropriateness, and feasibility of the continuous monitoring device highly, with median scores ≥ 4 across all domains, indicating favorable perceptions of the intervention. The cumulative probability of time-to-treatment of hypotension was lower by 75 min after ELA initiation in Group HPI (65%) than Group CM (71%), although this difference was not statistically significant (log-rank p = 0.66). Mixed models indicated trends that Group HPI had higher cardiac output (β = 0.58, 95% confidence interval −0.18 to 1.34, p = 0.13) and lower systemic vascular resistance (β = −97.22, 95% confidence interval −200.84 to 6.40, p = 0.07) throughout the monitoring period. No differences were found in total vasopressor use or intravenous fluid administration. Conclusions: Continuous monitoring and precision hypotension treatment is feasible, appropriate, and acceptable to both patients and clinicians in a labor and delivery setting. These hypothesis-generating results support that HPI-guided treatment may be associated with hemodynamic trends that warrant further investigation to determine definitive efficacy in labor analgesia contexts. Full article
(This article belongs to the Section Anesthesiology)
Show Figures

Graphical abstract

16 pages, 576 KiB  
Article
The Prognostic Potential of Insulin-like Growth Factor-Binding Protein 1 for Cardiovascular Complications in Peripheral Artery Disease
by Ben Li, Farah Shaikh, Houssam Younes, Batool Abuhalimeh, Abdelrahman Zamzam, Rawand Abdin and Mohammad Qadura
J. Cardiovasc. Dev. Dis. 2025, 12(7), 253; https://doi.org/10.3390/jcdd12070253 - 1 Jul 2025
Viewed by 418
Abstract
Background/Objectives: Patients with peripheral artery disease (PAD) have a heightened risk of major adverse cardiovascular events (MACE), including myocardial infarction, stroke, and death. Despite this, limited progress has been made in identifying reliable biomarkers to prognosticate such outcomes. Circulating growth factors, known to [...] Read more.
Background/Objectives: Patients with peripheral artery disease (PAD) have a heightened risk of major adverse cardiovascular events (MACE), including myocardial infarction, stroke, and death. Despite this, limited progress has been made in identifying reliable biomarkers to prognosticate such outcomes. Circulating growth factors, known to influence endothelial function and the progression of atherosclerosis, may hold prognostic value in this context. The objective of this research was to evaluate a broad range of blood-based growth factors to investigate their potential as predictors of MACE in patients diagnosed with PAD. Methods: A total of 465 patients with PAD were enrolled in a prospective cohort study. Baseline plasma levels of five different growth factors were measured, and participants were monitored over a two-year period. The primary outcome was the occurrence of MACE within those two years. Comparative analysis of protein levels between patients who did and did not experience MACE was performed using the Mann–Whitney U test. To assess the individual prognostic significance of each protein for predicting MACE within two years, Cox proportional hazards regression was performed, adjusting for clinical and demographic factors including a history of coronary and cerebrovascular disease. Subgroup analysis was performed to assess the prognostic value of these proteins in females, who may be at higher risk of PAD-related adverse events. Net reclassification improvement (NRI), integrated discrimination improvement (IDI), and area under the receiver operating characteristic curve (AUROC) were calculated to assess the added value of significant biomarkers to model performance for predicting 2-year MACE when compared to using demographic/clinical features alone. Kaplan–Meier curves stratified by IGFBP-1 tertiles compared using log-rank tests and Cox proportional hazards analysis were used to assess 2-year MACE risk trajectory based on plasma protein levels. Results: The average participant age was 71 years (SD 10); 31.1% were female and 47.2% had diabetes. By the end of the two-year follow-up, 18.1% (n = 84) had experienced MACE. Of all proteins studied, only insulin-like growth factor-binding protein 1 (IGFBP-1) showed a significant elevation among patients who suffered MACE versus those who remained event-free (20.66 [SD 3.91] vs. 13.94 [SD 3.80] pg/mL; p = 0.012). IGFBP-1 remained a significant independent predictor of 2-year MACE occurrence in the multivariable Cox analysis (adjusted hazard ratio [HR] 1.57, 95% CI 1.21–1.97; p = 0.012). Subgroup analyses revealed that IGFBP-1 was significantly associated with 2-year MACE occurrence in both females (adjusted HR 1.52, 95% CI 1.16–1.97; p = 0.015) and males (adjusted HR 1.04, 95% CI 1.02–1.22; p = 0.045). Incorporating IGFBP-1 into the clinical risk prediction model significantly enhanced its predictive performance, with an increase in the AUROC from 0.73 (95% CI 0.71–0.75) to 0.79 (95% CI 0.77–0.81; p = 0.01), an NRI of 0.21 (95% CI 0.07–0.36; p = 0.014), and an IDI of 0.041 (95% CI 0.015–0.066; p = 0.008), highlighting the prognostic value of IGFBP-1. Kaplan–Meier analysis showed an increase in the cumulative incidence of 2-year MACE across IGFBP-1 tertiles. Patients in the highest IGFBP-1 tertile experienced a significantly higher event rate compared to those in the lowest tertile (log-rank p = 0.008). In the Cox proportional hazards analysis, the highest tertile of IGFBP-1 was associated with increased 2-year MACE risk compared to the lowest tertile (adjusted HR 1.81; 95% CI: 1.31–2.65; p = 0.001). Conclusions: Among the growth factors analyzed, IGFBP-1 emerged as the sole biomarker independently linked to the development of MACE over a two-year span in both female and male PAD patients. The addition of IGFBP-1 to clinical features significantly improved model predictive performance for 2-year MACE. Measuring IGFBP-1 levels may enhance risk stratification and guide the intensity of therapeutic interventions and referrals to cardiovascular specialists, ultimately supporting more personalized and effective management strategies for patients with PAD to reduce systemic vascular risk. Full article
(This article belongs to the Section Cardiovascular Clinical Research)
Show Figures

Figure 1

19 pages, 17113 KiB  
Article
Effectiveness of Nitrification Inhibitor in Reducing N2O Emissions Depends on Soil Acidification Mitigation in Acid Soils
by Jing Wang, Qiao Huang, Debang Yu, Yuxuan Zhang, Yves Uwiragiye, Nyumah Fallah, Meiqi Chen and Yi Cheng
Agronomy 2025, 15(7), 1536; https://doi.org/10.3390/agronomy15071536 - 25 Jun 2025
Viewed by 395
Abstract
The addition of alkaline amendments is considered an important strategy to alleviate soil acidification, with profound impacts on soil nitrogen (N) transformations such as nitrification as well as greenhouse gas (GHG) nitrous oxide (N2O) emissions. Nitrification inhibitors (NIs) have been widely [...] Read more.
The addition of alkaline amendments is considered an important strategy to alleviate soil acidification, with profound impacts on soil nitrogen (N) transformations such as nitrification as well as greenhouse gas (GHG) nitrous oxide (N2O) emissions. Nitrification inhibitors (NIs) have been widely recognized to effectively mitigate N2O emissions by depressing the nitrification process. However, the effectiveness of NIs on N2O emissions reduction under different alkaline amendments remains largely unknown, hindering our knowledge of the optimal soil acidification mitigation strategies. In this study, the effects of NIs in combination with different alkaline amendments on N2O emissions were assessed on typical acid soils collected from four sites during a 28-day aerobic incubation experiment. Treatments included four alkaline amendments (quicklime, chicken manure, cow dung, biochar) and no amendment control, designated as CaO, CM, CD, BC, and CK, combined with a typical NI (3,4 dimethylpyrazole phosphate, DMPP) applied at 2 mg soil kg−1 or non-NI applied, respectively. Both individual amendments and their combination with DMPP significantly elevated the soil pH by 4.9–64.2% compared with the CK treatment, with the effectiveness ranking as CaO > CM ≈ CD > BC. Cumulative N2O emissions were stimulated by the individual application of CaO, CM, and CD but were reduced by BC application compared with the CK treatment. Changes in N2O emissions were positively correlated with the responses of the net N mineralization and nitrification rates to individual amendments, which were regulated by changes in the soil pH. The suppressive effects of NI combined with individual amendments on N2O emissions were significant in the CaO treatment with a reduction ranging from 3.3% to 60.2%, which was attributed to decreased abundances of ammonia-oxidizing bacteria (AOB). Therefore, we concluded that the combined application of CaO and DMPP could be considered as a suitable mitigation strategy for addressing soil acidification through optimized N management. Additionally, BC can serve as a supplementary practice to simultaneously improve soil fertility. These insights are crucial for developing integrated fertilization management strategies to mitigate soil acidification with low N loss risks. Full article
(This article belongs to the Section Soil and Plant Nutrition)
Show Figures

Graphical abstract

17 pages, 911 KiB  
Article
FMEA Risk Assessment Method for Aircraft Power Supply System Based on Probabilistic Language-TOPSIS
by Zicheng Xiao, Zhibo Shi and Jie Bai
Aerospace 2025, 12(6), 548; https://doi.org/10.3390/aerospace12060548 - 16 Jun 2025
Viewed by 381
Abstract
The failure mode and effect analysis (FMEA) method, which estimates the risk levels of systems or components solely based on the multiplication of simple risk rating indices, faces several limitations. These include the risk of inaccurate risk level judgment and the potential for [...] Read more.
The failure mode and effect analysis (FMEA) method, which estimates the risk levels of systems or components solely based on the multiplication of simple risk rating indices, faces several limitations. These include the risk of inaccurate risk level judgment and the potential for misjudgments due to human factors, both of which pose significant threats to the safe operation of aircraft. Therefore, a Probabilistic Language based on a cumulative prospect theory (Probabilistic Language, PL) risk assessment strategy was proposed, combining the technique for order preference with similarity to an ideal solution (TOPSIS). The probabilistic language term value and probability value were fused in the method through the cumulative prospect theory, and a new PL measure function was introduced. The comprehensive weights of evaluation strategies were determined by calculating the relevant weights of various indicators through the subjective expert weight and objective entropy weight synthesis. So, a weighted decision matrix was constructed to determine the ranking order close to the ideal scheme. Finally, the risk level of each failure mode was ranked according to its close degree to the ideal situation. Through case validation, the consistency of risk ranking was improved by 23.95% compared to the traditional FMEA method. The rationality of weight allocation was increased by 18.2%. Robustness was also enhanced to some extent. Compared with the traditional FMEA method, the proposed method has better rationality, application, and effectiveness. It can provide technical support for formulating a new generation of airworthiness documents for the risk level assessment of civil aircraft and its subsystem components. Full article
(This article belongs to the Section Aeronautics)
Show Figures

Figure 1

17 pages, 892 KiB  
Article
Four vs. Six Implant Full-Arch Restorations—A Direct Comparative Retrospective Analysis in a Large Controlled Treatment Cohort
by João Manuel Mendez Caramês, Helena Cristina Oliveira Francisco, Filipe Araújo Vieira, Gonçalo Bártolo Caramês, Jorge Nuno do Rosário Martins and Duarte Nuno da Silva Marques
J. Clin. Med. 2025, 14(12), 4237; https://doi.org/10.3390/jcm14124237 - 14 Jun 2025
Viewed by 604
Abstract
Background: The potential impact of the number of implants (four vs. six) on the implant survival of implant-supported fixed complete dentures (IFCDs) remains inconclusive and subject to ongoing debate. This study compared the implant survival of immediately loaded four vs. six IFCDs, delivered [...] Read more.
Background: The potential impact of the number of implants (four vs. six) on the implant survival of implant-supported fixed complete dentures (IFCDs) remains inconclusive and subject to ongoing debate. This study compared the implant survival of immediately loaded four vs. six IFCDs, delivered using a patient-centered systematic treatment plan, in a large patient cohort assessed with consistent diagnostic methodology and comprehensive longitudinal follow-up. Methods: This retrospective study included records of 943 patients receiving 5989 implants with an average follow-up of 5.0 ± 3.2 (range 0–17) years delivered using a systematic clinical decision support system (CDSS) based on a defined alveolar atrophy classification (CC). Implant survival was analyzed considering predictor variables comprising treatment and anatomic and systemic health-related factors at the overall, maxillary, and mandibular levels using Kaplan–Meier analysis, log-rank tests, and single-predictor and multilevel Cox proportional hazard analysis derived from causal direct acyclic graph methodologies. Results: The 2- and 5-year cumulative survival rates (CSRs) of four and six IFCDs were comparable (2-year: 98.6% vs. 98.4%, p = 0.362; 5-year: 98.8%, 98.7% p = 0.346). The differences between four and six IFCDs were more pronounced at the maxillary levels, specifically after 2 years (97.7% vs. 98.6% p = 0.084), and at the mandibular level after 5 years (98.6% vs. 99.4%, p = 0.136.). Multilevel Cox proportional hazard models at overall and jaw levels adjusted for confounding factors indicated that implant loss was correlated to jaw type and age at overall and age alone at the mandibular level. Alveolar atrophy (CC) defined within the adopted CDSS was not robustly associated with implant loss. Conclusions: Under the guidance of a systematically applied patient-centered CDSS, four and six IFCDs demonstrated high and comparable mid-to-long-term implant survival rates irrespective of the level of analysis or statistical model used to adjust for confounding factors. Prosthetic and technical complications were not evaluated and were, therefore, beyond the scope of this study. Full article
(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
Show Figures

Figure 1

16 pages, 899 KiB  
Article
Comparison of Quadratus Lumborum Block and Rectus Sheath Block for Postoperative Analgesia in Single-Port Laparoscopic Adnexal Surgery: A Randomized Controlled Trial
by Dongju Kim, Seunguk Bang, Jihyun Chung, Youngin Lee, Hyun-Jung Shin and Yoonji Park
Medicina 2025, 61(6), 1084; https://doi.org/10.3390/medicina61061084 - 13 Jun 2025
Viewed by 611
Abstract
Background and Objectives: Regional anesthesia is a key component of multimodal analgesia following minimally invasive gynecologic surgery. However, single-port laparoscopic adnexal surgery differs anatomically and physiologically from multiport or open approaches, particularly in terms of incision site, tissue handling, and pain characteristics. [...] Read more.
Background and Objectives: Regional anesthesia is a key component of multimodal analgesia following minimally invasive gynecologic surgery. However, single-port laparoscopic adnexal surgery differs anatomically and physiologically from multiport or open approaches, particularly in terms of incision site, tissue handling, and pain characteristics. Despite its increasing use, evidence supporting procedure-specific regional analgesic protocols for this approach remains limited. This study aimed to compare the analgesic efficacy of quadratus lumborum block (QLB) and rectus sheath block (RSB) in this surgical context. Materials and Methods: In this randomized controlled trial, 68 patients undergoing single-port laparoscopic adnexal surgery were randomly assigned to receive either QLB or RSB at the end of surgery. Four patients were excluded due to missing patient-controlled analgesia (PCA) data, resulting in 64 patients analyzed (QLB group: n = 32; RSB group: n = 32). The primary outcome was cumulative opioid consumption over the first 24 postoperative hours. Secondary outcomes included interval-based opioid consumption, time to first PCA bolus, postoperative pain scores, and incidence of postoperative nausea and vomiting (PONV). Results: The RSB group demonstrated significantly lower cumulative opioid consumption at 24 h postoperatively (132.9 [61.3, 338.4] µg vs. 453.0 [253.1, 811.0] µg, p < 0.001). This trend persisted across most postoperative time points up to 48 h. Interval-based opioid consumption was also lower in the RSB group during 0–24 h and 32–48 h intervals (each comparison p < 0.05). The time to first PCA bolus was significantly longer in the RSB group (56.5 [41.0, 340.3] minutes vs. 40.5 [33.3, 68.8] minutes; p = 0.014), and Kaplan–Meier analysis confirmed a delayed first bolus request in the RSB group (log-rank p = 0.007). Pain scores and postoperative nausea and vomiting incidence were comparable between groups. Conclusions: Compared with QLB, RSB provided similar pain relief with significantly lower opioid consumption following single-port laparoscopic adnexal surgery. These findings highlight the potential advantages of RSB in enhancing analgesic efficiency and support the development of procedure-specific regional analgesia protocols tailored to this surgical approach. Full article
(This article belongs to the Special Issue Regional and Local Anesthesia for Enhancing Recovery After Surgery)
Show Figures

Figure 1

20 pages, 7297 KiB  
Article
Predicting Landing Position Deviation in Low-Visibility and Windy Environment Using Pilots’ Eye Movement Features
by Xiuyi Li, Yue Zhou, Weiwei Zhao, Chuanyun Fu, Zhuocheng Huang, Nianqian Li and Haibo Xu
Aerospace 2025, 12(6), 523; https://doi.org/10.3390/aerospace12060523 - 10 Jun 2025
Viewed by 401
Abstract
Eye movement features of pilots are critical for aircraft landing, especially in low-visibility and windy conditions. This study conducts simulated flight experiments concerning aircraft approach and landing under three low-visibility and windy conditions, including no-wind, crosswind, and tailwind. This research collects 30 participants’ [...] Read more.
Eye movement features of pilots are critical for aircraft landing, especially in low-visibility and windy conditions. This study conducts simulated flight experiments concerning aircraft approach and landing under three low-visibility and windy conditions, including no-wind, crosswind, and tailwind. This research collects 30 participants’ eye movement data after descending from the instrument approach to the visual approach and measures the landing position deviation. Then, a random forest method is used to rank eye movement features and sequentially construct feature sets by feature importance. Two machine learning models (SVR and RF) and four deep learning models (GRU, LSTM, CNN-GRU, and CNN-LSTM) are trained with these feature sets to predict the landing position deviation. The results show that the cumulative fixation duration on the heading indicator, altimeter, air-speed indicator, and external scenery is vital for landing position deviation under no-wind conditions. The attention allocation required by approaches under crosswind and tailwind conditions is more complex. According to the MAE metric, CNN-LSTM has the best prediction performance and stability under no-wind conditions, while CNN-GRU is better for crosswind and tailwind cases. RF also performs well as per the RMSE metric, as it is suitable for predicting landing position errors of outliers. Full article
(This article belongs to the Topic AI-Enhanced Techniques for Air Traffic Management)
Show Figures

Figure 1

20 pages, 680 KiB  
Article
Effect of Mixed Lactic Acid Bacteria on Silage Quality and In Vitro Digestibility of 16 Oat Forage Varieties in Qinghai–Tibet Plateau
by Xueer Zhao, Xinyang Li, Haiping Li, Xiaowei Hu, Dawa Quzhen, Xiangba Lamu, Zhifeng Jia, Yang Ji, Yanling Huang, Qingping Zhou and Hao Guan
Agronomy 2025, 15(6), 1414; https://doi.org/10.3390/agronomy15061414 - 9 Jun 2025
Viewed by 565
Abstract
The production of artificial planted forage is important for the development of animal husbandry in the Qinghai–-Tibet Plateau, and oat forage is one of the main artificial planted forages in the area. However, the suitable oat varieties for harvesting and preparing silage feed [...] Read more.
The production of artificial planted forage is important for the development of animal husbandry in the Qinghai–-Tibet Plateau, and oat forage is one of the main artificial planted forages in the area. However, the suitable oat varieties for harvesting and preparing silage feed in this region are still unclear. To investigate suitable oat forage varieties for silage production and the potential feeding value of different oat forage varieties, 16 oat forage varieties planted in Qinghai Province were selected in this experiment. These oat forages were subjected to two treatments: a group with no inoculants (CK) and a group with self-selected lactic acid bacteria (LAB) inoculants (IN). After 90 days of ensiling, silage quality and in vitro digestibility of the 16 oat forage varieties were determined. The results showed that all oat forage varieties ferment well after ensiling (pH < 4), the CK group had a silage pH range of 3.62–3.95, and the IN group had a silage pH range of 3.68–3.83. Tianyan No.1, Qingtian No.2, and Tianyan No.3 were in the top three in RFV and RFQ rankings in the CK group, while Qinghai 444, Tianyan No.1, and Tianyan No.3 were in the lead in GI rankings. Tianyan No.1, Qingtian No.2, and Everleaf 126 were in the lead in RFV and RFQ rankings in the IN group, while Qinghai 444, Titan, and Tianyan No.1 were in the top three in GI rankings. The dry matter digestibility and 72 h cumulative gas production of the IN group were higher than that of the CK group (p < 0.05). Based on principal component analysis and membership function comprehensive evaluation, Tianyan No.1, Qinghai 444, and Tianyan No.3 ranked the top three, demonstrating that these three oat forage varieties are suitable for silage processing in the Qinghai–Tibet Plateau region. Full article
(This article belongs to the Section Grassland and Pasture Science)
Show Figures

Figure 1

13 pages, 2162 KiB  
Article
Effects of Lime, Magnesia and Silicon on Soil Acid-Neutralizing Capacity and Rice Yield in Acidic Paddy Fields
by Ting Yang, Geng Sun, Mei Sun, Huihui Du, Zunchang Luo, Qiufen Feng, Yong Zheng, Junyu Zhou and Zedong Long
Agriculture 2025, 15(10), 1042; https://doi.org/10.3390/agriculture15101042 - 12 May 2025
Viewed by 733
Abstract
Soil acidification is a significant threat to agricultural sustainability, particularly in paddy fields, where acidic conditions can limit crop productivity and soil health. This study aimed to explore the combined effects of alkaline amendments—lime, magnesia, and silicon fertilizer—on the acid-neutralizing capacity (ANC) of [...] Read more.
Soil acidification is a significant threat to agricultural sustainability, particularly in paddy fields, where acidic conditions can limit crop productivity and soil health. This study aimed to explore the combined effects of alkaline amendments—lime, magnesia, and silicon fertilizer—on the acid-neutralizing capacity (ANC) of paddy soils and the rice yield, with the objective of identifying effective strategies to mitigate soil acidification and enhance agricultural productivity. From 2018 to 2021, a four-year field trial in Hunan tested lime, magnesia, and silicon fertilizers. Soil samples (0–20 cm depth) were collected once post-harvest in 2021 to evaluate the cumulative treatment effects. After four years, the control soil pH was 6.12. Lime and light magnesia treatment increased it to 6.70 and 6.99, respectively. Silicon fertilizer showed no significant difference (pH 6.05). ANC analysis revealed the following anti-acidification capacity ranking: light magnesia > lime > control > silicon fertilizer. Light magnesia boosted the rice yield by 13.02% over the control. Statistical analyses indicated a significant positive correlation between the soil acid-neutralizing capacity and pH (ANC4.0 = 7.53 × pH − 30.00, R2adj = 0.70; ANC5.0 = 6.96 × pH − 37.49, R2adj = 0.58). The rice yield was correlated with exchangeable magnesium (yield = 0.42 × Ex-Mg + 24.54, R2adj = 0.44). The continuous application of lime and light magnesia enhanced the nutrient availability and soil anti-acidification, with light magnesia also improving the rice yield. These findings provide insights to aid in enhancing soil quality and agricultural productivity in acid-affected regions. Full article
(This article belongs to the Section Agricultural Soils)
Show Figures

Figure 1

21 pages, 308 KiB  
Article
Comparative Study of Modern Differential Evolution Algorithms: Perspectives on Mechanisms and Performance
by Janez Brest and Mirjam Sepesy Maučec
Mathematics 2025, 13(10), 1556; https://doi.org/10.3390/math13101556 - 9 May 2025
Viewed by 963
Abstract
Since the discovery of the Differential Evolution algorithm, new and improved versions have continuously emerged. In this paper, we review selected algorithms based on Differential Evolution that have been proposed in recent years. We examine the mechanisms integrated into them and compare the [...] Read more.
Since the discovery of the Differential Evolution algorithm, new and improved versions have continuously emerged. In this paper, we review selected algorithms based on Differential Evolution that have been proposed in recent years. We examine the mechanisms integrated into them and compare the performance of algorithms. To compare their performances, statistical comparisons were used as they enable us to draw reliable conclusions about the algorithms’ performances. We use the Wilcoxon signed-rank test for pairwise comparisons and the Friedman test for multiple comparisons. Subsequently, the Mann–Whitney U-score test was added. We conducted not only a cumulative analysis of algorithms, but we also focused on their performances regarding the function family (i.e., unimodal, multimodal, hybrid, and composition functions). Experimental results of algorithms were obtained on problems defined for the CEC’24 Special Session and Competition on Single Objective Real Parameter Numerical Optimization. Problem dimensions of 10, 30, 50, and 100 were analyzed. In this paper, we highlight promising mechanisms for further development and improvements based on the study of the selected algorithms. Full article
Show Figures

Figure 1

26 pages, 8929 KiB  
Article
Study on Carbon Emissions from Road Traffic in Ningbo City Based on LEAP Modelling
by Yan Lu, Lin Guo and Runmou Xiao
Sustainability 2025, 17(9), 3969; https://doi.org/10.3390/su17093969 - 28 Apr 2025
Viewed by 510
Abstract
Rapid urbanization in China is intensifying travel demand while making transport the nation’s third-largest source of carbon emissions. Anticipating continued growth in private-car fleets, this study integrates vehicle-stock forecasting with multi-scenario emission modeling to identify effective decarbonization pathways for Chinese cities. First, Kendall [...] Read more.
Rapid urbanization in China is intensifying travel demand while making transport the nation’s third-largest source of carbon emissions. Anticipating continued growth in private-car fleets, this study integrates vehicle-stock forecasting with multi-scenario emission modeling to identify effective decarbonization pathways for Chinese cities. First, Kendall rank and grey relational analyses are combined to screen the key drivers of car ownership, creating a concise input set for prediction. A Lévy-flight-enhanced Sparrow Search Algorithm (LSSA) is then used to optimize the smoothing factor of the Generalized Regression Neural Network (GRNN), producing the Levy flight-improved Sparrow Search Algorithm optimized Generalized Regression Neural Network (LSSA-GRNN) model for annual fleet projections. Second, a three-tier scenario framework—Baseline, Moderate Low-Carbon, and Enhanced Low-Carbon—is constructed in the Long-range Energy Alternatives Planning System (LEAP) platform. Using Ningbo as a case study, the LSSA-GRNN outperforms both the benchmark Sparrow Search Algorithm optimized Generalized Regression Neural Network (SSA-GRNN) and the conventional GRNN across all accuracy metrics. Results indicate that Ningbo’s car fleet will keep expanding to 2030, albeit at a slowing rate. Relative to 2022 levels, the Enhanced Low-Carbon scenario delivers the largest emission reduction, driven primarily by accelerated electrification, whereas public transport optimization exhibits a slower cumulative effect. The methodological framework offers a transferable tool for cities seeking to link fleet dynamics with emission scenarios and to design robust low-carbon transport policies. Full article
Show Figures

Figure 1

Back to TopTop