Search Results (4,886)

Background/Objectives: Trochanteric femoral fractures pose significant surgical challenges, particularly in elderly patients. Intramedullary nailing (IMN) and plate fixation (PF) are the primary operative strategies, yet their comparative efficacy and safety remain debated. This meta-analysis synthesizes randomized controlled trials (RCTs) to evaluate clinical, functional, perioperative, and biomechanical outcomes of IMN versus PF specifically in trochanteric fractures. Methods: A systematic search of six databases was conducted up to 20 May 2024, to identify RCTs comparing IMN and PF in adult patients with trochanteric femoral fractures. Data extraction followed PRISMA guidelines, and outcomes were pooled using random-effects models. Subgroup analyses examined the influence of fracture stability, implant type, and patient age. Risk of bias was assessed using the Cochrane RoB 2.0 tool. Results: Fourteen RCTs (n = 4603 patients) were included. No significant differences were found in reoperation rates, union time, implant cut-out, or mortality. IMN was associated with significantly reduced operative time (MD = −5.18 min), fluoroscopy time (MD = −32.92 s), and perioperative blood loss (MD = −111.68 mL). It also had a lower risk of deep infection. Functional outcomes and anatomical results were comparable. Subgroup analyses revealed fracture stability and nail type significantly modified operative time, and compression screws were associated with higher reoperation rates than IMN. Conclusions: For trochanteric femoral fractures, IMN and PF yield comparable results for most clinical outcomes, with IMN offering some advantages in surgical efficiency and perioperative morbidity, though functional outcomes were comparable. Implant selection and fracture stability influence outcomes, supporting individualized surgical decision making. Full article

Rockfill particle gradation significantly influences mechanical performance in earth–rockfill dam construction, yet on-site screening is often time-consuming, labor-intensive, and structurally invasive. This study proposes a rapid and non-destructive detection method using mobile-based photography and an end-to-end image segmentation approach. An enhanced YOLOv8-seg model with an integrated dual-attention mechanism was pre-trained on laboratory images to accurately segment densely stacked particles. Transfer learning was then employed to retrain the model using a limited number of on-site images, achieving high segmentation accuracy. The proposed model attains a mAP50 of 97.8% (base dataset) and 96.1% (on-site dataset), enabling precise segmentation of adhered and overlapped particles with various sizes. A Minimum Area Rectangle algorithm was introduced to compute the gradation, closely matching the results from manual screening. This method significantly contributes to the automation of construction workflows, cutting labor costs, minimizing structural disruption, and ensuring reliable measurement quality in earth–rockfill dam projects. Full article

Emerging transportation challenges necessitate cutting-edge technologies for real-time infrastructure and traffic monitoring. To create a dynamic digital twin for intersection monitoring, data gathering, performance assessment, and calibration of microsimulation software, this study presents a state-of-the-art platform that combines high-resolution LiDAR sensor data with VISSIM simulation software. Intending to track traffic flow and evaluate important factors, including congestion, delays, and lane configurations, the platform gathers and analyzes real-time data. The technology allows proactive actions to improve safety and reduce interruptions by utilizing the comprehensive information that LiDAR provides, such as vehicle trajectories, speed profiles, and lane changes. The digital twin technique offers unparalleled precision in traffic and infrastructure state monitoring by fusing real data streams with simulation-based performance analysis. The results show how the platform can transform real-time monitoring and open the door to data-driven decision-making, safer intersections, and more intelligent traffic data collection methods. Using the proposed platform, this study calibrated a VISSIM simulation network to optimize the driving behavior parameters in the software. This study addresses current issues in urban traffic management with real-time solutions, demonstrating the revolutionary impact of emerging technology in intelligent infrastructure monitoring. Full article

Oxidative stress is a defining and pervasive driver of neurodegenerative diseases, including Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS). As a molecular accelerant, reactive oxygen species (ROS) and reactive nitrogen species (RNS) compromise mitochondrial function, amplify lipid peroxidation, induce protein misfolding, and promote chronic neuroinflammation, creating a positive feedback loop of neuronal damage and cognitive decline. Despite its centrality in promoting disease progression, attempts to neutralize oxidative stress with monotherapeutic antioxidants have largely failed owing to the multifactorial redox imbalance affecting each patient and their corresponding variation. We are now at the threshold of precision redox medicine, driven by advances in syndromic multi-omics integration, Artificial Intelligence biomarker identification, and the precision of patient-specific therapeutic interventions. This paper will aim to reveal a mechanistically deep assessment of oxidative stress and its contribution to diseases of neurodegeneration, with an emphasis on oxidatively modified proteins (e.g., carbonylated tau, nitrated α-synuclein), lipid peroxidation biomarkers (F2-isoprostanes, 4-HNE), and DNA damage (8-OHdG) as significant biomarkers of disease progression. We will critically examine the majority of clinical trial studies investigating mitochondria-targeted antioxidants (e.g., MitoQ, SS-31), Nrf2 activators (e.g., dimethyl fumarate, sulforaphane), and epigenetic reprogramming schemes aiming to re-establish antioxidant defenses and repair redox damage at the molecular level of biology. Emerging solutions that involve nanoparticles (e.g., antioxidant delivery systems) and CRISPR (e.g., correction of mutations in SOD1 and GPx1) have the potential to transform therapeutic approaches to treatment for these diseases by cutting the time required to realize meaningful impacts and meaningful treatment. This paper will argue that with the connection between molecular biology and progress in clinical hyperbole, dynamic multi-targeted interventions will define the treatment of neurodegenerative diseases in the transition from disease amelioration to disease modification or perhaps reversal. With these innovations at our doorstep, the future offers remarkable possibilities in translating network-based biomarker discovery, AI-powered patient stratification, and adaptive combination therapies into individualized/long-lasting neuroprotection. The question is no longer if we will neutralize oxidative stress; it is how likely we will achieve success in the new frontier of neurodegenerative disease therapies. Full article

The classification of submarine topography and geomorphology is essential for marine resource exploitation and ocean engineering, with wide-ranging implications in marine geology, disaster assessment, resource exploration, and autonomous underwater navigation. Submarine landscapes are highly complex and diverse. Traditional visual interpretation methods are not only inefficient and subjective but also lack the precision required for high-accuracy classification. While many machine learning and deep learning models have achieved promising results in image classification, limited work has been performed on integrating backscatter and bathymetric data for multi-source processing. Existing approaches often suffer from high computational costs and excessive hyperparameter demands. In this study, we propose a novel approach that integrates pruning-enhanced ConDenseNet with label smoothing regularization to reduce misclassification, strengthen the cross-entropy loss function, and significantly lower model complexity. Our method improves classification accuracy by 2% to 10%, reduces the number of hyperparameters by 50% to 96%, and cuts computation time by 50% to 85.5% compared to state-of-the-art models, including AlexNet, VGG, ResNet, and Vision Transformer. These results demonstrate the effectiveness and efficiency of our model for multi-source submarine topography classification. Full article

This study proposes a method for estimating the kinetic coefficient of friction (COF) for asphalt pavements by improving and applying Persson’s friction theory. The method utilizes the power spectral density (PSD) of the top surface topography instead of the full PSD to better reflect the actual contact conditions. This approach avoids including deeper roughness components that do not contribute to real rubber–pavement contact due to surface skewness. The key aspect of the method is determining an appropriate cutting plane to isolate the top surface. Four cutting strategies were evaluated. Results show that the cutting plane defined at 0.5 times the root mean square (RMS) height exhibits the highest robustness across all pavement types, with the estimated COF closely matching the measured values for all four tested surfaces. This study presents an improved method for estimating the kinetic coefficient of friction (COF) of asphalt pavements by employing the power spectral density (PSD) of the top surface roughness, rather than the total surface profile. This refinement is based on Persson’s friction theory and aims to exclude the influence of deep surface irregularities that do not make actual contact with the rubber interface. The core of the method lies in defining an appropriate cutting plane to isolate the topographical features that contribute most to frictional interactions. Four cutting strategies were investigated. Among them, the cutting plane positioned at 0.5 times the root mean square (RMS) height demonstrated the best overall applicability. COF estimates derived from this method showed strong consistency with experimentally measured values across all four tested asphalt pavement surfaces, indicating its robustness and practical potential. Full article

The response time of Artificial Neural Network (ANN) inference is critical in embedded systems processing sensor data close to the source. This is particularly important in applications such as predictive maintenance, which rely on timely state change predictions. This study enables estimation of model response times based on the underlying platform, highlighting the importance of benchmarking generic ANN applications on edge devices. We analyze the impact of network parameters, activation functions, and single- versus multi-threading on response times. Additionally, potential hardware-related influences, such as clock rate variances, are discussed. The results underline the complexity of task partitioning and scheduling strategies, stressing the need for precise parameter coordination to optimise performance across platforms. This study shows that cutting-edge frameworks do not necessarily perform the required operations automatically for all configurations, which may negatively impact performance. This paper further investigates the influence of network structure on model calibration, quantified using the Expected Calibration Error (ECE), and the limits of potential optimisation opportunities. It also examines the effects of model conversion to Tensorflow Lite (TFLite), highlighting the necessity of considering both performance and calibration when deploying models on embedded systems. Full article

Background and Objectives: Functional capacity assessment is essential in bariatric surgery candidates, but the Six-Minute Walk Test (6MWT) may be limited by fatigue, joint pain, and spatial constraints in individuals with severe obesity. Shorter tests such as the Two-Minute Walk Test (2MWT), Three-Minute Walk Test (3MWT), and One-Minute Sit-to-Stand Test (1MSTS) have been proposed as alternatives, yet comparative data in this population remain scarce. We aimed to evaluate the validity, reliability, and clinical utility of the 2MWT, 3MWT, and 1MSTS as substitutes for the 6MWT in patients preparing for bariatric surgery. Materials and Methods: In this cross-sectional study, 142 obese adults (BMI ≥ 30 kg/m²) underwent standardized 2MWT, 3MWT, 6MWT, and 1MSTS protocols. Correlation, linear regression, test–retest reliability (ICC), and ROC analyses were used to determine each test’s correlation and discriminative accuracy for impaired exercise tolerance (6MWT < 450 m). Results: The 3MWT showed the strongest correlation with the 6MWT (r = 0.930) and the highest explained variance (R² = 0.865), especially in individuals with BMI > 50. It also exhibited excellent reliability (ICC > 0.9) and a strong ROC profile (AUC = 0.931; 212 m cut-off). The 2MWT demonstrated acceptable concurrent validity but slightly lower agreement. The 1MSTS showed weak and inconsistent associations with 6MWT performance, suggesting limited value in assessing aerobic capacity in this population. Conclusions: The 3MWT appears to be a valid, reliable, and clinically practical alternative to the 6MWT in individuals with severe obesity. The 2MWT may be used when time or patient tolerance is limited. The 1MSTS, while safe and simple, may reflect strength and coordination more than aerobic capacity, limiting its utility in this context. Full article

High-strength steel has high strength and low thermal conductivity, and its thin-walled parts are very susceptible to residual stress and deformation caused by cutting heat during the drilling process, which affects the machining accuracy and quality. High-strength steel thin-walled components are widely used in aerospace and other high-end sectors; however, systematic investigations into their temperature fields during drilling remain scarce, particularly regarding the evolution characteristics of the temperature field in thin-wall drilling and the quantitative relationship between drilling parameters and these temperature variations. This paper takes the thin-walled parts of AF1410 high-strength steel as the research object, designs a special fixture, and applies infrared thermography to measure the bottom surface temperature in the thin-walled drilling process in real time; this is carried out in order to study the characteristics of the temperature field during the thin-walled drilling process of high-strength steel, as well as the influence of the drilling dosage on the temperature field of the bottom surface. The experimental findings are as follows: in the process of thin-wall drilling of high-strength steel, the temperature field of the bottom surface of the workpiece shows an obvious temperature gradient distribution; before the formation of the drill cap, the highest temperature of the bottom surface of the workpiece is distributed in the central circular area corresponding to the extrusion of the transverse edge during the drilling process, and the highest temperature of the bottom surface can be approximated as the temperature of the extrusion friction zone between the top edge of the drill and the workpiece when the top edge of the drill bit drills to a position close to the bottom surface of the workpiece and increases with the increase in the drilling speed and the feed volume; during the process of drilling, the highest temperature of the bottom surface of the workpiece is approximated as the temperature of the top edge of the drill bit and the workpiece. The maximum temperature of the bottom surface of the workpiece in the drilling process increases nearly linearly with the drilling of the drill, and the slope of the maximum temperature increases nearly linearly with the increase in the drilling speed and feed, in which the influence of the feed on the slope of the maximum temperature increases is larger than that of the drilling speed. Full article

Negative Ion Source Neutral beam Injection (NNBI), as a critical auxiliary heating system for magnetic confinement fusion devices, directly affects the plasma heating efficiency of tokamak devices through the reliability of its beam source system. The single-shot experiment constitutes a significant experimental program for NNBI. This study addresses the frequent equipment failures encountered by the NNBI beam source system during a cycle of experiments, employing fault tree analysis (FTA) to conduct a systematic reliability assessment. Utilizing the AutoFTA 3.9 software platform, a fault tree model of the beam source system was established. Minimal cut set analysis was performed to identify the system’s weak points. The research employed AutoFTA 3.9 for both qualitative analysis and quantitative calculations, obtaining the failure probabilities of critical components. Furthermore, the F-V importance measure and mean time between failures (MTBF) were applied to analyze the system. This provides a theoretical basis and practical engineering guidance for enhancing the operational reliability of the NNBI system. The evaluation methodology developed in this study can be extended and applied to the reliability analysis of other high-power particle acceleration systems. Full article

This follow-up scientific case study builds on prior research to explore the computational challenges of applying quantum algorithms to financial asset management, focusing specifically on solving the graph-cut problem for investment recommendation. Unlike our prior study, which focused on idealized QAOA performance, this work introduces a graph compression pipeline that enables QAOA deployment under real quantum hardware constraints. This study investigates quantum-accelerated spectral graph compression for financial asset recommendations, addressing scalability and regulatory constraints in portfolio management. We propose a hybrid framework combining the Quantum Approximate Optimization Algorithm (QAOA) with spectral graph theory to solve the Max-Cut problem for investor clustering. Our methodology leverages quantum simulators (cuQuantum and Cirq-GPU) to evaluate performance against classical brute-force enumeration, with graph compression techniques enabling deployment on resource-constrained quantum hardware. The results underscore that efficient graph compression is crucial for successful implementation. The framework bridges theoretical quantum advantage with practical financial use cases, though hardware limitations (qubit counts, coherence times) necessitate hybrid quantum-classical implementations. These findings advance the deployment of quantum algorithms in mission-critical financial systems, particularly for high-dimensional investor profiling under regulatory constraints. Full article

Manufacturing in modern industrial sectors involves the machining of components where the undeformed chip thickness inevitably decreases to values comparable to the tool edge radius. Under such conditions, the ploughing effect between the workpiece and the tool becomes dominant, followed by the noticeable formation of a stagnation zone. This paper presents research focused on the analysis of the cutting process for small cross-sections of the removed layers, based on cutting force components. This study investigated the machining of two titanium alloy grades—Ti Grade 5 (Ti-6Al-4V) and Ti Grade 2—with the main focus on process stability. A material separation model was analyzed to demonstrate the mechanism of material flow within the cross-section of the machined layer. It was found that the material has a limited ability to flow sideways at the boundary of the chip thickness, thus determining the probable size of the stagnation zone in front of the cutting edge. Orthogonal cutting experiments enabled the determination of the minimum chip thickness coefficient for constant temperature conditions, independent of the tool edge radius, as $h_{min0}=$0.313. In oblique cutting tests, the sensitivity of thin-layer machining was demonstrated for the determined values of minimum undeformed chip thickness. By applying the 0–1 test for chaos, the measurement time (parameter $T·dt$) was determined for both titanium alloys to determine the range of observable chaotic behavior. The analyses confirmed that Ti Grade 2 enters chaotic dynamics much more rapidly than Ti Grade 5 and displays local cutting instabilities independent of the uncut chip thickness. Full article

Early detection of clinical deterioration in emergency department (ED) patients is critical for timely interventions. This study evaluated the predictive performance of the National Early Warning Score (NEWS) parameters using machine learning. We conducted a single-center retrospective observational study including 27,238 adult ED patients admitted to Merano Hospital (Italy) between June 2022 and June 2023. NEWS vital signs were collected at triage, and mortality at 48 h, 7 days, and 30 days was obtained from ED database. Decision tree analysis (CHAID algorithm) was used to identify predictors of mortality; 10-fold cross-validation was applied to avoid overfitting. Mortality was 0.4% at 48 h, 1% at 7 days, and 2.45% at 30 days. For 48-h mortality, oxygen supplementation (FiO₂ >21%) and AVPU = “U” were the strongest predictors, with a maximum risk of 31.6%. For 7-day mortality, SpO₂ was the key predictor, with mortality up to 48.1%. At 30 days, patients with AVPU ≠ A, FiO₂ > 21%, and SpO₂ ≤ 94% had a mortality risk of 66.7%. Decision trees revealed different cut-offs compared to the standard NEWS. This study demonstrated that for ED patients, the NEWS may require some adjustments in both the cut-offs for vital parameters and the methods of collecting these parameters. Full article

Deep drilling and horizontal wells, as important means of unconventional oil and gas development, face problems with the high energy consumption but low removal efficiency of traditional well washing equipment, the uneven cleaning of horizontal well intervals, and an insufficient degree of automation. This paper proposes a novel hydraulic drive well washing device which consists of two main units. The wellbore cleaning unit comprises a hydraulic drive cutting–flushing module, a well cleaning mode-switching module, and a filter storage module. The unit uses hydraulic and mechanical forces to perform combined cleaning to prevent mud and sand from settling. By controlling the flow direction of the well washing fluid, it can directly switch between normal and reverse washing modes in the downhole area, and at the same time, it can control the working state of corresponding modules. The assembly control unit includes the chain lifting module and the arm assembly module, which can lift and move the device through the chain structure, allow for the rapid assembly of equipment through the use of a mechanical arm, and protect the reliability of equipment through the use of a centering structure. The device converts some of the hydraulic power into mechanical force, effectively improving cleaning and plugging removal efficiency, prolonging the downhole continuous working time of equipment, reducing manual operation requirements, and comprehensively improving cleaning efficiency and energy utilization efficiency. Full article

The main thrust of the study is the need to cut down the time taken for mold changes in plastic injection molding which is fundamental to the productivity and efficiency of the process. The research encompasses Lean Manufacturing, DMAIC, and SMED which are improved using fuzzy logic and AI for rapid changeover optimization on the NEGRI BOSSI 650 machine. A decrease in downtime by 65% and an improvement in the Process Cycle Efficiency by 46.8% followed the identification of bottlenecks, externalizing tasks, and streamlining workflows. AI-driven analysis could make on-the-fly adjustments, which would ensure that resources are better allocated, and thus sustainable performance is maintained. The findings highlight how integrating Lean methods with advanced technologies enhances operational agility and competitiveness, offering a scalable model for continuous improvement in industrial settings. Full article