Search Results (47)

The social acceptance of Renewable Energy Sources (RESs) is a decisive factor in the successful implementation of clean energy projects. This study explores the attitudes, demographic profiles, and common misconceptions of citizens in the Region of Epirus, Greece, toward photovoltaic and wind energy installations. Special attention is given to the role of education, age, and access to information—as well as spatial factors such as visual exposure—in shaping public perceptions and influencing acceptance of RES deployment. A structured questionnaire was administered to 320 participants across urban and rural areas, with subdivision between regions with and without visual exposure to RES infrastructure. Findings indicate that urban residents exhibit greater acceptance of RES, while rural inhabitants—especially those in proximity to installations—express skepticism, often grounded in esthetic concerns or perceived procedural injustice. Misinformation and lack of knowledge dominate in areas without visual contact. Statistical analysis confirms that younger and more educated participants are more supportive and environmentally aware. The study highlights the importance of targeted educational interventions, transparent consultation, and spatially sensitive communication strategies in fostering constructive engagement with renewable energy projects. The case of Epirus underscores the need for inclusive, place-based policies to bridge the social acceptance gap and support the national energy transition. Full article

Tooth wear is a growing oral health concern with implications for function, esthetics, and psychological well-being, ultimately affecting oral health-related quality of life (OHRQoL). While clinical indices assess tooth wear severity, they fail to capture patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs). This narrative review aims to identify and synthesize the use of PROs and PROMs used in adults with tooth wear and to map their assessed domains against the Wilson and Cleary model of health outcomes, highlighting gaps and guiding the development of condition-specific instruments. A comprehensive search of the literature was conducted across PubMed, MEDLINE, and Embase. Studies involving PROMs in adults with tooth wear were included. Extracted data encompassed psychometric properties and domains assessed. PROMs such as the OHIP, OES, OIDP, and QMFQ have been frequently used, focusing on functional limitation, esthetic perception, and psychological distress. However, no single instrument comprehensively addresses all relevant domains of the Wilson and Cleary model. Moreover, variation in tools and constructs limits comparability across studies and clinical settings. Existing PROMs capture only partial aspects of the patient experience related to tooth wear. When mapping these instruments to a validated theoretical model, significant gaps become evident, especially in terms of general health perceptions and overall quality of life metrics. To improve the evaluation and management of tooth wear in clinical settings, it is essential to create a condition-specific PROM based on a solid conceptual framework. Full article

Light pollution, most visible in large cities through the absence of star-filled night skies, has become a growing issue of concern across many disciplines. It is not just an esthetic or astronomical problem, but a complex phenomenon with widespread effects on various sectors. The scientific literature highlights several key areas impacted either directly or indirectly by light pollution: astronomy, ecology and biodiversity, the environment and climate change, human health and well-being, the ongoing energy crisis, economy, tourism, public safety and security, and finally politics. A survey was conducted to explore two main objectives. The first was to evaluate public awareness of light pollution, particularly how individuals perceive its impact across different societal sectors. The second objective was to consult lighting experts to obtain detailed insights into how severely each sector is affected by light pollution. The data collected from both the general public and lighting experts were analyzed and compared to provide a clearer picture of light pollution’s actual consequences. This dual-perspective approach aims to identify potential gaps between public perception and expert knowledge. Understanding these gaps is essential for shaping effective awareness campaigns and informing policy decisions. Ultimately, this research serves as a foundational step toward prioritizing mitigation strategies. By aligning scientific data with social understanding, stakeholders can develop targeted interventions that reduce light pollution’s negative effects while promoting sustainable lighting practices for the future. Full article

In order to improve the controllability and esthetics of product image generation, from the perspective of design, this study proposes a product image generation method based on morphological optimization, esthetic evaluation, and style transfer. Firstly, based on computational esthetics and principles of visual perception, an esthetic comprehensive evaluation model is constructed and used as the fitness function. The genetic algorithm is employed to build a product morphological optimization design system, obtaining product form schemes with higher esthetic quality. Then, an automobile front-end image dataset is constructed, and a generative adversarial network model is trained. Using the aforementioned product form scheme as the content image and selecting automobile front-end images from the market as the target style image, the content features and style features are extracted by the encoder and input into the generator to generate style-transferred images. The discriminator is utilized for judgment, and through iterative optimization, product image schemes that meet the target style are obtained. Experimental results demonstrate that the model generates product images with good effects, showcasing the feasibility of the method and providing robust technical support for intelligent product image design. Full article

Background: Patient satisfaction is a critical outcome in the rehabilitation of edentulous patients. While conventional fabrication methods are widely used, digital workflows are emerging as viable alternatives. However, direct comparative evidence from the patient’s perspective remains limited. Objective: To compare patient satisfaction between conventional complete dentures (C-CD) and digital complete dentures (D-CD) in maxillary edentulous patients, including changes in perceptions over time and final prosthesis preference. Methods: A prospective, randomized crossover clinical trial was conducted in 2023–2024 involving 40 completely maxillary edentulous patients meeting specific inclusion criteria. Participants were randomly allocated into two sequence groups: Group 1 (n = 20) received C-CD first, and Group 2 (n = 20) received D-CD first, each for 6 months (T1), followed by crossover to the alternate denture for another 6 months (T2). Patient satisfaction was measured using a 10-item questionnaire at 6 and 12 months. Statistical analysis: Wilcoxon signed-rank tests were used for within-subject comparisons of denture types, and Mann–Whitney U tests for between-group comparisons, with significance set at p ≤ 0.05. Results: Using the paired crossover analysis, D-CD showed significantly better comfort than C-CD (p < 0.05). D-CD scored significantly higher than C-CD in most satisfaction domains, including comfort, retention, speech, esthetics, and need for adjustments (p ≤ 0.05). Median scores for retention, speech, esthetics, and other domains were slightly higher with D-CD but did not reach statistical significance (p > 0.05). Additionally, the D-CD required fewer post-insertion adjustment visits than the C-CD (p < 0.05). By the end of the trial, 28 patients (70%) preferred the digital denture as their final prosthesis, whereas 12 patients (30%) preferred the conventional denture. Conclusions: Incorporating digital technology in the fabrication of complete dentures significantly enhances patient satisfaction compared to conventional methods. This study highlights the clinical relevance of modern dental prosthesis technology and supports the wider integration of digital workflows. Within the limitations of this pilot study, digitally fabricated complete dentures provided overall patient satisfaction comparable to conventional dentures, with the D-CD offering a notable improvement in comfort. The majority of patients ultimately favored the digital denture, supporting the clinical viability of CAD/CAM workflows. Full article

Background/Objectives: Smile esthetics are a crucial aspect of facial attractiveness, playing a central role in social interactions. Dental students’ perception of smiling esthetics may evolve as they progress through their education and clinical exposure. This study aimed to investigate the influence of educational level on dental students’ perception of altered smile esthetics. Methods: A cross-sectional study was conducted among 410 undergraduate dental students across five academic years at the National and Kapodistrian University of Athens. Participants evaluated 22 digitally altered smile images, including single and combined esthetic discrepancies, using a visual analog scale (VAS). Perceived attractiveness scores were analyzed in relation to academic year, gender, and specific types of smile alterations. Results: The perception of smile attractiveness varied significantly across academic years for certain esthetic discrepancies, including central incisor length mismatch, midline diastema, and open gingival embrasures (p < 0.05). Clinical-year students (years 4–5) demonstrated a more critical assessment compared to preclinical students. Female students exhibited greater sensitivity to specific discrepancies, including fluorosis and reduced tooth lightness. The combination of a midline diastema, a gummy smile, and reduced lightness received the lowest attractiveness scores across all groups. Conclusions: The perception of altered smile esthetics among undergraduate dental students evolves throughout their education, although this progression does not follow a linear trajectory. Dental education appears to influence the perception of specific smile esthetic discrepancies, reflecting a selective influence on features. Clinical training appears to be a critical parameter of dental education, influencing the perception of smiling esthetics. Full article

The landscape visual sensitivity (LVS) assessment is recognized as a critical tool for identifying areas most sensitive to landscape changes and for informing multi-resource optimization and allocation strategies. However, conventional large-scale LVS assessment criteria and methodologies developed for natural landscapes do not satisfy the precision-oriented assessment requirements of streetscape visual sensitivity (SVS) in historic districts, nor do they facilitate the operational linkage between assessment outcomes and planning applications. This study proposes an innovative SVS–PAP assessment methodology, which is a systematic integration of the SVS assessment and public esthetic perception (PAP) evaluation. The SVS assessment criteria framework was first improved through the integration of enriched multi-modal datasets. Subjective weights were obtained via the analytic hierarchy process (AHP), incorporating expert and public judgments, while objective weights were derived through the entropy weight method (EWM) based on data information entropy. The integration of both approaches enhances the methodological rigor and scientific validity of SVS weight determination. An SVS–PAP analytical matrix was subsequently constructed through integration of SVS assessments and PAP-based scenic beauty estimation (SBE), enabling the derivation of planning strategies. An empirical validation conducted in Anshandao Historic District yielded four key findings: (1) The SVS–PAP methodology, which integrates subjective–objective evaluation factors and incorporates broad public participation, demonstrates strong scientific validity and reliability, establishing a novel paradigm for SVS assessment and strategic planning; (2) The technical framework—leveraging multi-modal data and GIS spatial analysis techniques—improves assessment precision, operability, and replicability; (3) The planning and management strategies formulated by the SVS–PAP analytical matrix were verified as reasonable, demonstrating effective planning-transition capability; (4) Notably, historical and cultural influences showed significantly higher weighting coefficients across assessment criteria compared to non-historic streetscape assessments. Overall, these research results address the persistent undervaluation of the esthetic and spiritual values of historic landscapes in multi-resource value trade-off and decision-making processes, demonstrating both theoretical and practical significance through a systematic methodological advancement. Full article

Purpose: The aim of this study was to evaluate the color stability of 3D printed resin disks using spectral reflectance data obtained at different time periods after immersion in various staining solutions. The color stability of 3D-printed temporary crowns is clinically important, as it directly affects the esthetic outcome and patient satisfaction during the provisional phase of treatment. Materials and methods: Forty identical round disk specimens measuring 10 mm in diameter and 2 mm in thickness were fabricated using CAD/CAM 3D printing resin (shade B1). Half of the specimens (n = 20) were polished using an acrylic bur and medium pumice. The remaining specimens were unpolished (n = 20). Each group of disks was then immersed in one of the following immersion solutions: artificial saliva, black tea, carrot juice, and red wine. Color difference ΔE was evaluated using the spectrophotometer, a spectral reflectance instrument, at baseline, day 1, week 1, week 2 and week 3, against a white background. Comparisons between polished and unpolished disks at each time point were conducted using Mann–Whitney tests. Differences among the staining solutions at each time point for both polished and unpolished disks were analyzed using a one-way ANOVA with Tukey’s post hoc test. Results: Color difference ΔE was measured using the CIELAB formula. The mean ΔE values of each group were calculated. The greatest difference in color was observed in the unpolished and polished disks immersed in red wine. Polished disks showed less color difference when compared to unpolished disks. Significant differences in ΔE were detected between polished and unpolished disks immersed in red wine at week 1 (p = 0.0159), week 2 (p = 0.0079) and week 3 (p = 0.0079) and in carrot juice at week 3 (p = 0.0317). Conclusions: Immersion of 3D printed disks in different staining solutions caused detectable color difference in the tested materials, which was relative to the immersion duration and the staining solution used. The color of the 3D printed resins is influenced by the surface finishing, which may result in visually perceptible color differences. The color stability of 3D printied materials should be improved to provide long-term esthetics. Full article

This study examines the factors influencing home elevation decisions among participants in Houston’s Homeowner Assistance Program (HoAP) and the Texas General Land Office’s Homeowner Assistance Program (HAP) in the aftermath of Hurricane Harvey and other flood events. Using a mixed-methods approach, we conducted surveys and semi-structured interviews with 50 homeowners, supplemented by secondary data analyses of program records and GIS-based flood risk assessments. Additionally, 25 undergraduate students engaged in a structured field trip, conducting site observations, interacting with residents, and discussing home elevation with experts. The findings reveal disparities in home elevation outcomes, with lower completion rates in socially vulnerable neighborhoods despite program eligibility. The study also identifies key factors influencing elevation decisions, including mobility concerns, financial constraints, neighborhood esthetics, and perceptions of long-term flood risk. Homeowners aged 60–79 were more likely to elevate their homes, while individuals with disabilities faced additional barriers. This research highlights the need for targeted policy interventions to improve program equity and ensure that vulnerable populations receive adequate support. Beyond its case study implications, this research contributes to broader discussions on disaster recovery, climate adaptation, and urban resilience. It also serves as a model for integrating student learning into community-based participatory research. While this study is limited in scope, it offers insights into the intersection of social vulnerability and housing adaptation, informing future policy efforts to enhance flood resilience in historically marginalized communities. Full article

The expansion of urban underground spaces has broadened the range of urban activities by accommodating functions such as transportation, retail, and entertainment. Underground shopping malls (USMs) have been widely developed as a sustainable strategy to expand urban space capacity, alleviate surface congestion, and optimize land-use efficiency. However, the development and utilization of USMs often neglect user-centered evaluations, risking mismatches between design outcomes and long-term sustainability goals such as energy efficiency, user retention, and spatial adaptability. Therefore, this study analyzes 12 typical USMs in Nanjing, China, based on environmental psychology principles, employing mixed-methods research that combines objective measurements of spatial elements with subjective user perception surveys to establish a regression model investigating correlations between USM spatial–physical environments and user comfort perception. The results show that users generally have a positive impression of the current underground environment, but there are significant differences in their subjective perceptions of the different attributes of the USMs. The USMs present a trend of humanization, human culture, and landscape in terms of spatial characteristics. These improvements are critical for fostering long-term sustainable use by minimizing vacancy rates and retrofitting needs. The findings reveal that the human-centric comfort level of the USMs is largely determined by multi-dimensional architecture-space features, as well as personal and social activity level features. Building on these insights, we propose actionable strategies to advance sustainable USM design, prioritizing adaptive reuse, energy-efficient layouts, and culturally resonant esthetics. This work clarifies the direction of USM design optimization and improvement from the perspective of users’ subjective perception and provides a theoretical foundation for aligning underground development with global sustainability frameworks like the UN SDGs. Full article

The furniture market is being conquered by the variety of wood-based composite materials to the detriment of solid wood, which is considered expensive, but research has yet to explain definitively why these two materials receive such disparate evaluations. This study aims to evaluate the perception of wood by proposing an emotion-oriented research method. It combines the esthetic appeal of wood products, the subjective emotions of the subjects, and physiological emotions. We evaluated different wood materials using a multisensory evaluation method that combines vision and touch during the experiment. Seven specimens of solid wood and three of wood composite materials covered with synthetic veneer with similar characteristics were evaluated, and we used subjective evaluations and physiological responses (electroencephalography and electrodermal activity) from twenty participants. Our analysis identified significant correlations between subjective assessment and physiological responses, highlighting the influence of material appearance on emotional reactions. Notably, rough-textured materials elicited higher positive affectivity than smooth-textured ones, and bright materials were associated with more positive emotions. This research elucidates the impact of material components on emotional responses, offering insights into processing techniques that enhance the value of wood product design. Full article

Introduction: Dental anomalies present a significant challenge to clinicians due to their impact on both dental function and esthetics. The correction of these anomalies plays a critical role in improving the quality of life of our patients, highlighting the importance of this restorative work. Objective: The purpose of this systematic review is to assess the techniques used to restore various dental anomalies, and their subsequent esthetic impact on the overall dentition. Methods: Inclusion criteria consisted of restorative rehabilitations of the permanent dentition in non-syndromic patients with dental anomalies of morphology, structure, size, and number in the maxillary incisors. Exclusion criteria included surgical rehabilitation techniques, endodontic treatments, and anomalies of the primary dentition. The medical literature was systematically searched (Pubmed, PMC, Embase, Cochrane Central Register of Controlled Clinical trials, Scopus and Google Scholar) to identify all relevant articles reporting data regarding the chosen anomalies. ROBINS–I was used to assess the risk of bias tool, and the results were tabulate due to data heterogeneity. Results: Of the 1821 analyzed articles, 46 articles met the inclusion criteria, and were chosen to go through the final review procedure. Of the selected articles, 3 investigated amelogenesis imperfecta and dentinogenesis imperfecta, 1 analyzed conoid teeth, 1 considered hypodontia (other than MLIA), 3 concerned microdontia (excluding peg laterals and conoid teeth), 10 evaluated peg-shaped laterals, 2 investigated talon cusps and geminated teeth, 15 were regarding maxillary lateral incisor agenesis, and 11 papers were related to the perception of anomalies. Conclusions: Pre-visualization using Digital Smile Design, a treatment plan encompassing minimally invasive restorations, and using a multidisciplinary approach among practitioners helps the anomalous patient achieve the best possible esthetic result. Full article

Complexity is one of the most important variables in how the brain performs decision making based on esthetic values. Multiple definitions of perceptual complexity have been proposed, with one of the most fruitful being the Normalized Shannon Entropy one. However, the Normalized Shannon Entropy definition has theoretical gaps that we address in this article. Focusing on visual perception, we first address whether normalization fully corrects for the effects of measurement resolution on entropy. The answer is negative, but the remaining effects are minor, and we propose alternate definitions of complexity, correcting this problem. Related to resolution, we discuss the ideal spatial range in the computation of spatial complexity. The results show that this range must be small but not too small. Furthermore, it is suggested by the analysis of this range that perceptual spatial complexity is based solely on translational isometry. Finally, we study how the complexities of distinct visual variables interact. We argue that the complexities of the variables of interest to the brain’s visual system may not interact linearly because of interclass correlation. But the interaction would be linear if the brain weighed complexities as in Kempthorne’s λ-Bayes-based compromise problem. We finish by listing several experimental tests of these theoretical ideas on complexity. Full article

This study investigates the relationship between consumer personality traits, specifically openness, and responses to product designs. Consumers are categorized based on their levels of openness, and their affective responses to nine vase designs, varying in curvature and line quantity, are evaluated. The study then introduces the inverse clustering approach, which prioritizes maximizing predictive model accuracy over within-cluster similarity. This method iteratively refines cluster assignments to optimize prediction performance, minimizing errors in forecasting consumer design preferences. The results demonstrate that the inverse clustering approach yields more effective clusters than personality-based clustering. Moreover, while there is some overlap between personality-based and accuracy-based clustering, the inverse clustering method captures additional individual characteristics, extending beyond personality traits and improving the understanding of consumer product design response. The practical implications of this study are significant for product designers, as it enables the development of more personalized designs and optimization of product features to enhance specific consumer perceptions, such as robustness or esthetic appeal. Full article

Background: Despite its estimated high prevalence among women and increasing awareness, lipedema remains under-investigated. Ignoring its debilitating nature, surgical treatment for this condition is frequently covered by health insurance only in advanced stages and after the exhaustion of conservative therapies. Methods: A total of 1015 patients with lipedema were recruited via social media platforms. Of these, 860 patients provided answers to at least one complete section of the modified Body-Q questionnaire (response rate 85%). The Mann–Whitney U and Kruskal–Wallis tests were utilized to assess the impact of the surgical treatment by means of patient-reported outcomes on the self-perception of various body areas. Results: The satisfaction scores among conservatively treated patients for abdominal appearance, arms, back, body, buttocks, and inner thighs showed a statistically significant decline with increasing stages of lipedema. The comparison of patient evaluation scores in the appearance domain demonstrated better patient self-perception scores in patients who received at least one session of the surgical treatment for the hips and thighs (p < 0.01), inner thighs (p < 0.01), and excess skin (0.01) scales. On the body scale, the patients who underwent liposuction again reported better satisfaction scores; however, this did not reach statistical significance (p < 0.081). In the health-related quality of life domain, the patients who received liposuction treatment reported a better outcome in the body image (p < 0.01), physical function (p = 0.05), physical symptoms (p = 0.04), and psychological function (p < 0.01) scales. Conclusions: The current study underscores the burden of lipedema of affected patients and its negative impact on self-perception. As the disease progresses, conservatively treated patients experience a decline in satisfaction with various aspects of their appearance. However, surgical interventions, particularly liposuction, does not address esthetic concerns but significantly improve health-related quality of life across multiple domains, emphasizing the comprehensive benefits of surgical intervention in the management of lipedema. Full article