Search Results (618)

Background/Objectives: The expansion of National Health Insurance (NHI) coverage for dental implants in South Korea has substantially increased implant placements among older adults. While implants offer functional and esthetic benefits, their lack of periodontal ligaments alters occlusal force distribution, potentially increasing biomechanical stress on adjacent or opposing teeth. This study aimed to investigate the association between the increased number of dental implants and the incidence of cracked teeth following the introduction of implant insurance. Methods: A retrospective analysis was conducted using the Clinical Data Warehouse of Seoul St. Mary’s Dental Hospital. Patients who underwent molar crown restorations between 2014 and 2022 were included. The incidence and clinical features of cracked teeth were compared before (2014–2015) and after (2016–2022) the introduction of implant insurance. Statistical analyses assessed differences in symptom presentation, pulp status, and treatment outcomes. Results: Among 5044 molars restored with crowns, 1692 were diagnosed with cracks. The incidence of cracked teeth significantly increased after NHI coverage for implants (25.5% vs. 32.6%, p < 0.001). Cases after insurance implementation showed fewer signs and symptoms at initial presentation (67.4% vs. 50.0%, p < 0.001), reduced irreversible pulpitis (37.2% vs. 25.8%, p < 0.001), and increased preservation of pulp vitality (46.9% vs. 57.8%, p < 0.001). These shifts may reflect changes in occlusal adjustment practices and earlier clinical intervention. Conclusions: The findings suggest a temporal link between increased implant placement and the rising incidence of cracked teeth. Implant-induced occlusal changes may contribute to this trend. Careful occlusal evaluation and follow-up are essential after implant placement, and further prospective studies are warranted to confirm causality and refine prevention strategies. Full article

As a typical grain base with a dense population and high-level urbanization, the North China Plain (NCP) faces a serious threat to its sustainable development due to water shortage. Surface water area (SWA) is a key indicator for continuously measuring the trends of regional water resources and assessing their current status. Therefore, a deep understanding of its changing patterns and driving forces is essential for achieving the sustainable management of water resources. In this study, we examined the interannual variability and trends of SWA in the NCP from 1990 to 2023 using annual 30 m water body maps generated from all available Landsat imagery, a robust water mapping algorithm, and the cloud computing platform Google Earth Engine (GEE). The results showed that the SWA in the NCP has significantly increased over the past three decades. The continuous emergence of artificial reservoirs and urban lakes, along with the booming aquaculture industry, are the main factors driving the growth of SWA. Consequently, the expansion of artificial water bodies resulted in a significant increase in water evaporation (0.16 km³/yr). Moreover, the proportion of water evaporation to regional evapotranspiration (ET) gradually increased (0–0.7%/yr), indicating that the contribution of water evaporation from artificial water bodies to ET is becoming increasingly prominent. Therefore, it can be concluded that the ever-expanding artificial water bodies have become a new hidden danger affecting the water security of the NCP through evaporative loss and deserve close attention. This study not only provides us with a new perspective for deeply understanding the current status of water resources security in the NCP but also provides a typical case with great reference value for the analysis of water resources changes in other similar regions. Full article

I use Shakespeare to teach acting to students. A key to my work is impression management: what Shakespeare called reputation. I view the management of reputation as a route into Shakespearean character, which I present to students as a mask attuned to sacred values. The physical basis from which the actor can discover the mask is what Hamlet calls ‘smoothness’, which I explain with an acting exercise. We discover the force of sacred values by noticing the ubiquity of keywords in the text such as honor, virtue, reason, shame and faith. By holding characters to the fire of their sacred values, I shift the actor’s attention from an individualist idea of authentic representation towards a sense of character as a battleground of mind-shaping. The resulting performance work is scaled up to a more expansive and energized degree than the actor may be used to delivering in a social media-saturated environment in which what is often prioritized is a quasi-confessional self-revelation. The revelation of an inner life then emerges through a committed exploration of antithetical relations, a strategy basic both to mask work and to Shakespeare’s poetics. The actor finds their personal connection to the material by facing the contradiction between the objective standards of behavior demanded of the character and the character’s attempt to control their status, that is, how they are seen. The final value of the performance work is that the actor learns how to manage their reputation so that they come to appear like a giant who is seen from a distance. Full article

In outdoor environments, GNSS is commonly used for vehicle navigation and various location-based ITS services. However, in GNSS shadow roads such as tunnels and underground highways, it is challenging to provide these services. With the rapid expansion of GNSS shadow roads, the need for radio positioning technology that can serve the role of GNSS in these areas has become increasingly important to provide accurate vehicle navigation and various location-based ITS services. This paper proposes a new GNSS shadow road radio positioning technology using multidirectional BLE beacon signals. The structure of a multidirectional BLE beacon that radiates different BLE beacon signals in two or four directions is introduced, and explains the principle of differential RSSI technology to determine the vehicle’s location using these signals. Additionally, the technology used to determine the vehicle’s speed is described. A testbed was constructed to verify the performance of the developed multidirectional BLE beacon-based radio navigation system. The current status and future plans of the testbed installation are introduced, and the results of position and speed experiments using the testbed for constant speed and deceleration driving are presented. Full article

The digital wave, represented by new technologies such as big data, IoT, and artificial intelligence, is sweeping the globe, driving all industries toward digitalization and intelligent transformation. Digital twins are becoming an indispensable opportunity for new infrastructure initiatives. As geotechnical engineering constitutes a critical component of new infrastructure, its corresponding digital transformation is essential to align with these initiatives. However, due to the difficulty of modeling, the demand for computing resources, interdisciplinary integration, and other issues, current digital twin applications in geotechnical engineering remain in their nascent stage. This paper delineates the developmental status of geotechnical digital twin technology in China, and it focuses on the advantages and disadvantages of digital twins in five application fields, identifying key challenges, including intelligent sensing and interconnectivity of multi-source heterogeneous physical entities, integrated sharing of 3D geological models and structural models, unified platforms for lifecycle information management, standardization of digital twin data protocols, and theoretical frameworks for digital twin modeling. Furthermore, this study systematically expounds future research priorities across four dimensions: intelligent sensing and interoperability technologies for geotechnical engineering; knowledge graph development and model-based systems engineering; integrated digital twin entity technologies combining 3D geological bodies with engineering structures; and precision enhancement, temporal extension, and spatial expansion of geotechnical digital twins. This paper systematically reviews the application status of digital twin technology in geotechnical engineering for the first time, reveals the common technical challenges in cross-domain implementation, and proposes a theoretical framework for digital twin accuracy improvement and spatiotemporal expansion for geotechnical engineering characteristics, which fills the knowledge gap in the adaptability of existing research in professional fields. These insights aim to provide references for advancing digitalization, intelligent transformation, and sustainable development of geotechnical engineering. Full article

Introduction: Acute Myeloid Leukemia (AML) is a hematologic malignancy characterized by the clonal expansion of myeloid progenitors. While it primarily affects the bone marrow, extramedullary relapse occurs in 3–5% of cases, and it is linked to poor prognosis. Central nervous system (CNS) involvement presents diagnostic challenges due to nonspecific symptoms. CNS manifestations include leptomeningeal dissemination, nerve infiltration, parenchymal lesions, and myeloid sarcoma, occurring at any disease stage and frequently asymptomatic. Methods: A 62-year-old man with a recent history of AML in remission presented with diplopia and aching paresthesias in the left periorbital region spreading to the left frontal area. The diagnostic workup included neurological and hematological evaluation, lumbar puncture, brain CT, brain magnetic resonance imaging (MRI) with contrast, and dermatological evaluation with skin biopsy due to the appearance of nodular skin lesions on the abdomen and thorax. Results: Neurological evaluation showed hypoesthesia in the left mandibular region, consistent with left trigeminal nerve involvement, extending to the periorbital and frontal areas, and impaired adduction of the left eye with divergent strabismus in the primary position due to left oculomotor nerve palsy. Brain MRI showed an equivocal thickening of the left oculomotor nerve without enhancement. Cerebrospinal fluid (CSF) analysis initially showed elevated protein (47 mg/dL) with negative cytology; a repeat lumbar puncture one week later detected leukemic cells. Skin biopsy revealed cutaneous AML localization. A diagnosis of AML relapse with CNS and cutaneous localization was made. Salvage therapy with FLAG-IDA-VEN (fludarabine, cytarabine, idarubicin, venetoclax) and intrathecal methotrexate, cytarabine, and dexamethasone was started. Subsequent lumbar punctures were negative for leukemic cells. Due to high-risk status and extramedullary disease, the patient underwent allogeneic hematopoietic stem cell transplantation. Post-transplant aplasia was complicated by septic shock; the patient succumbed to an invasive fungal infection. Conclusions: This case illustrates the diagnostic complexity and poor prognosis of extramedullary AML relapse involving the CNS. Early recognition of neurological signs, including cranial nerve dysfunction, is crucial for timely diagnosis and management. Although initial investigations were negative, further analyses—including repeated CSF examinations and skin biopsy—led to the identification of leukemic involvement. Although neuroleukemiosis cannot be confirmed without nerve biopsy, the combination of clinical presentation, neuroimaging, and CSF data strongly supports the diagnosis of extramedullary relapse of AML. Multidisciplinary evaluation remains essential for detecting extramedullary relapse. Despite treatment achieving CSF clearance, the prognosis remains unfavorable, underscoring the need for vigilant clinical suspicion in hematologic patients presenting with neurological symptoms. Full article

The Tsushima leopard cat (Prionailurus bengalensis euptilurus), an endangered feline endemic to Tsushima Island, Japan, faces critical threats due to its small and isolated population. Understanding its demographic history and genetic differentiation from continental populations is essential for conservation planning. In this study, we performed whole-genome sequencing of four Tsushima individuals and applied demographic inference methods, including pairwise sequentially Markovian coalescent (PSMC) and Sequentially Markovian Coalescent (SMC++), to reconstruct the historical effective population size (Ne) and estimate divergence times. PSMC revealed a population expansion between 200,000 and 100,000 years ago, followed by a long-term decline. SMC++ inferred a continuous decline and estimated that the divergence from the Korean leopard cat population occurred approximately 30,000–20,000 years ago. Genetic diversity analysis showed that the Tsushima population has significantly lower heterozygosity and higher inbreeding levels than continental populations. Genetic clustering based on genome-wide SNPs indicated that the Tsushima population is genetically closest to the Korean population, forming a northern cluster distinct from southern populations, such as Borneo and the Malay Peninsula. These findings provide valuable insights into the evolutionary history and genetic status of the Tsushima leopard cat and contribute critical data for the design of future conservation strategies targeting this unique insular lineage. Full article

Miami, Florida, renowned for its cultural richness and coastal beauty, also faces the concerning challenges created by urban heat islands (UHIs). As one of the hottest cities of the United States, Miami is facing escalating temperatures and threatening heat-related vulnerabilities due to urbanization and climate change. Our study addresses the critical issue of mapping and investigating UHIs in complex urban settings. This study leveraged Planet satellite data and Landsat data to conceptualize and develop appropriate mitigation strategies for UHIs in Miami. Utilizing the Planet satellite imagery and Landsat data, we conducted a combined study of land cover and land surface temperature variations within the city. This approach fuses remotely sensed data to identify the UHI hotspots. This study aims for dynamic approaches for UHI mitigation. This includes studying the status of green spaces present in the city, possible expansion of urban green spaces, the propagation of cool roof initiatives, and exploring the recent climatic trend of the city. The research revealed that built-up areas consistently showed higher land surface temperatures while zones with dense vegetation have lower surface temperatures, supporting the role of urban green spaces in surface temperature reduction. This research can also set a robust model for addressing UHIs in other cities facing rapid urbanization and experiencing mounting temperatures each passing year by helping in assessing LST, land cover, and related spectral indices as well. Full article

Background: With a high human immunodeficiency virus (HIV) adult prevalence, people living with HIV (PLHIV) in Botswana continue to experience a high burden of comorbid HIV and cancer. We sought to investigate the trends of acquired immunodeficiency syndrome (AIDS) defining cancers (ADCs), non-AIDS defining cancers (NADCs), and associated risk factors in PLHIV compared with those without HIV. Methods: We analyzed data from adults aged ≥18 years reported in Botswana National Cancer Registry and National Data Warehouse. The crude, age-standardized incidence rate (ASIR), standardized incidence ratios (SIRs) of cancers and time trends were computed. Risk factors were determined using the Cox-regression model. Results: Over a 30-year period, 27,726 cases of cancer were documented. Of these, 13,737 (49.5%) were PLHIV and 3505 (12.6%) were people without HIV and 10,484 (37.8%) had an unknown HIV status. Compared to the HIV-uninfected, the PLHIV had higher and increasing trends in the cancer incidence overall during the study period (from 44.2 to 1047.6 per 100,000; p-trend < 0.001) versus (from 1.4 to 27.2 per 100,000; p-trend < 0.001). The ASIRs also increased in PLHIV for overall ADCs, NADCs and other sub-types like cervical, lung, breast, and conjunctiva cancers (p-trend < 0.001). Further, PLHIV had elevated SIRs for cervical cancer, Kaposi sarcoma in males and some NADCs. The most common risk factors were HIV infection and female sex for ADCs incidence and advanced age and being HIV-uninfected for NADCs incidence. Conclusions: Increasing trends of ADCs and NADCs during ART expansion were observed among PLHIV compared to those without HIV highlighting a greater need for targeted effective prevention and screening strategies including the provision of access to timely HIV and cancer treatment. Full article

China’s rapid urbanization has given rise to the phenomenon of “urban villages”, which are often regarded as chaotic fringe areas in traditional studies. With the rise of the concept of resilient cities, the value of urban villages as potential carriers of sustainable development has been re-examined. This study adopted research methods such as field investigations, in-depth interviews, and conceptual sampling. By analyzing the interlinked governance relationship between Xiamen City and the urban villages in the Bay Area, aspects such as rural housing improvement, environmental governance, residents’ feedback, geographical pattern, and spatial production were evaluated. A field investigation was conducted in six urban villages within the four bays of Xiamen. A total of 45 people in the urban villages were interviewed, and the spatial status of the urban villages was recorded. This research found that following: (1) Different types of urban villages have formed significantly differentiated role positionings under the framework of regional governance. Residential community types XA and WL provide long-term and stable living spaces for migrant workers in Xiamen; tourism development types DS, HX, BZ, and HT allow the undertaking of short-term stay tourists and provide tourism services. (2) These urban villages achieve the construction of their resilience through resisting risks, absorbing policy resources, catering to the expansion of urban needs, and co-construction in coordination with planning. The multi-cultural inclusiveness of urban villages and their transformation led by cultural shifts have become the driving force for their sustainable development. Through the above mechanisms, urban villages have become the source of resilience and sustainability of healthy cities and provide a model reference for high-density urban construction. Full article

Castor fiber birulai is a subspecies of the Eurasian beaver that has a relatively small population size compared to other Castor subspecies. There is limited genetic research on this subspecies. In this study, mitochondrial cytochrome b (Cytb) and D-loop sequences were analysed in genetic samples obtained from 19 individuals residing in the Buergen River Basin, Xinjiang, China. The Cytb region presented a single haplotype, whereas three haplotypes were identified in the D-loop region. The genetic diversity within the Chinese population was low (D-loop Hd = 0.444; Pi = 0.0043), markedly lower than that observed in other geographical populations of C. fiber. Phylogenetic reconstructions and haplotype network analyses revealed substantial genetic differentiation between C. f. birulai and other Eurasian lineages (Fst > 0.95), supporting the status of C. f. birulai as a distinct evolutionary lineage. Although the genetic distance between the Chinese and Mongolian populations was relatively small (distance = 0.00269), significant genetic differentiation was detected (Fst = 0.67055), indicating that anthropogenic disturbances—such as hydraulic infrastructure and fencing along the cross-border Bulgan River—may have impeded gene flow and dispersal. Demographic analyses provided no evidence of recent population expansion (Fu’s Fs = 0.19152), suggesting a demographically stable population. In subsequent studies, we recommend increasing nuclear gene data to verify whether the C. f. birulai population meets the criteria for Evolutionarily Significant Unit classification, and strengthening cross-border protection and cooperation between China and Mongolia. Full article

South Korea is one of the world’s major centers for marine shellfish aquaculture. Since the industry’s rapid expansion began in the 1980s, concerns have grown regarding its environmental impacts on coastal marine ecosystems. Evaluating the benthic ecological quality status (EcoQs) of shellfish farms using benthic indices provides a scientific foundation for the sustainable management of aquaculture areas. In our study, five benthic indices (AZTI’s marine biotic index, BENTIX, benthic opportunistic polychaeta amphipoda index, benthic pollution index, and multivariate AMBI) and one composite index were selected to assess EcoQs of shellfish farms in Gangjin Bay, South Korea. Our results revealed significant differences in macrobenthic community structure and EcoQs between November and December in Gangjin Bay. Spearman correlation analysis and principal coordinates analysis (PCoA) demonstrated that the multivariate AMBI (M-AMBI) exhibited the best overall performance among indices. However, considering the ecological complexity, variability in farming practices, and site-specific conditions typical of shellfish aquaculture environments, the use of five benthic indices and a composite index is recommended to ensure a more comprehensive and robust evaluation of EcoQs in Korean shellfish farms. Full article

Potassium (K), a critical macronutrient for the growth and development of Korla fragrant pear (Pyrus sinkiangensis Yu), plays a pivotal regulatory role in sugar-acid metabolism. Furthermore, K exhibits a highly specific response in near-infrared (NIR) spectroscopy compared to elements such as nitrogen (N) and phosphorus (P). Given its fundamental impact on fruit quality parameters, the development of rapid and non-destructive techniques for K determination is of significant importance for precision fertilization management. By measuring leaf potassium content at the fruit setting, expansion, and maturity stages (decreasing from 1.60% at fruit setting to 1.14% at maturity), this study reveals its dynamic change pattern and establishes a high-precision prediction model by combining near-infrared spectroscopy (NIRS) with machine learning algorithms. “Near-infrared spectroscopy coupled with machine learning can enable accurate, non-destructive monitoring of potassium dynamics in Korla pear leaves, with prediction accuracy (R²) exceeding 0.86 under field conditions.” We systematically collected a total of 9000 leaf samples from Korla fragrant pear orchards and acquired spectral data using a benchtop near-infrared spectrometer. After preprocessing and feature extraction, we determined the optimal modeling method for prediction accuracy through comparative analysis of multiple models. Multiplicative scatter correction (MSC) and first derivative (FD) are synergistically employed for preprocessing to eliminate scattering interference and enhance the resolution of characteristic peaks. Competitive adaptive reweighted sampling (CARS) is then utilized to screen five potassium-sensitive bands, specifically in the regions of 4003.5–4034.35 nm, 4458.62–4562.75 nm, and 5145.15–5249.29 nm, among others, which are associated with O-H stretching vibration and changes in water status. A comparison between random forest (RF) and BP neural network indicates that the MSC + FD–CARS–BP model exhibits the optimal performance, achieving coefficients of determination (R²) of 0.96% and 0.86% for the training and validation sets, respectively, root mean square errors (RMSE) of 0.098% and 0.103%, a residual predictive deviation (RPD) greater than 3, and a ratio of performance to interquartile range (RPIQ) of 4.22. Parameter optimization revealed that the BPNN model achieved optimal stability with 10 neurons in the hidden layer. The model facilitates rapid and non-destructive detection of leaf potassium content throughout the entire growth period of Korla fragrant pears, supporting precision fertilization in orchards. Moreover, it elucidates the physiological mechanism by which potassium influences spectral response through the regulation of water metabolism. Full article

The expansion of human activities can degrade natural habitats, thereby increasing threats to wildlife conservation. The wild populations of many species have declined due to the modification of natural habitats by humans. The Arabian wolf (Canis lupus arabs) is a subspecies of the gray wolf that is of conservation concern across its distribution range. The Arabian wolf is understudied in certain habitats (e.g., mountainous areas), which limits understanding of its overall ecology. Given its vulnerable conservation status, this study aimed to collect relevant data and information on incidents and potential threats facing this predator in the rugged mountainous habitats of western Tabuk province, Saudi Arabia, and how the effects of these threats can be minimized. In these mountain habitats Arabian wolves encounter various severe threats that challenge relevant conservation efforts. Observations of such threats—some of which result in wolf mortality—represent serious challenges to the survival of wild Arabian wolves. Conflicts with humans and livestock represent considerable threats that must be appropriately managed. Additionally, the potential association between Arabian wolves and free-ranging dogs requires further investigation. Various conservation scenarios and mitigation approaches can be applied to help reduce negative impacts on Arabian wolf populations and maximize their likelihood of survival. Overall, ensuring the persistence of such a unique desert-adapted apex predator in this ecosystem must become a conservation priority. Full article

We examined three decades of changes in the mammal fauna of Estonia, Latvia, and Lithuania in the context of climate variability, land use transformation, and anthropogenic pressures. We compiled distributional, abundance, and status data from publications, atlases, official game statistics, and long-term monitoring programs, and we evaluated trends using compound annual growth rates or temporal indices. Our review identified losses such as regional extinctions of garden dormice and European mink, declines in small insectivores (e.g., pond bats and shrews) and herbivores (e.g., Microtus voles), and the contraction of boreal specialists (e.g., Siberian flying squirrels). However, we also identified gains, including increases in ungulate numbers (e.g., roe deer, red deer, fallow deer, moose, and wild boars before African swine fewer outbreak) and the recovery of large carnivores (e.g., wolves and lynxes). Invasions by non-native species (e.g., American mink, raccoon dog, and raccoon) and episodic disturbances, such as African swine fever and the “anthropause” caused by the SARS-CoV-2 pandemic, have further reshaped community composition. The drivers encompass climatic warming, post-socialist forest succession, intensified hunting management, and rewilding policies, with dispersal capacity mediating the responses of species. Our results underscore the dual legacy of historical land use and contemporary climate forcing in structuring the fauna dynamics of Baltic mammal communities in the face of declining specialists and invasive taxa. Full article