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Keywords = fall-from-height

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32 pages, 5858 KiB  
Article
Research on Optimization of Indoor Layout of Homestay for Elderly Group Based on Gait Parameters and Spatial Risk Factors Under Background of Cultural and Tourism Integration
by Tianyi Yao, Bo Jiang, Lin Zhao, Wenli Chen, Yi Sang, Ziting Jia, Zilin Wang and Minghu Zhong
Buildings 2025, 15(14), 2498; https://doi.org/10.3390/buildings15142498 - 16 Jul 2025
Abstract
This study, in response to the optimization needs of fall risks for the elderly in the context of cultural and tourism integration in Hebei Province, China, established a quantitative correlation system between ten gait parameters and ten types of spatial risk factors. By [...] Read more.
This study, in response to the optimization needs of fall risks for the elderly in the context of cultural and tourism integration in Hebei Province, China, established a quantitative correlation system between ten gait parameters and ten types of spatial risk factors. By collecting gait data (Qualisys infrared motion capture system, sampling rate 200 Hz) and spatial parameters from 30 elderly subjects (with mild, moderate, and severe functional impairments), a multi-level regression model was established. This study revealed that step frequency, step width, and step length were nonlinearly associated with corridor length, door opening width, and step depth (R2 = 0.53–0.68). Step speed, ankle dorsiflexion, and foot pressure were key predictive factors (OR = 0.04–8.58, p < 0.001), driving the optimization of core spatial factors such as threshold height, handrail density, and friction coefficient. Step length, cycle, knee angle, and lumbar moment, respectively, affected bed height (45–60 cm), switch height (1.2–1.4 m), stair riser height (≤35 mm), and sink height adjustment range (0.7–0.9 m). The prediction accuracy of the ten optimized values reached 86.7% (95% CI: 82.1–90.3%), with Hosmer–Lemeshow goodness-of-fit x2 = 7.32 (p = 0.412) and ROC curve AUC = 0.912. Empirical evidence shows that the graded optimization scheme reduced the fall risk by 42–85%, and the estimated fall incidence rate decreased by 67% after the renovation. The study of the “abnormal gait—spatial threshold—graded optimization” quantitative residential layout optimization provides a systematic solution for the data-quantified model of elderly-friendly residential renovations. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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17 pages, 3372 KiB  
Article
Impact of Nitrogen Fertilizer Application Rates on Plant Growth and Yield of Organic Kale and Swiss Chard in Vertical Farming System
by Andruw Jones, Sai Prakash Naroju, Dilip Nandwani, Anthony Witcher and Shahidullah Chowdhary
Horticulturae 2025, 11(7), 827; https://doi.org/10.3390/horticulturae11070827 - 11 Jul 2025
Viewed by 292
Abstract
To support the growing global population, sustainable farming methods like vertical farming must complement traditional agriculture. This study evaluated the effects of various nitrogen fertilizer application rates (N_low (1055.3 ppm), N_rec (1640.9 ppm), N_high (2811.3 ppm), and N_0 (469.9 ppm)) on organic kale [...] Read more.
To support the growing global population, sustainable farming methods like vertical farming must complement traditional agriculture. This study evaluated the effects of various nitrogen fertilizer application rates (N_low (1055.3 ppm), N_rec (1640.9 ppm), N_high (2811.3 ppm), and N_0 (469.9 ppm)) on organic kale (Brassica oleracea L. var. acephala ‘Lacinato’) and Swiss chard (Beta vulgaris subsp. Vulgaris ‘Ruby/Rhubarb Red’), grown in a vertical growing system installed in a high tunnel during the spring and fall season of 2023 at the organic farm of Tennessee State University. Growth parameters studied included fresh weight, Brix, chlorophyll, plant height, and leaf count. Most parameters did not exhibit statistically significant differences (alpha = 0.05). However, consistent numerical trends and deviations were observed. Although not statistically significant, kale achieved the highest mean fresh weight in N_rec (688.08 g), and Swiss chard in N_high by spring (649.62 g). Among the few parameters, significant differences were observed for Swiss chard plant height (48.07 cm) and leaf count (47.25), with N_high during fall. Findings suggest that while definitive conclusions were limited, recommended nitrogen rates (N_rec) may enhance crop performance and contribute sustainable yields in resource constrained vertical farming systems. Further controlled studies are warranted to validate trends and refine nutrient strategies in vertical growing system. Full article
(This article belongs to the Special Issue Horticultural Production in Controlled Environment)
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17 pages, 944 KiB  
Article
Lower Limb Muscle Strength Matters: Effect of Relative Isometric Strength on Countermovement and Rebound Jump Performance in Elite Youth Female Soccer Players
by Jack Fahey, Paul Comfort and Nicholas Joel Ripley
Muscles 2025, 4(3), 23; https://doi.org/10.3390/muscles4030023 - 10 Jul 2025
Viewed by 174
Abstract
Background: Expression of maximal and rapid force in the hip, knee, and plantar flexors is important for athletic performance in female soccer. This study was designed to determine the effect of relative isometric strength in the isometric mid-thigh pull (IMTP) on countermovement jump [...] Read more.
Background: Expression of maximal and rapid force in the hip, knee, and plantar flexors is important for athletic performance in female soccer. This study was designed to determine the effect of relative isometric strength in the isometric mid-thigh pull (IMTP) on countermovement jump (CMJ) and rebound jump (CMJ-R) performance in female youth soccer players. Methods: Ninety-six female soccer players (age: 14.1 ± 2.3 years, height: 160.5 ± 9.7 cm, mass: 55.0 ± 10.3 kg) completed three trials of the IMTP, CMJ, and CMJ-R using force plates. Players were categorized as stronger (top quartile, n = 19) and weaker players (bottom quartile, n = 23) based on IMTP relative net peak force. One-way Bayesian independent t-tests were performed between stronger and weaker players. Results: Very large difference in lower limb strength between groups (g = 5.05). Moderate to very strong evidence to support that stronger players had greater countermovement depth and time to take-off with similar jump heights than weaker players. Strong evidence was observed for CMJ-R height, with stronger players falling from a greater height and executing similar ground contact times compared to weaker players. Conclusions: Relative strength has implications for CMJ-R, highlighting the importance of developing relative strength in hip, knee, and plantar extensors. Full article
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10 pages, 1047 KiB  
Article
Transverse Rupture of Segment II (Couinaud) of the Left Hepatic Lobe in Deceleration Trauma: Morphological Characteristics and a Strategy for Intraoperative Detection
by Piotr Arkuszewski, Zbigniew Pasieka, Jacek Śmigielski and Karol Kłosiński
J. Clin. Med. 2025, 14(14), 4889; https://doi.org/10.3390/jcm14144889 - 10 Jul 2025
Viewed by 195
Abstract
Background/Objectives: Deceleration can cause liver ruptures via ligament traction, with a specific, little-known transverse rupture in segment II of the left lobe being a concern. This study aimed to provide a detailed morphological characterization of these segment II ruptures, analyse their formation mechanisms [...] Read more.
Background/Objectives: Deceleration can cause liver ruptures via ligament traction, with a specific, little-known transverse rupture in segment II of the left lobe being a concern. This study aimed to provide a detailed morphological characterization of these segment II ruptures, analyse their formation mechanisms using autopsy material, and propose a systematic intraoperative assessment method to improve their detection. Methods: This study analysed the autopsy cases of 132 victims of sudden, violent deceleration (falls from height, traffic accidents) performed between 2011 and 2014. Liver injuries were meticulously described, focusing on the morphological characteristics of ruptures (course, shape, depth) and their location relative to hepatic ligaments. Cases with prior liver resection due to injuries were excluded. Results: Liver ruptures were found in 61 of the 132 analysed cases (46.2%). A “new location” for ruptures was identified on the diaphragmatic surface of the left lobe’s segment II, near and along the left coronary and triangular ligaments. This specific type of rupture was found in 14 cases. Overall, 40 cadavers had liver ruptures near ligaments, totalling 55 such distinct ruptures, indicating that some had multiple ligament-associated tears. The incidence of liver rupture at this newly described site was statistically significant. Conclusions: Transverse rupture of the left hepatic lobe’s segment II, in its subdiaphragmatic area, results from ligament “pulling” forces during deceleration and is a characteristic injury. Its presence should be considered following blunt abdominal trauma involving deceleration, and the subdiaphragmatic area of the left lateral lobe requires intraoperative inspection, especially if other ligament-associated liver ruptures are found. Full article
(This article belongs to the Special Issue Recent Advances in Therapy of Trauma and Surgical Critical Care)
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17 pages, 1442 KiB  
Article
The Role of Vermicompost and Vermicompost Tea in Sustainable Corn Production and Fall Armyworm Suppression
by Ivan Oyege and Maruthi Sridhar Balaji Bhaskar
Agriculture 2025, 15(13), 1433; https://doi.org/10.3390/agriculture15131433 - 3 Jul 2025
Cited by 1 | Viewed by 288
Abstract
Integrating organic soil amendments such as vermicompost (VC) and vermicompost tea (VCT) in agriculture has received increasing attention as a sustainable strategy to improve soil fertility, enhance plant growth, and suppress pest infestations. This study aimed to evaluate the effects of varying concentrations [...] Read more.
Integrating organic soil amendments such as vermicompost (VC) and vermicompost tea (VCT) in agriculture has received increasing attention as a sustainable strategy to improve soil fertility, enhance plant growth, and suppress pest infestations. This study aimed to evaluate the effects of varying concentrations of VCT (10%, 20%, and 40%), alone and in combination with VC (2.47 ton/ha), on the development and yield of corn (Zea mays), and suppression of fall armyworm (FAW, Spodoptera frugiperda) infestation. The experiment was conducted in seven raised beds with seven treatments: V0 (control), VCT10, VCT20, VCT40, VC1 + VCT10, VC1 + VCT20, and VC1 + VCT40. Six weekly applications of VCT were applied starting at the V2 stage, and soil and plant nutrient contents were determined post-harvest. Additionally, relative chlorophyll content, height, cob yield, dry biomass, and FAW infestations were assessed. Results show that both VC and VCT significantly enhanced soil nutrient content compared to the control treatment (V0). VCT20 and VC1 + VCT10 improved plant N, K, and micronutrient uptake. Corn treated with VCT10 and VC1 + VCT10 had the highest biomass (6.52 and 6.57 tons/ha, respectively), while VCT20 produced the highest cob yield (6.0 tons/ha), which was more than eight times that of V0. SPAD values and corn height were significantly high across all treatments, with VCT20 achieving the highest SPAD readings while the control achieved the lowest. For FAW infestation, the control treatment experienced moderate infestation. At the same time, there was complete suppression in VCT20 and VCT40 treatments and a reduction in VC + VCT treatments, likely due to the bioactive compounds and beneficial microbes in VC and VCT that strengthened plant immunity. The results suggest that VCT20 is a cost-effective, eco-friendly amendment for improving corn performance and FAW resistance. This study contributes to sustainable agriculture by demonstrating how organic amendments can enhance crop resilience while supporting environmentally friendly farming practices. Full article
(This article belongs to the Special Issue Vermicompost in Sustainable Crop Production—2nd Edition)
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22 pages, 48463 KiB  
Article
Study on the Evolution of Overlying Strata Fractures and Gas Control Technology of High Gas-Drainage Roadways Under Gob-Side Entry Retaining with Roadside Filling
by Yunfei Yang, Zetian Li, Anxiu Liu, Hongwei Liu, Zhangyang Li, Hongguang Guo and Zhigang Li
Appl. Sci. 2025, 15(13), 7445; https://doi.org/10.3390/app15137445 - 2 Jul 2025
Viewed by 247
Abstract
In order to examine the fracture development law of overlying strata in goafs and to reasonably lay out a high gas-drainage roadway under gob-side entry retaining with roadside filling, the 91–105 working face of the Wangzhuang Coal Mine was selected as the engineering [...] Read more.
In order to examine the fracture development law of overlying strata in goafs and to reasonably lay out a high gas-drainage roadway under gob-side entry retaining with roadside filling, the 91–105 working face of the Wangzhuang Coal Mine was selected as the engineering case study. The failure laws and fracture development characteristics of the overlying strata in both the strike and dip directions using gob-side entry retaining and roadside filling were studied through rock mechanic tests and PFC numerical simulations. The optimal layout of the high gas-drainage roadway was determined through theoretical analysis and coupled Fluent–PFC numerical simulations, and on-site monitoring was conducted to evaluate the extraction effects. The results indicate that the first weighting interval of the 91–105 working face was 40 m, while the periodic weighting interval was approximately 14 m. The height of the falling zone was 14.4 m, and the height of the gas-conducting fracture zone was 40.7 m. In the dip direction, compared with coal pillar retaining, gob-side entry retaining with roadside filling formed an inverted trapezoid secondary breaking zone above the retaining roadway. Using this method, the span of the separation zone increased to 30 m, and the collapse angle decreased to 52°, resulting in a shift in the separation zone—the primary space for gas migration—toward the goaf. It was determined that the optimal location of the high gas-drainage roadway was 28 m above the coal roof and 30 m horizontally from the return air roadway. Compared with the 8105 working face, this position was 10 m closer toward the goaf. On-site gas extraction monitoring data indicate that, at this optimized position, the gas concentration in the high gas-drainage roadway increased by 22%, and the net gas flow increased by 18%. Full article
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26 pages, 32088 KiB  
Article
Fall Detection Algorithm Using Enhanced HRNet Combined with YOLO
by Huan Shi, Xiaopeng Wang and Jia Shi
Sensors 2025, 25(13), 4128; https://doi.org/10.3390/s25134128 - 2 Jul 2025
Viewed by 374
Abstract
To address the issues of insufficient feature extraction, single-fall judgment method, and poor real-time performance of traditional fall detection algorithms in occluded scenes, a top-down fall detection algorithm based on improved YOLOv8 combined with BAM-HRNet is proposed. First, the Shufflenetv2 network is used [...] Read more.
To address the issues of insufficient feature extraction, single-fall judgment method, and poor real-time performance of traditional fall detection algorithms in occluded scenes, a top-down fall detection algorithm based on improved YOLOv8 combined with BAM-HRNet is proposed. First, the Shufflenetv2 network is used to make the backbone of YOLOv8 light weight, and a mixed attention mechanism network is connected stage-wise at the neck to enable the network to better obtain human body position information. Second, the HRNet network integrated with the channel attention mechanism can effectively extract the position information of key points. Then, by analyzing the position information of skeletal key points, the decline speed of the center of mass, the angular velocity between the trunk and the ground, and the human body height-to-width ratio are jointly used as the discriminant basis for identifying fall behaviors. In addition, when a suspected fall is detected, the system automatically activates a voice inquiry mechanism to improve the accuracy of fall judgment. The results show that the accuracy of the object detection module on the COCO and Pascal VOC datasets is 64.1% and 61.7%, respectively. The accuracy of the key point detection module on the COCO and OCHuman datasets reaches 73.49% and 70.11%, respectively. On the fall detection datasets, the accuracy of the proposed algorithm exceeds 95% and the frame rate reaches 18.1 fps. Compared with traditional algorithms, it demonstrates superior ability to distinguish between normal and fall behaviors. Full article
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15 pages, 430 KiB  
Article
Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis
by Kallirroi Fragkou, Maria Alexandri, Konstantinos Dimitriou, Athina Tatsioni, Flora Bacopoulou, Panagiotis Ferentinos, Laurent Martrille and Stavroula Papadodima
Pediatr. Rep. 2025, 17(4), 72; https://doi.org/10.3390/pediatric17040072 - 1 Jul 2025
Viewed by 402
Abstract
Purpose: Suicide is a leading cause of death among children and adolescents worldwide. This study examined the prevalence and characteristics of suicides among children and adolescents (aged ≤ 19 years) over a 13-year period in the broader area of Athens, Greece. Key aspects [...] Read more.
Purpose: Suicide is a leading cause of death among children and adolescents worldwide. This study examined the prevalence and characteristics of suicides among children and adolescents (aged ≤ 19 years) over a 13-year period in the broader area of Athens, Greece. Key aspects analyzed included victim demographics, circumstances surrounding the incidents, and methods employed. Methods: A retrospective analysis was conducted on autopsy cases performed at the Department of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, from 1 January 2011, to 31 December 2023. Results: Out of 5819 autopsies conducted between 2011 and 2023, 371 were classified as suicides. Among these, 12 cases (representing 3.2% of suicides) involved children and adolescents aged ≤ 19 years and met the study’s inclusion criteria for detailed forensic analysis. The average age of the victims was 17.7 ± 2.1 years (range: 14–19), with males representing 58.3% of cases. Hanging was the most common method of suicide (9 cases, 75.0%), followed by firearm use, falls from height, and hydrogen sulfide inhalation (one case each). Death occurred in the home in 10 cases (83.3%), with 6 specifically taking place in the bedroom. Scars indicative of prior self-harming behavior were present in two cases (16.7%), while suicide notes were found in three cases (25.0%). Toxicological analysis revealed alcohol and cannabis use in one case, cannabis alone in one case, and alcohol alone in two cases. Four victims (33.3%) had a documented psychiatric diagnosis, with two of them under antidepressant treatment at the time of death. Conclusions: This study highlights the forensic value of autopsy-based investigations in unveiling hidden patterns of adolescent suicidality and informs targeted prevention strategies. Integrating medico-legal findings into public health responses may enhance early identification and intervention in vulnerable youth populations. Full article
(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)
27 pages, 22501 KiB  
Article
Computer Vision-Based Safety Monitoring of Mobile Scaffolding Integrating Depth Sensors
by Muhammad Sibtain Abbas, Rahat Hussain, Syed Farhan Alam Zaidi, Doyeop Lee and Chansik Park
Buildings 2025, 15(13), 2147; https://doi.org/10.3390/buildings15132147 - 20 Jun 2025
Viewed by 364
Abstract
Mobile scaffolding is essential in construction but presents significant safety risks, particularly falls from height (FFH) due to improper use and insufficient monitoring. While prior research has identified hazards, it often lacks robust, actionable solutions, especially regarding the comprehensive analysis of worker behaviors [...] Read more.
Mobile scaffolding is essential in construction but presents significant safety risks, particularly falls from height (FFH) due to improper use and insufficient monitoring. While prior research has identified hazards, it often lacks robust, actionable solutions, especially regarding the comprehensive analysis of worker behaviors and the spatial context. This study proposed a computer vision-based safety monitoring system that leverages depth cameras for accurate spatial assessments and incorporates temporal conditions to reduce false alarms. The proposed system extends object detection algorithms with mathematical logic derived from safety rules to classify four key unsafe conditions related to safety helmet use, guardrail and outrigger presence, and worker overcrowding on mobile scaffolds. A diverse dataset from multiple sources enhances the model’s applicability to real-world scenarios, while a status trigger module verifies worker behavior over a 3 s window, minimizing detection errors. The experimental results demonstrate high precision (0.95), recall (0.97), F1-score (0.96), and accuracy (0.95) for safe behaviors, with similarly strong metrics for unsafe behaviors. The qualitative analysis further confirms substantial improvements in worker position detection and safety compliance using 3D data over 2D approaches. These findings highlight the effectiveness of the proposed system in improving mobile scaffolding safety, addressing critical research gaps, and advancing construction industry safety standards. Full article
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15 pages, 1451 KiB  
Article
A Cross-Sectional Study on the Biomechanical Effects of Squat Depth and Movement Speed on Dynamic Postural Stability in Tai Chi
by Wenlong Li, Minjun Liang, Liangliang Xiang, Zsolt Radak and Yaodong Gu
Life 2025, 15(6), 977; https://doi.org/10.3390/life15060977 - 18 Jun 2025
Viewed by 921
Abstract
This study aimed to explore the independent and interactive effects of varying squat depths and movement speeds on dynamic postural stability during the Part the Wild Horse’s Mane (PWHM) movement. Thirteen male participants (age: 25.86 ± 1.35 years; height: 174.26 ± 6.09 cm; [...] Read more.
This study aimed to explore the independent and interactive effects of varying squat depths and movement speeds on dynamic postural stability during the Part the Wild Horse’s Mane (PWHM) movement. Thirteen male participants (age: 25.86 ± 1.35 years; height: 174.26 ± 6.09 cm; body mass: 68.64 ± 8.15 kg) performed the PWHM movement at three different squat heights, high squat (HS), middle squat (MS), low squat (LS), and two different speeds, fast and slow. Dynamic postural stability (DPSI) was assessed through the center-of-mass (CoM) trajectory and the center-of-pressure (CoP) trajectory. The analyses used two-factor repeated-measures ANOVA and statistical nonparametric mapping, with key metrics including anteroposterior stability (APSI), mediolateral stability (MLSI), vertical stability (VSI), DPSI indices, and the path lengths of the CoP and CoM. LS exhibited significantly greater CoP and CoM path lengths compared with MS and HS (p < 0.01). Furthermore, fast movements demonstrated higher VSI and DPSI than slow movements (p < 0.05). Tai Chi with different squat depths and speeds can affect postural stability. To reduce the fall risk, older adults and individuals with balance impairments should prioritize slower Tai Chi movements, particularly when using high squat postures. Full article
(This article belongs to the Section Physiology and Pathology)
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21 pages, 4282 KiB  
Article
Stability Assessment of Hazardous Rock Masses and Rockfall Trajectory Prediction Using LiDAR Point Clouds
by Rao Zhu, Yonghua Xia, Shucai Zhang and Yingke Wang
Appl. Sci. 2025, 15(12), 6709; https://doi.org/10.3390/app15126709 - 15 Jun 2025
Viewed by 368
Abstract
This study aims to mitigate slope-collapse hazards that threaten life and property at the Lujiawan resettlement site in Wanbi Town, Dayao County, Yunnan Province, within the Guanyinyan hydropower reservoir. It integrates centimeter-level point-cloud data collected by a DJI Matrice 350 RTK equipped with [...] Read more.
This study aims to mitigate slope-collapse hazards that threaten life and property at the Lujiawan resettlement site in Wanbi Town, Dayao County, Yunnan Province, within the Guanyinyan hydropower reservoir. It integrates centimeter-level point-cloud data collected by a DJI Matrice 350 RTK equipped with a Zenmuse L2 airborne LiDAR (Light Detection And Ranging) sensor with detailed structural-joint survey data. First, qualitative structural interpretation is conducted with stereographic projection. Next, safety factors are quantified using the limit-equilibrium method, establishing a dual qualitative–quantitative diagnostic framework. This framework delineates six hazardous rock zones (WY1–WY6), dominated by toppling and free-fall failure modes, and evaluates their stability under combined rainfall infiltration, seismic loading, and ambient conditions. Subsequently, six-degree-of-freedom Monte Carlo simulations incorporating realistic three-dimensional terrain and block geometry are performed in RAMMS::ROCKFALL (Rapid Mass Movements Simulation—Rockfall). The resulting spatial patterns of rockfall velocity, kinetic energy, and rebound height elucidate their evolution coupled with slope height, surface morphology, and block shape. Results show peak velocities ranging from 20 to 42 m s−1 and maximum kinetic energies between 0.16 and 1.4 MJ. Most rockfall trajectories terminate within 0–80 m of the cliff base. All six identified hazardous rock masses pose varying levels of threat to residential structures at the slope foot, highlighting substantial spatial variability in hazard distribution. Drawing on the preceding diagnostic results and dynamic simulations, we recommend a three-tier “zonal defense with in situ energy dissipation” scheme: (i) install 500–2000 kJ flexible barriers along the crest and upper slope to rapidly attenuate rockfall energy; (ii) place guiding or deflection structures at mid-slope to steer blocks and dissipate momentum; and (iii) deploy high-capacity flexible nets combined with a catchment basin at the slope foot to intercept residual blocks. This staged arrangement maximizes energy attenuation and overall risk reduction. This study shows that integrating high-resolution 3D point clouds with rigid-body contact dynamics overcomes the spatial discontinuities of conventional surveys. The approach substantially improves the accuracy and efficiency of hazardous rock stability assessments and rockfall trajectory predictions, offering a quantifiable, reproducible mitigation framework for long slopes, large rock volumes, and densely fractured cliff faces. Full article
(This article belongs to the Special Issue Emerging Trends in Rock Mechanics and Rock Engineering)
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21 pages, 3442 KiB  
Article
Material Selection for the Development of Orthoses Using Multicriteria Methods (MCDMs) and Simulation
by Rodger Benjamin Salazar Loor, Javier Martínez-Gómez and Josencka Sarmiento Anchundia
Processes 2025, 13(6), 1796; https://doi.org/10.3390/pr13061796 - 5 Jun 2025
Viewed by 548
Abstract
Low-energy bone fractures refer to injuries that occur from minimal trauma or impact. These fractures are often a result of activities, such as falls from standing height or minor accidents, where the force exerted on the bone is insufficient to cause a break [...] Read more.
Low-energy bone fractures refer to injuries that occur from minimal trauma or impact. These fractures are often a result of activities, such as falls from standing height or minor accidents, where the force exerted on the bone is insufficient to cause a break under normal conditions. To design an effective orthotic splint, it is critical to select the appropriate material that mimics the mechanical properties of traditional materials like plaster, which has long been used for immobilization purposes. In this case, Ansys CES Edupack 2025 software was utilized to evaluate and identify materials with mechanical characteristics similar to those of plaster. The software provided a list of six materials that met these criteria, but selecting the most suitable material involved more than just mechanical properties. Three different multicriteria decision-making methods were employed to ensure the best choice: TOPSIS, VIKOR, and COPRAS. These methods were applied to consider various factors, such as strength, flexibility, weight, cost, and ease of manufacturing. The results of the analyses revealed a strong consensus across all three methods. Each approach identified PLA (Polylactic Acid) as the most appropriate material for the orthotic design. Following the material selection process, simulations were conducted to assess the structural performance of the orthotic splint. The results determined that the minimum thickness required for the PLA orthosis was 4 mm, ensuring that it met all necessary criteria for acceptable stresses and deformations during the four primary movements exerted by the wrist. This thickness was sufficient to maintain the orthosis’s functionality without compromising comfort or effectiveness. Moreover, a significant improvement in the design was achieved through topological optimization, where the mass of the preliminary design was reduced by 9.58%, demonstrating an efficient use of material while maintaining structural integrity. Full article
(This article belongs to the Special Issue Multi-Criteria Decision Making in Chemical and Process Engineering)
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9 pages, 637 KiB  
Article
The Characteristics of Severely Injured Trauma Patients Admitted to a Level I Trauma Center with Pre-Injury Use of Oral Anticoagulation (OAC) or Antiplatelet Therapy (APT)
by Valerie Weihs, Anna Antoni, Stephan Frenzel, Silke Aldrian, Stefan Hajdu and Lukas L. Negrin
J. Clin. Med. 2025, 14(10), 3614; https://doi.org/10.3390/jcm14103614 - 21 May 2025
Viewed by 352
Abstract
Background: Little is known about the impact of pre-injury OAC/APT on severely injured trauma patients admitted to a level I trauma center. Our study focused on impact of pre-injury OAC/APT on the outcomes of this specific cohort of patients. Methods: A [...] Read more.
Background: Little is known about the impact of pre-injury OAC/APT on severely injured trauma patients admitted to a level I trauma center. Our study focused on impact of pre-injury OAC/APT on the outcomes of this specific cohort of patients. Methods: A retrospective cohort study on 356 severely injured trauma patients admitted to the resuscitation room in a level I trauma center between 2015 and 2020 was carried out. Results: Of the 356 patients, 20.5% (n = 73) were admitted with pre-injury OAC/APT. Falls from lower heights, categorized as low-energy trauma, were the primary mechanism of injury in patients with pre-injury OAC/APT. Patients with pre-injury OAC/APT were older (p < 0.001), had a higher proportion of severe traumatic brain injuries (TBI) (p < 0.001), and experienced significantly higher mortality rates during their hospital stay (60.3% vs. 15.9%; p < 0.001). There were significant correlations between pre-injury OAC/APT and advanced age (p < 0.001) as well as the severity of head injury (p < 0.001). Patients with pre-injury OAC/APT exhibited significantly higher mortality rates; especially in patients with pre-injury oral anticoagulation therapy. The highest mortality rates were observed in patients with isolated TBI and pre-injury OAC/APT. Conclusions: Trauma patients with pre-injury OAC/APT presented with advanced age and low-energy trauma as the main mechanism of injury. Pre-injury OAC/APT significantly correlated with advanced age and the severity of head injuries, and it may serve as an additional prognostic factor for the outcome of severely injured trauma patients. Full article
(This article belongs to the Section Orthopedics)
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13 pages, 1014 KiB  
Article
The Impact of Deep Core Muscle System Training Through Virtual Reality on Selected Posturographic Parameters
by Jakub Čuj, Denisa Lenková, Miloslav Gajdoš, Eva Lukáčová, Michal Macej, Katarína Hnátová, Pavol Nechvátal and Lucia Demjanovič Kendrová
J. Funct. Morphol. Kinesiol. 2025, 10(2), 185; https://doi.org/10.3390/jfmk10020185 - 21 May 2025
Viewed by 414
Abstract
Objective: The aim of this study was to investigate the immediate effects of deep core muscle training in the plank position, using the Icaros® system, integrated with virtual reality (VR), on selected posturographic parameters. Methods: To meet the stated objective, we utilized [...] Read more.
Objective: The aim of this study was to investigate the immediate effects of deep core muscle training in the plank position, using the Icaros® system, integrated with virtual reality (VR), on selected posturographic parameters. Methods: To meet the stated objective, we utilized the Icaros® therapeutic system (Icaros GmbH, Martinsried, Germany) for VR-based exercise. The posturographic parameters were measured using the FootScan® force platform (Materialise Motion, Paal, Belgium). A representative sample of 30 healthy participants, 13 females and 17 males (age: 22.5 ± 2.1 years; weight: 65 ± 2.9 kg; height: 1.68 ± 0.4 m; BMI: 23.04 ± 1.75) was included in the study. All participants had no prior experience with VR. The selected posturographic parameters were the ellipse area (mm2) and traveled distance (mm), assessed four times at five-minute intervals, following a 15 min VR-based training session on the Icaros® system. Results: The results revealed that the participants experienced a sense of instability after completing the 15 min VR session, as objectively demonstrated by changes in the measured parameters. Both the ellipse area and traveled distance showed a worsening trend during the first three measurements: immediately post-exercise, at 5 min, and at 10 min post-exercise. A downward trend was observed in the fourth measurement, taken 15 min after exercise. Statistically significant differences were found between both parameters: ellipse area (p = 0.000) and traveled distance (p = 0.000). Post hoc analysis further confirmed significant differences between the time points. Conclusions: Based on the findings, it is recommended that trainers and physiotherapists supervising athletes or patients using the Icaros® VR system allow for a minimum rest period of 15 min in a seated or lying position following exercise. This recovery period appears essential to mitigate the sensation of instability and to reduce the risk of complications or injury due to potential falls. Full article
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23 pages, 8255 KiB  
Article
Growth and Floral Induction in Okra (Abelmoschus esculentus L.) Under Blue and Red LED Light and Their Alternation
by Yao Hervé Yao, Banah Florent Degni, Pascal Dupuis, Laurent Canale, Arouna Khalil Fanny, Cissé Théodore Haba and Georges Zissis
Horticulturae 2025, 11(5), 548; https://doi.org/10.3390/horticulturae11050548 - 19 May 2025
Cited by 1 | Viewed by 840
Abstract
Okra (Abelmoschus esculentus) is a tropical vegetable with high nutritional and economic value. Rich in fiber, vitamins (C, K, and B9), and minerals (magnesium, potassium, calcium, and iron), it contributes to food security in many tropical regions. Global production is estimated [...] Read more.
Okra (Abelmoschus esculentus) is a tropical vegetable with high nutritional and economic value. Rich in fiber, vitamins (C, K, and B9), and minerals (magnesium, potassium, calcium, and iron), it contributes to food security in many tropical regions. Global production is estimated at 11.5 million tons in 2023, 62% of which will come from India. Nigeria, Mali, Sudan, Pakistan, and Côte d’Ivoire are also among the major producers. Given its economic importance, optimizing its growth through controlled methods such as greenhouse cultivation and light-emitting diode (LED) lighting is a strategic challenge. Energy-efficient LED horticultural lighting offers promising prospects, but each plant variety reacts differently depending on the light spectrum, intensity, and duration of exposure (photoperiod). This study evaluated the effects of different LED spectra on okra’s flowering after 30 days of growth using B (blue, 445 nm) and R (red, 660 nm) LED lights and red-blue alternating in a three-day cycle (R3B3) by alternating the photoperiod from 14 to 10 h. Outdoor and greenhouse conditions served as controls. The results show that the R3B3 treatment improves germination in terms of both speed and percentage. However, plant growth (height, stem diameter, and leaf area) remains higher in the control group. R3B3 and red light stimulate leaf and node development. Flowering occurs earlier in the control group (51 days) and later under LED, particularly blue (73 days). Fruit diameter after petal fall was also larger in the control group. These results confirm the sensitivity of okra to photoperiod and light quality, and highlight the potential of spectral and photoperiod manipulation to regulate flowering in controlled-environment agriculture. Full article
(This article belongs to the Section Protected Culture)
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