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22 pages, 620 KiB  
Article
A Multi-Method Analysis of Risk Mitigation Strategies for the Livestock Supply Chain
by Zaiba Ali, Mohd Shuaib Siddiqui, Shahbaz Khan and Rahila Ali
Sustainability 2025, 17(15), 6741; https://doi.org/10.3390/su17156741 - 24 Jul 2025
Abstract
The livestock sector is a significant contributor to the economy and rural livelihoods, but it is exposed to high risk across the supply chain, which is detrimental and needs to be addressed for sustainable development. Therefore, this study aimed to identify the major [...] Read more.
The livestock sector is a significant contributor to the economy and rural livelihoods, but it is exposed to high risk across the supply chain, which is detrimental and needs to be addressed for sustainable development. Therefore, this study aimed to identify the major risk mitigation strategies (RMSs) and associated factors that affect their adoption. This study conducted a comprehensive literature review to identify the eight major RMSs and prioritized them through an analytical hierarchical process (AHP). Thereafter, a multivariate probit (MVP) model was developed to identify the factors affecting the adoption of major RMSs. The primary RMSs are livestock insurance, vaccination of livestock, and advisory/extension services. Further, the multivariate probit regression analysis shows that ‘age’, ‘social category’, ‘economic status’, ‘educational level’, ‘income level’, ‘the total number of animals’, and ‘perceived risk of foot and mouth disease’ are significant factors that influence the adoption of RMSs. This study’s findings will be useful for livestock supply chain partners to mitigate the risks along the livestock supply chain. This research will also help policymakers to develop policies/plans for incorporating these RMSs by considering the influencing associated factors. Full article
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22 pages, 4484 KiB  
Article
Automated Parcel Locker Configuration Using Discrete Event Simulation
by Eugen Rosca, Floriana Cristina Oprea, Anamaria Ilie, Stefan Burciu and Florin Rusca
Systems 2025, 13(7), 613; https://doi.org/10.3390/systems13070613 - 20 Jul 2025
Viewed by 372
Abstract
Automated parcel lockers (APLs) are transforming urban last-mile delivery by reducing failed distributions, decoupling delivery from recipient availability, optimizing carrier routes, reducing carbon foot-print and mitigating traffic congestion. The paper investigates the optimal design of APLs systems under stochastic demand and operational constraints, [...] Read more.
Automated parcel lockers (APLs) are transforming urban last-mile delivery by reducing failed distributions, decoupling delivery from recipient availability, optimizing carrier routes, reducing carbon foot-print and mitigating traffic congestion. The paper investigates the optimal design of APLs systems under stochastic demand and operational constraints, formulating the problem as a resource allocation optimization with service-level guarantees. We proposed a data-driven discrete-event simulation (DES) model implemented in ARENA to (i) determine optimal locker configurations that ensure customer satisfaction under stochastic parcel arrivals and dwell times, (ii) examine utilization patterns and spatial allocation to enhance system operational efficiency, and (iii) characterize inventory dynamics of undelivered parcels and evaluate system resilience. The results show that the configuration of locker types significantly influences the system’s ability to maintain high customers service levels. While flexibility in locker allocation helps manage excess demand in some configurations, it may also create resource competition among parcel types. The heterogeneity of locker utilization gradients underscores that optimal APLs configurations must balance locker units with their size-dependent functional interdependencies. The Dickey–Fuller GLS test further validates that postponed parcels exhibit stationary inventory dynamics, ensuring scalability for logistics operators. As a theoretical contribution, the paper demonstrates how DES combined with time-series econometrics can address APLs capacity planning in city logistics. For practitioners, the study provides a decision-support framework for locker sizing, emphasizing cost–service trade-offs. Full article
(This article belongs to the Special Issue Modelling and Simulation of Transportation Systems)
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25 pages, 6969 KiB  
Article
An Analysis of the Design and Kinematic Characteristics of an Octopedic Land–Air Bionic Robot
by Jianwei Zhao, Jiaping Gao, Mingsong Bao, Hao Zhai, Xu Pei and Zheng Jiang
Sensors 2025, 25(14), 4502; https://doi.org/10.3390/s25144502 - 19 Jul 2025
Viewed by 341
Abstract
The urgent need for complex terrain adaptability in industrial automation and disaster relief has highlighted the great potential of octopedal wheel-legged robots. However, their design complexity and motion control challenges must be addressed. In this study, an innovative design approach is employed to [...] Read more.
The urgent need for complex terrain adaptability in industrial automation and disaster relief has highlighted the great potential of octopedal wheel-legged robots. However, their design complexity and motion control challenges must be addressed. In this study, an innovative design approach is employed to construct a highly adaptive robot architecture capable of intelligently adjusting the wheel-leg configuration to cope with changing environments. An advanced kinematic analysis and simulation techniques are combined with inverse kinematic algorithms and dynamic planning to achieve a typical ‘Step-Wise Octopedal Dynamic Coordination Gait’ and different gait planning and optimization. The effectiveness of the design and control strategy is verified through the construction of an experimental platform and field tests, significantly improving the robot’s adaptability and mobility in complex terrain. Additionally, an optional integrated quadrotor module with a compact folding mechanism is incorporated, enabling the robot to overcome otherwise impassable obstacles via short-distance flight when ground locomotion is impaired. This achievement not only enriches the theory and methodology of the multi-legged robot design but also establishes a solid foundation for its widespread application in disaster rescue, exploration, and industrial automation. Full article
(This article belongs to the Section Sensors and Robotics)
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16 pages, 1159 KiB  
Article
SmartBoot: Real-Time Monitoring of Patient Activity via Remote Edge Computing Technologies
by Gozde Cay, Myeounggon Lee, David G. Armstrong and Bijan Najafi
Sensors 2025, 25(14), 4490; https://doi.org/10.3390/s25144490 - 19 Jul 2025
Viewed by 368
Abstract
Diabetic foot ulcers (DFUs) are a serious complication of diabetes, associated with high recurrence and amputation rates. Adherence to offloading devices is critical for wound healing but remains inadequately monitored in real-world settings. This study evaluates the SmartBoot edge-computing system—a wearable, real-time remote [...] Read more.
Diabetic foot ulcers (DFUs) are a serious complication of diabetes, associated with high recurrence and amputation rates. Adherence to offloading devices is critical for wound healing but remains inadequately monitored in real-world settings. This study evaluates the SmartBoot edge-computing system—a wearable, real-time remote monitoring solution integrating an inertial measurement unit (Sensoria Core) and smartwatch—for its validity in quantifying cadence and step count as digital biomarkers of frailty, and for detecting adherence. Twelve healthy adults wore two types of removable offloading boots (Össur and Foot Defender) during walking tasks at varied speeds; system outputs were validated against a gold-standard wearable and compared with staff-recorded adherence logs. Additionally, user experience was assessed using the Technology Acceptance Model (TAM) in healthy participants (n = 12) and patients with DFU (n = 81). The SmartBoot demonstrated high accuracy in cadence and step count across conditions (bias < 5.5%), with an adherence detection accuracy of 96% (Össur) and 97% (Foot Defender). TAM results indicated strong user acceptance and perceived ease of use across both cohorts. These findings support the SmartBoot system’s potential as a valid, scalable solution for real-time remote monitoring of adherence and mobility in DFU management. Further clinical validation in ongoing studies involving DFU patients is underway. Full article
(This article belongs to the Section Wearables)
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31 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
Viewed by 138
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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27 pages, 7203 KiB  
Article
The Combined Role of Coronal and Toe Joint Compliance in Transtibial Prosthetic Gait: A Study in Non-Amputated Individuals
by Sergio Galindo-Leon, Hideki Kadone, Modar Hassan and Kenji Suzuki
Prosthesis 2025, 7(4), 82; https://doi.org/10.3390/prosthesis7040082 - 14 Jul 2025
Viewed by 291
Abstract
Background/Objectives: The projected rise in limb amputations highlights the need for advancements in prosthetic technology. Current transtibial prosthetic designs primarily focus on sagittal plane kinematics but often neglect both the ankle kinematics and kinetics in the coronal plane, and the metatarsophalangeal joint, [...] Read more.
Background/Objectives: The projected rise in limb amputations highlights the need for advancements in prosthetic technology. Current transtibial prosthetic designs primarily focus on sagittal plane kinematics but often neglect both the ankle kinematics and kinetics in the coronal plane, and the metatarsophalangeal joint, which play critical roles in gait stability and efficiency. This study aims to evaluate the combined effects of compliance in the coronal plane and a flexible toe joint on prosthetic gait using non-amputated participants as a model. Methods: We conducted gait trials on ten non-amputated individuals in the presence and absence of compliance in the coronal plane and toe compliance, using a previously developed three-degree-of-freedom (DOF) prosthetic foot with a prosthetic simulator. We recorded and analyzed sagittal and coronal kinematic data, ground reaction forces, and electromyographic signals from muscles involved in the control of gait. Results: The addition of compliance in the coronal plane and toe compliance had significant kinematic and muscular effects. Notably, this compliance combination reduced peak pelvis obliquity by 27%, preserved the swing stance/ratio, and decreased gluteus medius’ activation by 34% on the non-prosthetic side, compared to the laterally rigid version of the prosthesis without toe compliance. Conclusions: The results underscore the importance of integrating compliance in the coronal plane and toe compliance in prosthetic feet designs as they show potential in improving gait metrics related to mediolateral movements and balance, while also decreasing muscle activation. Still, these findings remain to be validated in people with transtibial amputations. Full article
(This article belongs to the Section Orthopedics and Rehabilitation)
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29 pages, 2673 KiB  
Article
Process Parameters Optimization and Mechanical Properties of Additively Manufactured Ankle–Foot Orthoses Based on Polypropylene
by Sahar Swesi, Mohamed Yousfi, Nicolas Tardif and Abder Banoune
Polymers 2025, 17(14), 1921; https://doi.org/10.3390/polym17141921 - 11 Jul 2025
Viewed by 358
Abstract
Nowadays, Fused Filament Fabrication (FFF) 3D printing offers promising opportunities for the customized manufacturing of ankle–foot orthoses (AFOs) targeted towards rehabilitation purposes. Polypropylene (PP) represents an ideal candidate in orthotic applications due to its light weight and superior mechanical properties, offering an excellent [...] Read more.
Nowadays, Fused Filament Fabrication (FFF) 3D printing offers promising opportunities for the customized manufacturing of ankle–foot orthoses (AFOs) targeted towards rehabilitation purposes. Polypropylene (PP) represents an ideal candidate in orthotic applications due to its light weight and superior mechanical properties, offering an excellent balance between flexibility, chemical resistance, biocompatibility, and long-term durability. However, Additive Manufacturing (AM) of AFOs based on PP remains a major challenge due to its limited bed adhesion and high shrinkage, especially for making large parts such as AFOs. The primary innovation of the present study lies in the optimization of FFF 3D printing parameters for the fabrication of functional, patient-specific orthoses using PP, a material still underutilized in the AM of medical devices. Firstly, a thorough thermomechanical characterization was conducted, allowing the implementation of a (thermo-)elastic material model for the used PP filament. Thereafter, a Taguchi design of experiments (DOE) was established to study the influence of several printing parameters (extrusion temperature, printing speed, layer thickness, infill density, infill pattern, and part orientation) on the mechanical properties of 3D-printed specimens. Three-point bending tests were conducted to evaluate the strength and stiffness of the samples, while additional tensile tests were performed on the 3D-printed orthoses using a home-made innovative device to validate the optimal configurations. The results showed that the maximum flexural modulus of 3D-printed specimens was achieved when the printing speed was around 50 mm/s. The most significant parameter for mechanical performance and reduction in printing time was shown to be infill density, contributing 73.2% to maximum stress and 75.2% to Interlaminar Shear Strength (ILSS). Finally, the applicability of the finite element method (FEM) to simulate the FFF process-induced deflections, part distortion (warpage), and residual stresses in 3D-printed orthoses was investigated using a numerical simulation tool (Digimat-AM®). The combination of Taguchi DOE with Digimat-AM for polypropylene AFOs highlighted that the 90° orientation appeared to be the most suitable configuration, as it minimizes deformation and von Mises stress, ensuring improved quality and robustness of the printed orthoses. The findings from this study contribute by providing a reliable method for printing PP parts with improved mechanical performance, thereby opening new opportunities for its use in medical-grade additive manufacturing. Full article
(This article belongs to the Special Issue Latest Progress in the Additive Manufacturing of Polymeric Materials)
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24 pages, 9349 KiB  
Article
Enhanced Pedestrian Navigation with Wearable IMU: Forward–Backward Navigation and RTS Smoothing Techniques
by Yilei Shen, Yiqing Yao, Chenxi Yang and Xiang Xu
Technologies 2025, 13(7), 296; https://doi.org/10.3390/technologies13070296 - 9 Jul 2025
Viewed by 361
Abstract
Accurate and reliable pedestrian positioning service is essential for providing Indoor Location-Based Services (ILBSs). Zero-Velocity Update (ZUPT)-aided Strapdown Inertial Navigation System (SINS) based on foot-mounted wearable Inertial Measurement Units (IMUs) has shown great performance in pedestrian navigation systems. Though the velocity errors will [...] Read more.
Accurate and reliable pedestrian positioning service is essential for providing Indoor Location-Based Services (ILBSs). Zero-Velocity Update (ZUPT)-aided Strapdown Inertial Navigation System (SINS) based on foot-mounted wearable Inertial Measurement Units (IMUs) has shown great performance in pedestrian navigation systems. Though the velocity errors will be corrected once zero-velocity measurement is available, the navigation system errors accumulated during measurement outages are yet to be further optimized by utilizing historical data during both stance and swing phases of pedestrian gait. Thus, in this paper, a novel Forward–Backward navigation and Rauch–Tung–Striebel smoothing (FB-RTS) navigation scheme is proposed. First, to efficiently re-estimate past system state and reduce accumulated navigation error once zero-velocity measurement is available, both the forward and backward integration method and the corresponding error equations are constructed. Second, to further improve navigation accuracy and reliability by exploiting historical observation information, both backward and forward RTS algorithms are established, where the system model and observation model are built under the output correction mode. Finally, both navigation results are combined to achieve the final estimation of attitude and velocity, where the position is recalculated by the optimized data. Through simulation experiments and two sets of field tests, the FB-RTS algorithm demonstrated superior performance in reducing navigation errors and smoothing pedestrian trajectories compared to traditional ZUPT method and both the FB and the RTS method, whose advantage becomes more pronounced over longer navigation periods than the traditional methods, offering a robust solution for positioning applications in smart buildings, indoor wayfinding, and emergency response operations. Full article
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11 pages, 3937 KiB  
Article
Dynamic Wheel Load Measurements by Optical Fiber Interferometry
by Daniel Kacik, Ivan Martincek and Peihong Cheng
Infrastructures 2025, 10(7), 175; https://doi.org/10.3390/infrastructures10070175 - 7 Jul 2025
Viewed by 180
Abstract
This study proposes a Fabry–Perot interferometric system and an associated evaluation method for measuring the weight of moving trains. An optical fiber sensor, comprising a sensing fiber and a supporting structure, is securely bonded to the rail foot. As a train traverses the [...] Read more.
This study proposes a Fabry–Perot interferometric system and an associated evaluation method for measuring the weight of moving trains. An optical fiber sensor, comprising a sensing fiber and a supporting structure, is securely bonded to the rail foot. As a train traverses the track, the resulting localized bending induces a change in the sensing fiber’s length, which manifests as a quantifiable phase shift in the interference signal. We developed a physical–mathematical model, based on three Gaussian functions, to describe the temporal change in sensing fiber length caused by the passage of a single bogie. This model enables the determination of a proportionality constant to accurately convert the measured phase change into train weight. Model validation was performed using a train set, including a locomotive and four variably loaded wagons, traveling at 15.47 km/h. This system offers a novel and effective approach for real-time train weight monitoring. Full article
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17 pages, 2518 KiB  
Article
Blockade of Dopamine D3 Receptors in the Ventral Tegmental Area Mitigates Fear Memory Generalization
by Xiangjun Fang, Xiaoyan Ding, Ning Wu, Jin Li and Rui Song
Int. J. Mol. Sci. 2025, 26(13), 6520; https://doi.org/10.3390/ijms26136520 - 7 Jul 2025
Viewed by 347
Abstract
The generalization of fear memories is an adaptive neurobiological process that promotes survival in complex and dynamic environments. While generalization has adaptive value, fear generalization is maladaptive and is a significant feature of stress-related disorders such as post-traumatic stress disorder (PTSD). The dopamine [...] Read more.
The generalization of fear memories is an adaptive neurobiological process that promotes survival in complex and dynamic environments. While generalization has adaptive value, fear generalization is maladaptive and is a significant feature of stress-related disorders such as post-traumatic stress disorder (PTSD). The dopamine system plays a crucial role in both reward- and fear-related processes; however, the contribution of dopamine D3 receptors (D3Rs) to fear generalization in intense foot-shock models remains unclear. In this study, we administered a highly selective D3R antagonist, YQA14 (1 μg/0.2 μL/side), in the ventral tegmental area (VTA), which significantly inhibited fear generalization in novel contexts within foot-shock models. This effect was mediated by reducing the neuronal activity in the basolateral amygdala (BLA). These findings enhance our understanding of the neurobiology of generalization, which is essential from a translational perspective and has broad implications for treating generalized fear disorders. Full article
(This article belongs to the Special Issue Development of Dopaminergic Neurons, 4th Edition)
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18 pages, 4458 KiB  
Article
Intelligent Hybrid SHM-NDT Approach for Structural Assessment of Metal Components
by Romaine Byfield, Ahmed Shabaka, Milton Molina Vargas and Ibrahim Tansel
Infrastructures 2025, 10(7), 174; https://doi.org/10.3390/infrastructures10070174 - 6 Jul 2025
Viewed by 336
Abstract
Structural health monitoring (SHM) plays a pivotal role in ensuring the integrity and safety of critical infrastructure and mechanical components. While traditional non-destructive testing (NDT) methods offer high-resolution data, they typically require periodic access and disassembly of equipment to conduct inspections. In contrast, [...] Read more.
Structural health monitoring (SHM) plays a pivotal role in ensuring the integrity and safety of critical infrastructure and mechanical components. While traditional non-destructive testing (NDT) methods offer high-resolution data, they typically require periodic access and disassembly of equipment to conduct inspections. In contrast, SHM employs permanently installed, cost-effective sensors to enable continuous monitoring, though often with reduced detail. This study presents an integrated hybrid SHM-NDT methodology enhanced by deep learning to enable the real-time monitoring and classification of mechanical stresses in structural components. As a case study, a 6-foot-long parallel flange I-beam, representing bridge truss elements, was subjected to variable bending loads to simulate operational conditions. The hybrid system utilized an ultrasonic transducer (NDT) for excitation and piezoelectric sensors (SHM) for signal acquisition. Signal data were analyzed using 1D and 2D convolutional neural networks (CNNs), long short-term memory (LSTM) models, and random forest classifiers to detect and classify load magnitudes. The AI-enhanced approach achieved 100% accuracy in 47 out of 48 tests and 94% in the remaining tests. These results demonstrate that the hybrid SHM-NDT framework, combined with machine learning, offers a powerful and adaptable solution for continuous monitoring and precise damage assessment of structural systems, significantly advancing maintenance practices and safety assurance. Full article
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17 pages, 4138 KiB  
Article
From Control Algorithm to Human Trial: Biomechanical Proof of a Speed-Adaptive Ankle–Foot Orthosis for Foot Drop in Level-Ground Walking
by Pouyan Mehryar, Sina Firouzy, Uriel Martinez-Hernandez and Abbas Dehghani-Sanij
Biomechanics 2025, 5(3), 51; https://doi.org/10.3390/biomechanics5030051 - 4 Jul 2025
Viewed by 257
Abstract
Background/Objectives: This study focuses on the motion planning and control of an active ankle–foot orthosis (AFO) that leverages biomechanical insights to mitigate footdrop, a deficit that prevents safe toe clearance during walking. Methods: To adapt the motion of the device to the user’s [...] Read more.
Background/Objectives: This study focuses on the motion planning and control of an active ankle–foot orthosis (AFO) that leverages biomechanical insights to mitigate footdrop, a deficit that prevents safe toe clearance during walking. Methods: To adapt the motion of the device to the user’s walking speed, a geometric model was used, together with real-time measurement of the user’s gait cycle. A geometric speed-adaptive model also scales a trapezoidal ankle-velocity profile in real time using the detected gait cycle. The algorithm was tested at three different walking speeds, with a prototype of the AFO worn by a test subject. Results: At walking speeds of 0.44 and 0.61 m/s, reduced tibialis anterior (TA) muscle activity was confirmed by electromyography (EMG) signal measurement during the stance phase of assisted gait. When the AFO was in assistance mode after toe-off (initial and mid-swing phase), it provided an average of 48% of the estimated required power to make up for the deliberate inactivity of the TA muscle. Conclusions: Kinematic analysis of the motion capture data showed that sufficient foot clearance was achieved at all three speeds of the test. No adverse effects or discomfort were reported during the experiment. Future studies should examine the device in populations with footdrop and include a comprehensive evaluation of safety. Full article
(This article belongs to the Section Injury Biomechanics and Rehabilitation)
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28 pages, 4733 KiB  
Article
The Margin of Stability During a Single-Turn Pirouette in Female Amateur Dancers: A Pilot Study
by Annalisa Dykstra, Ashley Kooistra, Nicole Merucci, David W. Zeitler and Gordon Alderink
Appl. Sci. 2025, 15(13), 7519; https://doi.org/10.3390/app15137519 - 4 Jul 2025
Viewed by 226
Abstract
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine [...] Read more.
Balance control in pirouettes has previously been characterized by constraint of the topple angle. However, there is a paucity of research using the margin of stability (MoS) as a dynamic measure of balance related to pirouettes. Therefore, this study aimed primarily to examine the MoS as a metric of balance during a single-turn en dehors pirouette in healthy female amateur ballet dancers. Four participants performed pirouettes until five successful pirouettes were achieved without hopping or loss of balance. Three-dimensional motion capture was used to record the motion trajectories of anatomical markers based on the Plug-in-Gait and Oxford Foot models. Motion synchronized with ground reaction forces was used to calculate the center of pressure (CoP), base of support (BoS), center of the pivot foot, center of mass (CoM), and extrapolated center of mass (XCoM) throughout the turn phase, using laboratory (LCS) and virtual left foot (LFT) coordinate systems. In the LCS and LFT coordinate system, the excursions and patterns of motion of both the CoM and XCoM relative to the CoP were similar, suggesting a neurological relationship. Two different measures of the margin of stability (MoS) in the LFT coordinate system were tabulated: the distance between the (1) XCoM and CoP and (2) XCoM and BoS center. The magnitude of both versions of the MoS was greatest at turn initiation and toe-touch, which was associated with two foot contacts. The MoS values were at a minimum approximately 50% of the stance during the turn phase: close to zero along the anteroposterior (A/P) axis and approximately 50 mm along the mediolateral (M/L) axis. On average, MoS magnitudes were reduced (mean across participants: approximately 20 mm) along the A/P axis, and larger MoS magnitudes (mean across participants: approximately 50 mm) along the M/L axis throughout the turn phase. Although all turns analyzed were completed successfully, the larger MoS values along the M/L axis suggest a fall potential. The variability between trials within a dancer and across participants and trials was documented and showed moderate inter-trial (16% to 51%) and across-participant CV% (range: 10% to 28%), with generally larger variations along the A/P axis. Although our results are preliminary, they suggest that the MoS may be useful for detecting faults in the control of dynamic balance in dehors pirouette performance, as a part of training and rehabilitation following injury. Full article
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12 pages, 1648 KiB  
Article
Spatiotemporal Distribution of Hand, Foot, and Mouth Disease and the Influence of Air Pollutants and Socioeconomic Factors on Incidence in Fujian, China
by Meirong Zhan, Shaojian Cai, Zhonghang Xie, Senshuang Zheng, Zhengqiang Huang, Jianming Ou and Shenggen Wu
Trop. Med. Infect. Dis. 2025, 10(7), 188; https://doi.org/10.3390/tropicalmed10070188 - 3 Jul 2025
Viewed by 292
Abstract
Background: Hand, foot, and mouth disease (HFMD) typically exhibits spatiotemporal clustering. This study aimed to analyze the spatiotemporal heterogeneity of HFMD in Fujian Province, China, and to identify the associations of air pollutants and socioeconomic factors with the incidence. Methods: Daily reported HFMD [...] Read more.
Background: Hand, foot, and mouth disease (HFMD) typically exhibits spatiotemporal clustering. This study aimed to analyze the spatiotemporal heterogeneity of HFMD in Fujian Province, China, and to identify the associations of air pollutants and socioeconomic factors with the incidence. Methods: Daily reported HFMD case data, daily air pollutant data, and socioeconomic data in Fujian Province from 2014 to 2023 were collected for analysis. A descriptive analysis was used to describe the epidemiological trends of HFMD. Spatial autocorrelation analysis was applied to explore the spatiotemporal clustering characteristics. The associations between risk factors and HFMD incidence were evaluated using the generalized additive model (GAM). Results: HFMD incidence in Fujian has decreased since 2019, and the peak in each year occurred between May and June. Distinct high–high and low–low clustering areas were identified. The cumulative exposure–response curves for SO2, NO2, and CO showed a monotonically increasing trend, with relative risks (RRs) < 1 at concentrations lower than the median levels (SO2 ≈ 4 μg/m3, NO2 ≈ 16 μg/m3, CO ≈ 1 mg/m3). In contrast, the curves for O3 and PM2.5 showed a decreasing trend, with RR < 1 at concentrations above the median levels (O3 ≈ 55 μg/m3, PM2.5 ≈ 20 μg/m3). Among socioeconomic factors, only the proportion of the population under 15 years old was found to be associated with HFMD incidence. Conclusions: HFMD incidence in Fujian exhibited distinct spatiotemporal clustering. The incidence was associated with the concentrations of air pollutants. Targeted interventions should be implemented in high-risk areas to mitigate HFMD transmission, with particular attention given to the environmental and demographic factors. Full article
(This article belongs to the Special Issue Climate Change and Environmental Epidemiology of Infectious Diseases)
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15 pages, 2605 KiB  
Article
Automatic Weight-Bearing Foot Series Measurements Using Deep Learning
by Jordan Tanzilli, Alexandre Parpaleix, Fabien de Oliveira, Mohamed Ali Chaouch, Maxime Tardieu, Malo Huard and Aymeric Guibal
AI 2025, 6(7), 144; https://doi.org/10.3390/ai6070144 - 2 Jul 2025
Viewed by 353
Abstract
Background: Foot deformities, particularly hallux valgus, significantly impact patients’ quality of life. Conventional radiographs are essential for their assessment, but manual measurements are time-consuming and variable. This study assessed the reliability of a deep learning-based solution (Milvue, France) that automates podiatry angle measurements [...] Read more.
Background: Foot deformities, particularly hallux valgus, significantly impact patients’ quality of life. Conventional radiographs are essential for their assessment, but manual measurements are time-consuming and variable. This study assessed the reliability of a deep learning-based solution (Milvue, France) that automates podiatry angle measurements from radiographs compared to manual measurements made by radiologists. Methods: A retrospective, non-interventional study at Perpignan Hospital analyzed the weight-bearing foot radiographs of 105 adult patients (August 2017–August 2022). The deep learning (DL) model’s measurements were compared to those of two radiologists for various angles (M1-P1, M1-M2, M1-M5, and P1-P2 for Djian–Annonier, calcaneal slope, first metatarsal slope, and Meary–Tomeno angles). Statistical analyses evaluated DL performance and inter-observer variability. Results: Of the 105 patients included (29 men and 76 women; mean age 55), the DL solution showed excellent consistency with manual measurements, except for the P1-P2 angle. The mean absolute error (MAE) for the frontal view was lowest for M1-M2 (0.96°) and highest for P1-P2 (3.16°). Intraclass correlation coefficients (ICCs) indicated excellent agreement for M1-P1, M1-M2, and M1-M5. For the lateral view, the MAE was 0.92° for calcaneal pitch and 2.83° for Meary–Tomeno, with ICCs ≥ 0.93. For hallux valgus detection, accuracy was 94%, sensitivity was 91.1%, and specificity was 97.2%. Manual measurements averaged 203 s per patient, while DL processing was nearly instantaneous. Conclusions: The DL solution reliably automates foot alignment assessments, significantly reducing time without compromising accuracy. It may improve clinical efficiency and consistency in podiatric evaluations. Full article
(This article belongs to the Section Medical & Healthcare AI)
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