Search Results (244,499)

Bone fractures and keel bone damage as a result of osteoporotic implications on skeletal health due to high rates of egg production are of significant concern in the egg industry. This study was conducted to evaluate the effects of two aviary housing configurations and associated exercise opportunities on musculoskeletal health in laying hens. Two commercial aviary designs were compared: Big Dutchman NATURA STEP (STEP) and Big Dutchman NATURA 60 (N60). Musculoskeletal assessments were performed at 60 weeks of age (n = 180), where measurements included CT imaging and radiography, muscle dissections, tibial and humeral biomechanical properties, and bone ash percentage. Results indicated that hens in the STEP aviary exhibited higher tibial breaking strength, humeral stiffness, and heavier muscle groups compared to the N60 system. However, rates of new and old fractures, as well as rates of deviation, were more prevalent in STEP hens compared to N60 hens. These results indicate that housing system design influences musculoskeletal health in laying hens. Full article

Background/Objectives: Sarcopenia frequently coexists with other geriatric syndromes, and its severity may influence their clinical manifestation. This study examines the prevalence of geriatric syndromes in older adults with non-severe and severe sarcopenia and explores the associations between sarcopenia severity and individual geriatric syndromes in Vietnam. Methods: A cross-sectional study was conducted among 726 older outpatients with sarcopenia. Non-severe and severe sarcopenia were diagnosed according to the Asian Working Group for Sarcopenia algorithm. Fifteen geriatric conditions spanning physical and psychological health, functional status, and social circumstances were assessed using components of the Comprehensive Geriatric Assessment. Logistic regression models were used to examine associations between sarcopenia severity and geriatric syndromes. Results: A total of 726 older patients with sarcopenia (mean age 74.4 years, 77.4% females) were included, of whom 53.4% had severe sarcopenia. A significantly higher prevalence of geriatric syndromes was observed in patients with severe compared with non-severe sarcopenia, including sleep disturbances (79.4% vs. 67.5%), frailty (71.4% vs. 54.7%), malnourishment/risk of malnutrition (61.9% vs. 50.0%), depression (54.9% vs. 34.9%), polypharmacy (49.5% vs. 42.0%), impairment in activities of daily living (52.8% vs. 32.5%), and impairment in instrumental activities of daily living (58.2% vs. 39.3%). After adjustment for potential confounders, severe sarcopenia remained associated with sleep disturbance (adjusted OR 1.49, 95%CI 1.02–2.18, p = 0.046), depression (adjusted OR 1.90, 95%CI 1.36–2.66, p < 0.001), and mobility impairment (adjusted OR 3.01, 95%CI 2.12–4.27, p < 0.001). Conclusions: Older Vietnamese adults with sarcopenia had a high burden of geriatric syndromes, particularly among those with severe disease. Severe sarcopenia was independently associated with sleep disturbance, depression, and impaired mobility—clinically relevant and potentially modifiable conditions. These findings highlight the importance of evaluating sarcopenia within a broader geriatric framework and may inform early identification and prioritization of coexisting geriatric syndromes, especially in resource-limited settings. Full article

Knee osteoarthritis (KOA) is a leading cause of pain and disability worldwide, and current treatments remain largely symptomatic, with no disease-modifying therapy established for routine use. This narrative review evaluates extracellular vesicles (EVs) as biological nanocarriers and a cell-free alternative to mesenchymal stromal cell therapy for KOA by examining the biological rationale, preclinical evidence, clinical studies, and current methodological and regulatory requirements. Preclinical findings indicate that EVs may exert immunomodulatory, anti-inflammatory, and chondroprotective effects, supporting their potential to influence joint homeostasis. The review also summarizes current recommendations for EV nomenclature, characterization, and quality control in accordance with the Minimal Information for Studies of EVs 2023 guidelines and highlights key translational challenges, including scalable manufacturing, potency assessment, and regulatory compliance. Clinical evidence to date suggests a favorable safety profile, but efficacy data remain limited and inconsistent; a randomized placebo-controlled trial showed no superiority over placebo, whereas small early human studies suggested possible benefit in selected cases. Overall, EVs represent a promising cell-free strategy for KOA, but current evidence is insufficient to support routine clinical use, emphasizing the need for standardized production, validated potency assays, and robust randomized clinical trials. Full article

This paper evaluates a Sustainable Energy Efficiency Business Model (SEEBM) for small and medium sized enterprises (SMEs) in the European industrial sector. The sustainability-oriented model, developed by the authors, combines Energy Performance Contracting (EPC), Energy Supply Contracting (ESC), and Energy Saving Insurance (ESI) within a unified framework to support industrial decarbonisation. The study identifies key performance indicators and translates them into a System Dynamics model using a Design-Based Research approach. The model is built from secondary data drawn from 45 SME case studies in the European SMEmPower project and is validated through extreme condition testing and behavioural sensitivity analysis. Results indicate that the integrated model significantly enhances financial performance, reducing the average payback period from average 36 months to 10 months. Sensitivity analysis highlights the influence of contract duration, energy saving rates, and energy prices on both payback and emissions reduction outcomes. This research introduces a novel dynamic framework integrating EPC, ESC, and ESI, enabling time-based evaluation of investment viability and environmental impact. It offers a replicable decision support tool for policymakers and market actors seeking scalable, low risk pathways to SME decarbonisation. Overall, the model provides practical insights for improving investment decisions while accelerating the transition toward sustainable industrial systems across Europe. Full article

To address the problems of insufficient precision reserve, limited rotational speed, and excessive temperature rise in high-speed ultra-precision machine tool spindle bearings, the influence of frictional power loss on the thermo-mechanical behavior of the bearing system was investigated. Firstly, based on the analysis of the heat source of the bearing, the friction power consumption model of the bearing assembly is established, and the analysis of the bearing temperature field is realized by studying the heat energy transfer. Secondly, the test bench is built for experimental verification. Finally, through the study of thermal-mechanical coupling performance, the influence of different rotational speeds on bearing stress and life is analyzed. The results show that the friction power consumption generated by the spin sliding of the bearing rolling element accounts for the largest proportion, accounting for 31% of the total friction power consumption; the increase in bearing speed will increase the bearing temperature. At 55,000 r/min, the highest temperature at the rolling element is close to 75 °C, followed by the inner ring up to 68 °C, and the lowest outer ring temperature is 57 °C. The temperature has a great influence on the bearing performance. Under the same working conditions, the equivalent stress is increased by 21%, the contact pressure is increased by 25%, and the fatigue life of the bearing is reduced by 5.6%. Bearing performance is significantly affected by thermodynamic behavior. Full article

The growing demand for improved operational efficiency of cast components used in various types of equipment necessitates the development of advanced casting technologies. One of the key challenges currently faced by the foundry industry is enhancing the surface quality of castings and reducing rejection rates caused by casting defects. These requirements can be effectively met by castings produced using shell mold casting technology. Sand–resin mixtures are used for their production. Foundry molds made from such mixtures make it possible to obtain high-quality castings from various alloys. However, their widespread industrial application is limited by the relatively high cost of the binder, namely pulverbakelite. The influence of pulverbakelite content on the properties of sand–resin mixtures during shell mold formation under variational static pressure was investigated. It was established that pressure variation during the molding process increases mold strength and improves surface quality while maintaining the required level of gas permeability. The optimal binder content was determined to be 4–6%, which makes it possible to reduce binder consumption without deteriorating the mechanical and technological characteristics of the mold. With respect to novelty, it should be noted that previous studies addressed individual aspects of variable pressure application. In the present article: a wider range of pulverized bakelite content (3–9%) was investigated; the relationship between binder content, strength, and gas permeability was established; the optimal binder content range (4–6%) was determined; and microstructural analysis was extended to include composition and pressure regimes. Thus, the present work significantly extends previous findings and provides a more comprehensive investigation. Full article

The built environment constitutes a significant factor influencing the physical and mental health of the elderly and has garnered sustained interdisciplinary attention in recent years. Based on 425 publications from the Web of Science database spanning 2001 to 2025, this study employed Citespace to conduct a quantitative analysis and synthesis of the relevant literature, aiming to explore the evolutionary trends, hotspot distributions, and pathways of influence regarding the impact of the built environment on elderly health. The results indicate a close positive correlation between the population ageing trend and annual publication growth. The total publication volume exhibited a shift from gradual to rapid growth, demonstrating a distinct phased evolutionary pattern. The research hotspots displayed a gradient structure of descending research intensity: “physical activity—quality of life—mental health.” The impact of the built environment (e.g., green space, street quality) on elderly health can be primarily categorised into three pathways: direct effects, physical activity, and mental health. Macro-level allocation of elderly care facilities and micro-level construction of age-friendly living circles represent the principal optimisation strategies currently employed to address elderly health needs. Finally, potential future research directions are discussed, encompassing aspects such as spatial scales, health representations, and mechanism expansion, with the aim of providing reference and insights for advancing the initiative of “healthy ageing.” Full article

To remove the oxide layer of TC1 titanium alloys in an environmentally friendly and efficient manner, this study conducted experiments using a nanosecond pulsed laser to systematically investigate the influence of different laser energy densities on the cleaning effect. The results showed that the oxide layer could be completely removed at an energy density of 6.37 J/cm², with the surface oxygen element content reduced to 4.87%. The macroscopic surface presented a silvery metallic luster. Moreover, the roughness decreased significantly with the increase in energy density. At 6.37 J/cm², the surface roughness dropped to 0.37 µm. The mechanism of removing the oxide layer of TC1 titanium alloy mainly includes laser ablation and plasma impact. At energy densities ranging from 2.55 J/cm² to 6.37 J/cm², the cleaning mechanism was mainly laser ablation. When the energy density exceeded 6.37 J/cm², the cleaning mechanism gradually shifted from laser ablation to plasma impact as the dominant factor. Meanwhile, the microhardness of the samples after laser cleaning was basically consistent with that of the samples subjected to mechanical grinding, which provides a basis for a nanosecond pulsed laser to replace traditional methods for oxide layer cleaning. Full article

Introduction: Motor reserve (MR) has been hypothesized as a protective factor against age-related and pathological motor decline, potentially enhancing quality of life. This study aimed to investigate the influence of MR on motor performance, assessed via mobile health technology (MHT), in drug-naïve Parkinson’s disease (PD) patients. Methods: Consecutive drug-naïve PD patients and age-matched healthy controls (HC) underwent cognitive and motor assessments. Turning MHT parameters were extracted from the Timed Up and Go test (TUG) performed at self-selected and fast speeds. Participants were categorized into high- or low-MR groups based on the Motor Reserve Index questionnaire (MRIq). Results: Forty-five PD patients and forty healthy controls (HC) were enrolled. PD patients showed longer TUG durations and altered performance compared to HC. No differences were found between high and low motor reserve (MR) groups in demographics or clinical severity. However, high-MR patients exhibited shorter turn duration and higher angular velocities at both self-selected (p < 0.005) and fast speeds (p < 0.05). MR subdomains related to physical and care activities correlated with MHT turning metrics, unlike housework and leisure domains. Conclusions: the findings highlighted the relevance of MR on motor performances assessed by MHT in drug naïve PD, independently from motor severity. Full article

To address the stability challenges of surrounding rock in large-span open-off cuts within weakly cemented strata of western China, this study investigated the 1219 open-off cut at the Shila Wusu Coal Mine. An analytical elastic model for rectangular roadway stress was developed using complex variable function theory to examine the influence of the lateral pressure coefficient on stress distribution. Furthermore, numerical simulations were employed to characterize plastic zone evolution and evaluate support effectiveness. The results demonstrate that the lateral pressure coefficient significantly dictates the stress field: circumferential stress at the ribs intensifies with the increasing lateral pressure coefficient, while stress in the roof and floor decreases accordingly. Notably, tensile stresses develop in the roof and floor when the lateral pressure coefficient is less than 1. Stress extremes are concentrated at the roadway shoulders, exhibiting a distribution pattern where the ribs experience higher concentration than the roof and floor. The circumferential stress concentration coefficient exhibits a marked positive correlation with the lateral pressure coefficient. Numerical results indicate that post-support compressive stress at the shoulders reaches 39.24 MPa, with plastic zone widths of 1.64~2.06 m at the ribs, 2.70 m at the roof, and a significant 5.33 m at the floor, highlighting a pronounced risk of floor heave. Field loosening zone measurements of 1.08 m in the roof and 2.49 m in the rib align closely with numerical findings, confirming that the implemented support effectively constrains plastic zone development. By integrating theoretical derivation, numerical modeling, and in situ observations, this study establishes a robust theoretical and technical framework for the support design of large-span roadways in similar geological settings. Full article

Background/Objectives: Following prior in vitro and in vivo investigations on the bone health benefits of green onions and oats, we aimed to assess the effects of WCO31, Allium fistulosum L. (green onion) root and Avena sativa L. (oat) mixtures, on height growth and safety. Methods: This multi-center, randomized, double-blind, placebo-controlled study included 150 children aged 6–8 years (75 males and 75 females) who fell between the 3rd and 50th percentiles of the Korean National Growth Charts but had not yet developed secondary sexual characteristics. They were randomly assigned to receive daily oral administration of WCO31 (1.2 g/day) or a placebo for 24 weeks. For efficacy analysis, height, growth rate, growth rate standard deviation score (SDS), height SDS, and growth-related parameters were measured. To evaluate the safety of the intervention, several safety parameters (including the incidence of adverse events, laboratory tests, and vital signs) were monitored. Results: The WCO31 group demonstrated significantly superior outcomes, including height, growth rate, growth rate SDS, height SDS, and height-for-age Z-score, than the placebo group (all p < 0.001). Moreover, no safety-related concerns were identified. Conclusions: WCO31 positively influences height growth and demonstrates a favorable safety profile, with no observable adverse effects. This study provides the first clinical evidence supporting growth enhancement using natural extracts, suggesting that WCO31 could serve as a cost-effective, safe, and accessible complementary strategy for promoting child growth. Full article

Objective: The purpose of this study was to compare the influence of biological maturity status and training experience on motor performance in young athletes of different sport disciplines. Methods: Youth athletes (n = 84, 23 females) from five different sports (basketball, volleyball, track and field, wrestling, and badminton) participated in this study. Jump height was measured for the squat jump (SJ) and countermovement jump (CMJ). Peak torque during maximal voluntary contractions (MVCs) and torque steadiness at 20% MVC were assessed during plantar flexion (PF) and dorsiflexion (DF). Postural control was assessed with the one-leg test for both the right and left legs. K-means clustered analysis categorized participants into groups of low and high performers. Results: High performers had greater training experience than low performers for the SJ (p < 0.05), with no difference in maturity status (p > 0.05). Similarly, high performers had greater training experience (p < 0.05) than low performers for the CMJ, with no difference in maturity status (p > 0.05). High performers were more mature than low performers for MVC torque of DF (p < 0.001) and PF (p < 0.001), with no group differences in training experience (DF: p > 0.05; PF: p > 0.05). Maturity status for torque steadiness differed only for DF (p < 0.001), whereas there was no difference for PF (p > 0.05). There were no differences in either maturity status or training experience for one-leg-stance time (p > 0.05). Conclusions: These findings suggest that maturity status and training experience are linked to performance, although their relative roles differ across tasks. These findings reflect an interaction between biological maturity, training background and sports performance in youth athletes. Full article

Knowledge of the influence of grassland-to-cropland conversion on subsoil carbon (C) and nitrogen (N) stocks and the effect of soil properties on subsoil C and N stocks after grassland cultivation remain poorly understood. Furthermore, soil C and N changes retain a biological coupling under global changes; however, whether the coupling between soil C and N stocks can be disrupted by long-term grassland cultivation remains largely unknown. Here, we explored changes in soil C and N stocks at three soil depths (0–10, 10–30, and 30–50 cm) across a grassland cultivation chronosequence of 50 years in a semiarid agro-pastoral ecotone in northern China. Our results showed that soil C and N stocks in the 0–10 cm soil layer exhibited a valley-shaped pattern with increasing cultivation duration, reaching the lowest value at 20 years of grassland cultivation. For the 10–30 cm and 30–50 cm soil layers, soil C and N stocks within 10 years of grassland cultivation were higher than those in native grassland. Soil C and N stocks bottomed out at 20 years of grassland cultivation and then increased with the duration of grassland cultivation. Cultivation duration had no direct effect on soil C and N stocks across soil depths but exerted an indirect influence by affecting soil properties. Soil properties mainly drove variations in C and N stocks in soil, which strengthened with soil depth. Soil C and N stocks in the 0–10 cm soil layer showed a positive correlation with soil pH and soil clay and silt contents and were negatively related to soil sand content. Soil C and N stocks in the 10–30 and 30–50 cm soil layers were only positively correlated with soil clay content. These indicate that soil clay plays a vital role in regulating variations in C and N stocks in topsoil and subsoil with the duration of grassland cultivation. Moreover, soil C stocks in the three soil layers exhibited a significant correlation with soil N stocks. This reveals that the coupled correlation between soil C and N stocks still remains under long-term grassland cultivation. Full article

Background/Objectives: Stress urinary incontinence (SUI) remains a common and functionally relevant complication after radical prostatectomy (RP) and substantially impairs quality of life (QoL). Although pelvic floor muscle training (PFMT) is guideline-recommended, its real-world effectiveness is often limited by accessibility, standardization, and adherence. Digital health interventions may improve adherence to PFMT, potentially influencing continence recovery. We conducted a multicenter randomized controlled trial to evaluate whether a structured, modular app-based PFMT program improves early continence recovery compared with conventional physiotherapist-guided training. Methods: Between September 2022 and September 2024, 62 preoperatively continent men undergoing radical prostatectomy were enrolled in this multicenter randomized controlled trial (Pelvintense). Both groups received perioperative PFMT: Patients were randomized 1:1 to either a modular app-based PFMT program (intervention group) or a standard physiotherapist-guided PFMT (control group). Both app-based PFMT and standard physiotherapist-guided PFMT started three weeks before surgery and continued for 90 days postoperatively. The primary endpoint was continence at 90 days, defined as ICIQ-SF Q1 = 0 (absence of involuntary SUI). Secondary endpoints included continence sub-scores, QoL, erectile function, adherence, and decision regret. Analyses were performed using a modified intention-to-treat approach applying logistic regression and non-parametric tests with sensitivity analyses. Results: A total of 62 patients were included in the study and randomized, with 31 allocated to the app-based PFMT arm and 31 to the standard physiotherapist-guided arm. Three patients in the control arm withdrew consent for data usage after randomization, resulting in a modified intention-to-treat population of 59 patients. At 90 days, continence rates were higher in the app-based group compared with the control group (74.2% versus 21.4%; p < 0.001), corresponding to an absolute risk reduction of 52.8% and a number needed to treat of two. In multivariable analysis, participation in the app-based program was independently associated with higher odds of continence recovery (odds ratio 13.80, 95%-confidence interval 3.22–59.12; p < 0.001). Continence at 30 days and continence-related QoL favored the intervention, whereas no significant differences were observed in erectile function at 90 days. Adherence to the PFMT was higher in the intervention group. Sensitivity analyses confirmed the robustness of the primary outcome. Conclusions: In this randomized controlled trial, a modular app-based PFMT program was associated with early continence recovery after prostatectomy compared with the standard-of-care physiotherapist-guided PFMT. Improved adherence, modular progression of exercises, and a more structured training delivery may have contributed to the effect. App-based PFMT might represent a scalable strategy to implement guideline-recommended supportive care. These findings warrant confirmation in studies with a longer follow-up. Full article