Search Results (3,515)

Background: As populations rapidly age, care robots have been proposed as a promising solution, supporting independent living and alleviating care burdens. However, acceptance of care robots among older adults remains limited. This study examined the relative contributions of demographic, health-related, digital competence, and technology-related psychological factors to care robot acceptance among older adults in South Korea. Methods: A cross-sectional survey was conducted with 506 community-dwelling older adults. Hierarchical multiple regression analyses were used to identify predictors of care robot acceptance, sequentially entering demographic characteristics, health-related factors, digital competence, and technology-related psychological variables. Results: Demographic and health-related factors were initially associated with care robot acceptance, but their effects diminished after accounting for digital competence and psychological variables. In the final model, technology-related psychological factors—particularly technology use self-efficacy and technology enthusiasm—were the strongest predictors of acceptance, while most demographic and health variables became non-significant, with the exception of instrumental activities of daily living (IADLs). Conclusions: These findings indicate that psychological readiness and confidence in technology use outweigh demographic or health characteristics in shaping older adults’ acceptance of care robots. Interventions and design strategies that enhance self-efficacy, foster positive engagement, and support functional independence may be critical for promoting the effective and sustainable adoption of care robots in aging societies. Full article

This study aimed to establish the concurrent validity and agreement of the K-power (KINVENT Biomecanique, Montpellier, France) hybrid sensor system that combines Ultra-Wideband and Inertial Measurement Unit measures against criterion timing gates for recording 20-m sprint performance in adolescent athletes. Fifteen trained adolescent track and field sprinters (age: 15.2 ± 2.4 years) performed two maximal 20-m sprints. Sprint times were simultaneously recorded using timing gates and the K-power sensor. Validity and agreement were assessed using paired-samples t-tests, Intraclass Correlation Coefficients (ICCs), Coefficient of Variation (CV), and Bland–Altman analysis. Sensitivity was determined by comparing the Typical Error (TE) to the Smallest Worthwhile Change (SWC). No significant systematic bias was observed between the devices (p > 0.05). The K-power sensor demonstrated excellent absolute agreement (ICC = 0.96, [95% CI = 0.94–0.98) and a low relative error (CV = 1.07%). The device displayed high sensitivity, with a TE (0.034 s) smaller than SWC (0.040 s). In conclusion, the K-power sensor is a valid and reliable instrument for measuring 20-m sprint times, being a practical alternative to timing gates. While the system is sensitive (TE < SWC), the Minimal Detectable Change of 0.094 s likely reflects the inherent biological variability of adolescent mechanics; thus, coaches should view changes exceeding 0.09 s as meaningful for individual athletes. Full article

This study formulates and verifies a network-based evaluation methodology for appraising the sustainable competitiveness of community enterprises. Based on Social Capital Theory, the Resource-Based View (RBV), and Network Theory, the model defines high-quality networks as structural relational circumstances that facilitate resource sharing and knowledge sharing, serving as mediating mechanisms that improve competitive outcomes. A quantitative study approach was utilized, gathering survey data from 451 representatives of community enterprises around Thailand, and Structural Equation Modeling (SEM) was applied to assess both measurement features and structural relationships. The model demonstrates satisfactory internal reliability, convergent validity, and discriminant validity, affirming measurement adequacy. Empirical evidence indicates that high-quality networks are positively correlated with sustainable competitiveness, both directly and indirectly, with 49.2% of the overall effect conveyed through resource and knowledge exchange, emphasizing the practical value of network-based processes. The suggested model offers practical utility for policymakers and development agencies in search of evidence-based instruments to enhance competitiveness, network capacity, and long-term resilience in community enterprises. The cross-sectional methodology and lack of contextual control variables restrict causal inference and external generalizability, highlighting the necessity for longitudinal or quasi-experimental expansions. By emphasizing model creation and empirical validation, this study develops a systematic and reproducible methodological framework for assessment. Full article

Municipal solid waste challenges (MSW) and concerns about fossil fuel dependence motivate efforts to recover energy from waste, including refuse-derived fuel (RDF). Techno-economic assessment (TEA) evaluates the feasibility of systems by quantifying investment performance. However, most RDF-TEA studies typically rely on isolated sensitivity analyses. That provides limited insight into interaction effects in emerging markets. This study maps the multivariable feasibility of RDF production from MSW in Ghana under realistic economic conditions. Using a pilot-calibrated case study, the assessment integrates discounted cash flow analysis with response surface methodology–design of experiment (RSM-DoE). A central composite design evaluates interaction effects among operational and economic variables for a system capacity of 2875 tonnes RDF/year. The results indicate economic viability with a net present value (NPV) of USD 892,556.44, a payback period (PBP) of 6.61 years and a levelised production cost (LPC) of USD 18.96/tonne. The RSM models show high explanatory power (R², R²adj, R²pred > 90%). Sensitivity results demonstrate that support mechanisms can significantly reduce LPC and PBP while preserving investment viability. The study quantifies the feasibility thresholds and the support instruments within the RDF design levers. It further provides a transferable framework for assessing deployment and upscaling in emerging markets. The findings highlight the need for structured pricing mechanisms and regulatory support for the long-term sustainability of RDF as an AF. Full article

This paper outlines the design, development, and practical implementation of a rubber belt-driven dual cone continuously variable transmission (CVT) model. This model enables a demonstration of stepless changes in the transmission ratio between input and output shafts. Although the model can be operated manually via a control panel, enhanced functionality, such as automated measurement, proportional-integral-derivative (PID) speed control, and data measurement and storage, is achieved through a control application created within the LabVIEW virtual instrument environment. This work also includes a partial comparison between the practical implementation and its simulation model created in MATLAB-Simulink. Full article

Cross-border e-commerce, as an emerging trade format, offers new chances for optimizing industrial chains’ layout, enhancing economic resilience, and attaining high-quality development at the city level. In this context, treating the execution of the cross-border e-commerce comprehensive pilot zone (CBEC) as a quasi-natural experiment, this study subtly attests to how the CBEC affects urban entrepreneurship by using a difference-in-differences (DID) technique. The results exhibit that the CBEC greatly promotes urban entrepreneurship, which is supported by some robustness tests, including instrumental variable testing and placebo testing. Heterogeneity analysis reveals that in cities with more developed economies, stronger digitalization, richer cultures, sounder law rules, and better business environments, the benefit for the CBEC on entrepreneurship is more significant. Mechanism testing argues that the CBEC promotes urban entrepreneurship through talent aggregation and industrial upgrading. Precisely, the more concentrated high-quality talents are and the more advanced the industrial structure is, the higher the urban entrepreneurship. More importantly, the CBEC exhibits a spatial spillover effect on entrepreneurship, promoting local entrepreneurship while stimulating the motivation to imitate and learn in neighboring areas, thereby driving their entrepreneurship. The findings offer a viable decision-making guide for building a unified factor market and achieving regional coordinated development. Full article

Postpericardiotomy syndrome (PPS) is the most frequent inflammatory after-effect of cardiac surgery and is characterized by high morbidity, delayed hospitalization, and increased long-term mortality rates. Although PPS is common, empirical anti-inflammatory therapy has historically been employed for its prevention, and mechanism-based approaches have not yet been standardized. In this literature review, which was conducted on the basis of randomized controlled trials, meta-analyses, cohort studies, and mechanistic research regarding pharmacologic interventions, surgical modalities, and biomarker-based preventive strategies, the deficiencies of a critical synthesis of existing preventive strategies and emerging risk stratification instruments for PPS are addressed. The review affirms that the most evidence-based pharmacologic intervention is colchicine, which demonstrates a consistent reduction in PPS incidence across a range of randomized trials. Nonsteroidal anti-inflammatory drugs show variable responses, whereas corticosteroids are no longer recommended for routine prophylaxis due to relapse. Specific anti–interleukin-1 therapies represent a promising novel approach for high-risk patients. Surgical interventions, such as pericardial closure using biomaterials and posterior pericardiotomy, are important and do not lead to increased hemodynamic complications, while postoperative effusions, atrial fibrillation, and tamponade are reduced. Less invasive methods may also be employed to mitigate inflammatory causes, particularly in valve-sparing procedures and congenital operations. Emerging biomarker data, including postoperative neutrophil-to-lymphocyte ratios, C-reactive protein levels, and pericardial fluid cytokines, enable the identification of high-risk patients and form the basis for a personalized prevention approach. In summary, pharmacologic prophylaxis, innovative surgical techniques, and biomarker-based risk stratification represent a pathway toward reducing the incidence and burden of PPS in modern cardiac surgery. Full article

22q11.2 deletion syndrome (22q11.2DS) is the most common recurrent microdeletion in humans and a prototypical high-risk neurogenetic copy number variant (CNV) associated with a broad spectrum of neurodevelopmental and psychiatric disorders, including intellectual disability (ID), autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), anxiety, and psychotic symptoms. This hemizygous deletion encompasses multiple genes involved in brain development and neural circuit function, contributing to marked phenotypic variability and multisystem involvement. In pediatric populations, deficits in adaptive functioning are frequently reported and may occur independently of global intellectual impairment, reflecting broader behavioral vulnerabilities within this genetic risk architecture. Background/Objectives: This study aimed to characterize the sociodemographic, clinical, and intellectual profiles of children and adolescents with 22q11.2DS and to examine adaptive functioning and its associations with behavioral difficulties. Methods: Thirty-four patients aged 1–17 years with a confirmed molecular diagnosis of 22q11.2DS were assessed. Standardized instruments were used to evaluate cognitive performance, adaptive functioning, and behavioral outcomes. Results: Intellectual disability was highly prevalent, with most participants showing combined cognitive and adaptive impairments. Adaptive functioning was compromised across domains, with relatively higher socialization scores compared to other areas, such as daily living skills. Multivariate analyses indicated associations between sociodemographic factors and behavioral difficulties, as well as between social problems and lower global adaptive functioning. Conclusions: Together, these findings contribute to the characterization of the adaptive and behavioral phenotype associated with a high-risk neurogenetic CNV and highlight the relevance of adaptive functioning as a key outcome for early evaluation and intervention in pediatric 22q11.2DS. Full article

This paper constructs a two-way fixed effects model using data from 4623 Chinese A-share listed enterprises from 2011 to 2022, confirming that firm digital transformation can enhance access to sustainable trade credit. Specifically, for every 1% increase in the standard deviation of digital transformation, the trade credit obtained by enterprises increases by 2.14% in relation to their average value. We employed instrumental variable (IV) and propensity score matching (PSM) methods, utilizing the Broadband China pilot policy as a quasi-natural experiment to conduct a multi-period propensity score matching-difference in differences (PSM-DID) analysis to address potential issues of reverse causality and sample selection bias. Mechanism analysis indicates that the diversification of supplier structures, R&D innovation, and market share facilitated by digitalization are three main channels. This effect is particularly significant in state-owned enterprises, mature enterprises, and those with higher social trust. Finally, the study also found that the spillover effects of digital transformation encourage client enterprises to allocate credit resources to downstream firms, thereby promoting the sustainable development of supply chain finance. Furthermore, the digital transformation primarily alleviates short-term credit challenges for enterprises and reduces their reliance on bank credit. Full article

This study examines the relationship between Emotional Intelligence (EI) and Immediate Auditory Memory (IAM) in primary-school students aged 10–12 years. Through a neuroeducational perspective, it explores how emotional competencies, particularly emotional meta-knowledge, interact with cognitive retention processes. Standardized instruments were administered to a sample of 175 students from schools in Southern Spain. The findings indicate a positive association between Emotional Clarity—a key subdimension of EI—and IAM, with Emotional Clarity emerging as a modest predictor of auditory retention. No notable associations were observed for Emotional Attention or Emotional Repair. These results suggest that the ability to understand one’s emotions may subtly facilitate the processing and retention of auditory information. From neuroscientific and technological viewpoints, the study highlights the potential benefits of integrating emotional education and digital tools in the classroom to enhance student well-being and cognitive development, while calling for cautious interpretation due to the multifaceted nature of these variables. Full article

Background: People with Parkinson’s disease suffer from gait impairments. Clinical scales provide a limited and rater-dependent assessment of gait. Wearable sensors allow an objective characterization by capturing rhythm, pace, and signature patterns. This study investigated if sensor-derived gait parameters have prognostic value for short-term progression of gait impairments. Methods: A total of 111 longitudinal visit pairs were analyzed, where participants underwent clinical evaluation and a 4 × 10 m walking test instrumented with wearable sensors. Changes in the UPDRSIII gait score between baseline and follow-up were used to classify participants as Improvers, Stables, or Deteriorators. Baseline group differences were assessed statistically. Machine-learning classifiers were trained to predict group membership using clinical variables alone, sensor-derived gait features alone, or a combination of both. Results: Significant between-group differences emerged. In participants with UPDRSIII gait score = 1, Improvers showed higher median gait velocity ($0.81 \mathrm{m}/\mathrm{s}$) and stride length ($0.80 \mathrm{m}$) than Stables ($0.68 \mathrm{m}/\mathrm{s}$; $0.70 \mathrm{m}$) and Deteriorators ($0.59 \mathrm{m}/\mathrm{s}$; $0.68 \mathrm{m}$), along with lower stance time variability (3.10% vs. 4.49% and 3.75%; all $p<0.05$). The combined sensor-based and clinical model showed the best performance (AUC $0.82$). Conclusions: Integrating sensor-derived gait parameters with clinical score can support the identification of patients at risk of gait deterioration in the near future. Full article

Background/Objectives: This study evaluates the penetration of a calcium silicate-based sealer (BC Universal) into dentinal tubules after different final irrigation protocols. Methods: Eighty-four single-rooted extracted teeth were instrumented with ProTaper Gold to size F4 and assigned to four groups (n = 21) according to the final irrigation protocol as follows: conventional needle irrigation (CNI), sonic agitation with EndoActivator (EA), ultrasonic activation (UA), and XP-Endo Finisher (XPF). A total of 20 canals from each group were filled with BC Universal sealer mixed with fluorescein and the single-cone obturation technique. The remaining specimen in each group served as a negative control to assess potential imaging bias. Specimens were sectioned 3 mm from the apex and analyzed under confocal laser scanning microscopy. Sealer penetration was assessed by penetration area (PA), maximum depth (MaxD), mean depth (MeanD), and percentage of canal perimeter infiltrated (P). Data were analyzed using Kruskal–Wallis or ANOVA tests (α = 0.05). Results: All activation/agitation techniques showed significantly higher penetration than CNI across all variables (p < 0.001). No significant differences were found among EA, PUI, and XPF for PA, MaxD, and MeanD. However, XPF exhibited the highest perimeter infiltration, which was significantly greater than EA and UA (p < 0.001). Conclusions: Irrigant activation significantly enhanced dentinal tubule penetration of BC Universal sealer compared to CNI. XPF provided superior P, suggesting superior circumferential distribution. These findings suggest a more effective cleaning of the root canal in the apical third achieved by the tested irrigant activation/agitation techniques, which may improve the sealing potential of BC Universal sealer. Full article

The psychosocial well-being of employees is crucial to health and productivity, and it forms the basis for organisational sustainability. Unfortunately, most studies rely on narrow indicators or small samples and thus are not generalisable. The present study aims to identify psychosocial and health-related factors that distinguish employees with high and low SWB and determine whether these effects are universal or sector-specific. A total of 1628 employees with organisations in Latvia’s public administration, healthcare, pharmaceutical and energy sectors participated by completing the Multidimensional Psychosocial Well-Being Scale for Employed Persons (MPSWEP). This instrument assesses five key work environment factors: social inclusion, professional development, work intensity, health risks and autonomy. Subjective well-being (SWB) was measured as a separate outcome variable, and additional self-reported health problems were included as an independent variable in the analysis. Higher odds of high SWB were observed with greater social inclusion (OR = 5.11; p < 0.001), whereas higher work intensity (OR = 0.51; p < 0.001) and health problems (OR = 0.25; p < 0.001) were associated with lower odds of high SWB. Model accuracy was high (AUC = 0.85–0.87), with significant differences between sectors. The results suggest that some resources universally facilitate well-being across sectors, while others exert more sector-specific effects. Full article

Background: Feigned restriction of shoulder joint movement for secondary gain is clinically relevant and may misdirect care, distort disability determinations, and inflate system costs. Distinguishing feigning from structural pathology and from functional or psychosocial presentations is difficult because pain is subjective, performance varies, and no single sign or test is definitive. This comprehensive review hypothesizes that the systematic integration of clinical examination, objective biomechanical and neurophysiological testing, and emerging technologies can substantially improve detection accuracy and provide defensible medicolegal documentation. Methods: PubMed and reference lists were searched within a prespecified time frame (primarily 2015–2025, with foundational earlier works included when conceptually essential) using terms related to shoulder movement restriction, malingering/feigning, symptom validity, effort testing, functional assessment, and secondary gain. Evidence was synthesized narratively, emphasizing objective or semi-objective quantification of motion and effort (goniometry, dynamometry, electrodiagnostics, kinematic sensing, and imaging). Results: Detection is best approached as a stepwise, multidimensional evaluation. First-line clinical assessment focuses on reproducible incongruence: non-anatomic patterns, internal inconsistencies, distraction-related improvement, and mismatch between claimed disability and observed function. Repeated examinations and documentation strengthen inference. Instrumented strength testing improves quantification beyond manual testing but remains effort-dependent; repeat-trial variability and atypical agonist–antagonist co-activation can indicate submaximal performance without proving intent. Imaging primarily tests plausibility by confirming lesions or highlighting discordance between claimed limitation and minimal pathology, while recognizing that normal imaging does not exclude pain. Diagnostic anesthetic injections and electrodiagnostics can clarify pain-mediated restriction or exclude neuropathic weakness but require cautious interpretation. Motion capture and inertial sensors can document compensatory strategies and context-dependent normalization, yet validated standalone thresholds are limited. Conclusions: Feigned shoulder impairment cannot be confirmed by any single test. The desirable strategy combines structured assessment of inconsistencies with objective biomechanical and neurophysiologic measurements, interpreted within the whole clinical context and rigorously documented; however, prospective validation is still needed before routine implementation. Full article

Manual alignment between the trocar, surgical instrument, and robot during minimally invasive surgery (MIS) can be time-consuming and error-prone, and many existing systems do not provide autonomous localization and pose estimation. This paper presents an artificial intelligence (AI)-assisted, vision-guided framework for automated localization and positioning of the ATHENA parallel surgical robot. The proposed approach combines an Intel RealSense RGB–depth (RGB-D) camera with a You Only Look Once version 11 (YOLO11) object detection model to estimate the 3D spatial coordinates of key surgical components in real time. The estimated coordinates are streamed over Transmission Control Protocol/Internet Protocol (TCP/IP) to a programmable logic controller (PLC) using Modbus/TCP, enabling closed-loop robot positioning for automated docking. Experimental validation in a controlled setup designed to replicate key intraoperative constraints demonstrated submillimeter positioning accuracy (≤0.8 mm), an average end-to-end latency of 67 ms, and a 42% reduction in setup time compared with manual alignment, while remaining robust under variable lighting. These results indicate that the proposed perception-to-control pipeline is a practical step toward reliable autonomous robotic docking in MIS workflows. Full article