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Search Results (1,369)

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20 pages, 12851 KiB  
Article
Evaluation of a Vision-Guided Shared-Control Robotic Arm System with Power Wheelchair Users
by Breelyn Kane Styler, Wei Deng, Cheng-Shiu Chung and Dan Ding
Sensors 2025, 25(15), 4768; https://doi.org/10.3390/s25154768 (registering DOI) - 2 Aug 2025
Abstract
Wheelchair-mounted assistive robotic manipulators can provide reach and grasp functions for power wheelchair users. This in-lab study evaluated a vision-guided shared control (VGS) system with twelve users completing two multi-step kitchen tasks: a drinking task and a popcorn making task. Using a mixed [...] Read more.
Wheelchair-mounted assistive robotic manipulators can provide reach and grasp functions for power wheelchair users. This in-lab study evaluated a vision-guided shared control (VGS) system with twelve users completing two multi-step kitchen tasks: a drinking task and a popcorn making task. Using a mixed methods approach participants compared VGS and manual joystick control, providing performance metrics, qualitative insights, and lessons learned. Data collection included demographic questionnaires, the System Usability Scale (SUS), NASA Task Load Index (NASA-TLX), and exit interviews. No significant SUS differences were found between control modes, but NASA-TLX scores revealed VGS control significantly reduced workload during the drinking task and the popcorn task. VGS control reduced operation time and improved task success but was not universally preferred. Six participants preferred VGS, five preferred manual, and one had no preference. In addition, participants expressed interest in robotic arms for daily tasks and described two main operation challenges: distinguishing wrist orientation from rotation modes and managing depth perception. They also shared perspectives on how a personal robotic arm could complement caregiver support in their home. Full article
(This article belongs to the Special Issue Intelligent Sensors and Robots for Ambient Assisted Living)
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18 pages, 1584 KiB  
Article
What Determines Carbon Emissions of Multimodal Travel? Insights from Interpretable Machine Learning on Mobility Trajectory Data
by Guo Wang, Shu Wang, Wenxiang Li and Hongtai Yang
Sustainability 2025, 17(15), 6983; https://doi.org/10.3390/su17156983 (registering DOI) - 31 Jul 2025
Abstract
Understanding the carbon emissions of multimodal travel—comprising walking, metro, bus, cycling, and ride-hailing—is essential for promoting sustainable urban mobility. However, most existing studies focus on single-mode travel, while underlying spatiotemporal and behavioral determinants remain insufficiently explored due to the lack of fine-grained data [...] Read more.
Understanding the carbon emissions of multimodal travel—comprising walking, metro, bus, cycling, and ride-hailing—is essential for promoting sustainable urban mobility. However, most existing studies focus on single-mode travel, while underlying spatiotemporal and behavioral determinants remain insufficiently explored due to the lack of fine-grained data and interpretable analytical frameworks. This study proposes a novel integration of high-frequency, real-world mobility trajectory data with interpretable machine learning to systematically identify the key drivers of carbon emissions at the individual trip level. Firstly, multimodal travel chains are reconstructed using continuous GPS trajectory data collected in Beijing. Secondly, a model based on Calculate Emissions from Road Transport (COPERT) is developed to quantify trip-level CO2 emissions. Thirdly, four interpretable machine learning models based on gradient boosting—XGBoost, GBDT, LightGBM, and CatBoost—are trained using transportation and built environment features to model the relationship between CO2 emissions and a set of explanatory variables; finally, Shapley Additive exPlanations (SHAP) and partial dependence plots (PDPs) are used to interpret the model outputs, revealing key determinants and their non-linear interaction effects. The results show that transportation-related features account for 75.1% of the explained variance in emissions, with bus usage being the most influential single factor (contributing 22.6%). Built environment features explain the remaining 24.9%. The PDP analysis reveals that substantial emission reductions occur only when the shares of bus, metro, and cycling surpass threshold levels of approximately 40%, 40%, and 30%, respectively. Additionally, travel carbon emissions are minimized when trip origins and destinations are located within a 10 to 11 km radius of the central business district (CBD). This study advances the field by establishing a scalable, interpretable, and behaviorally grounded framework to assess carbon emissions from multimodal travel, providing actionable insights for low-carbon transport planning and policy design. Full article
(This article belongs to the Special Issue Sustainable Transportation Systems and Travel Behaviors)
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10 pages, 2570 KiB  
Article
Demonstration of Monolithic Integration of InAs Quantum Dot Microdisk Light Emitters and Photodetectors Directly Grown on On-Axis Silicon (001)
by Shuaicheng Liu, Hao Liu, Jihong Ye, Hao Zhai, Weihong Xiong, Yisu Yang, Jun Wang, Qi Wang, Yongqing Huang and Xiaomin Ren
Micromachines 2025, 16(8), 897; https://doi.org/10.3390/mi16080897 (registering DOI) - 31 Jul 2025
Abstract
Silicon-based microcavity quantum dot lasers are attractive candidates for on-chip light sources in photonic integrated circuits due to their small size, low power consumption, and compatibility with silicon photonic platforms. However, integrating components like quantum dot lasers and photodetectors on a single chip [...] Read more.
Silicon-based microcavity quantum dot lasers are attractive candidates for on-chip light sources in photonic integrated circuits due to their small size, low power consumption, and compatibility with silicon photonic platforms. However, integrating components like quantum dot lasers and photodetectors on a single chip remains challenging due to material compatibility issues and mode field mismatch problems. In this work, we have demonstrated monolithic integration of an InAs quantum dot microdisk light emitter, waveguide, and photodetector on a silicon platform using a shared epitaxial structure. The photodetector successfully monitored variations in light emitter output power, experimentally proving the feasibility of this integrated scheme. This work represents a key step toward multifunctional integrated photonic systems. Future efforts will focus on enhancing the light emitter output power, improving waveguide efficiency, and scaling up the integration density for advanced applications in optical communication. Full article
(This article belongs to the Special Issue Silicon-Based Photonic Technology and Devices)
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19 pages, 1829 KiB  
Article
EMG-Driven Shared Control Architecture for Human–Robot Co-Manipulation Tasks
by Francesca Patriarca, Paolo Di Lillo and Filippo Arrichiello
Machines 2025, 13(8), 669; https://doi.org/10.3390/machines13080669 (registering DOI) - 31 Jul 2025
Viewed by 156
Abstract
The paper presents a shared control strategy that allows a human operator to physically guide the end-effector of a robotic manipulator to perform different tasks, possibly in interaction with the environment. To switch among different operational modes referring to a finite state machine [...] Read more.
The paper presents a shared control strategy that allows a human operator to physically guide the end-effector of a robotic manipulator to perform different tasks, possibly in interaction with the environment. To switch among different operational modes referring to a finite state machine algorithm, ElectroMyoGraphic (EMG) signals from the user’s arm are used to detect muscular contractions and to interact with a variable admittance control strategy. Specifically, a Support Vector Machine (SVM) classifier processes the raw EMG data to identify three classes of contractions that trigger the activation of different sets of admittance control parameters corresponding to the envisaged operational modes. The proposed architecture has been experimentally validated using a Kinova Jaco2 manipulator, equipped with force/torque sensor at the end-effector, and with a limited group of users wearing Delsys Trigno Avanti EMG sensors on the dominant upper limb, demonstrating promising results. Full article
(This article belongs to the Special Issue Design and Control of Assistive Robots)
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37 pages, 5345 KiB  
Article
Synthesis of Sources of Common Randomness Based on Keystream Generators with Shared Secret Keys
by Dejan Cizelj, Milan Milosavljević, Jelica Radomirović, Nikola Latinović, Tomislav Unkašević and Miljan Vučetić
Mathematics 2025, 13(15), 2443; https://doi.org/10.3390/math13152443 - 29 Jul 2025
Viewed by 122
Abstract
Secure autonomous secret key distillation (SKD) systems traditionally depend on external common randomness (CR) sources, which often suffer from instability and limited reliability over long-term operation. In this work, we propose a novel SKD architecture that synthesizes CR by combining a keystream of [...] Read more.
Secure autonomous secret key distillation (SKD) systems traditionally depend on external common randomness (CR) sources, which often suffer from instability and limited reliability over long-term operation. In this work, we propose a novel SKD architecture that synthesizes CR by combining a keystream of a shared-key keystream generator KSG(KG) with locally generated binary Bernoulli noise. This construction emulates the statistical properties of the classical Maurer satellite scenario while enabling deterministic control over key parameters such as bit error rate, entropy, and leakage rate (LR). We derive a closed-form lower bound on the equivocation of the shared-secret key  KG from the viewpoint of an adversary with access to public reconciliation data. This allows us to define an admissible operational region in which the system guarantees long-term secrecy through periodic key refreshes, without relying on advantage distillation. We integrate the Winnow protocol as the information reconciliation mechanism, optimized for short block lengths (N=8), and analyze its performance in terms of efficiency, LR, and final key disagreement rate (KDR). The proposed system operates in two modes: ideal secrecy, achieving secret key rates up to 22% under stringent constraints (KDR < 10−5, LR < 10−10), and perfect secrecy mode, which approximately halves the key rate. Notably, these security guarantees are achieved autonomously, without reliance on advantage distillation or external CR sources. Theoretical findings are further supported by experimental verification demonstrating the practical viability of the proposed system under realistic conditions. This study introduces, for the first time, an autonomous CR-based SKD system with provable security performance independent of communication channels or external randomness, thus enhancing the practical viability of secure key distribution schemes. Full article
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31 pages, 4963 KiB  
Article
Individual Action or Collaborative Scientific Research Institutions? Agricultural Support from Enterprises from the Perspective of Subsidies
by Ziyi Zhang, Yantong Zhong, Guitao Zhang, Tianyu Zhai, Zongru Li and Shuaicheng Lin
Sustainability 2025, 17(15), 6873; https://doi.org/10.3390/su17156873 - 29 Jul 2025
Viewed by 132
Abstract
Under China’s “Rural Revitalisation” strategy, contract farming faces challenges including farmers’ limited access to advanced technologies and high operational risks for agricultural support enterprises. The collaborative involvement of scientific research institutions offers potential solutions but remains underexplored. This study employs Stackelberg game theory [...] Read more.
Under China’s “Rural Revitalisation” strategy, contract farming faces challenges including farmers’ limited access to advanced technologies and high operational risks for agricultural support enterprises. The collaborative involvement of scientific research institutions offers potential solutions but remains underexplored. This study employs Stackelberg game theory to model a contract farming supply chain under two agricultural assistance modes: enterprise-led (EL) and collaborative assistance with scientific research institutions (CI). We further propose two government subsidy mechanisms: subsidies to enterprises and subsidies to scientific research institutions. The models analyze optimal decisions, supply chain performance, and subsidy efficiency, validated through numerical experiments. Key findings reveal the following: (1) The CI mode enhances agricultural output and farmer revenue but may reduce enterprise profits, deterring collaboration. (2) Government subsidies incentivize enterprise–institution collaboration. Subsidizing scientific research institutions typically improves agricultural productivity and economic benefits more effectively than subsidizing enterprises. (3) Synergistic effects exist among the government subsidy coefficient, cost coefficient of technical assistance, consumer preferences for agricultural quality, and profit-sharing ratio. The latter three parameters significantly influence subsidy model selection. This research provides policy insights for enhancing agricultural assistance efficiency and sustainable contract farming development. Full article
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22 pages, 5960 KiB  
Article
Application of Integrated Geospatial Analysis and Machine Learning in Identifying Factors Affecting Ride-Sharing Before/After the COVID-19 Pandemic
by Afshin Allahyari and Farideddin Peiravian
ISPRS Int. J. Geo-Inf. 2025, 14(8), 291; https://doi.org/10.3390/ijgi14080291 - 28 Jul 2025
Viewed by 222
Abstract
Ride-pooling, as a sustainable mode of ride-hailing services, enables different riders to share a vehicle while traveling along similar routes. The COVID-19 pandemic led to the suspension of this service, but Transportation Network Companies (TNCs) such as Uber and Lyft resumed it after [...] Read more.
Ride-pooling, as a sustainable mode of ride-hailing services, enables different riders to share a vehicle while traveling along similar routes. The COVID-19 pandemic led to the suspension of this service, but Transportation Network Companies (TNCs) such as Uber and Lyft resumed it after a significant delay following the lockdown. This raises the question of what determinants shape ride-pooling in the post-pandemic era and how they spatially influence shared ride-hailing compared to the pre-pandemic period. To address this gap, this study employs geospatial analysis and machine learning to examine the factors affecting ride-pooling trips in pre- and post-pandemic periods. Using over 66 million trip records from 2019 and 43 million from 2023, we observe a significant decline in shared trip adoption, from 16% to 2.91%. The results of an extreme gradient boosting (XGBoost) model indicate a robust capture of non-linear relationships. The SHAP analysis reveals that the percentage of the non-white population is the dominant predictor in both years, although its influence weakened post-pandemic, with a breakpoint shift from 78% to 90%, suggesting reduced sharing in mid-range minority areas. Crime density and lower car ownership consistently correlate with higher sharing rates, while dense, transit-rich areas exhibit diminished reliance on shared trips. Our findings underscore the critical need to enhance transportation integration in underserved communities. Concurrently, they highlight the importance of encouraging shared ride adoption in well-served, high-demand areas where solo ride-hailing is prevalent. We believe these results can directly inform policies that foster more equitable, cost-effective, and sustainable shared mobility systems in the post-pandemic landscape. Full article
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33 pages, 1238 KiB  
Article
Crisis Response Modes in Collaborative Business Ecosystems: A Mathematical Framework from Plasticity to Antifragility
by Javaneh Ramezani, Luis Gomes and Paula Graça
Mathematics 2025, 13(15), 2421; https://doi.org/10.3390/math13152421 - 27 Jul 2025
Viewed by 354
Abstract
Collaborative business ecosystems (CBEs) are increasingly exposed to disruptive events (e.g., pandemics, supply chain breakdowns, cyberattacks) that challenge organizational adaptability and value creation. Traditional approaches to resilience and robustness often fail to capture the full range of systemic responses. This study introduces a [...] Read more.
Collaborative business ecosystems (CBEs) are increasingly exposed to disruptive events (e.g., pandemics, supply chain breakdowns, cyberattacks) that challenge organizational adaptability and value creation. Traditional approaches to resilience and robustness often fail to capture the full range of systemic responses. This study introduces a unified mathematical framework to evaluate four crisis response modes—plasticity, resilience, transformative resilience, and antifragility—within complex adaptive networks. Grounded in complex systems and collaborative network theory, our model formalizes both internal organizational capabilities (e.g., adaptability, learning, innovation, structural flexibility) and strategic interventions (e.g., optionality, buffering, information sharing, fault-injection protocols), linking them to pre- and post-crisis performance via dynamic adjustment functions. A composite performance score is defined across four dimensions (Innovation, Contribution, Prestige, and Responsiveness to Business Opportunities), using capability–strategy interaction matrices, weighted performance change functions, and structural transformation modifiers. The sensitivity analysis and scenario simulations enable a comparative evaluation of organizational configurations, strategy impacts, and phase-transition thresholds under crisis. This indicator-based formulation provides a quantitative bridge between resilience theory and practice, facilitating evidence-based crisis management in networked business environments. Full article
(This article belongs to the Special Issue Optimization Models for Supply Chain, Planning and Scheduling)
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33 pages, 4841 KiB  
Article
Research on Task Allocation in Four-Way Shuttle Storage and Retrieval Systems Based on Deep Reinforcement Learning
by Zhongwei Zhang, Jingrui Wang, Jie Jin, Zhaoyun Wu, Lihui Wu, Tao Peng and Peng Li
Sustainability 2025, 17(15), 6772; https://doi.org/10.3390/su17156772 - 25 Jul 2025
Viewed by 305
Abstract
The four-way shuttle storage and retrieval system (FWSS/RS) is an advanced automated warehousing solution for achieving green and intelligent logistics, and task allocation is crucial to its logistics efficiency. However, current research on task allocation in three-dimensional storage environments is mostly conducted in [...] Read more.
The four-way shuttle storage and retrieval system (FWSS/RS) is an advanced automated warehousing solution for achieving green and intelligent logistics, and task allocation is crucial to its logistics efficiency. However, current research on task allocation in three-dimensional storage environments is mostly conducted in the single-operation mode that handles inbound or outbound tasks individually, with limited attention paid to the more prevalent composite operation mode where inbound and outbound tasks coexist. To bridge this gap, this study investigates the task allocation problem in an FWSS/RS under the composite operation mode, and deep reinforcement learning (DRL) is introduced to solve it. Initially, the FWSS/RS operational workflows and equipment motion characteristics are analyzed, and a task allocation model with the total task completion time as the optimization objective is established. Furthermore, the task allocation problem is transformed into a partially observable Markov decision process corresponding to reinforcement learning. Each shuttle is regarded as an independent agent that receives localized observations, including shuttle position information and task completion status, as inputs, and a deep neural network is employed to fit value functions to output action selections. Correspondingly, all agents are trained within an independent deep Q-network (IDQN) framework that facilitates collaborative learning through experience sharing while maintaining decentralized decision-making based on individual observations. Moreover, to validate the efficiency and effectiveness of the proposed model and method, experiments were conducted across various problem scales and transport resource configurations. The experimental results demonstrate that the DRL-based approach outperforms conventional task allocation methods, including the auction algorithm and the genetic algorithm. Specifically, the proposed IDQN-based method reduces the task completion time by up to 12.88% compared to the auction algorithm, and up to 8.64% compared to the genetic algorithm across multiple scenarios. Moreover, task-related factors are found to have a more significant impact on the optimization objectives of task allocation than transport resource-related factors. Full article
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28 pages, 1121 KiB  
Review
Molecular Mechanisms of Potato Plant–Virus–Vector Interactions
by Roza Kenzhebekova, Alexandr Pozharskiy, Kamila Adilbayeva and Dilyara Gritsenko
Plants 2025, 14(15), 2282; https://doi.org/10.3390/plants14152282 - 24 Jul 2025
Viewed by 425
Abstract
Viral infections and their vector dynamics pose a major threat to potatoes (Solanum tuberosum L.) worldwide, urgently needing an integrated understanding of the molecular and ecological interactions in this tripartite system. This review describes the major potato viruses, namely potato virus Y [...] Read more.
Viral infections and their vector dynamics pose a major threat to potatoes (Solanum tuberosum L.) worldwide, urgently needing an integrated understanding of the molecular and ecological interactions in this tripartite system. This review describes the major potato viruses, namely potato virus Y (PVY), the potato leafroll virus (PLRV), and potato virus X (PVX), with an emphasis on their infection and replication strategies in plants, as well as their movement within them. It also discusses plant responses to these viruses by uncovering RNA silencing, resistance (R) genes, and hormonal signaling. The complex dynamics of virus–vector interactions are discussed, considering the modes of transmission-persistent, non-persistent and semi-persistent—the role of viral proteins such as HC-Pro in determining vector specificity and adaptations in vectors that facilitate virus dissemination. This article discusses how vectors select potato plants, with an emphasis on the role played by plant-excreted volatiles and vector-applied saliva in plant defense. It also discusses host genes that contribute to vector resistance. This review provides an overview of the interactions between potato plants, viruses, and vectors and shows how viruses influence plant–vector interactions, the molecular pathways shared, and the altered gene expression profiles due to these interactions. The review offers an integrated perspective essential for developing sustainable and precise control strategies against potato viral pathogens under changing climatic conditions. Full article
(This article belongs to the Special Issue Plant–Microbe Interaction)
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23 pages, 476 KiB  
Article
Predictors of Sustainable Student Mobility in a Suburban Setting
by Nataša Kovačić and Hrvoje Grofelnik
Sustainability 2025, 17(15), 6726; https://doi.org/10.3390/su17156726 - 24 Jul 2025
Viewed by 267
Abstract
Analyses of student mobility are typically conducted in an urban environment and are informed by socio-demographic or trip attributes. The prevailing focus is on individual modes of transport, different groups of commuters travelling to campus, students’ behavioural perceptions, and the totality of student [...] Read more.
Analyses of student mobility are typically conducted in an urban environment and are informed by socio-demographic or trip attributes. The prevailing focus is on individual modes of transport, different groups of commuters travelling to campus, students’ behavioural perceptions, and the totality of student trips. This paper starts with the identification of the determinants of student mobility that have received insufficient research attention. Utilising surveys, the study captures the mobility patterns of a sample of 1014 students and calculates their carbon footprint (CF; in kg/academic year) to assess whether the factors neglected in previous studies influence differences in the actual environmental load of student commuting. A regression analysis is employed to ascertain the significance of these factors as predictors of sustainable student mobility. This study exclusively focuses on the group of student commuters to campus and analyses the trips associated with compulsory activities at a suburban campus that is distant from the university centre and student facilities, which changes the mobility context in terms of commuting options. The under-researched factors identified in this research have not yet been quantified as CF. The findings confirm that only some of the factors neglected in previous research are statistically significant predictors of the local environmental load of student mobility. Specifically, variables such as student employment, frequency of class attendance, and propensity for ride-sharing could be utilised to forecast and regulate students’ mobility towards more sustainable patterns. However, all of the under-researched factors (including household size, region of origin (i.e., past experiences), residing at term-time accommodation while studying, and the availability of a family car) have an influence on the differences in CF magnitude in the studied campus. Full article
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19 pages, 536 KiB  
Article
Luigi Giussani and an Accompaniment Model for Religious Education in Rural Australia
by Paul G. Chigwidden
Religions 2025, 16(8), 958; https://doi.org/10.3390/rel16080958 - 23 Jul 2025
Viewed by 554
Abstract
The rapid secularisation of society has made the work of religious education in Catholic secondary schools increasingly difficult. Contemporary RE teachers are often faced with wildly disparate knowledge and interest levels in their classrooms, to say nothing of their own religiosity. Many systems [...] Read more.
The rapid secularisation of society has made the work of religious education in Catholic secondary schools increasingly difficult. Contemporary RE teachers are often faced with wildly disparate knowledge and interest levels in their classrooms, to say nothing of their own religiosity. Many systems focus on new curricula, new forms of professional development opportunities, or tertiary courses as a means of enriching what is happening in the classroom. This article examines the approach developed in a small rural diocese in accompanying the RE teachers working in its five secondary schools. It is an accompaniment model that is grounded in the theological and pedagogical insights of Luigi Giussani and adapted to the realities of contemporary education in an Australian setting. The results are a surprising proliferation of enrichment and innovation that can be immediately shared with students in each RE classroom. Moreover, accompaniment offers a more sustainable, agile, and targeted mode of supporting the evangelising work of RE teachers working in Catholic secondary schools. Full article
(This article belongs to the Special Issue Systematic Theology as a Catalyst for Renewal in Catholic Education)
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22 pages, 2015 KiB  
Article
Using Sentiment Analysis to Study the Potential for Improving Sustainable Mobility in University Campuses
by Ewerton Chaves Moreira Torres and Luís Guilherme de Picado-Santos
Sustainability 2025, 17(14), 6645; https://doi.org/10.3390/su17146645 - 21 Jul 2025
Viewed by 262
Abstract
This study investigates public perceptions of sustainable mobility within university environments, which are important trip generation hubs with the potential to influence and disseminate sustainable mobility behaviors. Using sentiment analysis on 120,236 tweets from São Paulo, Rio de Janeiro, Lisbon, and Porto, tweets [...] Read more.
This study investigates public perceptions of sustainable mobility within university environments, which are important trip generation hubs with the potential to influence and disseminate sustainable mobility behaviors. Using sentiment analysis on 120,236 tweets from São Paulo, Rio de Janeiro, Lisbon, and Porto, tweets were classified into positive, neutral, and negative sentiments to assess perceptions across transport modes. It was hypothesized that universities would exhibit more positive sentiment toward active and public transport modes compared to perceptions of these modes within the broader city environment. Results show that active modes and public transport consistently receive higher positive sentiment rates than individual motorized modes, and, considering the analyzed contexts, universities demonstrate either similar (São Paulo) or more positive perceptions compared to the overall sentiment observed in the city (Rio de Janeiro, Lisbon, and Porto). Chi-square tests confirmed significant associations between transport mode and sentiment distribution. An exploratory analysis using topic modeling revealed that perceptions around bicycle use are linked to themes of safety, cycling infrastructure, and bike sharing. The findings highlight opportunities to promote sustainable mobility in universities by leveraging user sentiment while acknowledging limitations such as demographic bias in social media data and potential misclassification. This study advances data-driven methods to support targeted strategies for increasing active and public transport in university settings. Full article
(This article belongs to the Section Sustainable Transportation)
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17 pages, 554 KiB  
Review
Post-Concussion Syndrome and Functional Neurological Disorder: Diagnostic Interfaces, Risk Mechanisms, and the Functional Overlay Model
by Ioannis Mavroudis, Foivos Petridis, Eleni Karantali, Alin Ciobica, Sotirios Papagiannopoulos and Dimitrios Kazis
Brain Sci. 2025, 15(7), 755; https://doi.org/10.3390/brainsci15070755 - 16 Jul 2025
Viewed by 491
Abstract
Background: Post-concussion syndrome (PCS) and Functional Neurological Disorder (FND), including Functional Cognitive Disorder (FCD), are two frequently encountered but diagnostically complex conditions. While PCS is conceptualized as a sequela of mild traumatic brain injury (mTBI), FND/FCD encompasses symptoms incompatible with recognized neurological disease, [...] Read more.
Background: Post-concussion syndrome (PCS) and Functional Neurological Disorder (FND), including Functional Cognitive Disorder (FCD), are two frequently encountered but diagnostically complex conditions. While PCS is conceptualized as a sequela of mild traumatic brain injury (mTBI), FND/FCD encompasses symptoms incompatible with recognized neurological disease, often arising in the absence of structural brain damage. Yet, both conditions exhibit considerable clinical overlap—particularly in the domains of cognitive dysfunction, emotional dysregulation, and symptom persistence despite negative investigations. Objective: This review critically examines the shared and divergent features of PCS and FND/FCD. We explore their respective epidemiology, diagnostic criteria, and risk factors—including personality traits and trauma exposure—as well as emerging insights from neuroimaging and biomarkers. We propose the “Functional Overlay Model” as a clinical tool for navigating diagnostic ambiguity in patients with persistent post-injury symptoms. Results: PCS and FND/FCD frequently share features such as subjective cognitive complaints, fatigue, anxiety, and heightened somatic vigilance. High neuroticism, maladaptive coping, prior psychiatric history, and trauma exposure emerge as common risk factors. Neuroimaging studies show persistent network dysfunction in both PCS and FND, with overlapping disruption in fronto-limbic and default mode systems. The Functional Overlay Model helps to identify cases where functional symptomatology coexists with or replaces an initial organic insult—particularly in patients with incongruent symptoms and normal objective testing. Conclusions: PCS and FND/FCD should be conceptualized along a continuum of brain dysfunction, shaped by injury, psychology, and contextual factors. Early recognition of functional overlays and stratified psychological interventions may improve outcomes for patients with persistent, medically unexplained symptoms after head trauma. This review introduces the Functional Overlay Model as a novel framework to enhance diagnostic clarity and therapeutic planning in patients presenting with persistent post-injury symptoms. Full article
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18 pages, 349 KiB  
Article
Reconsidering the Word–Sacrament and Scripture–Liturgy Debate: A Patristic Perspective
by Ciprian Ioan Streza
Religions 2025, 16(7), 895; https://doi.org/10.3390/rel16070895 - 12 Jul 2025
Viewed by 304
Abstract
The relationship between Scripture and the Liturgy remains one of the most extensively debated subjects in theological discourse. In the wake of the Protestant Reformation and the Catholic Counter-Reformation, a divided Christendom witnessed the rise of a dichotomy between Scripture and Liturgy, as [...] Read more.
The relationship between Scripture and the Liturgy remains one of the most extensively debated subjects in theological discourse. In the wake of the Protestant Reformation and the Catholic Counter-Reformation, a divided Christendom witnessed the rise of a dichotomy between Scripture and Liturgy, as well as between the Word and the Sacrament. This dichotomy, however, is absent from the patristic thought, which perceives the unity and complementarity between Scripture and Liturgy, owing to their shared belonging to the one life of the Church—broadly defined as Tradition—and to the way they are understood and experienced as interconnected modes through which the singular Mystery of Jesus Christ is communicated to the faithful. The present study aims to demonstrate this unity by drawing on a substantial body of patristic writings, highlighting the fact that the life of the Church is one and is lived both as the rule of faith and the rule of prayer, and that through it, one and the same Christ communicates Himself to the faithful both through the Word and through the Holy Sacraments. For the Church Fathers, the Christian faith is not an abstract doctrine about Christ, but a real and personal encounter and communion with Him in the life of the Church. This patristic approach may offer a starting point for contemporary Christianity in addressing the current liturgical crisis and in rethinking and renewing future ecumenical dialogue. Such renewal presupposes a movement beyond secular formalism and nominalism, which have fostered excessive conceptualization and an antithetical view of Scripture and Liturgy, Word and Sacrament. Full article
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