Search Results (745)

Background/Objectives: Neuromodulation is under investigation as a possibly effective add-on therapy in Alzheimer’s disease (AD). While transcranial pulse stimulation (TPS) has shown positive short-term effects, long-term effects have not yet been fully explored. This study aims to evaluate the long-term feasibility, safety, and potential cognitive benefits of TPS over one year in patients with Alzheimer’s disease, focusing on domains such as memory, speech, orientation, visuo-construction, and depressive symptoms. Methods: We analyzed preliminary data from the first ten out of thirty-five patients enrolled in a prospective TPS study who completed one year of follow-up and were included in a dedicated long-term database. The protocol consisted of six initial TPS sessions over two weeks, followed by monthly booster sessions delivering 6000 pulses each for twelve months. Patients underwent regular neuropsychological assessments using the Alzheimer Disease Assessment Scale (ADAS), Mini-Mental Status Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Beck Depression Inventory (BDI-II). All adverse events (AEs) were documented and monitored throughout the study. Results: Adverse events occurred in less than 1% of stimulation sessions and mainly included mild focal pain or transient unpleasant sensations, as well as some systemic behavioral or vigilance changes, particularly in patients with underlying medical conditions, with some potentially related to the device’s stimulation as adverse device reactions (ADRs). Cognitive test results showed significant improvement after the initial stimulation cycle (ADAS total improved significantly after the first stimulation cycle (M_pre = 28.44, M_post = 18.56; p = 0.001, d = 0.80, 95% CI (0.36, 1.25)), with stable scores across all domains over one year. Improvements were most notable in memory, speech, and mood. Conclusions: TPS appears to be a generally safe and feasible add-on treatment for AD, although careful patient selection and monitoring are advised. While a considerable number of participants were lost to follow-up for various reasons, adverse events and lack of treatment effect were unlikely primary causes. A multifocal stimulation approach (F-TOP2) is proposed to enhance effects across more cognitive domains. Full article

Pathologies of the heart (e.g., ischemic disease, valve fibrosis and calcification, progressive myocardial fibrosis, heart failure, and arrhythmogenic disorders) stem from the irreversible deterioration of cardiac tissues, leading to severe clinical consequences. The limited regenerative capacity of the adult myocardium and the architectural complexity of the heart present major challenges for tissue engineering. However, recent advances in biomaterials and biofabrication techniques have opened new avenues for recreating functional cardiac tissues. Particularly relevant in this context is the integration of biomimetic design principles, such as structural anisotropy, mechanical and electrical responsiveness, and tissue-specific composition, into 3D bioprinting platforms. This review aims to provide a comprehensive overview of current approaches in cardiac bioprinting, with a focus on how structural and functional biomimicry can be achieved using advanced hydrogels, bioprinting techniques, and post-fabrication stimulation. By critically evaluating materials, methods, and applications such as patches, vasculature, valves, and chamber models, we define the state of the art and highlight opportunities for developing next-generation bioengineered cardiac constructs. Full article

To ensure confidentiality and integrity in the era of quantum computing, most post-quantum cryptographic schemes are designed to achieve either encryption or digital signature functionalities separately. Although a few signcryption schemes exist that combine these operations into a single, more efficient process, they typically rely on complex vector, matrix, or polynomial-based structures. In this work, a novel post-quantum public-key encryption and signature (PQES) scheme based entirely on scalar integer operations is presented. The proposed scheme employs a simplified structure where the ciphertext, keys, and core cryptographic operations are defined over scalar integers modulo n, significantly reducing computational and memory overhead. By avoiding high-dimensional lattices or ring-based constructions, the PQES approach enhances implementability on constrained devices while maintaining strong security properties. The design is inspired by modified learning-with-errors (LWE) assumptions, adapted to scalar settings, making it suitable for post-quantum applications. Security and performance evaluations, achieving a signcryption time of 0.0007 s and an unsigncryption time of 0.0011 s, demonstrate that the scheme achieves a practical balance between efficiency and resistance to quantum attacks. Full article

Background/Objectives: The aim of our study was to evaluate clinical outcomes in patients with small pleomorphic adenoma (PA) after extracapsular dissection (ED) versus superficial parotidectomy (SP). Methods: Following the PRISMA guidelines, a systematic review covering the years from 1950 to 2025 was conducted using the Pubmed/MEDLINE, Cochrane Library, Scopus, Ovid MEDLINE and Embase databases. A single-arm meta-analysis was performed to evaluate intraoperative capsular rupture, recurrence, transient and permanent facial nerve palsy, Frey’s syndrome, salivary fistula, seroma and hematoma of patients who underwent ED vs. those who underwent SP, and funnel plots were constructed to evaluate the robustness of the findings. Results: Of the 1793 identified papers, 21 articles met the inclusion criteria. The meta-analysis (2507 patients) reported the following: (1) the risk of recurrence is similar in patients treated with ED and SP; (2) the transient facial nerve palsy rate is lower after ED (p < 0.05), while the permanent facial nerve palsy rate is similar with ED and SP; (3) post-operative complications, especially Frey’s syndrome (p < 0.05), are more common after SP. Conclusions: Given the similar recurrence rate and the lower morbidity compared to SP, ED could be considered the treatment of choice for pleomorphic adenomas of the parotid gland that are up to 3 cm in size, mobile and located in the superficial lobe of the parotid gland. Full article

Emergency material scheduling (EMS) is a core component of post-disaster emergency response, with its efficiency directly impacting rescue effectiveness and the satisfaction of affected populations. However, due to severe road damage, limited availability of resources, and logistical challenges after disasters, current EMS practices often suffer from uneven resource distribution. To address these issues, this paper proposes a priority-based, multi-stage EMS approach with drone coordination. First, we construct a three-level EMS network “storage warehouses–transit centers–disaster areas” by integrating the advantages of large-scale transportation via trains and the flexible delivery capabilities of drones. Second, considering multiple constraints, such as the priority level of disaster areas, drone flight range, transport capacity, and inventory capacities at each node, we formulate a bilevel mixed-integer nonlinear programming model. Third, given the NP-hard nature of the problem, we design a hybrid algorithm—the Tabu Genetic Algorithm combined with Branch and Bound (TGA-BB), which integrates the global search capability of genetic algorithms, the precise solution mechanism of branch and bound, and the local search avoidance features of Tabu search. A stage-adjustment operator is also introduced to better adapt the algorithm to multi-stage scheduling requirements. Finally, we designed eight instances of varying scales to systematically evaluate the performance of the stage-adjustment operator and the Tabu search mechanism within TGA-BB. Comparative experiments were conducted against several traditional heuristic algorithms. The experimental results show that TGA-BB outperformed the other algorithms across all eight test cases, in terms of both average response time and average runtime. Specifically, in Instance 7, TGA-BB reduced the average response time by approximately 52.37% compared to TGA-Particle Swarm Optimization (TGA-PSO), and in Instance 2, it shortened the average runtime by about 97.95% compared to TGA-Simulated Annealing (TGA-SA).These results fully validate the superior solution accuracy and computational efficiency of TGA-BB in drone-coordinated, multi-stage EMS. Full article

This study presents an AI-enhanced pedestrian simulation model for subway stations, combining the Social Force Model (SFM) with LiDAR trajectory data from Samseong Station in Seoul. To reflect time-dependent behavioral differences, RMSProp-based optimization is performed separately for the morning peak, leisure hours, and evening peak, yielding time-specific parameter sets. Compared to baseline models with static parameters, the proposed method reduces prediction errors (MSE) by 50.1% to 84.7%. The model integrates adaptive learning rates, mini-batch training, and L2 regularization, enabling robust convergence and generalization across varied pedestrian densities. Its accuracy and modular design support real-world applications such as pre-construction design testing, post-opening monitoring, and capacity planning. The framework also contributes to Sustainable Urban Mobility Plans (SUMPs) by enabling predictive, data-driven evaluation of pedestrian flow dynamics in complex station environments. Full article

Background/Objectives: Swine influenza A virus (swIAV), a prevalent respiratory pathogen in porcine populations, poses substantial economic losses to global livestock industries and represents a potential threat to public health security. Neuraminidase (NA) has been proposed as an important component for universal influenza vaccine development. NA has potential advantages as a vaccine antigen in providing cross-protection, with specific antibodies that have a broad binding capacity for heterologous viruses. In this study, we evaluated the immunogenicity and protective efficacy of a tetrameric recombinant NA subunit vaccine in a swine model. Methods: We constructed and expressed structurally stable soluble tetrameric recombinant NA (rNA) and prepared subunit vaccines by mixing with ISA 201 VG adjuvant. The protective efficacy of rNA-ISA 201 VG was compared to that of a commercial whole inactivated virus vaccine. Pigs received a prime-boost immunization (14-day interval) followed by homologous viral challenge 14 days post-boost. Results: Both rNA-ISA 201 VG and commercial vaccine stimulated robust humoral responses. Notably, the commercial vaccine group exhibited high viral-binding antibody titers but very weak NA-specific antibodies, whereas rNA-ISA 201 VG immunization elicited high NA-specific antibody titers alongside substantial viral-binding antibodies. Post-challenge, both immunization with rNA-ISA 201 VG and the commercial vaccine were effective in inhibiting viral replication, reducing viral load in porcine respiratory tissues, and effectively mitigating virus-induced histopathological damage, as compared to the PBS negative control. Conclusions: These findings found that the anti-NA immune response generated by rNA-ISA 201 VG vaccination provided protection comparable to that of a commercial inactivated vaccine that primarily induces an anti-HA response. Given that the data are derived from one pig per group, there is a requisite to increase the sample size for more in-depth validation. This work establishes a novel strategy for developing next-generation SIV subunit vaccines leveraging NA as a key immunogen. Full article

The automated detection and classification of immature macauba (Acrocomia aculeata) fruits is critical for improving post-harvest processing and quality control. In this study, we present a comparative evaluation of two state-of-the-art YOLO architectures, YOLOv11x and YOLOv12x, trained on the newly constructed VIC01 dataset comprising 1600 annotated images captured under both background-free and natural background conditions. Both models were implemented in PyTorch and trained until the convergence of box regression, classification, and distribution-focal losses. Under an IoU (intersection over union) threshold of 0.50, YOLOv11x and YOLOv12x achieved an identical mean average precision (mAP₅₀) of 0.995 with perfect precision and recall or TPR (true positive rate). Averaged over IoU thresholds from 0.50 to 0.95, YOLOv11x demonstrated superior spatial localization performance (mAP_50–95 = 0.973), while YOLOv12x exhibited robust performance in complex background scenarios, achieving a competitive mAP_50–95. Inference throughput averaged 3.9 ms per image for YOLOv11x and 6.7 ms for YOLOv12x, highlighting a trade-off between speed and architectural complexity. Fused model representations revealed optimized layer fusion and reduced computational overhead (GFLOPs), facilitating efficient deployment. Confusion-matrix analyses confirmed YOLOv11x’s ability to reject background clutter more effectively than YOLOv12x, whereas precision–recall and F1-score curves indicated both models maintain near-perfect detection balance across thresholds. The public release of the VIC01 dataset and trained weights ensures reproducibility and supports future research. Our results underscore the importance of selecting architectures based on application-specific requirements, balancing detection accuracy, background discrimination, and computational constraints. Future work will extend this framework to additional maturation stages, sensor fusion modalities, and lightweight edge-deployment variants. By facilitating precise immature fruit identification, this work contributes to sustainable production and value addition in macauba processing. Full article

This study aimed to investigate land-use and land-cover change and the associated change in the ecological stability of the model area Dobrá–Opatová (district of Trenčín, Slovakia), where increasing landscape transformation has raised concerns about declining ecological resilience. Despite the importance of sustainable land management, few studies in this region have addressed long-term landscape dynamics in relation to ecological stability. This research fills that gap by evaluating historical and recent LULC changes and their ecological consequences. Four time horizons were analysed: 1850, 1949, 2009, and 2024. Although the selected time periods are irregular, they reflect key milestones in the region’s land development, such as pre-industrial land use, post-war collectivisation, and recent land consolidation. These activities significantly altered the structure of the landscape. To assess future trends, we used the MOLUSCE plug-in in QGIS to simulate ecological stability for the future. The greatest structural landscape changes occurred between 1850 and 1949. Significant transformation in agricultural areas was observed between 1949 and 2009, when collectivisation reshaped small plots into large block structures and major water management projects were implemented. The 2009–2024 period was marked by land consolidation, mainly resulting in the construction of gravel roads. These structural changes have contributed to a continuous decrease in ecological stability, calculated using the coefficient of ecological stability derived from LULC categories. To explore future trends, we simulated ecological stability for the year 2030 and the simulation confirmed a continued decline in ecological stability, highlighting the need for sustainable land-use planning in the area. Full article

Image-assisted digital shade guides are increasingly popular for shade matching; however, research on their accuracy remains limited. This study aimed to compare the accuracy and reliability of color coordination in image-assisted digital shade guides constructed using calibrated images of their shade tabs captured by a mirrorless camera (Canon, Tokyo, Japan) (MC-DSG) and a smartphone camera (Samsung, Seoul, Korea) (SC-DSG), using a spectrophotometer as the reference standard. Twenty-nine VITA Linearguide 3D-Master shade tabs were photographed under controlled settings with both cameras equipped with cross-polarizing filters. Images were calibrated using Adobe Photoshop (Adobe Inc., San Jose, CA, USA). The L* (lightness), a* (red-green chromaticity), and b* (yellow-blue chromaticity) values, which represent the color attributes in the CIELAB color space, were computed at the middle third of each shade tab using Adobe Photoshop. Specifically, L* indicates the brightness of a color (ranging from black [0] to white [100]), a* denotes the position between red (+a*) and green (–a*), and b* represents the position between yellow (+b*) and blue (–b*). These values were used to quantify tooth shade and compare them to reference measurements obtained from a spectrophotometer (VITA Easyshade V, VITA Zahnfabrik, Bad Säckingen, Germany). Mean color differences (∆E₀₀) between MC-DSG and SC-DSG, relative to the spectrophotometer, were compared using a independent t-test. The ∆E₀₀ values were also evaluated against perceptibility (PT = 0.8) and acceptability (AT = 1.8) thresholds. Reliability was evaluated using intraclass correlation coefficients (ICC), and group differences were analyzed via one-way ANOVA and Bonferroni post hoc tests (α = 0.05). SC-DSG showed significantly lower ΔE₀₀ deviations than MC-DSG (p < 0.001), falling within acceptable clinical AT. The L* values from MC-DSG were significantly higher than SC-DSG (p = 0.024). All methods showed excellent reliability (ICC > 0.9). The findings support the potential of smartphone image-assisted digital shade guides for accurate and reliable tooth shade assessment. Full article

The implantable capsule grouting pile is a novel pile foundation technology in which a capsule is affixed to the side of the implanted pile to facilitate grouting and achieve extrusion-based reinforcement. This technique is designed to improve the bearing capacity of implanted piles in coastal areas with deep, soft soil. This study conducted model tests involving multiple grouting positions across different foundation types to refine the construction process and validate the enhancement of bearing capacity. Systematic measurements and quantitative analyses were performed to evaluate the earth pressure distribution around the pile, the resistance characteristics of the pile end, the evolution of side friction resistance, and the overall bearing performance. Special attention was given to variations in the lateral friction resistance adjustment coefficient under different working conditions. Furthermore, an actual case analysis was conducted based on typical soft soil geological conditions. The results indicated that the post-grouting process formed a dense soil ring through the expansion and extrusion of the capsule, resulting in increased soil strength around the pile due to increased lateral earth pressure. Compared to conventional piles, the grouted piles exhibited a synergistic improvement characterized by reduced pile end resistance, enhanced side friction resistance, and improved overall bearing capacity. The ultimate bearing capacity of model piles at different grouting depths across different foundation types increased by 6.8–22.3% compared with that of ordinary piles. In silty clay and clayey silt foundations, the adjustment coefficient η_s of lateral friction resistance of post-grouting piles ranged from 1.097 to 1.318 and increased with grouting depth. The findings contribute to the development of green pile foundation technology in coastal areas. Full article

Short bowel syndrome (SBS) is characterized by insufficient intestinal length to support absorption causing malnutrition. The bowel adapts to SBS via intestinal dilation and delayed gastric emptying but still often requires long-term parenteral nutrition. Current surgical options to lengthen the bowel pose significant risks and often provide limited expansion. ‘Distraction enterogenesis’ has been proposed as a technique to induce intestinal lengthening for SBS. The deployment of the intestinal expansion sleeve (IES) device is hypothesized to result in significant intestinal lengthening in vivo. A Roux-en-Y was created in the jejunum of seven rats for isolated IES deployment. The IES was precontracted over a Bucatini noodle and inserted into the isolated roux limb. After 4 weeks of deployment, rats were sacrificed, Roux-en-Y length recorded, and histology analyzed. A paired t-test was performed to compare initial and final roux limb lengths and histopathological tissue remodeling. Intestinal distraction evaluated at 4 weeks post deployment of the IES resulted in a significant 30.2% elongation in roux limb length (43.6 ± 14.4 mm to 56.4 ± 20.8 mm (p = 0.043, n = 7). IES samples showed changes in mucosal and submucosal integrity and bowel wall thickness in response to IES lengthening. In samples with partial mucosal erosion, the basal/regenerative layers of the mucosa were preserved. Distraction enterogenesis with significant intestinal lengthening in vivo has been achieved with the IES device. Histologic changes suggest all bowel functional layers and attributes are maintained through distraction enterogenesis. Future constructs of the IES may benefit from the addition of immunomodulators. Increasing intestinal mass with these devices may complement the treatment paradigm for SBS. Full article

Earth–air heat exchangers (EAHXs) use the soil’s thermal capacity to dampen the amplitude of outdoor air temperature oscillations. This effect can be used in hot and dry climates for room cooling with no or very little need for resources other than those used during the EAHX construction, an obvious advantage compared to the significant operational costs of refrigeration machines. Contrary to the streamlined process applied in conventional HVAC design (using refrigeration machines), EAHX design lacks straightforward and well-established rules; moreover, EAHXs struggle to achieve office room design cooling demands determined with conventional indoor thermal environment standards, hindering designers’ confidence and the wider adoption of EAHXs for standalone room cooling. This paper presents a graph-based method to assist in the design of a large-diameter EAHX. One year of post-occupancy monitoring data are used to evaluate this method and to investigate the performance of a large-diameter EAHX with up to 16,000 m³/h design airflow rate. Considering an adaptive standard for thermal comfort, peak EAHX cooling capacity of 28 kW (330 kWh/day, with just 50 kWh/day of fan electricity consumption) and office room load extraction of up to 22 kW (49 W/m²) provided evidence in support of standalone use of EAHX for room cooling. A fair fit between actual EAHX thermal performance and results obtained with the graph-based design method support the use of this method for large-diameter EAHX design. Full article

Background: Food addiction (FA) is an emerging construct that mirrors the behavioral and neurobiological characteristics of substance use disorders. Despite growing interest, its association with specific psychiatric disorders among bariatric patients remains understudied. Objective: Our aim was to examine the prevalence and strength of associations between FA and seven major psychiatric disorders in individuals who underwent bariatric surgery. Methods: In a sample of 100 post-bariatric patients referred for psychiatric evaluation, FA was assessed using the modified Yale Food Addiction Scale 2.0 (mYFAS 2.0), and psychiatric disorders were diagnosed using the Mini International Neuropsychiatric Interview (MINI). Logistic regression models were used to estimate adjusted odds ratios (aORs) for the association between FA and each psychiatric disorder, controlling for sex, age, body mass index (BMI), employment status, the number of children, clinical comorbidities, physical activity, family psychiatric history, and region of residence. Results: FA was present in 51% of the sample. Descriptive analyses revealed a significantly higher prevalence of major depressive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder, agoraphobia, obsessive–compulsive disorder, and bulimia nervosa among individuals with FA. Multivariate models showed robust associations between FA and bulimia nervosa (aOR = 19.42, p < 0.05), generalized anxiety disorder (aOR = 2.88, p < 0.05), obsessive–compulsive disorder (aOR = 6.64, p < 0.05), agoraphobia (aOR = 3.14, p < 0.05), social anxiety disorder (aOR = 4.28, p < 0.05) and major depressive disorder (aOR = 2.79, p < 0.05). Conclusions: FA is strongly associated with a range of psychiatric comorbidities in post-bariatric patients, reinforcing the need for comprehensive mental health screening in this population. These findings underscore the potential role of FA as a clinical marker for stratified risk assessment, supporting more personalized approaches to mental health monitoring and intervention following bariatric surgery. Full article

Urban regeneration, as a key strategy for promoting sustainable development of urban areas, requires innovative digital technologies to address increasingly complex urban challenges in its implementation. With the fast advancement of digital technologies such as artificial intelligence (AI), Internet of Things (IoT), and big data, these technologies have extensively penetrated various dimensions of urban regeneration, from planning and design to implementation and post-operation management, providing new possibilities for improving urban regeneration efficiency and quality. However, the existing literature lacks a systematic evaluation of technology application patterns across different project scales and phases, comprehensive analysis of stakeholder–technology interactions, and quantitative assessment of technology distribution throughout the urban regeneration lifecycle. This research gap limits the in-depth understanding of how digital technologies can better support urban regeneration practices. This study aims to identify and quantify digital technology application patterns across urban regeneration stages, scales, and stakeholder configurations through systematic analysis of 56 high-quality articles from the Scopus and Web of Science databases. Using a mixed-methods approach combining a systematic literature review, bibliometric analysis, and meta-analysis, we categorized seven major digital technology types and analyzed their distribution patterns. Key findings reveal distinct temporal patterns: GIS and BIM/CIM technologies dominate in the pre-urban regeneration (Pre-UR) stage (10% and 12% application proportions, respectively). GIS applications increase significantly to 14% in post-urban regeneration (Post-UR) stage, while AI technology remains underutilized across all phases (2% in Pre-UR, decreasing to 1% in Post-UR). Meta-analysis reveals scale-dependent technology adoption patterns, with different technologies showing varying effectiveness at building-level, district-level, and city-level implementations. Research challenges include stakeholder digital divides, scale-dependent adoption barriers, and phase-specific implementation gaps. This study constructs a multi-dimensional analytical framework for digital technology support in urban regeneration, providing quantitative evidence for optimizing technology selection strategies. The framework offers practical guidance for policymakers and practitioners in developing context-appropriate digital technology deployment strategies for urban regeneration projects. Full article