Search Results (711)

Objectives: To our knowledge, no previous study has specifically investigated the impact of COVID-19 on the management of recurrent squamous cell carcinoma (HNSCC) of the upper aerodigestive tract. The aim was to investigate the impact of the COVID-19 pandemic on the adequacy of treatments decided upon in multidisciplinary team meetings (MTMs) and those actually administered to patients with recurrent tumors. Secondary objectives were to study the characteristics of this population and tumors, factors that may influence the mismatch between treatments decided upon and those administered, and treatment delays. Methods: A retrospective study conducted at a tertiary referral center included 80 patients with recurrent HNSCC diagnosed between 2019 and 2021. Results: Of the 80 patients, 19 (24%) received treatment that differed from the recommended treatment. In case of mismatching, treatments were mostly less invasive or palliative (32% of palliative treatments decides (n = 6) versus 64% of palliative treatments realized (n = 12)). No factors were identified that could explain the discrepancy between treatment decided and treatment administered. The study population was homogeneous over the 3 years, with the only difference being lower lymph node staging in 2020 (p = 0.002). The time to recurrence was longer (p < 0.001), and the time to treatment initiation was shorter during the pandemic and post-pandemic periods (p = 0.002). Conclusions: The COVID-19 pandemic did not appear to affect the consistency between treatment decisions made in MTM and the treatments ultimately delivered. The COVID-19 pandemic has enabled earlier treatment with less advanced staging in patients with recurrence. Full article

Introduction: Acquired brain injury (ABI) produces significant cognitive, motor, and psychosocial impairments that affect people’s daily functioning. Rehabilitation programs increasingly combine physical activity with neuropsychological strategies for greater effectiveness. Purpose: The aim of this study was to analyze the effects of neurophysiotherapy based on physical activity and neuropsychological rehabilitation on cognitive and psychosocial functioning in individuals with an acquired brain injury (ABI). Method: A total of 19 individuals between the ages of 24 and 89 years (M ± SD: age = 59.26 ± 19.01) belonging to the Acquired Brain Injury Association of Málaga (ADACEMA) participated in this study. A quasi-experimental design with pre- and post-test measures and multiple experimental groups was used. The instruments used were the digit subtest of the Barcelona Test, the Five Digit Test (FDT), the Tower of Hanoi, the modified six-element subtest of the Behavioural Assessment of the Dysexecutive Syndrome, the Trail Making Test (TMT), the WHOQOL-BREF, and the Profile of Mood States (POMS) questionnaire. The Kruskal–Wallis H, Mann–Whitney U, and Wilcoxon tests were used to analyze the data. Results: The results obtained showed a positive effect of physical activity (PA) combined with neuropsychological rehabilitation on working memory, planning, emotional well-being, personal relationships, depressive symptoms, and overall quality of life. Conclusions: The findings suggest that combining neurophysiotherapeutic physical-activity-based rehabilitation with other neuropsychological interventions may be a promising approach to improving executive functioning, emotional well-being, and quality of life in people with an ABI. These preliminary results highlight the potential value of multidisciplinary programs in post-injury recovery, although further studies with larger and more homogeneous samples are needed to confirm these effects. Full article

Friction stir additive manufacturing (FSAM) is a promising solid-state technique for fabricating high-strength aluminum alloys, such as Al-7075, which are difficult to process using conventional melting-based additive manufacturing (AM) methods. This study investigates the mechanical properties and tool wear behavior of seven-layered Al-7075 multi-layered composites reinforced with silicon carbide (SiC) and titanium carbide (TiC) fabricated via FSAM. Microstructural analysis confirmed defect-free multi-layered composites with a homogeneous distribution of SiC and TiC reinforcements in the nugget zone (NZ), although particle agglomeration was observed at the bottom of the pin-driven zone (PDZ). The TiC-reinforced composite exhibited finer grains than the SiC-reinforced composite in both as-welded and post-weld heat-treated (PWHT) conditions, achieving a minimum grain size of 1.25 µm, corresponding to a 95% reduction compared to the base metal. The TiC-reinforced multi-layered composite demonstrated superior mechanical properties, attaining a microhardness of 93.7 HV and a UTS of 263.02 MPa in the as-welded condition, compared to 88.6 HV and 236.34 MPa for the SiC-reinforced composite. After PWHT, the TiC-reinforced composite further improved to 159.12 HV and 313.46 MPa UTS, along with a higher elongation of 11.14% compared to 7.5% for the SiC-reinforced composite. Tool wear analysis revealed that SiC reinforcement led to greater tool degradation, resulting in a 1.17% weight loss. These findings highlight the advantages of TiC reinforcement in FSAM, offering enhanced mechanical performance with reduced tool wear in multi-layered Al-7075 composites. Full article

This study investigates whether and how corporate commitment to environmental, social and governance (ESG) performance can mitigate involutionary competition in China’s consumer electronics manufacturing industry. By constructing a quantifiable index of involutionary competition intensity and matching it with corporation-level ESG scores, we document a statistically significant negative association between ESG performance and the degree of involutionary competition. Mechanism analysis reveals that ESG mitigates involutionary competition through two primary channels: (1) differentiation strategies that reduce price-based competition and product homogeneity, and (2) market-order regulation that curbs opportunistic behaviour and raises R&D efficiency. A modest price increase is shown to be revenue-enhancing; moreover, random-forest simulations indicate that counter-involutionary competition efforts amplify the market-share gains from cooperative R&D expenditures, accelerating post-adjustment revenue growth. This transition generates simultaneous increases in corporate profits and corporation value, breaking the previous price ceiling and establishing a sustainable development loop. The findings provide actionable insights for shifting the industry from low-level rivalry to sustainable value creation. Full article

Porcine reproductive and respiratory syndrome virus (PRRSV) poses a significant challenge, costing annually approximately USD 1.2 billion to the U.S. swine industry due to production losses associated with, but not limited to, reproductive failure, abortion, and high pre-weaning mortality among piglets. PRRSV is endemic, with thirty percent of the U.S. breeding herd experiencing outbreaks annually. The shedding status of animals on a farm is typically assessed using serum or processing fluids from piglets, but tongue tips from deceased animals are emerging as a potential alternative specimen to support farm stability assessment. This study explored the impact of various processing and testing strategies on tongue tips to enhance the sensitivity and specificity of PRRSV detection in sow herds. We collected tongue tips from 20 dead piglets across seven sow farms, testing different pooling strategies (individual testing, and pools of n = 5 or n = 20) and laboratory processing methods (tongue tip fluid—TTF, versus tongue tissue homogenate—TTH). Additionally, we simulated storage and shipping conditions, comparing frozen samples to refrigerated ones tested at intervals of 1, 4, and 7 days post collection. RT-PCR testing revealed higher sensitivity and lower cycle threshold (Ct) values for TTF compared to TTH, suggesting that tongue tips are better tested as TTF rather than TTH for PRRSV detection. Pooling samples reduced diagnostic accuracy. Frozen samples had lower absolute Ct values, and Ct values increased by 0.2 Ct values each day post collection when the sample was kept refrigerated, emphasizing the importance of minimizing shipping delays. Tongue tips are a practical, easy-to-collect specimen that target potentially infected animals (dead piglets), offering valuable insights into swine herd health, but sample processing approaches significantly influence diagnostic outcomes. If tongue tips are used by veterinarians to assess viral presence on a farm, testing the TTF instead of TTH should be prioritized. Storage and shipment conditions should be considered to optimize laboratory results. Full article

Larix gmelinii is the fourth most important tree species in China and a typical zonal climax species in the cold temperate region, with high ecological and resource value. However, intensive logging, high-density afforestation, and insufficient scientific management have led to overly dense, homogeneous, and unstable plantations, severely limiting productivity. To clarify the mechanisms by which structural dynamics regulate productivity, we established a space-for-time sequence (T1–T3, T2-D, CK) under a consistent early-tending background. Using the “1 + 4” nearest-neighbor framework and six spatial structural parameters, we developed tree and forest spatial structure indices (TSSI and FSSI) and integrated nine structural–functional indicators for multivariate analysis. The results showed that TSSI and FSSI effectively characterized multi-level stability and supported stability classification. Along the stand-age gradient, structural stability and spatial use efficiency improved significantly, with FSSI and biomass per hectare (BPH) increasing by 91% and 18% from T1 to T3, though a “structural improvement–functional lag” occurred at T2. Moderate thinning markedly optimized stand configuration, reducing low-stability individuals from 86.45% in T1 to 42.65% in T2-D, while DBH, crown width, FSSI, and BPH (229.87 t·hm⁻²) increased to near natural-forest levels. At the tree scale, DBH, tree height, crown width, and TSSI were positive drivers, whereas a high height–diameter ratio (HDR) constrained growth. At the stand scale, canopy density, species richness, and mean DBH promoted FSSI and BPH, while mean HDR and stand density imposed major constraints. A critical management window was identified when DBH < 25 cm, HDR > 10, and TSSI < 0.25 (approximately 10–30 years post-planting). We propose a stepwise, moderate, and targeted thinning strategy with necessary underplanting to reduce density and slenderness, increase diameter and canopy structure, and enhance diversity, thereby accelerating the synergy between stability and productivity. This framework provides a practical pathway for the scientific management and high-quality development of L. gmelinii plantations. Full article

Conventional grain monitoring systems often rely on isolated data points (e.g., point-based temperature measurements), limiting holistic condition assessment. This study proposes a novel Mechanism and Data Driven (MDD) framework that integrates physical mechanisms with real-time sensor data. The framework quantitatively analyzes solar radiation and external air temperature effects on silo boundaries and introduces a novel interpolation-optimized model parameter initialization technique to enable comprehensive grain condition perception. Rigorous multidimensional validation confirms the method’s accuracy: The novel initialization technique achieved high precision, demonstrating only 1.89% error in Day-2 low-temperature zone predictions (27.02 m² measured vs. 26.52 m² simulated). Temperature fields were accurately reconstructed (≤0.5 °C deviation in YOZ planes), capturing spatiotemporal dynamics with ≤0.45 m² maximum low-temperature zone deviation. Cloud map comparisons showed superior simulation fidelity (SSIM > 0.97). Further analysis revealed a 22.97% reduction in total low-temperature zone area (XOZ plane), with Zone 1 (near south exterior wall) declining 27.64%, Zone 2 (center) 25.30%, and Zone 3 20.35%. For dynamic evolution patterns, high-temperature zones exhibit low moisture (<14%), while low-temperature zones retain elevated moisture (>14%). A strong positive correlation between temperature and relative humidity fields; temperature homogenization drives humidity uniformity. The framework enables holistic monitoring, providing actionable insights for smart ventilation control, condensation risk warnings, and mold prevention. It establishes a robust foundation for intelligent grain storage management, ultimately reducing post-harvest losses. Full article

In this study, the decarburization behavior in basic oxygen furnace (BOF) steelmaking was investigated based on the multi-zone reaction mechanism. The contributions of the main reaction zones to decarburization were clarified, and the effects of key factors—including the effective reaction amount in the main reaction zones, the post combustion ratio (PCR) in auxiliary reaction zones, and the carbon content of scrap steel—on decarburization behavior were quantitatively analyzed. The results indicate that decarburization predominantly occurs in the jet impact reaction zone (approximately 76% of the total decarburization), followed by the emulsion and metal droplet reaction zone (approximately 14%) and the bulk metal and slag reaction zone (approximately 10%). Variations in the effective reaction amount for the main reaction zones significantly affect both the decarburization rate and the endpoint carbon content, with the direct oxidation decarburization reaction in the jet impact reaction zone being the dominant factor. In addition, the PCR in the gas homogenization zone of the auxiliary reaction zones determines the distribution ratio of effective reaction oxygen, while the melting behavior of scrap steel in the metal homogenization zone plays a critical role in the precise control of the endpoint carbon content. This study provides a quantitative elucidation of the effects of different reaction zones on decarburization behavior, offering a foundation for the precise control of endpoint carbon content in BOF steelmaking. Full article

Introduction: Direct pulp capping (DPC) aims to preserve the vitality of the dental pulp by placing a protective biocompatible material over the exposed pulp tissue to facilitate healing. There are several calcium-silicate materials that have been designed to promote mineralization and the regulation of inflammation. These have strong potential for the repair and regeneration of dental pulp. Among them, Biodentine (BD) and EndoSequence RRM Putty (ES) have been found to promote in vitro and in vivo mineralization while minimizing some of the limitations of the first-generation calcium-silicate-based materials. Theracal-LC (TLC), a light-cured, resin-modified calcium-silicate material, is a newer product with potential to improve the clinical outcomes of DPC, but existing studies have reported conflicting findings regarding its biocompatibility and ability to support pulpal healing in direct contact with the pulp. A comprehensive assessment of the biocompatibility and pulpal protection provided by these three capping materials has not yet been performed. Aim: We aimed to quantify the inflammatory response, dentin bridge formation, and material adaptation following DPC using three calcium-silicate materials: ES, BD, and TLC. Materials and Methods: DPC was performed on the maxillary first molar of C57BL/6 female mice. Maxilla were collected and processed at 1 and 21 days post-DPC. The early inflammatory response was measured 24 h post-procedure using confocal imaging of anti-Lys6G6C, which indicates the extent of neutrophil and monocyte infiltration. Reparative mineralized bridge formation was assessed at 21 days post-procedure using high-resolution micro-computed tomography (micro-CT) and histology. Lastly, the homogeneity of the capping materials was evaluated by quantifying voids in calcium-silicate restorations using micro-CT. Results: DPC using TLC induced less infiltration of Lys6G6C⁺ cells at 24 h than BD or ES. BD promoted higher volumes of tertiary dentin than TLC, but TLC and ES showed no significant differences in volume. No differences were observed in material adaptation and void spaces among the three capping materials. Conclusions: All three materials under investigation supported pulp healing and maintained marginal integrity. However, TLC induced a lower inflammatory response on day 1 and induced similar levels of tertiary dentin to ES. These observations challenge the common perception that resin-based capping materials are not suitable for direct pulp capping. Our findings underscore the need to balance biological responses with physical properties when selecting pulp capping materials to improve long-term clinical success. Full article

Difference in Differences (DiD) is a useful statistical technique employed by researchers to estimate the effects of exogenous events on the outcome of some response variables in random samples of treated units (i.e., units exposed to the event) ideally drawn from an infinite population. The term “effect” should be understood as the discrepancy between the post-event realisation of the response and the hypothetical realisation of that same outcome for the same treated units in the absence of the event. This theoretical discrepancy is clearly unobservable. To circumvent the implicit missing variable problem, DiD methods utilise the realisations of the response variable observed in comparable random samples of untreated units. The latter are samples of units drawn from the same population, but they are not exposed to the event under investigation. They function as the control or comparison group and serve as proxies for the non-existent untreated realisations of the responses in treated units during post-treatment periods. In summary, the DiD model posits that, in the absence of intervention and under specific conditions, treated units would exhibit behaviours that are indistinguishable from those of control or untreated units during the post-treatment periods. For the purpose of estimation, the method employs a combination of before–after and treatment–control group comparisons. The event that affects the response variables is referred to as “treatment.” However, it could also be referred to as “causal factor” to emphasise that, in the DiD approach, the objective is not to estimate a mere statistical association among variables. This review introduces the DiD techniques for researchers in economics, public policy, health research, management, environmental analysis, and other fields. It commences with the rudimentary methods employed to estimate the so-called Average Treatment Effect upon Treated (ATET) in a two-period and two-group case and subsequently addresses numerous issues that arise in a multi-unit and multi-period context. A particular focus is placed on the statistical assumptions necessary for a precise delineation of the identification process of the cause–effect relationship in the multi-period case. These assumptions include the parallel trend hypothesis, the no-anticipation assumption, and the SUTVA assumption. In the multi-period case, both the homogeneous and heterogeneous scenarios are taken into consideration. The homogeneous scenario refers to the situation in which the treated units are initially treated in the same periods. In contrast, the heterogeneous scenario involves the treatment of treated units in different periods. A portion of the presentation will be allocated to the developments associated with the DiD techniques that can be employed in the context of data clustering or spatio-temporal dependence. The present review includes a concise exposition of some policy-oriented papers that incorporate applications of DiD. The areas of focus encompass income taxation, migration, regulation, and environmental management. Full article

Background and Objectives: Acute exercise lowers vagal HRV, yet it is unclear who will show the largest drop and whether simple questionnaires can identify them. To test whether resting HRV complexity (Sample Entropy) predicts the magnitude of acute vagal withdrawal and whether this physiology-based marker has greater practical utility than self-report activity/sleep measures for screening and recovery decisions. Materials and Methods: In a single-arm pre–post experimental study, twenty-nine students (20.4 ± 0.5 y; 13 males, 16 females) completed one morning visit (08:00–12:00 h). After a 2 min resting ECG and a Sustained Attention to Response Task (SART), participants cycled 15 min at 0.85 × (220 − age) bpm following a 5 min 25 W warm-up. HRV was re-recorded within ~2 min and SART ~5 min post exercise. The IPAQ defined low/medium/high activity tertiles. Correlations related baseline measures to change scores. Results: RMSSD decreased by −12.93 ms [−25.71, −2.03] (p = 0.003, r = 0.60) and SDNN by −14.91 ms [−22.30, 7.66] (p = 0.011, r = 0.51). Reaction time shortened slightly (−8.77 ms [−59.33, 30.40], p = 0.35). Activity tertiles did not differ in ΔRMSSD, ΔSDNN, or ΔRT (all p > 0.10). Sample Entropy predicted autonomic change (ΔRMSSD r = 0.43, p = 0.034; ΔSDNN r = 0.59, p = 0.002), whereas the PSQI and IPAQ did not. Equivalence tests showed non-significant tertile differences were not within our predefined equivalence bounds. Conclusions: Individuals with more complex resting HRV were more likely to show a larger immediate vagal withdrawal after moderate cycling. Questionnaires did not identify these responders. Non-linear HRV may aid practical screening/monitoring, whereas self-reports alone appear insufficient. Generalizability is limited by the homogeneous young adult sample. Full article

Background: Enamel surface roughness after bracket debonding is an important issue due to its impact on plaque accumulation and the potential development of carious lesions. This in vitro study aimed to assess enamel roughness after the removal of metallic and sapphire brackets and the effect of a remineralization treatment. Methods: Two hundred extracted human permanent teeth with healthy enamel were randomly distributed into two groups (n = 100) and bonded with either metallic or sapphire brackets using the same adhesive (3M™ Transbond™ XT (St. Paul, MN, USA), Minnesota Mining and Manufacturing Company, MN, USA). The enamel surface roughness was measured before bonding, after debonding, and after remineralization using SEM and a TR200 roughness (SaluTron GmbH, Frechen, Germany) tester. The parameter Ra was used to quantify the surface roughness. One-way ANOVA, the normality test, variance homogeneity, and the Bonferroni post hoc test were used to analyze the data. Results: Debonding significantly increased the enamel surface roughness in both groups. The sapphire bracket group presented significantly higher mean Ra values post debonding (4.14 ± 0.36 µm) compared to the metallic group (2.56 ± 0.52 µm). Remineralization led to a decrease in surface roughness in both groups, though not to baseline levels. The changes were statistically significant (p < 0.01), with a power of the test of 1.0. Conclusions: The bracket material significantly affects enamel surface roughness after orthodontic debonding. Sapphire brackets produced greater surface irregularities than metallic ones. Remineralization partially reduced roughness in both groups, with the final values in the metallic group being closer to baseline levels. Crucially, these values remained far above the clinical threshold for plaque retention, highlighting the need for improved debonding techniques. Full article

Objectives: To compare the feasibility and image quality of a post-contrast free-breathing radial stack-of-stars 3D T1w turbo-field echo Dixon sequence (3D T1w VANE mDIXON) with a conventional cartesian breath-hold 3D T1w fast-field echo mDIXON sequence in pediatric oncology patients undergoing chest MRI. Methods: A total of 48 children (34 females; mean age 5.3 ± 3.7 years) underwent contrast-enhanced chest MRI, with 24 examined using the 3D T1w VANE mDIXON sequence and 24 with a conventional breath-hold 3D T1w mDIXON sequence. Image quality was independently assessed by three radiologists using a 5-point scale. Signal-to-noise ratio (SNR) was measured at two anatomical sites, a homogeneous paraspinal muscle region (SNR_muscle) and the liver apex (SNR_liver), while avoiding vessels and signal inhomogeneities. The presence of respiratory artifacts, total imaging time, and the need for general anesthesia or sedation were recorded. Interobserver agreement was determined using Fleiss’s kappa (ϰ), and mean SNR values were compared between groups using an independent samples t-test. Results: The 3D T1w VANE mDIXON sequence yielded significantly higher SNR_muscle and SNR_liver (530 ± 120; 570 ± 110 vs. 370 ± 110; 400 ± 90; p < 0.001), improved diagnostic image quality by approximately 25%, and reduced respiratory artifacts by about 23%. Interobserver agreement was almost perfect. Importantly, the need for general anesthesia was significantly reduced using the 3D T1w VANE mDIXON (p < 0.001). Conclusions: Free-breathing 3D T1w VANE mDIXON chest MRI is a feasible and effective imaging approach for pediatric oncology patients, offering superior image quality and reducing the need for general anesthesia compared to conventional methods. Full article

Chronic wounds and post-operative complications generate significant biomedical challenges due to impaired tissue regeneration and persistent microbial infections, often aggravated by biofilm formation and antibiotic resistance. To address these issues, this study investigates the development and in vitro evaluation of electrospun polyvinylpyrrolidone (PVP) scaffolds embedded with silver nanoparticles (AgNPs), designed as multifunctional bioactive platforms for wound healing and implant applications. AgNPs were synthesized and uniformly incorporated into the PVP matrix using optimized electrospinning parameters, harnessing their antimicrobial and anti-inflammatory properties alongside the hydrophilicity, biocompatibility, and chemical stability of PVP. Structural and mechanical characterization, including Transmission Electron Microscopy (TEM) and Atomic Force Microscopy (AFM), homogenous nanoparticle dispersion, and favorable mechanical properties, such as Young’s modulus. In vitro cytotoxicity assays with fibroblast cell lines demonstrated good biocompatibility, while antibiofilm activity against Staphylococcus aureus revealed significant microbial inhibition. Overall, electrospun PVP+AgNPs scaffolds demonstrate strong potential as multifunctional biomaterials for wound healing and implant coating due to their synergistic capacity to support tissue regeneration and inhibit infection. These promising results highlight the need for further in vitro and in vivo investigation to confirm their therapeutic efficacy, biocompatibility, and long-term stability in physiological environments. Full article

The microstructure of polyacrylonitrile (PAN) precursor fibers has a profound influence on the performance of carbon fibers and depends on the spinning processes and processing conditions. This study compared the evolution of the microstructures and performance of PAN fibers between the wet-spinning and dry-jet wet-spinning processes, utilizing scanning electron microscopy, small/wide-angle X-ray scattering, dynamic mechanical analysis, and single-fiber tensile testing. Both spinning processes promoted the oriented alignment of microfibrils and fibrils, improved the crystal arrangement and molecular regularity, and facilitated the transition from a two-phase (crystalline/amorphous) structure to a single-phase structure, thereby gradually improving the fibers’ elastic character and mechanical properties. However, wet-spun fibers exhibited inherent defects (skin-core structure and large voids), which caused surface grooves, radial mechanical heterogeneity, and low breaking elongation during post-spinning. In contrast, dry-jet wet-spun fibers initially had a smooth surface and a homogeneous radial structure, which evolved into well-oriented, radially homogeneous structures during post-spinning. Furthermore, the dry-jet wet-spinning process produced greater increases in crystallinity (46%), crystal size (258%), and orientation index (146%) than the wet-spinning process did. The dry-jet wet-spinning process’s superiority in forming and optimizing the fiber microstructure gives it greater potential for producing high-quality PAN precursor fibers. Full article