Search Results (7,329)

Background and Objectives: Hysterectomy is a common non-obstetric procedure. Minimally invasive techniques, such as laparoscopy and robot-assisted surgery, have replaced open surgery for benign gynecologic conditions. Robotic surgery offers reduced blood loss and shorter hospital stays but is limited by high costs. Articulating laparoscopic instruments aim to replicate robotic dexterity cost-effectively. However, comparative data on these two approaches in hysterectomy are limited. Materials and Methods: This multicenter study analyzed the outcomes of hysterectomies for benign gynecological diseases using articulating laparoscopic instruments (prospectively recruited) and robot-assisted surgery (retrospectively reviewed). The surgeries were performed by minimally invasive gynecological surgeons in South Korea, Japan, and Taiwan. The baseline characteristics, operative details, and outcomes, including operative time, blood loss, complications, and hospital stay, were compared. Statistical significance was set at p < 0.05. Results: A total of 151 patients were analyzed, including 67 in the articulating laparoscopy group and 84 in the robot-assisted group. The operating times were comparable (114.9 vs. 119.9 min, p = 0.22). The articulating group primarily underwent dual-port surgery (79.1%), whereas the robot-assisted group required four or more ports in 71.4% of the cases (p < 0.001). Postoperative complications occurred in both groups, without a significant difference (9.0% vs. 3.6%, p = 0.17). No severe complications or significant differences in the 30-day readmission rates were observed. Conclusions: Articulating laparoscopic instruments provide outcomes comparable to robot-assisted surgery in hysterectomy while reducing the number of ports required. Further studies are needed to explore the learning curve and long-term impact on surgical outcomes. Full article

Previous studies have extensively applied the generalized consolidation theory, which incorporates a two-stress state variable framework, to predict the volumetric behavior of unsaturated expansive soils under varying mechanical stress and matric suction. A key requirement for this approach is a constitutive surface that links the soil void ratio to both net stress and matric suction. A large number of fitting parameters are typically needed to accurately fit a two-variable void ratio surface equation to laboratory test data. In this study, a single-stress state variable framework was adopted to describe the void ratio as a function of effective stress for unsaturated soils. The proposed approach was applied to fit void ratio–effective stress constitutive curves to laboratory test data for two different expansive clays. Additionally, a finite element model coupling variably saturated flow and stress–strain analysis was developed to simulate the volume change behavior of expansive clay subjected to moisture fluctuations. The model utilizes suction stress to compute the effective stress field and incorporates the dependency of soil modulus on volumetric water content based on the proposed void ratio–effective stress relationship. The developed numerical model was validated against a benchmark problem in which a layer of Regina expansive clay was subjected to a constant infiltration rate. The results demonstrate the effectiveness of the proposed model in simulating expansive soil deformations under varying moisture conditions over time. Full article

Background: Despite the survival benefit of ICDs in patients with HFrEF, most recipients do not receive appropriate therapy during follow-up. Existing risk models based on echocardiographic and clinical parameters show limited predictive accuracy for arrhythmic events. This study aimed to assess whether ECG-derived markers outperform conventional measures in predicting appropriate ICD shocks. Methods: This retrospective observational study included 375 patients with HFrEF who underwent ICD implantation for primary prevention at least six months before study enrollment. Twelve-lead surface ECGs were analyzed for a QTc interval, Tp-e/QT ratio, frontal QRS-T angle, and maximum deflection index (MDI). Clinical, echocardiographic, and arrhythmic event data obtained from device interrogations were evaluated. Receiver operating characteristic (ROC) curve analysis and multivariate logistic regression were performed to identify independent predictors of appropriate ICD shocks. Results: Patients who experienced appropriate ICD shocks had significantly higher rates of a complete bundle branch block, digoxin use, QRS duration, QTc, Tp-e/QT ratio, frontal QRS-T angle, MDI, and right-ventricular pacing ratio. Conversely, beta-blocker use was significantly lower in this group. In multivariate analysis, independent predictors of appropriate shocks included the patient’s digoxin use (OR = 2.931, p = 0.003), beta-blocker use (OR = 0.275, p = 0.002), frontal QRS-T angle (OR = 1.009, p < 0.001), QTc interval (OR = 1.020, p < 0.001), and Tp-e/QT ratio (OR = 4.882, p = 0.050). The frontal QRS-T angle had a cutoff value of 105.5° for predicting appropriate ICD shocks (sensitivity: 73.6%, specificity: 85.2%, AUC = 0.758, p < 0.001). Conclusions: Electrocardiographic markers, particularly the frontal QRS-T angle, QTc interval, and Tp-e/QT ratio, demonstrated superior predictive power for appropriate ICD shocks compared to conventional echocardiographic and clinical measures. These easily obtainable, non-invasive ECG parameters may improve current risk stratification models and support more individualized ICD implantation strategies. Full article

TiAl alloy offers advantages including low density, high specific strength and stiffness, and excellent high-temperature creep resistance. It is widely used in the aerospace, automotive, and chemical sectors, as well as in other fields. However, at temperatures of 800 °C and above, it forms a porous oxide film predominantly composed of TiO₂, which fails to provide adequate protection. Applying high-temperature protective coatings is therefore essential. Oxides demonstrating protective efficacy at elevated temperatures include Al₂O₃, Cr₂O₃, and SiO₂. The Pilling–Bedworth Ratio (PBR)—defined as the ratio of the volume of the oxide formed to the volume of the metal consumed—serves as a critical criterion for assessing oxide film integrity. A PBR value greater than 1 but less than 2 indicates superior film integrity and enhanced oxidation resistance. Among common oxides, Al₂O₃ exhibits a PBR value within this optimal range (1−2), rendering aluminum-based compound coatings the most extensively utilized. Aluminum coatings can be applied via methods such as pack cementation, thermal spraying, and hot-dip aluminizing. Pack cementation, being the simplest to operate, is widely employed. In this study, a powder mixture with the composition Al:Al₂O₃:NH₄Cl:CeO₂ = 30:66:3:1 was used to aluminize γ-TiAl intermetallic compound specimens via pack cementation at 600 °C for 5 h. Subsequent isothermal oxidation at 900 °C for 20 h yielded an oxidation kinetic curve adhering to the parabolic rate law. This treatment significantly enhanced the high-temperature oxidation resistance of the γ-TiAl intermetallic compound, thereby broadening its potential application scenarios. Full article

Background: Prostate cancer (PC) is the second leading cause of cancer-related death in men in the United States. A subset of patients develops non-metastatic, castration-resistant PC (nmCRPC), for which management requires a personalized consideration for appropriate treatment. However, there is no consensus regarding when to switch from androgen deprivation therapy (ADT) to more aggressive treatments like abiraterone or enzalutamide. Methods: We analyzed 5037 nmCRPC patients and employed a Weibull Time to Event Recurrent Neural Network to identify patients who would benefit from switching from ADT to abiraterone/enzalutamide. We evaluated this model using differential treatment benefits measured by the Kaplan–Meier estimation and milestone probabilities. Results: The model achieved an area under the curve of 0.738 (standard deviation (SD): 0.057) for patients treated with abiraterone/enzalutamide and 0.693 (SD: 0.02) for patients exclusively treated with ADT at the 2-year milestone. The model recommended 14% of ADT patients switch to abiraterone/enzalutamide. Analysis showed a statistically significant absolute improvement using model-recommended treatments in progression-free survival (PFS) of 0.24 (95% confidence interval (CI): 0.23–0.24) at the 2-year milestone (PFS rate increasing from 0.50 to 0.74) with a hazard ratio of 0.44 (95% CI: 0.39–0.50). Conclusions: Our model successfully identified nmCRPC patients who would benefit from switching to abiraterone/enzalutamide, demonstrating potential outcome improvements. Full article

Effective species identification is crucial for the conservation and management of marine mammals, particularly in regions such as the Mediterranean Sea, where several cetacean populations are endangered or vulnerable. In this study, we developed and validated a High-Resolution Melting (HRM) analysis protocol for the rapid, cost-effective, and reliable identification of the four representative marine cetacean species that occur in the Mediterranean Sea: the bottlenose dolphin (Tursiops truncatus), the striped dolphin (Stenella coeruleoalba), the sperm whale (Physeter macrocephalus), and the fin whale (Balaenoptera physalus). Species-specific primers targeting mitochondrial DNA regions (cytochrome b and D-loop) were designed to generate distinct melting profiles. The protocol was tested on both tissue and fecal samples, demonstrating high sensitivity, reproducibility, and discrimination power. The results confirmed the robustness of the method, with melting curve profiles clearly distinguishing the target species and achieving a success rate > 95% in identifying unknown samples. The use of HRM offers several advantages over traditional sequencing methods, including reduced cost, speed, portability, and suitability for degraded samples, such as those from the stranded individuals. This approach provides a valuable tool for non-invasive genetic surveys and real-time species monitoring, contributing to more effective conservation strategies for cetaceans and enforcement of regulations against illegal trade. Full article

Pork is a major global source of animal protein, and improving both its production efficiency and meat quality is a central goal in modern animal agriculture and food systems. This study investigated post-inflection-point growth patterns in two genetically distinct pig breeds—the lean-type Yorkshire pig (YP) and the fatty-type Qingyu pig (QYP)—with the aim of elucidating breed-specific characteristics that influence pork quality and yield. Comprehensive evaluations of carcass traits, meat quality attributes, nutritional composition, and gene expression profiles were conducted. After the growth inflection point, carcass traits exhibited greater variability than meat quality traits in both breeds, though with distinct patterns. YPs displayed superior muscle development, with the longissimus muscle area (LMA) increasing rapidly before plateauing at ~130 kg, whereas QYPs maintained more gradual but sustained muscle growth. In contrast, intramuscular fat (IMF)—a key determinant of meat flavor and texture—accumulated faster in YPs post inflection but plateaued earlier in QYPs. Correlation and clustering analyses revealed more synchronized regulation of meat quality traits in QYPs, while YPs showed greater trait variability. Gene expression patterns aligned with these phenotypic trends, highlighting distinct regulatory mechanisms for muscle and fat development in each breed. In addition, based on the growth curves, we calculated the peak age at which the growth rate declined in lean-type and fat-type pigs, which was approximately 200 days for YPs and around 270 days for QYPs. This suggests that these ages may represent the optimal slaughter times for the respective breeds, balancing both economic efficiency and meat quality. These findings provide valuable insights for enhancing pork quality through precision management and offer theoretical guidance for developing breed-specific feeding strategies, slaughter timing, and value-added pork production tailored to consumer preferences in the modern food market. Full article

Upon reaching stabilized production in waterflooded reservoirs, waterflood performance curves are conventionally used to predict technically recoverable reserves (TRRs). However, as reservoirs enter high water-cut stages, the relationship between the relative permeability ratio and saturation becomes nonlinear, causing deflection in waterflood performance curves. This leads to systematic overestimation of both predicted TRR and ultimate recovery factors. To overcome these limitations in conventional TRR prediction methods, this study establishes a novel relative permeability ratio-saturation relationship based on characteristic relative permeability curve behaviors. The proposed model is validated for three distinct fluid-rock interaction types. We further develop a permeability-driven forecasting model for oil production rates and water cuts. Comparative analyses with a conventional waterflood curve methodology demonstrate significant accuracy improvements. The results show that while traditional methods predict TRR ranging from 78.40 to 92.29 million tons, our model yields 70.73 million tons—effectively resolving overestimation issues caused by curve deflection during high water-cut phases. This approach establishes a robust framework for determining critical development parameters, including economic field lifespan, strategy adjustments, and ultimate recovery factor. Full article

Accurate micro gas flow measurement is critical for medical ventilator calibration, environmental gas monitoring, and semiconductor manufacturing. Laminar flowmeters are widely employed in micro gas flow measurement applications owing to their inherent advantages of high linearity, the absence of moving components, and a broad measurement range. Nevertheless, due to the low measurement accuracy under micro gas flow caused by nonlinear errors and a relatively complex structure, traditional laminar flow measurement devices exhibit limitations in micro gas flow measurement scenarios. This study proposes a novel micro gas flow measurement method based on a single capillary laminar flow element, which simplifies the structure and enhances applicability in the field of micro gas flow. Through structural optimization with precise control of the capillary length–diameter ratios and theoretical error correction based on computational analysis, nonlinear errors were effectively reduced while improving the measurement accuracy in the field of micro gas flow. The proposed methodology was systematically validated through computational fluid dynamics simulations (ANSYS Fluent 2021 R1) and experimental investigations using a dedicated test platform. The experimental results show that the relative error of the measurement system within the full measurement range is less than ±0.6% (1–10 cm³/min; cm³/min means cubic centimeter per minute), and its accuracy is superior to 1% of reading (1% Rd) or 1.5% of reading (1.5% Rd) of conventional laminar flowmeters. The fitting curve of the flow rate versus the pressure difference derived from the measurement results maintains an excellent linear correlation (R² > 0.99), thus confirming that this method has practical application value in the field of micro gas flow measurement. Full article

This study proposes a coupled constitutive model that captures the anisotropic failure characteristics and damage evolution of nickel-based single-crystal (SX) superalloys under various temperature conditions. The model accounts for both creep rate and material damage evolution, enabling accurate prediction of the typical three-stage creep curves, macroscopic fracture morphologies, and microstructural features under uniaxial tensile creep for specimens with different crystallographic orientations. Creep behavior of SX superalloys was simulated under multiple orientations and various temperature-stress conditions using the proposed model. The resulting creep curves aligned well with experimental observations, thereby validating the model’s feasibility and accuracy. Furthermore, a finite element model of cylindrical specimens was established, and simulations of the macroscopic fracture morphology were performed using a user-defined material subroutine. By integrating the rafting theory governed by interfacial energy density, the model successfully predicts the rafting morphology of the microstructure at the fracture surface for different crystallographic orientations. The proposed model maintains low programming complexity and computational cost while effectively predicting the creep life and deformation behavior of anisotropic materials. The model accurately captures the three-stage creep deformation behavior of SX specimens and provides reliable predictions of stress fields and microstructural changes at critical cross-sections. The model demonstrates high accuracy in life prediction, with all predicted results falling within a ±1.5× error band and an average error of 14.6%. Full article

Arabinoxylan is a polysaccharide with film-forming properties, present in corn fiber, and a low-value by-product. The extract has a deep brown color, producing films of the same shade, which may not be appealing. This study addresses, for the first time, the adsorption of colored compounds present in an arabinoxylan extract using resin MN102. The resin successfully adsorbed the colored compounds from the arabinoxylan extract. After four consecutive adsorption/desorption cycles, the efficiency of the resin was similar, only decreasing from 63.3% to 52.9%. Langmuir and Freundlich models were fitted to the results of adsorption isotherm experiments, with the Freundlich model demonstrating the best fit to the experimental results. A fixed-bed column loaded with the resin was used for the removal of the colored compounds from the arabinoxylan extract, and the effect of the volumetric flow rate was investigated. The Yan and log-Gompertz models showed the best fit to the experimental breakthrough curves. This study systematically evaluated the adsorption conditions, providing a comprehensive analysis of the performance of the resin in the removal of the colored compounds. Additionally, the ability of the extract to maintain its film-forming properties after decolorization was evaluated, and some of the film’s key characteristics were evaluated, namely its color, solubility in water and mechanical properties. Full article

Many speech coding strategies have been developed over the years, but comparing them has been convoluted due to the difficulty in disentangling brand-specific and patient-specific factors from strategy-specific factors that contribute to speech understanding. Here, we present a comparison with a ‘virtual’ patient, by comparing two strategies from two different manufacturers, Advanced Combination Encoder (ACE) versus HiResolution Fidelity 120 (F120), running on two different implant systems in a computational model with the same anatomy and neural properties. We fitted both strategies to an expected T-level and C- or M-level based on the spike rate for each electrode contact’s allocated frequency (center electrode frequency) of the respective array. This paper highlights neural and electrical differences due to brand-specific characteristics such as pulse rate/channel, recruitment of adjacent electrodes, and presence of subthreshold pulses or interphase gaps. These differences lead to considerably different recruitment patterns of nerve fibers, while achieving the same total spike rates, i.e., loudness percepts. Also, loudness growth curves differ significantly between brands. The model is able to demonstrate considerable electrical and neural differences in the way loudness growth is achieved in CIs from different manufacturers. Full article

This study assesses the accuracy of flood extent predictions in five U.S. watersheds. We generated flood maps for four return periods using various digital elevation models (DEMs)—FABDEM, SRTM, ALOS, and USGS 3DEP—and two versions of the GEOGLOWS River Forecast System (RFS) hydrography. These comparisons are notable because they build on operational global hydrology models so subsequent work can develop global modeled flood products. Models were made using the Automated Rating Curve (ARC) and Curve2Flood tools. Accuracy was measured against USGS reference maps using the F-statistic. Our results show that flood map accuracy generally increased with higher return periods. The most consistent and reliable improvements in accuracy occurred when both the DEM and hydrography datasets were upgraded to higher-resolution sources. While DEM improvements generally had a greater impact, hydrography refinements were more important for lower return periods when flood extents were the smallest. Generally, DEM resolution improved accuracy metrics more as the return period increased and hydrography and bare earth DEMs mattered more as the return period decreased. There was a 38.9% increase in the mean F-statistic between the two principal pairings of interest (FABDEM-RFS2 and SRTM 30 m DEM-RFS1). FABDEM’s bare-earth representation combined with RFS2 sometimes outperformed higher-resolution non-bare-earth DEMs, suggesting that there remains a need for site-specific investigation. Using ARC and Curve2Flood with FABDEM and RFS2 is a suitable baseline combination for general flood extent application. Full article

Background: Residual deficits after early treatment of developmental dysplasia of the hip (DDH) using osteotomy often led to asymmetrical gait deviations with increased repetitive rates of ground reaction force (GRF) in both hips, resulting in a higher risk of early osteoarthritis. This study investigated lower limb inter-joint coordination and swing foot control during level walking in adolescents with early-treated unilateral DDH. Methods: Eleven female adolescents treated early for DDH using Pemberton osteotomy were compared with 11 age-matched healthy controls. The joint angles and angular velocities of the hip, knee, and ankle were measured, and the corresponding phase angles and continuous relative phase (CRP) for hip–knee and knee–ankle coordination were obtained. The variability of inter-joint coordination was quantified using the deviation phase values obtained as the time-averaged standard deviations of the CRP curves over multiple trials. Results: The DDH group exhibited a flexed posture with increased variability in knee–ankle coordination of the affected limb throughout the gait cycle compared to the control group. In contrast, the unaffected limb compensated for the kinematic alterations of the affected limb with reduced peak angular velocities but increased knee–ankle CRP over double-limb support and trajectory variability over the swing phase. Conclusions: The identified changes in inter-joint coordination in adolescents with early treated DDH provide a plausible explanation for the previously reported increased GRF loading rates in the unaffected limb, a risk factor of premature OA. Full article

The polytetrafluoroethylene/aluminum (PTFE/Al) granular composite, a common formulation in impact-initiated energetic materials, undergoes mechanochemical coupling reactions under sufficiently strong dynamic loading. This investigation discusses the dynamic properties and the constitutive relationship of the PTFE/Al granular composite to provide a preliminary guide for the research on mechanical properties of a series of composite materials based on PTFE/Al as the matrix. Firstly, the 26.5Al-73.5PTFE (wt.%) composite specimens are prepared by preprocessing, mixing, molding, high-temperature sintering, and cooling. Then, the quasi-static compression and Hopkinson bar tests are performed to explore the mechanical properties of the PTFE/Al composite. Influences of the strain rate of loading on the yield stress, the ultimate strength, and the limited strain are also analyzed. Lastly, based on the experimental results, the material parameters in the Johnson–Cook constitutive model are obtained by the method of piecewise fitting to describe the stress–strain relation of the PTFE/Al composite. Combining the experimental details and the obtained material parameters, the numerical simulation of the dynamic compression of the PTFE/Al composite specimen is carried out by using the ANSYS/LS-DYNA platform. The results show that the computed stress–strain curves present a reasonable agreement with the experimental data. It should be declared that this research does not involve the energy release behavior of the 26.5Al-73.5PTFE (wt.%) reactive material because the material is not initiated within the strain rate range of the dynamic test in this paper. Full article