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Search Results (4,032)

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Keywords = service area method

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20 pages, 8850 KB  
Article
Intelligent Defect Recognition of Glazed Components in Ancient Buildings Based on Binocular Vision
by Youshan Zhao, Xiaolan Zhang, Ming Guo, Haoyu Han, Jiayi Wang, Yaofeng Wang, Xiaoxu Li and Ming Huang
Buildings 2025, 15(20), 3641; https://doi.org/10.3390/buildings15203641 (registering DOI) - 10 Oct 2025
Abstract
Glazed components in ancient Chinese architecture hold profound historical and cultural value. However, over time, environmental erosion, physical impacts, and human disturbances gradually lead to various forms of damage, severely impacting the durability and stability of the buildings. Therefore, preventive protection of glazed [...] Read more.
Glazed components in ancient Chinese architecture hold profound historical and cultural value. However, over time, environmental erosion, physical impacts, and human disturbances gradually lead to various forms of damage, severely impacting the durability and stability of the buildings. Therefore, preventive protection of glazed components is crucial. The key to preventive protection lies in the early detection and repair of damage, thereby extending the component’s service life and preventing significant structural damage. To address this challenge, this study proposes a Restoration-Scale Identification (RSI) method that integrates depth information. By combining RGB-D images acquired from a depth camera with intrinsic camera parameters, and embedding a Convolutional Block Attention Module (CBAM) into the backbone network, the method dynamically enhances critical feature regions. It then employs a scale restoration strategy to accurately identify damage areas and recover the physical dimensions of glazed components from a global perspective. In addition, we constructed a dedicated semantic segmentation dataset for glazed tile damage, focusing on cracks and spalling. Both qualitative and quantitative evaluation results demonstrate that, compared with various high-performance semantic segmentation methods, our approach significantly improves the accuracy and robustness of damage detection in glazed components. The achieved accuracy deviates by only ±10 mm from high-precision laser scanning, a level of precision that is essential for reliably identifying and assessing subtle damages in complex glazed architectural elements. By integrating depth information, real scale information can be effectively obtained during the intelligent recognition process, thereby efficiently and accurately identifying the type of damage and size information of glazed components, and realizing the conversion from two-dimensional (2D) pixel coordinates to local three-dimensional (3D) coordinates, providing a scientific basis for the protection and restoration of ancient buildings, and ensuring the long-term stability of cultural heritage and the inheritance of historical value. Full article
(This article belongs to the Section Building Materials, and Repair & Renovation)
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28 pages, 13194 KB  
Article
Research on the Wrinkle Behavior of X80 Pipeline and B-Type Sleeve Repair Based on Finite Element Method
by Hao Zhang, Yuxing Li, Hui Han, Zhibo Guo and Ruibo Guo
Coatings 2025, 15(10), 1191; https://doi.org/10.3390/coatings15101191 - 10 Oct 2025
Abstract
Pipelines are critical infrastructure for energy transportation, but long-term service under complex loading can cause local buckling failures. This study investigates the wrinkle behavior of API-X80 pipelines under combined internal pressure and bending using finite element analysis. The results show that increasing internal [...] Read more.
Pipelines are critical infrastructure for energy transportation, but long-term service under complex loading can cause local buckling failures. This study investigates the wrinkle behavior of API-X80 pipelines under combined internal pressure and bending using finite element analysis. The results show that increasing internal pressure significantly improves structural stability and delays wrinkle formation by suppressing cross-sectional ovalization. Wrinkle growth and protrusion height were quantified under various geometric and load conditions. Furthermore, a convex B-type sleeve repair method was modeled and optimized using response surface methodology and genetic algorithms. The optimized sleeve design effectively mitigates stress concentration around the defect area. This work provides a theoretical foundation for understanding wrinkle mechanisms and enhancing pipeline integrity under complex loads. Full article
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22 pages, 37263 KB  
Article
Assessing Fire Station Accessibility in Guiyang, a Mountainous City, with Nighttime Light and POI Data: An Application of the Enhanced 2SFCA Approach
by Xindong He, Boqing Wu, Guoqiang Shen, Qianqian Lyu and Grace Ofori
ISPRS Int. J. Geo-Inf. 2025, 14(10), 393; https://doi.org/10.3390/ijgi14100393 - 9 Oct 2025
Abstract
Mountainous urban areas like Guiyang face unique fire safety challenges due to rugged terrain and complex road networks, which hinder fire station accessibility. This study proposes a GIS-based framework that integrates nighttime light (NPP/VIIRS) and point of interest (POI) data to assess fire [...] Read more.
Mountainous urban areas like Guiyang face unique fire safety challenges due to rugged terrain and complex road networks, which hinder fire station accessibility. This study proposes a GIS-based framework that integrates nighttime light (NPP/VIIRS) and point of interest (POI) data to assess fire risk and accessibility. Kernel density estimation quantified POI distributions across four risk categories, and the Spatial Appraisal and Valuation of Environment and Ecosystems (SAVEE) model combined these with NPP/VIIRS data to generate a composite fire risk map. Accessibility was evaluated using the enhanced two-step floating catchment area (E2SFCA) method with road network travel times; 80.13% of demand units were covered within the five-minute threshold, while 53.25% of all units exhibited low accessibility. Spatial autocorrelation analysis (Moran’s I) revealed clustered high risk in central basins and service gaps on surrounding hills, reflecting the dominant influence of terrain alongside protected forests and farmlands. The results indicate that targeted road upgrades and station relocations can improve fire service coverage. The approach is scalable and supports more equitable emergency response in mountainous settings. Full article
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27 pages, 1075 KB  
Article
A New Method to Design Resilient Wide-Area Damping Controllers for Power Systems
by Murilo E. C. Bento
Energies 2025, 18(19), 5323; https://doi.org/10.3390/en18195323 - 9 Oct 2025
Abstract
Operating power systems has become challenging due to the complexity of these systems. Stability studies are essential to ensure that a system operates under suitable conditions. Low-frequency oscillation modes (LFOMs) are one of the main branches of system angular stability studies and are [...] Read more.
Operating power systems has become challenging due to the complexity of these systems. Stability studies are essential to ensure that a system operates under suitable conditions. Low-frequency oscillation modes (LFOMs) are one of the main branches of system angular stability studies and are often studied in small-signal stability. Many LFOMs in the system may have low and insufficient damping rates, negatively affecting the operation of power systems. Different control strategies have been proposed, such as the Wide-Area Damping Controller (WADC), to adequately and easily dampen these LFOMs. The operating principle of a WADC requires the reception of remote and synchronized signals from system PMUs through communication channels. However, WADCs are subject to communication failures and cyberattacks that compromise their proper operation. This paper proposes a multi-objective optimization model whose variables are the WADC parameters and the objective function guarantees the previously desired and high damping rates for the system under normal conditions and when there are permanent communication failures caused by a Denial-of-Service attack. The design method uses Linear Quadratic Regulator theory, where the parameters of this method are tuned by a bio-inspired algorithm. The studies were performed in the IEEE 68-bus system, considering a set of different operating points. The results achieved in the modal and time domain analysis confirm the successful and robust design of the WADC. Full article
(This article belongs to the Section F1: Electrical Power System)
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32 pages, 19967 KB  
Article
Monitoring the Recovery Process After Major Hydrological Disasters with GIS, Change Detection and Open and Free Multi-Sensor Satellite Imagery: Demonstration in Haiti After Hurricane Matthew
by Wilson Andres Velasquez Hurtado and Deodato Tapete
Water 2025, 17(19), 2902; https://doi.org/10.3390/w17192902 - 7 Oct 2025
Viewed by 247
Abstract
Recovery from disasters is the complex process requiring coordinated measures to restore infrastructure, services and quality of life. While remote sensing is a well-established means for damage assessment, so far very few studies have shown how satellite imagery can be used by technical [...] Read more.
Recovery from disasters is the complex process requiring coordinated measures to restore infrastructure, services and quality of life. While remote sensing is a well-established means for damage assessment, so far very few studies have shown how satellite imagery can be used by technical officers of affected countries to provide crucial, up-to-date information to monitor the reconstruction progress and natural restoration. To address this gap, the present study proposes a multi-temporal observatory method relying on GIS, change detection techniques and open and free multi-sensor satellite imagery to generate thematic maps documenting, over time, the impact and recovery from hydrological disasters such as hurricanes, tropical storms and induced flooding. The demonstration is carried out with regard to Hurricane Matthew, which struck Haiti in October 2016 and triggered a humanitarian crisis in the Sud and Grand’Anse regions. Synthetic Aperture Radar (SAR) amplitude change detection techniques were applied to pre-, cross- and post-disaster Sentinel-1 image pairs from August 2016 to September 2020, while optical Sentinel-2 images were used for verification and land cover classification. With regard to inundated areas, the analysis allowed us to determine the needed time for water recession and rural plain areas to be reclaimed for agricultural exploitation. With regard to buildings, the cities of Jérémie and Les Cayes were not only the most impacted areas, but also were those where most reconstruction efforts were made. However, some instances of new settlements located in at-risk zones, and thus being susceptible to future hurricanes, were found. This result suggests that the thematic maps can support policy-makers and regulators in reducing risk and making the reconstruction more resilient. Finally, to evaluate the replicability of the proposed method, an example at a country-scale is discussed with regard to the June 2023 flooding event. Full article
(This article belongs to the Special Issue Applications of GIS and Remote Sensing in Hydrology and Hydrogeology)
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14 pages, 314 KB  
Article
Effects of the Challenge Initiative’s Community Health Volunteers (CHVs) on Public Sector Service Provision of Family Planning Services in Urban Sindh, Pakistan
by Junaid-ur-Rehman Siddiqui, Mansoor Ahmed Veesar, Kashif Manzoor, Irum Imran, Amir Saeed, Faisal Mahar, Saqib Ali Shaikh, Zafar Ali Dehraj, Aaliya Habib, Ghazunfer Abbas, Syed Azizur Rab and Victor Igharo
Int. J. Environ. Res. Public Health 2025, 22(10), 1528; https://doi.org/10.3390/ijerph22101528 - 5 Oct 2025
Viewed by 416
Abstract
To counter the high unmet need for family planning in urban areas of Sindh province, Pakistan, Greenstar Social Marketing began implementation of The Challenge Initiative (TCI) in collaboration with the government departments of Population Welfare and Health in eight urban districts of Sindh [...] Read more.
To counter the high unmet need for family planning in urban areas of Sindh province, Pakistan, Greenstar Social Marketing began implementation of The Challenge Initiative (TCI) in collaboration with the government departments of Population Welfare and Health in eight urban districts of Sindh province. This study aimed to assess the effectiveness of TCI’s Community Health Volunteers (CHVs) on public sector service provision of family planning services in eight urban districts of Sindh province, Pakistan. The Contraceptive Logistics Management Information System (cLMIS) and District Health Information System 2 (DHIS2) were used to obtain monthly contraceptive data from June 2022 to December 2024. CHVs began implementation at different time points in each district, starting from January 2023 to October 2023, when CHVs became operational in all eight districts. Descriptive statistics and two-sample t-tests were used for data analysis. CHVs significantly improved family planning service provision, particularly for short- and long-acting methods at the facility level, with greater change observed in Department of Health facilities. This study provides preliminary evidence of the effectiveness of CHVs in increasing public sector service provision of contraceptives, particularly for Department of Health facilities. CHVs bridge the gap between the community and the facility, particularly in areas uncovered by the government’s existing mobilization staff. Full article
(This article belongs to the Section Health Care Sciences)
19 pages, 1110 KB  
Article
Optimized Hybrid Ensemble Intrusion Detection for VANET-Based Autonomous Vehicle Security
by Ahmad Aloqaily, Emad E. Abdallah, Aladdin Baarah, Mohammad Alnabhan, Esra’a Alshdaifat and Hind Milhem
Network 2025, 5(4), 43; https://doi.org/10.3390/network5040043 - 3 Oct 2025
Viewed by 210
Abstract
Connected and Autonomous Vehicles are promising for advancing traffic safety and efficiency. However, the increased connectivity makes these vehicles vulnerable to a broad array of cyber threats. This paper presents a novel hybrid approach for intrusion detection in in-vehicle networks, specifically focusing on [...] Read more.
Connected and Autonomous Vehicles are promising for advancing traffic safety and efficiency. However, the increased connectivity makes these vehicles vulnerable to a broad array of cyber threats. This paper presents a novel hybrid approach for intrusion detection in in-vehicle networks, specifically focusing on the Controller Area Network bus. Ensemble learning techniques are combined with sophisticated optimization techniques and dynamic adaptation mechanisms to develop a robust, accurate, and computationally efficient intrusion detection system. The proposed system is evaluated on real-world automotive network datasets that include various attack types (e.g., Denial of Service, fuzzy, and spoofing attacks). With these results, the proposed hybrid adaptive system achieves an unprecedented accuracy of 99.995% with a 0.00001% false positive rate, which is significantly more accurate than traditional methods. In addition, the system is very robust to novel attack patterns and is tolerant to varying computational constraints and is suitable for deployment on a real-time basis in various automotive platforms. As this research represents a significant advancement in automotive cybersecurity, a scalable and proactive defense mechanism is necessary to safely operate next-generation vehicles. Full article
(This article belongs to the Special Issue Emerging Trends and Applications in Vehicular Ad Hoc Networks)
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29 pages, 2009 KB  
Article
Assessment of Infrastructure and Service Supply on Sustainable Urban Transport Systems in Delhi-NCR: Implications of Last-Mile Connectivity for Government Policies
by Snigdha Choudhary, D. P. Singh and Manoj Kumar
Future Transp. 2025, 5(4), 134; https://doi.org/10.3390/futuretransp5040134 - 2 Oct 2025
Viewed by 252
Abstract
Urban mobility plays a vital role in shaping sustainable cities, yet the effectiveness of public transportation is often undermined by poor last-mile connectivity (LMC). In the National Capital Region (NCR) of Delhi, despite the Delhi Metro Rail serving as a key transit system, [...] Read more.
Urban mobility plays a vital role in shaping sustainable cities, yet the effectiveness of public transportation is often undermined by poor last-mile connectivity (LMC). In the National Capital Region (NCR) of Delhi, despite the Delhi Metro Rail serving as a key transit system, limited integration with surrounding areas hinders accessibility, which particularly affects women, elderly adults, and socioeconomically disadvantaged groups. This study evaluates LMC performance at two key metro stations, Nehru Place and Botanical Garden, using a mixed-methods approach that includes user surveys, spatial survey, thematic analysis, and infrastructure scoring across five critical pillars: accessibility, safety and comfort, intermodality, service availability, and inclusivity. The findings communicate notable contrasts. Botanical Garden exhibits strong intermodal linkages, pedestrian-friendly design, and supportive signage, while Nehru Place indicates a need for infrastructural improvements, safety advancement and upgrades, and strengthened universal design features. These disparities limit effective metro usage and discourage a shift from private to public transport. The study highlights the importance of user-centered, multimodal solutions and the need for cohesive urban governance to address LMC gaps. By identifying barriers and opportunities for improvement, this research paper contributes to the formulation of more inclusive and sustainable urban transport strategies in Indian metropolitan regions. Full article
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23 pages, 17632 KB  
Article
Multipath Identification and Mitigation for Enhanced GNSS Positioning in Urban Environments
by Qianxia Li, Xue Hou, Yuanbin Ye, Wenfeng Zhang, Qingsong Li and Yuezhen Cai
Sensors 2025, 25(19), 6061; https://doi.org/10.3390/s25196061 - 2 Oct 2025
Viewed by 293
Abstract
Due to the increasing demand for accurate and robust GNSS positioning for location-based services (LBS) in urban regions, the impacts prevalent in metropolitan areas, like multipath reflections and various interferences, have become persistent challenges. Consequently, developing effective strategies to address these sophisticated influences [...] Read more.
Due to the increasing demand for accurate and robust GNSS positioning for location-based services (LBS) in urban regions, the impacts prevalent in metropolitan areas, like multipath reflections and various interferences, have become persistent challenges. Consequently, developing effective strategies to address these sophisticated influences has become both a primary research focus and a shared priority. In this paper, the authors explore an approach to identify and mitigate the drawbacks arising from multipath effects in urban positioning. Unlike conventional ways for building complex models, an adaptive data-driven methodology is proposed to identify the fingerprints of a multipath in GNSS observations. This approach utilizes the Fourier transform (FT) to examine code multipath and other error sources in terms of frequency, as represented by the power spectrum. Wavelet decomposition and signal spectrum methods are subsequently applied to seek traces of code multipath in multilayer decompositions. Based on the exhibited multipath features, the impacts of multipath in GNSS observations are detected and mitigated in the reconstructed observations. The proposed method is validated for both static and dynamic positioning scenarios, demonstrating seamless integration with existing positioning models. The feasibility has been verified through a series of experiments and tests under urban environments using navigation terminals and smartphones. Full article
(This article belongs to the Special Issue Advances in GNSS Signal Processing and Navigation—Second Edition)
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25 pages, 8613 KB  
Article
Evaluation of Underground Space Resources in Ancient Cities from the Perspective of Organic Renewal: A Case Study of Shaoxing Ancient City
by Qiuxiao Chen, Yiduo Qi, Guanjie Xu, Xiuxiu Chen, Xiaoyi Zhang and Hongbo Li
ISPRS Int. J. Geo-Inf. 2025, 14(10), 384; https://doi.org/10.3390/ijgi14100384 - 1 Oct 2025
Viewed by 257
Abstract
China has entered a period of urban renewal, with the focus shifting from large-scale incremental construction to both upgrading existing building quality and adjusting incremental structures. There are three main types of urban renewal: demolition and reconstruction, comprehensive improvement, and organic renewal. The [...] Read more.
China has entered a period of urban renewal, with the focus shifting from large-scale incremental construction to both upgrading existing building quality and adjusting incremental structures. There are three main types of urban renewal: demolition and reconstruction, comprehensive improvement, and organic renewal. The latter systematically optimizes and enhances urban functions, spaces, and culture through gradual renovation methods and is, therefore, suitable for use in ancient cities. To promote organic renewal, the problem of limited space resources must first be addressed, which can be resolved to a certain extent by the moderate development of underground spaces; preliminary evaluations of the development potential are also required. In consideration of the demands of organic renewal, we constructed a novel indicator system for evaluating underground space development potential (USDP) in ancient cities that assesses two dimensions: development demand and development suitability. A multi-factor comprehensive evaluation method was adopted to quantify the indicators of USDP, taking Shaoxing Ancient City (SAC) as the case study. According to the USDP evaluation, SAC can be divided into four kinds of areas: high-potential, general-potential, low-potential, and prohibited development areas. High-potential areas accounted for 16.38% of the total evaluation area and were primarily concentrated in or near key locations: train transit stations (Shaoxing Railway Station), public service facilities, evacuated land, and cultural and tourism facilities around historic districts (Shusheng Guli Historical and Cultural Street). The proposed development strategies for these areas included the interconnection of metro stations, redevelopment of relocation-related and vacated land, construction of underground cultural corridors, and supplementation of parking facilities. For developed underground spaces with low utilization efficiency, functional renewal and management improvement measures were put forward. Our method of evaluating the USDP of ancient cities and the strategies proposed to optimize the utilization of underground space can provide reference examples for SAC and other similar ancient cities. Full article
(This article belongs to the Topic 3D Documentation of Natural and Cultural Heritage)
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24 pages, 3936 KB  
Article
Usability of Polyurethane Resin Binder in Road Pavement Construction
by Furkan Kinay and Abdulrezzak Bakis
Appl. Sci. 2025, 15(19), 10592; https://doi.org/10.3390/app151910592 - 30 Sep 2025
Viewed by 166
Abstract
Many transportation structures collapse or sustain severe damage as a result of natural disasters such as earthquakes, floods, wars, and similar attacks. These collapsed or severely damaged structures must be rebuilt and returned to service as quickly as possible. Water is used in [...] Read more.
Many transportation structures collapse or sustain severe damage as a result of natural disasters such as earthquakes, floods, wars, and similar attacks. These collapsed or severely damaged structures must be rebuilt and returned to service as quickly as possible. Water is used in the mix for cement-bound concrete roads. It is known that drought problems are emerging due to climate change and that water resources are rapidly depleting. Significant amounts of water are used in concrete production, further depleting water resources. In order to contribute to the elimination of these two problems, the usability of polyurethane resin binder in road pavement construction was investigated. Polyurethane resin binder road pavement is a new type of pavement that does not contain cement or bitumen as binders and does not contain water in its mixture. This new type of road pavement can be opened to traffic within 5–15 min. After determining the aggregate and binder mixture ratios, four different curing methods were applied to the created samples. After the curing, the samples were subjected to compression test, flexural test, Bohme abrasion test, freeze–thaw test, bond strength by pull-off test, ultrasonic pulse velocity (UPV) test, SEM-EDX analysis, XRD analysis, and FT-IR analysis. The new type of road pavement created within the scope of this study exhibited a compression strength of 41.22 MPa, a flexural strength of 25.32 MPa, a Bohme abrasion value of 0.99 cm3/50 cm2, a freeze–thaw test mass loss per unit area of 0.77 kg/m2, and an average bond strength by pull-off value of 4.63 MPa. It was observed that these values ensured the road pavement specification limits. Full article
(This article belongs to the Special Issue Advances in Civil Infrastructures Engineering)
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24 pages, 8871 KB  
Article
Satellite-Derived Multi-Temporal Palm Trees and Urban Cover Changes to Understand Drivers of Changes in Agroecosystem in Al-Ahsa Oasis Using a Spectral Mixture Analysis (SMA) Model
by Abdelrahim Salih, Abdalhaleem Hassaballa and Abbas E. Rahma
Agriculture 2025, 15(19), 2043; https://doi.org/10.3390/agriculture15192043 - 29 Sep 2025
Viewed by 253
Abstract
Palm trees, referred to here as vegetation cover (VC), provide essential ecosystem services in an arid Oasis. However, because of socioeconomic transformation, the rapid urban expansion of major cities and villages at the expense of agricultural lands of the Al-Ahsa Oasis, Saudi Arabia, [...] Read more.
Palm trees, referred to here as vegetation cover (VC), provide essential ecosystem services in an arid Oasis. However, because of socioeconomic transformation, the rapid urban expansion of major cities and villages at the expense of agricultural lands of the Al-Ahsa Oasis, Saudi Arabia, has placed enormous pressure on the palm-growing area and led to the loss of productive land. These challenges highlight the need for robust, integrative methods to assess their impact on the agroecosystem. Here, we analyze spatiotemporal fluctuations in vegetation cover and its effect on the agroecosystem to determine the potential influencing factors. Data from Landsat satellites, including TM (Thematic mapper of Landsat 5), ETM+ (Enhanced Thematic mapper plus of Landsat 7), and OIL (Landsat 8) and Sentinel-2A imageries were used for analysis, while GeoEye-1 satellite images as well as socioeconomic data were applied for result validation. Principal Component Analysis (PCA) was applied to extract pure endmembers, facilitating Spectral Mixture Analysis (SMA) for mapping vegetation and urban fractions. The spatiotemporal change patterns were analyzed using time- and space-oriented detection algorithms. Results indicated that vegetation fraction patterns differed significantly; pixels with high fraction values declined significantly from 1990 to 2020. The mean vegetation fraction value varied from 0.79 to 0.37. This indicates that a reduction in palm trees was quickly occurring at a decreasing rate of −14.24%. Results also suggest that vegetation fractions decreased significantly between 1990 and 2020, and this decrease had the greatest effect on the agroecosystem situation of the Oasis. We assessed urban sprawl, and our results indicated substantial variability in average urban fractions: 0.208%, 0.247%, 0.699%, and 0.807% in 1990, 2000, 2010, and 2020, respectively. Overall, the data revealed an association between changes in palm tree fractions and urban ones, supporting strategic vegetation and/or agricultural management to enhance the agroecosystem in an arid Oasis. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
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12 pages, 484 KB  
Article
Risk of Osteoporosis-Related Fracture in Children and Adolescents with Intellectual Disability
by Jeong Rae Yoo, Jeong Ho Kang, So Young Lee, Jun Hwan Choi and Hyun Jung Lee
Medicina 2025, 61(10), 1761; https://doi.org/10.3390/medicina61101761 - 29 Sep 2025
Viewed by 233
Abstract
Background and Objectives: Children and adolescents with intellectual disability (ID) experience substantial health disparities, yet their skeletal health has been overlooked. Early-onset osteoporosis and fracture remain underrecognized in this population. Hence, this study assessed the risk of osteoporosis with concomitant fracture in [...] Read more.
Background and Objectives: Children and adolescents with intellectual disability (ID) experience substantial health disparities, yet their skeletal health has been overlooked. Early-onset osteoporosis and fracture remain underrecognized in this population. Hence, this study assessed the risk of osteoporosis with concomitant fracture in this population using nationwide cohort data. Materials and Methods: This population-based retrospective cohort study examined data from South Korea’s National Health Insurance Service-National Health Information Database (2004–2021). In all, 75,790 individuals with ID and 922,921 control individuals aged 2–18 years were included. The primary outcome was osteoporosis with concomitant fracture occurring within 1 year before or after the osteoporosis diagnosis. The secondary outcome was osteoporosis with a pathological fracture. Results: The ID group had a significantly higher risk of developing osteoporosis with concomitant fracture than the control group (unadjusted hazard ratio [HR], 6.821; 95% confidence interval [CI], 5.065–9.187; p < 0.001). This association remained significant after adjusting for demographic factors and medical comorbidities as a composite variable (HR, 4.385; 95% CI, 3.080–6.245; p < 0.001) and after additional adjustment for cerebral palsy (HR, 3.331; 95% CI, 2.252–4.926; p < 0.001). Subgroup analyses showed stronger associations in males (HR, 7.597), younger ages (7–11 years: HR, 9.501), and rural areas (HR, 8.882). Conclusions: Children and adolescents with ID have a high risk of osteoporosis with concomitant fracture. Early assessment and targeted strategies are needed to promote bone health in this population. Full article
(This article belongs to the Section Orthopedics)
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13 pages, 735 KB  
Article
Prioritizing Pediatric Eye Care in Saudi Arabia: A National Delphi Consensus Study
by Mansour A. Alghamdi, Ali Almustanyir, Abdulmalik A. Alshuimi, Saif Hassan Alrasheed, Balsam Alabdulkader, Muteb Alanazi, Basal H. Altoaimi, Mohammad Bin Dulaym, Lama Y. Alsamnan and Waleed Alghamdi
Healthcare 2025, 13(19), 2467; https://doi.org/10.3390/healthcare13192467 - 29 Sep 2025
Viewed by 345
Abstract
Background/Objectives: Childhood eye disorders, including refractive errors, strabismus, and amblyopia, are prevalent yet often underdiagnosed in Saudi Arabia. Limited data on barriers to pediatric eye care hinder efforts to optimize service delivery. This study aimed to identify barriers to accessing pediatric eye care [...] Read more.
Background/Objectives: Childhood eye disorders, including refractive errors, strabismus, and amblyopia, are prevalent yet often underdiagnosed in Saudi Arabia. Limited data on barriers to pediatric eye care hinder efforts to optimize service delivery. This study aimed to identify barriers to accessing pediatric eye care and to develop consensus-based strategies for improvement. Methods: A Delphi technique involving three iterative rounds of questionnaires was conducted with a panel of 22 eye care experts across Saudi Arabia. Consensus was defined as ≥80% agreement among participants. In total, 30 statements were developed from thematic analysis of open-ended responses and a supporting literature review. Panelists rated each statement on a five-point Likert scale, and descriptive statistics were applied. Internal consistency across rounds was assessed using Cronbach’s alpha. Results: Of the 30 proposed statements, 25 (83.3%) reached consensus, with a mean agreement score of 4.45 ± 0.59. Internal consistency was high (Cronbach’s alpha = 0.92). High-priority recommendations included implementing mandatory vision screening, integrating optometrists into primary healthcare, and establishing specialized pediatric eye care centers. Other recommendations emphasized expanding mobile clinics and increasing public awareness. Areas that did not reach consensus included referral inefficiencies, adequacy of the current workforce, and school accommodations for children with visual impairment. Conclusions: This study presents the first national consensus on pediatric eye care in Saudi Arabia and provides actionable recommendations to strengthen services. The findings offer a strategic framework to guide policy, enhance workforce development, and reduce childhood visual impairment through early detection and intervention. Full article
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21 pages, 4130 KB  
Article
Assessing Development Opportunity Loss in River Source Area Based on Comparison of Cumulative Growth Rates of Per Capita GDP
by Changfeng Ding, Fulin Cai, Feng Liu, Baiyinbaoligao and Fengran Xu
Sustainability 2025, 17(19), 8723; https://doi.org/10.3390/su17198723 - 28 Sep 2025
Viewed by 218
Abstract
River source areas often face stricter environmental protection requirements, leading to external cost and development opportunity losses. Quantifying such losses is essential for designing ecological compensation mechanisms (payment for ecological services). Existing methods often lack scientific rigor and practical feasibility. A method based [...] Read more.
River source areas often face stricter environmental protection requirements, leading to external cost and development opportunity losses. Quantifying such losses is essential for designing ecological compensation mechanisms (payment for ecological services). Existing methods often lack scientific rigor and practical feasibility. A method based on the comparison of Cumulative Growth Rates of Per Capita GDP (CGR-PCGDP) is proposed and applied to the water source area of the Middle Route of the South-to-North Water Diversion Project (MR-SNWDP) in China. The method quantifies the fiscal opportunity losses by comparing the CGR-PCGDP between the water source area and a reference area, and deducting growth rate differences before the baseline year. Regions in closer proximity to the Danjiangkou Reservoir—the source point of water diversion—have been found to be more markedly affected by stricter protection policies, resulting in greater development opportunity losses. Shiyan City and Nanyang City experienced annual average fiscal opportunity losses of CNY 569 million and 371 million, respectively, whereas cities farther from the reservoir, such as Hanzhong City, Ankang City, and Shangluo City, incurred lower losses. Compared to traditional approaches, this method avoids overestimation and offers practical, evidence-based results. How factors like geographical location, economic structure, fiscal compensation, and economic transformation capacity affect losses is further discussed, and strategies for balanced development and effective ecological compensation are proposed. The study offers methodological and referential support for the establishment of ecological compensation standards in river source areas. Full article
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