Search Results (6,890)

This paper studies a novel nonlinear fractional-order financial stress model involving Atangana–Baleanu–Caputo (ABC) operators. It focuses on memory effects that are both constant and variable. The novelty of the proposed framework lies in combining multiple interconnected channels of systemic stress into one fractional dynamical model and looks at how they change over time and how they respond to sustained external perturbations. Theoretically, we prove well-posedness results and study the equilibrium structure and stability of the given model. On the computational side, we use numerical simulations of the individual stress components and an aggregate systemic stress index to look into short-term dynamics under different memory regimes. We also include a shock-response analysis to show how memory effects change the way stress builds up, relaxes, and spreads when forced. The sensitivity analysis shows that systemic stress is amplified by the forcing and interaction parameters and reduced by the damping parameters. These findings demonstrate that the model provides a new and effective tool for studying systemic financial instability in a fractional setting. Full article

Accurate and trustworthy prediction of lithium-ion battery aging remains challenging due to multi-mechanistic degradation, cell-to-cell variability, and distribution shift between laboratory calibration and deployment. Fractional-order models have been proposed to capture long-memory effects in electrochemical systems; however, it remains unclear when such memory is empirically identifiable and beneficial within the common prognostics abstraction of state-of-health (SOH) versus cycle index. This work develops a fully reproducible computational pipeline for mechanistic battery aging based on a Caputo fractional differential equation (FDE) and evaluates its cross-cell generalization on open NASA cycling data. Parameters are identified using bounded robust nonlinear least squares and validated under a strict transfer protocol: calibration on cells B0005/B0006 and evaluation on held-out cells B0007/B0018 without refitting. The fractional model is benchmarked against a classical ODE surrogate, an ECM-inspired resistance-proxy baseline, and one-step-ahead machine-learning predictors. Uncertainty quantification is performed via parameter bootstrap and subsequently calibrated using conformal correction to target nominal coverage under transfer. Results show that the fractional order tends to collapse toward the integer-order limit (α → 1) in this dataset, indicating limited evidence of additional long-memory at the SOH-versus-cycle level under the considered protocol, while robust identification remains essential for stability. Calibrated prediction intervals achieve near-nominal coverage on held-out cells, highlighting the importance of UQ calibration under cell-to-cell shift. The proposed scripts and environment specifications enable direct replication and facilitate future extensions to stress-aware fractional models and hybrid physics–ML approaches. Full article

Background/Objectives: The optimal management of anterior cruciate ligament (ACL) rupture remains debated, especially regarding long-term outcomes after early ACL reconstruction (ACLR) versus rehabilitation-first with optional delayed ACLR. The interpretation of randomized evidence is complicated by frequent treatment crossover. This review synthesized evidence from randomized controlled trial (RCT) cohorts comparing surgical versus rehabilitation-first management strategies across available follow-up durations. Methods: A structured review based on a systematic literature search and narrative synthesis was conducted, with study identification and reporting guided by PRISMA 2020. MEDLINE (via PubMed) and Google Scholar were searched in February 2026 for English-language human RCTs (2000–2026) comparing early ACLR plus rehabilitation with rehabilitation-first management allowing delayed ACLR for persistent instability. A linked-report PubMed search using the KANON trial registration number (ISRCTN84752559) was additionally performed to identify cohort-derived follow-up publications. Reports were grouped by underlying RCT cohort. Data were extracted on crossover, follow-up, and clinical outcomes. Risk of bias for primary RCT reports was assessed with Cochrane RoB 2. Results: Twenty-seven reports representing three RCT cohorts (KANON, COMPARE, ACL SNNAP) were included; six index reports were prioritized for synthesis. In acute ACL rupture (KANON, COMPARE), early ACLR did not show a consistent long-term superiority in patient-reported outcomes versus rehabilitation-first with optional delayed ACLR, although COMPARE reported a statistically significant 2-year subjective functional difference favoring early ACLR; early ACLR more consistently improved mechanical stability and reduced instability episodes. Crossover from rehabilitation to delayed ACLR was common. In non-acute ACL injury with persistent symptomatic instability (ACL SNNAP), surgery-first improved 18-month patient-reported outcomes. Meniscal procedure rates and osteoarthritis-related outcomes did not consistently favor early ACLR. Conclusions: In acute ACL rupture, rehabilitation-first with timely access to delayed ACLR appears to provide long-term patient-reported outcomes comparable to an early ACLR strategy in many patients, while early ACLR more consistently improves knee stability. In non-acute symptomatic ACL deficiency, a surgery-first strategy appears more effective in the mid-term. These randomized trials should be interpreted as comparisons of management strategies rather than of “pure” operative versus nonoperative treatment approaches. Full article

Manufacturing SMEs in Ecuador operate under macroeconomic volatility and limited financing; improvements in processes and management are key mechanisms for sustaining productivity and competitiveness. In contexts where conventional innovation indicators are unavailable, financial ratios constitute replicable signals that close a measurement gap in emerging economies. This study constructs the Structure-Based Innovation Index (SBII) as the mean of within-sample percentile ranks of capital efficiency (EBIT/Assets) and sales per employee, using financial statements from the SCVS, sectoral indicators from ENESEM, and size classification from REEM. The sample includes 58 formal manufacturing SMEs in Ecuador in 2023, stratified by province and size. Performance is measured through labor productivity and operating profitability (EBIT/Sales). Tercile comparisons reveal clear performance differentiation: the high-SBII group exhibits substantially higher median sales per employee (USD 129,552 vs. USD 40,176 in the low group) and higher operating profitability. Signals are more strongly reflected in productivity than in margins, indicating that operational gains materialize earlier. A robustness check using SBIIalt confirms that gradients are not index artifacts. High-performing SMEs are distinguished by institutionalized operational discipline: asset utilization, throughput stability, and cost control. The SBII is a replicable proxy for structure-based innovation in data-constrained environments. The findings align with SDGs 8, 9, and 12. Full article

Hydrogen is a key energy carrier for the transition to renewable energy, but its storage remains a major challenge, mainly due to the energy requirements for its production and to its low volumetric energy density under ambient conditions. Clathrate hydrates have recently emerged as a promising medium for gas storage, yet their potential for hydrogen storage is still underexplored. This study presents a comprehensive bibliometric analysis of hydrogen storage research, focusing on clathrate hydrates. The analysis, based on publications indexed in Scopus over the past decades, reveals that research on gas hydrates is mature and interdisciplinary, encompassing hydrate formation, thermodynamics, and production from natural reservoirs. In contrast, hydrogen hydrates remain a marginal and emerging research area, characterized by limited scientific output and weak connections to dominant storage strategies such as metal hydrides, metal–organic frameworks, and adsorptive materials. The results highlight key research gaps, including a limited understanding of formation kinetics, thermodynamic stability under practical conditions, and challenges related to scalability and system integration. These findings suggest that targeted research efforts addressing these bottlenecks could support the development of hydrate-based systems as complementary solutions within the broader hydrogen storage landscape. Full article

Post-cooking storage may modify the glycemic response of starchy foods; however, this effect is usually assessed only through the glycemic index (GI), without capturing the temporal dimension of the metabolic response. In this study, the effect of post-cooking storage on boiled rice was investigated using an integrated approach based on GI, resistant starch (RS) content, and the post-technological stability coefficient (PTSC). Storage significantly reduced GI, from 83.03 ± 15.02 (SD) in the freshly prepared sample to 43.55 ± 6.99 (SD) after prolonged freezing, while concurrently increasing RS from approximately 1.8% to nearly 4.0%. A strong inverse linear relationship was identified between RS and GI (r = −0.935, p < 0.001; R² = 0.8735). These changes are consistent with storage-induced starch retrogradation and reduced enzymatic accessibility of the starch matrix. PTSC analysis further suggested that GI reduction was not automatically equivalent to lower temporal variability in the glycemic response: refrigeration was associated with more negative and more dispersed PTSC values, whereas prolonged freezing was associated with lower GI, higher RS, and smaller temporal variations in the incremental area under the curve (iAUC). Overall, the results suggest that the isolated analysis of GI may not fully describe the effect of post-cooking storage on boiled rice. The combined interpretation of GI, RS, and PTSC may provide a more informative framework for evaluating the metabolic effect of storage and may help differentiate between regimes predominantly associated with a reduction in the amplitude of the glycemic response and those additionally characterized by lower temporal variability of that response. Full article

Background: Obesity represents a major public health challenge worldwide and contributes substantially to the burden of type 2 diabetes and hypertension. While body mass index (BMI) is widely used in clinical practice, indices reflecting central adiposity may provide additional prognostic value. This study aimed to assess the prevalence of general and central obesity in an adult population across different age groups from Stara Zagora, Bulgaria, and to examine their associations with cardiometabolic outcomes and lifestyle factors. Methods: A quasi-representative cross-sectional study was conducted among 3512 adults (mean age 53.7 ± 14.9 years). Anthropometric indices, including BMI, waist circumference, waist-to-hip ratio, and waist-to-height ratio were measured. Cardiometabolic outcomes included diabetes, hypertension, and their combined presence. Multicollinearity was assessed using the Variance Inflation Factor (VIF), and the discriminatory ability of indices was evaluated using Receiver Operating Characteristic (ROC) analysis and DeLong’s test. Results: The prevalence of overweight/obesity (BMI ≥25) was 68.4%, while central obesity (WHtR ≥0.5) affected 66.9% of participants. BMI demonstrated the highest discriminatory ability in this dataset for hypertension (AUC = 0.852) and diabetes (AUC = 0.796), significantly outperforming WC and WHR (p < 0.05). However, 24.4% of individuals with normal BMI exhibited high-risk central adiposity. Significant sex-specific differences were observed: short sleep duration (<6 h) was a strong predictor of obesity in women (aOR = 2.98), whereas smoking showed stronger associations in men. Age-stratified analyses revealed that while BMI stabilizes in the oldest age group (75–89 years), WHtR continues to increase, reflecting age-related redistribution of visceral fat. A strong protective effect of physical activity was observed, supported by quasi-complete separation in active subgroups. Conclusions: General and central obesity represent a substantial health burden in this urban population. While BMI remains a robust screening tool, the integration of WHtR enhances the identification of “hidden” cardiometabolic risk particularly in older adults and individuals with normal BMI. Given the quasi-representative nature of the sample, these findings are primarily generalizable to similar urban populations and may inform targeted regional public health strategies. Full article

Surface subsidence induced by underground coal mining is a primary driver of ecological degradation. The traditional Remote Sensing Ecological Index (RSEI), however, struggles to capture surface deformation constraints and vegetation response lags. To address this, we developed a Mining Deformation–Ecology Coupling Index (MDECI). This index integrates Interferometric Synthetic Aperture Radar (InSAR)-monitored surface stability with multi-spectral indicators via Principal Component Analysis (PCA). We applied this method to the Datong Coalfield, China, using 231 Sentinel-1A SAR scenes and 8 Landsat images (2017–2024) to validate the effectiveness of the index. Meanwhile, we systematically analyzed non-linear response mechanisms, the Ecological Turning Point (ETP), and spatial clustering characteristics. The results demonstrate the following: (1) InSAR and MDECI effectively identified patterns of surface subsidence and ecological decline. Subsidence centers expanded to a maximum of −2085 mm, causing the mean MDECI in these areas to drop to 0.185 (<−1800 mm). This represents a 57.4% decrease relative to the regional average (0.434). (2) MDECI outperformed traditional models with a stable Average Correlation Coefficient (ACC) (0.63–0.75) and high cross-correlation coefficients with RSEI (0.906) and the Mine-specific Eco-environment Index (MSEEI) (0.931). During the 2018 drought, MDECI maintained a robust ACC of 0.628 while RSEI dropped to 0.482. (3) Multi-scale analysis revealed a unimodal MDECI response with an ETP at −100 mm. Initial ‘micro-disturbance gain’ (0.371 to 0.471) is followed by a progressive decline to a minimum of 0.185 under severe deformation. (4) Local Indicators of Spatial Association (LISA) spatial clustering characterized the distribution patterns of ecological damage and localised high-maintenance areas. High–Low damaged areas accounted for 5.09%, while High–High high-maintenance areas reached 9.00%. The scale of High–High areas was approximately 1.77 times that of the damaged areas. The MDECI addresses the deficiencies of traditional indices in high-disturbance areas and isolates the impact of mining on the ecology, providing a quantitative basis for risk identification and differentiated restoration. Full article

Soil health is critical for the sustainability of tropical plantation ecosystems, However, the ecological factors driving productivity gradients remain inadequately understood. This study investigated rubber plantations on Hainan Island with varying yield levels to assess soil health and its underlying ecological mechanisms using a minimum data set (MDS) approach. Twenty-seven soil physical, chemical, and biological indicators were analyzed at two depths (0–20 cm and 20–40 cm). Principal component analysis identified seven key indicators for the MDS: soil organic matter (OM), alkaline-hydrolyzable nitrogen (AN), cation exchange capacity (CEC), dissolved organic carbon (DOC), microbial biomass phosphorus (MBP), acid phosphatase activity (ACP), and microbial diversity (Shannon-Wiener index, SHDI). The soil health indices derived from the MDS showed strong correlations with those generated from the total data set (TDS) (p < 0.001), confirming the reliability of the MDS framework. Overall, soil health levels were rated low to moderate with no significant differences across low-yield plantations (≤900 kg·ha⁻¹), medium-yield plantations (900–1200 kg·ha⁻¹), and high-yield plantations (≥1200 kg·ha⁻¹)., suggesting a decoupling of soil health and rubber productivity under uniform management practices. Random forest analysis identified microbial-driven phosphorus cycling, particularly MBP and ACP, as the primary determinant of soil health across soil layers, with DOC and SHDI also contributing significantly. These findings highlight the critical role of microbial-mediated nutrient cycling in maintaining soil health in rubber plantations and suggest that current management practices prioritize short-term yields over long-term soil ecological stability. Enhancing microbial activity and increasing organic matter inputs may be essential for improving soil health and ensuring the sustainability of rubber production in tropical agroecosystems. Full article

The Technology Acceptance Model (TAM) has been widely used to explain e-banking and digital technology adoption. Existing literature supports the robustness of its core relationships, but the magnitude of the effects varies considerably across studies, raising questions about their stability and generalizability in new contexts. Existing meta-analysis studies focus primarily on pooled effect sizes, providing limited insight into the temporal stability of relationships, their sensitivity to individual studies, and the extent to which observed heterogeneity reflects contextual variation. This study contributes by reinterpreting heterogeneity not as a problem to be reduced, but as a feature that defines the limits of generalizability. We advance the TAM literature by moving beyond average effects and rethinking empirical evidence through the joint lens of robustness, stability, and dispersion. We conduct a random-effects meta-analysis on 44 effect sizes (correlation coefficients) coming from 43 research papers indexed in Web of Science and Scopus. In addition to pooled correlations, the analysis employed cumulative meta-analysis, leave-one-out influence diagnostics, prediction intervals, and publication bias assessments to evaluate the evolution, consistency, and variability of TAM relationships across contexts. The findings show that core TAM relationships are consistently positive and stable at the aggregate level yet display substantial variation across empirical settings. While some relationships remain robust across contexts, others exhibit prediction intervals that include zero, indicating that their strength and even direction may depend on contextual conditions. As prior TAM meta-analyses have not systematically incorporated prediction intervals, this study provides new evidence to the extent to which TAM relationships generalize beyond average effects. The results further show that although TAM offers a reliable structural framework, interventions and policies based on its core relationships must be context-sensitive, because relying on average effects alone may lead to ineffective or inconsistent adoption outcomes. Full article

This study addresses the imperative need to extend the shelf life of the cape gooseberry (Physalis peruviana L.), a highly perishable yet nutritionally valuable fruit, through the development and optimization of active edible coatings (ECs). The synergy between cassava starch (Manihot esculenta Crantz) and lemon verbena essential oil (Aloysia citrodora), both bioactive components, was investigated for the formulation of protective coatings. A 2² factorial design explored the impact of cassava starch concentrations (8% and 10% w/v) and lemon verbena essential oil (LVEO) (1% and 3% v/v) on the sensory acceptability of coated cape gooseberries. Through binomial logistic regression analysis, it was determined that the formulation with 10% cassava starch and 3% LVEO (T4) exhibited significantly superior sensory acceptability, optimizing the perception of color, odor, flavor, texture, and overall appearance. This optimized formulation (T4) demonstrated a significant improvement in extending the shelf life of cape gooseberries up to 27 days at 10 °C, which is comparable to or exceeds values reported in previous studies on starch–based coatings in similar fruits (e.g., 15–21 days depending on formulation and storage conditions). This performance also exceeded the storage periods observed at 6 °C (6 days) and 8 °C (20 days). Physicochemical analyses revealed remarkable stability of pH and titratable acidity, as well as effective control of moisture loss and the maturity index, even at higher temperatures. Crucially, T4 exhibited superior antimicrobial activity, with a significant reduction in molds, yeasts, and total aerobes, particularly at 10 °C, suggesting an optimal synergistic interaction between the coating and the LVEO under slightly warmer storage conditions. These findings contribute to the advancement of sustainable preservation strategies of cape gooseberries, offering a sustainable solution that reconciles efficient shelf-life extension with consumer acceptability and optimizes storage conditions, with significant implications for reducing food waste and enhancing the global marketability of this fruit. Full article

Background/Objective: In late adulthood, the increasing prevalence of diabetes overlaps with the highest prevalence of postural instability. A cross-sectional study was designed to explore the combined influence of age, gender, history of COVID-19 quadriceps strength, and Body Mass Index (B.M.I.) on the postural stability of adults with/without diabetes, under a variety of sensory conditions. Methods: A total of 263 adults aged 21 to 82 years old accepted to participate, 99 with and 164 without diabetes. They had no history of vestibular/otology/neurology/autoimmune/orthopedic disease or proliferative retinopathy/severe renal dysfunction/traumatic injury. After clinical and vestibular evaluations, postural sway was recorded on hard/soft surface, eyes open/closed, and without/with 30° neck extension. Bivariate analysis and repeated measures multivariate analysis of covariance were performed with 0.05 significance. Results: In the two groups, two thirds of the participants had excess weight and almost half had history of COVID-19. Overall conditions, gender and diabetes were the main factors contributing to sway area (multiple R = 0.28–0.31, p ≤ 0.001) and to sway length (multiple R = 0.34–0.47, p ≤ 0.00001). Compared to adults without diabetes, in those with diabetes, the age was not related to sway measurements; with contribution to sway from history of COVID-19 and quadriceps strength, and decreased contribution of the study variables to both the anterior–posterior position of the center of pressure and ankle movement (velocity as a function of the anterior–posterior position of the center of pressure) (p > 0.05). Conclusions: Diabetes may interfere with the influence of individual cofactors contributing to postural sway, including decreased influence of age and reduced ankle movement. A history of mild–moderate COVID-19 may have influence on postural control in varied sensory conditions. Full article

Blade-Free Planetary Mixer (BFPM) can rapidly and efficiently mix highly viscous materials because of the strong centrifugal forces generated by the planetary motion of the mixing vessel. The safety of energetic propellant slurry during BFPM processing is critical. In this work, the mixing performance and process safety of composite solid propellant slurry in a BFPM were investigated through morphology observation, mixing index analysis, temperature measurement, rheological testing, mechanical sensitivity evaluation, and thermal analysis. The results showed that the BFPM achieved safe, efficient, and uniform mixing of the slurry. Under the baseline condition of 1000 rpm, the mixing index reached 95.73% after 24 min, and the slurry temperature increased to only 31.1 °C. The influence of BFPM processing on slurry safety was mainly reflected in the spatial redistribution of energetic solid components and the solid–liquid mixing state. And mechanical sensitivity tended to increase in regions of higher apparent viscosity. Increasing the rotational speed and adopting alternating rotation promoted particle dispersion and reduced local apparent viscosity, but an excessively high rotational speed reduced thermal stability. Overall, 1200 rpm combined with alternating rotation was identified as the most suitable operating condition. This work provides a practical basis for the safe and efficient BFPM processing of energetic propellant slurries. Full article

This study proposes and evaluates a specialized Recreational Water Quality Index (IR-WQI) designed to prioritize the bathers’ safety and comfort. Focusing on the Năvodari–Mamaia sector (2022–2024), the research investigates how different weighting configurations—prioritizing either microbiological safety or physicochemical stability—affect the accuracy of bathing water assessments. The IR-WQI was tested across four scenarios, comparing the sensitivity of a specialized pH-based “bather-comfort” penalty function against models that include salinity as a weighted constant. Results demonstrate high categorical stability, with 93.3% of monitoring sites maintaining their qualitative classification regardless of the weighting scheme. However, the inclusion of salinity was found to inflate quality scores, potentially masking fecal contamination at vulnerable sites. Scenario 1, which prioritizes microbiological indicators (60% weight) and incorporates a pH filter, provides a transparent and conservative diagnostic tool for coastal managers, thereby supporting sustainable tourism and informed decision-making for beach safety. Full article

Background/Objectives: Laryngeal leukoplakia and dysplasia carry a variable risk of malignant transformation. Although microlaryngoscopic excision is standard of care, data on voice function are limited. Multidimensional diagnostics, including the Vocal Extent Measure (VEM), were employed to assess pre- and postoperative status while identifying factors associated with vocal outcomes. Methods: This retrospective cohort included 44 patients with histologically confirmed vocal fold leukoplakia or dysplasia. All underwent cold steel or laser-assisted phonomicrosurgery. Voice assessments were conducted pre- and three months postoperatively, comprising videolaryngostroboscopy, auditory-perceptual evaluation of grade, roughness and breathiness (GRB), self-assessment (Voice Handicap Index, VHI-9i), and objective acoustic-aerodynamic measures. Results: Overall, 57% of patients were active smokers; 73% consumed alcohol. Lesions were mostly unilateral (77%), craniomedially localized (65%), and involved up to one-third of the vocal fold (48%), with impaired mucosal wave (76%). Histopathology revealed mainly hyperkeratosis (52%) and dysplasia (35%). Recurrence rate was 14%, with histology unchanged. Postoperatively, subjective measures showed significant improvements (post- vs. preoperative), with decreased VHI-9i scores (10 vs. 14) and GRB ratings (p < 0.05). Objective measures showed positive trends, including enhanced vocal capacity (VEM 85 vs. 82), stability (jitter 0.6 vs. 0.8%), and aerodynamics (maximum phonation time 18 vs. 15 s). Phonosurgical method, histopathology, and age did not significantly affect voice outcomes; however, higher dysplasia grades and younger age showed trends toward greater VEM gains. Conclusions: Phonomicrosurgical excision of laryngeal leukoplakia and dysplasia effectively preserves or enhances vocal function. The VEM provides a reliable, quantitative complement to established voice diagnostics and should be integrated into standardized assessment protocols. Full article