Search Results (60)

Background/Objectives: Feigning spectrum behavior (FSB) is the exaggeration, fabrication, or false imputation of symptoms. It occurs in compensable injury with great cost to society by way of loss of productivity and excessive costs. The aim of this study is to identify feigning by developing cut scores on the long and short forms (SF) of the Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ and OMPSQ-SF) and the Perceived Stress Scale (PSS and PSS-4). Methods: As part of pre-screening for a support program, 40 injured workers who had been certified unfit for work for more than 2 weeks were screened once with the OMPSQ and PSS by telephone by a mental health professional. A control sample comprised of 40 non-injured community members were screened by a mental health professional on four occasions under different aliases, twice responding genuinely and twice simulating an injury. Results: Differences between the workplace injured people and the community sample were compared using ANCOVA with age and gender as covariates, and then receiver operator characteristics (ROCs) were calculated. The OMPSQ and OMPSQ-SF discriminated (ρ < 0.001) between all conditions. All measures discriminated between the simulation condition and workplace injured people (ρ < 0.001). Intraclass correlation demonstrated the PSS, PSS-4, OMPSQ, and OMPSQ-SF were reliable (ρ < 0.001). Area Under the Curve (AUC) was 0.750 for OMPSQ and 0.835 for OMPSQ-SF for work-injured versus simulators. Conclusions: The measures discriminated between injured and non-injured people and non-injured people instructed to simulate injury. Non-injured simulators produced similar scores when they had multiple exposures to the test materials, showing the uniformity of feigning spectrum behavior on these measures. The OMPSQ-SF has adequate discriminant validity and sensitivity to feigning spectrum behavior, making it optimal for telephone screening in clinical practice. Full article

With the rapid advancement of high-precision optical systems, increasingly stringent demands are imposed on the surface figure accuracy of optical components. The magnitude of residual stress in multilayer films directly influences the post-coating surface figure stability of these components, making the control of multilayer film stress a critical factor in enhancing optical surface figure accuracy. In this study, which addresses the process constraints and substrate damage risks associated with conventional annealing-based stress compensation for large-aperture optical components, we introduce an active stress engineering strategy rooted in in situ deposition process optimization. By systematically tailoring film deposition parameters and adjusting the thickness modulation ratio of TiO₂ and SiO₂, we achieve dynamic compensation of residual stress in multilayer structures. This approach demonstrates broad applicability across diverse optical coatings, where it effectively mitigates stress-induced surface distortions. Unlike annealing methods, this intrinsic stress polarity manipulation strategy obviates the need for high-temperature post-processing, eliminating risks of material decomposition or substrate degradation. By enabling precise nanoscale stress regulation in large-aperture films through controlled process parameters, it provides essential technical support for manufacturing ultra-precision optical devices, such as next-generation laser systems and space-based stress wave detection instruments, where minimal stress-induced deformation is paramount to functional performance. Full article

We present a miniaturized, inexpensive, and user-friendly microfluidic platform to support biological applications. The system integrates a mini-incubator providing controlled environmental conditions and housing a microfluidic device for long-term cell culture experiments. The incubator is designed to be compatible with standard inverted optical microscopes and Raman spectrometers, allowing for the non-invasive imaging and spectroscopic analysis of cell cultures in vitro. The microfluidic device, which reproduces a dynamic environment, was optimized to sustain a passive, gravity-driven flow of medium, eliminating the need for an external pumping system and reducing mechanical stress on the cells. The platform was tested using Raman analysis and adherent tumoral cells to assess proliferation prior and subsequent to hydrogen peroxide treatment for oxidative stress induction. The results demonstrated a successful adhesion of cells onto the substrate and their proliferation. Furthermore, the platform is suitable for carrying out optical monitoring of cultures and Raman analysis. In fact, it was possible to discriminate spectra deriving from control and hydrogen peroxide-treated cells in terms of DNA backbone and cellular membrane modification effects provoked by reactive oxygen species (ROS) activity. The 800–1100 cm⁻¹ band highlights the destructive effects of ROS on the DNA backbone’s structure, as its rupture modifies its vibration; moreover, unpaired nucleotides are increased in treated sample, as shown in the 1154–1185 cm⁻¹ band. Protein synthesis deterioration, led by DNA structure damage, is highlighted in the 1257–1341 cm⁻¹, 1440–1450 cm⁻¹, and 1640–1670 cm⁻¹ bands. Furthermore, membrane damage is emphasized in changes in the 1270, 1301, and 1738 cm⁻¹ frequencies, as phospholipid synthesis is accelerated in an attempt to compensate for the membrane damage brought about by the ROS attack. This study highlights the potential use of this platform as an alternative to conventional culturing and analysis procedures, considering that cell culturing, optical imaging, and Raman spectroscopy can be performed simultaneously on living cells with minimal cellular stress and without the need for labeling or fixation. Full article

Background: While the well-being and working conditions of healthcare professionals are increasingly scrutinized, there remains a critical research gap regarding the quality of life and job satisfaction of plastic surgeons in Switzerland. No prior national study has systematically examined these aspects within this specialty. Objective: This study aims to address this gap by evaluating workload, career satisfaction, and quality of life among Swiss plastic surgeons and trainees, thereby providing evidence to inform systemic improvements in the profession. Methods: A national, multilingual online survey was distributed to all members of the Swiss Society for Plastic Surgery and the Association of Young Plastic Surgeons. A total of 102 plastic surgeons responded (response rate: 22.7%). The survey assessed contractual versus actual working hours, work performed during personal time, mental health indicators (e.g., burnout), and career satisfaction. Descriptive and correlational analyses were conducted. Results: The respondents reported an average of 58 actual versus 49 contractual working hours per week, with an additional 8.1 h spent working during leisure time. Burnout symptoms were present in 29%, and 63% experienced work-related stress during their free time. While 42% wished to reduce their workload, 88.7% would still choose the profession again. Career satisfaction averaged 3.66/5, although 35% rated their salary as inadequate. Notably, 79.8% reported work negatively affecting private relationships, despite 82.65% feeling supported by their environment. Conclusion: This first nationwide assessment highlights the high workload and psychological strain faced by Swiss plastic surgeons. Key priorities include targeted burnout prevention, structural workload reduction, enhanced support for work–life integration (especially among women and younger surgeons), and improved compensation. These measures are essential to sustain the well-being of practitioners and ensure long-term quality in surgical care. Full article

The COVID-19 pandemic greatly impacted care aides in long-term care facilities (LTCFs), exacerbating existing challenges and introducing new stressors that profoundly affected their job satisfaction, mental health, and overall well-being. This study investigates these multifaceted effects by conducting a comprehensive literature review of 18 studies from 2020 to 2023 across multiple countries. The findings reveal that care aides, mostly older and female and often immigrants with limited formal education, faced increased workloads, emotional exhaustion, physical fatigue, anxiety, and heightened stress levels during the pandemic. These factors led to decreased job satisfaction, higher burnout rates, and further pressure on LTCFs. The review emphasizes the need for strong support systems and targeted interventions, including mental health resources, counseling, adequate personal protective equipment (PPE), effective workload management, professional development opportunities, fair compensation, and supportive work environments. Addressing these issues is crucial for maintaining a stable and effective LTC workforce, improving care outcomes for residents, and enhancing the healthcare system’s resilience against future challenges. Full article

In this paper, a double-mode self-calibration tension system is proposed, which adopts the conversion of hydraulic meter tension and the monitoring of standard force sensors. According to the material characteristics of the jack and the viscosity and temperature characteristics of the hydraulic oil, the differential model of heat conduction in the hydraulic cylinder and the mathematical model of oil film friction heat generation are established, and the internal thermodynamic characteristics of the jack are theoretically analyzed, which provides theoretical support for the temperature compensation of the hydraulic oil pressure gauge of the jack. A simulation analysis was conducted on the thermodynamic characteristics of the hydraulic jack, and the distribution patterns of the temperature field, thermal stress field, and thermal strain field inside the hydraulic cylinder during normal operation were determined by measuring the temperature changes in five different parts of the jack at different times (t = 200 s, 2600 s, 5000 s, 7400 s, and 10,000 s). For the issue of heat generation due to oil film friction in the hydraulic jack, a simulation calculation model is developed by integrating Computational Fluid Dynamics (CFD) techniques with dynamic grid and slip grid methods. By simulating and analyzing frictional heating under conditions where the inlet pressures are 0.1 MPa, 0.3 MPa, 0.5 MPa, 0.7 MPa, and 0.9 MPa, respectively, we can obtain the temperature distribution on the jack, determine the frictional resistance, and subsequently conduct a theoretical analysis of the simulation results. Using the high-precision standard force sensor after data processing and the hydraulic oil gauge after temperature compensation, the online self-calibration of the tensioning system is carried out, and the regression equation of the tensioning system under different oil temperatures is obtained. The double-mode self-calibration tensioning system with temperature compensation is used to verify the compensation accuracy of the proposed double-mode self-calibration tensioning system. Full article

As the core technology for mechanized installation of tunnel folding steel arch frames, snap-fit connection optimization proves critical in enhancing the load-bearing efficiency of support systems and addressing surrounding rock deformation and instability caused by excavation-induced stress redistribution. Addressing the theoretical gaps in existing research regarding snap-fit selection mechanisms and quantitative evaluation criteria, this study adopts a combined approach of numerical simulation and field monitoring verification based on the excavation compensation concept to systematically investigate the load-bearing characteristics of folding steel arch frames with different snap-fit configurations. Key findings include (1) identification of 20 mm as the optimal joint diameter, where the vertical displacements of Type A and B snap-fit connections reached their minimum values of 43.1 mm and 39.2 mm, respectively; (2) demonstration of significant geometric configuration effects on principal stress distribution, with Type B connections exhibiting 4.5% lower maximum principal stress compared to Type A, effectively mitigating stress concentration; and (3) field monitoring data verification, revealing that Type B connections achieved 15.8% lower stress values than Type A at critical crown sections, satisfying yield strength requirements while demonstrating enhanced resistance to surrounding rock deformation induced by excavation-induced geostress redistribution. These results confirm Type B snap-fit connections as superior structural solutions for folding steel arch frames, thereby facilitating the advancement of mechanized installation technology for tunnel steel arch frames. Full article

The hydraulic support is one of the most crucial pieces of equipment at the working face. To achieve the intelligentization of the attitude-monitoring system, we have designed and developed a Fiber Bragg Grating (FBG) inclinometer for the hydraulic support. This innovation offers a brand-new monitoring tool and approach for measuring the attitude angle of the hydraulic support. The FBG inclinometer for the hydraulic support integrates passive grating sensing technology with an inclination force element. It not only fulfills the inclination measurement function but also employs passive sensing technology, rendering it safer and more reliable compared to electromagnetic inclinometers. First, we delved into the sensing principle of the grating based on its structure, and investigated its sensing characteristics under uniform axial stress and temperature variations. We analyzed the strain–temperature cross-sensitivity issue and applied a temperature compensation technique. Second, we carried out a novel structural design and proposed two design alternatives: the cantilever beam type was selected after a comprehensive comparison. Subsequently, we deduced the corresponding theoretical formulas and ultimately adopted the temperature compensation method using an unstressed reference grating. Finally, on-site verification was conducted on the hydraulic support in the general mining face of Delong Mine, and the FBG inclinometer successfully passed the test. Finally, an actual test was carried out at the Delong Coal Mine site, and the subsequent use yielded quite satisfactory results. An analysis of the data collected on-site by the FBG inclinometer for the hydraulic support revealed that the newly developed FBG inclinometer for the hydraulic support can be effectively applied in the field of intelligent monitoring in underground coal mines. The monitoring data can serve as a reliable data foundation for assessing the operating attitude of the hydraulic support. This indicates that the FBG inclinometer is highly suitable for wide-scale industrial applications. Full article

Gestational diabetes mellitus (GDM) affects placental metabolism, influencing both maternal and fetal outcomes. This study investigated the expression of metabolic regulators—Pyruvate Kinase M2 (PKM2), AMP-activated protein kinase (AMPK), and mTOR pathway components—in placental tissues from GDM pregnancies managed with either insulin (GDM-I) or dietary interventions (GDM-D). We hypothesize that metabolic adaptation in GDM is differentially regulated by treatment modality. This study analyzed 30 cases, including 10 control pregnancies,10 GDM-D cases, and 10 GDM-I cases. Analytical methods included immunofluorescence and immunoblotting. We observed an upregulation of PKM2 in both GDM-I and GDM-D placentas, suggesting enhanced glycolytic adaptation under GDM-induced metabolic stress. AMPK expression was significantly elevated in GDM-I and moderately increased in GDM-D placentas, potentially compensating for insulin resistance by promoting glucose uptake and energy homeostasis. Furthermore, mTOR pathway activation differed by treatment type, suggesting a treatment-specific mTOR response. The metabolic changes observed suggest that treatment modality in GDM may have direct implications for maternal and fetal health. Our findings indicate that while insulin and dietary management support metabolic adaptation in GDM, they do so through distinct mechanisms. These findings support a personalized approach in GDM treatment, where patient-specific metabolic responses should guide therapeutic decisions. Full article

Cerebral ischemia is a pathological condition characterized by complete blood and oxygen supply deprivation to neuronal tissue. The ischemic brain compensates for the rapid decline in ATP levels by increasing the anaerobic glycolysis rate, which leads to lactate accumulation and subsequent acidosis. Astrocytes play a critical role in regulating cerebral energy metabolism. Mitochondria are significant targets in hypoxia-ischemia injury, and disruptions in mitochondrial homeostasis and cellular energetics worsen outcomes, especially in the elderly. Elevated levels of n-3 polyunsaturated fatty acids (PUFAs) protect the adult and neonatal brain from ischemic damage by suppressing inflammation, countering oxidative stress, supporting neurovascular unit reconstruction, and promoting oligodendrogenesis. This study examines extra virgin olive oil (EVOO) treatment on TNC WT and TNC M23 cells, focusing on oxygen consumption and reactive oxygen species (ROS) production. This study investigates the effects of different durations of middle cerebral artery occlusion (MCAo) and EVOO administration on cerebral infarct volume, neurological scores, mitochondrial function, and cell viability. Cerebral infarct volume increased with longer ischemia times, while EVOO treatment (0.5 mg/kg/day) significantly reduced infarction across all MCAo durations. The oxygen consumption assays demonstrate EVOO’s dose-dependent stimulation of mitochondrial respiration in astrocytes, particularly at lower concentrations. Furthermore, EVOO-treated cells reduce ROS production during hypoxia, improve cell viability under ischemic stress, and enhance ATP production in ischemic conditions, underscoring EVOO’s neuroprotective potential. Full article

For the new type of CFRP (Carbon Fiber Reinforced Plastic) thin-walled components with a large size and weak rigid structure, due to the integration of geometric features and the reduction in the amount of parts, the assembly size transmission chain is short compared to traditional metal assembly structures. In addition, the manufacturing errors and layer parameters of large composite parts in different regions are different, and they also have a lower forming accuracy. For the current assembly method that mainly concerns geometric dimensions and tolerances, it is difficult to support precise analysis and accurate geometric error forms for different local and global regions. As a result, in practical engineering, the forced method of applying a local clamping force is inevitably adopted to passively reduce and compensate for assembly errors. However, uneven stress distribution and possible internal damage occur. To avoid the assembly quality problems caused by forced clamping operations, the research status on the optimization of forced clamping process parameters before assembly, the flexible position–force adjustment of fixtures during assembly, and gap compensation and strengthening before assembly completion was analyzed systematically. The relevant key technologies, such as force limit setting, geometric gap reduction, stress/damage evolution prediction, the reverse optimization of clamping process parameters, and precise stress/damage measurement, are proposed and resolved in this paper. With the specific implementation solutions, geometric and mechanical assembly status coupling analysis, active control, and a collaborative guarantee could be achieved. Finally, future research work is proposed, i.e., dynamic evolution behavior modeling and the equalization of the induction and control of physical assembly states. Full article

The anterior cruciate ligament (ACL) is a major ligament in the knee joint, and its function is crucial for both the movement and stability of the knee. Our research takes a novel approach by investigating the effect of meniscus tears on the ACL, how such tears will impact the stress on the ACL, and its overall compensation in response to the changes in the meniscus. Hypothesis/Purpose: This study aims to investigate how the ACL compensates for the change in knee joint stability and contact pressures due to partial horizontal cleavage tears (HCTs) in the meniscus, such as partial meniscectomy and partial transplantation on knee joint stability and contact pressures. We hypothesize that HCTs will increase contact pressures and decrease joint stability, thereby inducing compensatory stress on the anterior cruciate ligament (ACL). Method: Seven freshly frozen human cadaveric knees were used in a study to investigate the effects of different meniscal conditions and surgical interventions on the meniscus itself. Four testing scenarios were established: intact knees, knees with partial horizontal cleavage tears (HCTs) of the meniscus, knees with partial meniscectomy, and knees with partial transplantation. Axial loading was applied, and the medial meniscus contact pressures were measured at 0° and 30° of flexion. Additionally, a mathematical 3D finite element model was created to evaluate the behavior of the ACL under different meniscus scenarios, which could not have been measured experimentally. Results: ACL contact pressure and stress analysis across various meniscal conditions demonstrated substantial variability. Horizontal cleavage tears (HCTs) resulted in heightened contact pressures and diminished joint stability, as evidenced by increased ACL stress attributed to compensatory mechanisms in the presence of meniscal tears. Conversely, transplantation procedures exhibited a mitigating effect, maintaining joint mechanics closer to intact conditions and minimizing alterations in ACL forces. These trends persisted at 30 degrees of knee flexion, where significant increases in ACL forces were observed in partial and complete HCT conditions. Conclusions: This study uncovers the biomechanical impacts of meniscal injuries, demonstrating how the ACL compensates for various meniscus conditions. In contrast, transplantation and repair conditions only slightly increase the stress on the ACL, putting much less strain on the ACL and supporting structures of the knee joint than an unrepaired tear. Full article

High-voltage cables are widely used in power transmission and distribution systems, and their accessories (such as connectors, terminals, and insulators) are key parts to ensure the safe and reliable operation of power systems. These accessories may be affected by factors such as temperature, humidity, and mechanical stress during long-term operation, resulting in performance degradation or failure. In high-voltage environments, performance monitoring of cable accessories is crucial. The reference voltage circuit can withstand the influence of temperature changes and power supply fluctuations, support accurate current and voltage measurement, and thus detect potential faults in time to ensure the safe and stable operation of the power system. However, the traditional reference voltage circuit has a low-temperature curvature loss, which results in an inaccurate reference voltage, resulting in equipment damage. Therefore, in order to solve the problem of curvature loss in this part, this paper proposes a curvature compensation circuit, which realizes a high-precision reference voltage circuit through a high-temperature curvature compensation circuit, thereby meeting the current reference voltage requirements for cable accessory monitoring. Full article

Background/Objectives. Burnout and occupational stress are significant issues among forensic professionals, impacting their well-being and job performance. This systematic review aims to provide an up-to-date overview of the occupational stress and burnout experienced by forensic personnel, exploring the profound and multifaceted impact on their physical, mental, professional, and interpersonal well-being. Methods. A systematic review was conducted following PRISMA guidelines using Scopus and WOS databases to search for articles published from 1 January 2000 to 31 August 2024. The search used keywords related to burnout and forensic professions. Inclusion criteria were original articles in English and French, while reviews, book chapters, editorials, and notes were excluded. A total of 10 studies were included after eliminating duplicates and excluding irrelevant articles. Results. The review identified seven key findings. (1) High levels of occupational stress and burnout among forensic personnel necessitate effective stress management strategies and resilience training; (2) autopsy technicians in Romania experience burnout and alexithymia, particularly related to traumatic events involving children, highlighting the need for specialized support systems; (3) disparities in burnout and post-traumatic stress disorder (PTSD) symptoms were observed in autopsy technicians and resident doctors, suggesting tailored mental health resources; (4) organizational factors, such as peer support and compensation satisfaction, significantly impact burnout and secondary traumatic stress (STS) among sexual assault nurse examiners; (5) burnout among forensic physicians, both in Romania and Egypt, is linked to personality traits, job satisfaction, and socio-demographic factors; (6) pathologists face a range of health issues, including musculoskeletal problems and psychological disorders, underscoring the need for industry-specific health measures; and (7) the lack of wellness resources for forensic professionals calls for improved mental health support and training. Conclusions. The findings highlight the pervasive issue of burnout and stress among forensic professionals globally. Addressing these challenges requires comprehensive stress management programs, tailored mental health resources, and organizational support. Future research should focus on developing and implementing effective interventions to enhance resilience and job satisfaction within this high-stress field. Full article

When the coal mining face enters the final stage of mining, the roadway faces the superimposed influence of surrounding rock stress redistribution and roof rotary moment. As affected by the strong disturbance in the coal mining process, the roof plate of the roadway has undergone serious deformation, which seriously affects the stability of the roadway. Taking the 108 working face of the Jinjitan coal mine as the engineering background, a comprehensive study was conducted on the control of the perimeter rock in the retracement of a tunnel in a heavy coal seam with a large mining height. By analyzing the physical properties of the enclosing rock of the retreated roadway, and using theoretical analysis, numerical simulation, on-site monitoring, and other methods, the characteristics of the peripheral rock’s movement relationship and mineral pressure manifestation in the final mining stage of the large-height working face have been studied. The structural mechanics model was established, and in the case where the support cannot be solved just by strengthening the support, the design scheme of “blasting roof break + constant resistance anchor cable support” was innovatively tried. FLAC3D simulation results show that the stress release of the surrounding rock is more adequate when the height of roof cutting is 20 m. The stress of the surrounding rock near the roadway is reduced by 30~40%, and the stress state is reasonable. The constant resistance and large deformation anchors can absorb the deformation energy of the rock body, maintain constant working resistance and stable deformation, and have good rock stability control, which is conducive to the stability of the roadway. Full article