Search Results (28,786)

There are numerous methods available for evaluating leg length discrepancy (LLD), ranging from classic clinical techniques to advanced systems based on sophisticated and expensive equipment, as well as rudimentary manual adjustment mechanisms for the prosthesis by specialists. However, unilateral amputee patients often face difficulties in accessing these solutions. They either lack the necessary equipment or do not have a medical specialist available to assist them in preventing postural imbalances. This study proposes the first smartphone-based computer vision system that evaluates and automatically compensates for leg length discrepancy in transtibial prostheses, offering a low-cost, accessible, and fully autonomous alternative to existing solutions. The method was tested using complex metrological systems. The application of the proposed method demonstrated its effectiveness in correcting simulated LLD for various values. Experimental validation demonstrated the system’s ability to restore symmetry in simulated LLD cases within the 1–10 mm range, achieving a relative compensation error of 2.44%. The proposed method for correcting LLD, based on computer vision and integrated into a smartphone, represents a significant advancement in restoring symmetry for unilaterally amputated patients. This technology could provide an accessible, efficient solution, thereby reducing the need for frequent prosthetist visits and enhancing user autonomy. Full article

Cross-validation and open research on future electric grids, particularly in their stability modeling and dynamic performance, can greatly benefit from high-fidelity, publicly available test cases, since access to dynamic response models of actual grid models is often limited due to legitimate security concerns. This paper presents a methodology for designing and validating the dynamic performance of large, IBR-heavy synthetic grids, that is, realistic but fictitious test cases. The methodology offers a comprehensive framework for creating dynamic models for both synchronous generators (SGs) and inverter-based resources (IBRs), focusing on realism, controllability, and flexibility. For realistic dynamic performance, the parameters in each dynamic model are sampled based on statistical data from benchmark actual grids, considering power system dynamics such as frequency and voltage control, as well as oscillation response. The paper introduces system-wide governor design, which improves the controllability of parameters in dynamic models, resulting in a more realistic frequency response. As an example, multiple case studies on a 2000-bus Texas synthetic grid are shown; these represent realistic dynamic performance under different transmission conditions in terms of frequency, voltage control, and oscillation response. Full article

Opioid use disorder (OUD) is a chronic disease that remains difficult to treat, even with significant improvements in available medications. While current treatments work well for some, they often do not account for the unique needs of individual patients, leading to less-than-ideal results. Precision medicine offers a new path forward by tailoring treatments to fit each person’s genetic, psychological, and social needs. This review takes a close look at medications for OUD, including methadone, buprenorphine, and naltrexone, as well as long-acting options that may improve adherence and convenience. Beyond medications, the review highlights the importance of addressing mental health co-morbidities, trauma histories, and social factors like housing or support systems to create personalized care plans. The review also explores how emerging technologies, including artificial intelligence and digital health tools, can enhance how care is delivered. By identifying research gaps and challenges in implementing precision medicine into practice, this review emphasizes the potential to transform OUD treatment. A more individualized approach could improve outcomes, reduce relapse, and establish a new standard of care focused on recovery and patient well-being. Full article

Background: There are only a few available options for early rehabilitation of severely impaired individuals who must remain bedbound, as most exercise paradigms focus on out-of-bed exercises. To enable these individuals to exercise, we developed a novel hybrid rehabilitation system combining a brain–computer interface (BCI), functional electrical stimulation (FES), and a robotic device. Methods: The BCI assessed the presence of a movement-related cortical potential (MRCP) and triggered the administration of FES to produce movement of the lower limb. The exercise trajectory was supported by the robotic device. To demonstrate the system, an experiment was conducted in an out-of-lab setting by ten able-bodied participants. During exercise, the performance of the BCI was assessed, and the participants evaluated the system using the NASA Task Load Index, Intrinsic Motivation Inventory, and by answering a few subjective questions. Results: The BCI reached a true positive rate of 62.6 ± 9.2% and, on average, predicted the movement initiation 595 ± 129 ms prior to the MRCP peak negativity. All questionnaires showed favorable outcomes for the use of the system. Conclusions: The developed system was usable by all participants, but its clinical feasibility is uncertain due to the total time required for setting up the system. Full article

Two-component dental materials are commonly used by the dentist for various applications (cementation of indirect restorations, filling of a cavity without layering, etc.). These materials are cured by redox polymerization. The (hydro)peroxide/thiourea/copper salt redox initiator system is well established and can be found in a wide range of commercially available dental materials. The thiourea is a key component of the initiator system. This study explores the influence of the nature of the thiourea reducing agent on the reactivity and efficiency of redox initiator systems. In this work, six different thiourea structures were investigated, in combination with copper(II) acetylacetonate and cumene hydroperoxide (CHP), to understand their impact on polymerization kinetics and mechanical properties of methacrylate-based materials. Various experimental techniques, including mass spectrometry (MS) and spectroscopic analyses, were employed to elucidate the underlying mechanisms governing these redox systems. The results highlight that thiourea plays a dual role, acting both as a reducing agent and as a ligand in copper complexes, affecting radical generation and polymerization efficiency. Structural modifications of thiourea significantly influence the initiation process, demonstrating that reactivity is governed by a combination of factors rather than a single property. Self-cure dental flowable composites exhibiting excellent flexural strength (>100 MPa) and modulus (>6000 MPa) were obtained using hexanoyl thiourea, N-benzoylthiourea, or 1-(pyridin-2-yl)thiourea as a reducing agent. The adjustment of the Cu(acac)₂ enables to properly set the working time in the range of 100 to 200 s. These findings provide valuable insights into the design of the next generation of redox initiating systems for mild and safe polymerization conditions. Full article

The accurate measurement of the tree diameter is vital for forest inventories, urban tree quality assessments, the management of roadside and railway vegetation, and various other applications. It also plays a crucial role in evaluating tree growth dynamics, which are closely linked to tree health, structural stability, and vulnerability. Although a range of devices and methodologies are currently under investigation, the widespread adoption of laser scanners remains constrained by their high cost. This study therefore aimed to compare high-end laser scanners (Trimble TX8 and GeoSLAM ZEB Horizon) with cost-effective alternatives, represented by the Apple iPhone 14 Pro and the LA03 scanner developed by mapry Co., Ltd. (Tamba, Japan). It further sought to evaluate the feasibility of employing these more affordable devices, even for small-scale forest owners or managers. Given the growing availability of 3D-based forest inventory algorithms, a selection of such processing pipelines was used to assess the practical potential of the scanning devices. The tested low-cost device produced moderate results, achieving a tree detection rate of up to 78% and a relative root mean square error (rRMSE) of 19.7% in diameter at breast height (DBH) estimation. However, performance varied depending on the algorithms applied. In contrast, the high-end mobile laser scanning (MLS) and terrestrial laser scanning (TLS) systems outperformed the low-cost alternative across all metrics, with tree detection rates reaching up to 99% and DBH estimation rRMSEs as low as 5%. Nevertheless, the low-cost device may still be suitable for scanning small sample plots at a reduced cost and could potentially be deployed in larger quantities to support broader forest inventory initiatives. Full article

River embankments are critical flood defense structures, stretching for thousands of kilometers across alluvial plains. They often originated as natural levees resulting from overbank flows and were later enlarged using locally available soils yet rarely designed according to modern engineering standards. Substantially under-characterized, their performance to extreme events provides an invaluable opportunity to highlight their vulnerability and then to improve monitoring, management, and reinforcement strategies. In May 2023, two extreme meteorological events hit the Emilia-Romagna region in rapid succession, causing numerous breaches along river embankments and therefore widespread flooding of cities and territories. These were followed by two additional intense events in September and October 2024, marking an unprecedented frequency of extreme precipitation episodes in the history of the region. This study presents the methodology adopted to create a regional database of 66 major breaches and damages that occurred during May 2023 extensive floods. The database integrates multi-source information, including field surveys; remote sensing data; and eyewitness documentation collected before, during, and after the events. Preliminary interpretation enabled the identification of the most likely failure mechanisms—primarily external erosion, internal erosion, and slope instability—often acting in combination. The database, unprecedented in Italy and with few parallels worldwide, also supported a statistical analysis of breach widths in relation to failure mechanisms, crucial for improving flood hazard models, which often rely on generalized assumptions about breach development. By offering insights into the real-scale behavior of a regional river defense system, the dataset provides an important tool to support river embankments risk assessment and future resilience strategies. Full article

Cybersecurity represents a critical challenge for data-sharing platforms involving multiple stakeholders, particularly within complex and decentralized systems such as livestock supply chain networks. These systems demand novel approaches, robust security protocols, and advanced data management strategies to address key challenges such as data consistency, transparency, ownership, controlled access or exposure, and privacy-preserving analytics for value-added services. In this paper, we introduced the Framework for Framework for Livestock Empowerment and Decentralized Secure Data eXchange (FLEX), as a comprehensive solution grounded on five core design principles: (i) enhanced security and privacy, (ii) human-centric approach, (iii) decentralized and trusted infrastructure, (iv) system resilience, and (v) seamless collaboration across the supply chain. FLEX integrates interdisciplinary innovations, leveraging decentralized infrastructure-based protocols to ensure trust, traceability, and integrity. It employs secure data-sharing protocols and cryptographic techniques to enable controlled information exchange with authorized entities. Additionally, the use of data anonymization techniques ensures privacy. FLEX is designed and implemented using a microservices architecture and edge computing to support modularity and scalable deployment. These components collectively serve as a foundational pillar of the development of a digital product passport. The FLEX architecture adopts a layered design and incorporates robust security controls to mitigate threats identified using the STRIDE threat modeling framework. The evaluation results demonstrate the framework’s effectiveness in countering well-known cyberattacks while fulfilling its intended objectives. The performance evaluation of the implementation further validates its feasibility and stability, particularly as the volume of evidence associated with animal identities increases. All the infrastructure components, along with detailed deployment instructions, are publicly available as open-source libraries on GitHub, promoting transparency and community-driven development for wider public benefit. Full article

Lidar technology is a key sensor for autonomous driving due to its precise environmental perception. However, adverse weather and atmospheric conditions involving fog, rain, snow, dust, and smog can impair lidar performance, leading to potential safety risks. This paper introduces a comprehensive methodology to simulate lidar systems under such conditions and validate the results against real-world experiments. Existing empirical models for the extinction and backscattering of laser beams are analyzed, and new models are proposed for dust storms and smog, derived using Mie theory. These models are implemented in the CARLA simulator and evaluated using Robot Operating System 2 (ROS 2). The simulation methodology introduced allowed the authors to set up test experiments replicating real-world conditions, to validate the models against real-world data available in the literature, and to predict the performance of the lidar system in all weather conditions. This approach enables the development of virtual test scenarios for corner cases representing rare weather conditions to improve robustness and safety in autonomous systems. Full article

Anaerobic digestion (AD) is a sustainable method of treating organic waste to generate methane-rich biogas. However, the complex lignocellulosic nature of organic waste in most cases limits its biodegradability and methane potential. This review evaluates pretreatment technology to optimize AD performance, particularly in developing countries like Ghana, where organic waste remains underutilized. A narrative synthesis of the literature between 2010 and 2024 was conducted through ScienceDirect and Scopus, categorizing pretreatment types as mechanical, thermal, chemical, biological, enzymatic, and hybrid. A bibliometric examination using VOSviewer also demonstrated global trends in research and co-authorship networks. Mechanical and thermal pretreatments increased biogas production by rendering the substrate more available, while chemical treatment degraded lignin and hemicellulose, sometimes more than 100% in methane yield. Biological and enzymatic pretreatments were energy-consuming and effective, with certain enzymatic blends achieving 485% methane yield increases. The study highlights the synergistic benefits of hybrid approaches and growing global interest, as revealed by bibliometric analysis; hence, the need to explore their potential in Ghana. In Ghana, this study concludes that low-cost, biologically driven pretreatments are practical pathways for advancing anaerobic digestion systems toward sustainable waste management and energy goals, despite infrastructure and policy challenges. Full article

Ultra-high dose rate radiotherapy known as Flash radiotherapy (FLASH-RT) offers tremendous opportunities to improve the therapeutic ratio of radiotherapy by sparing the normal tissue while maintaining similar tumoricidal efficacy. However, the underlying biophysical basis of the FLASH effect remains under active investigation with several proposed mechanisms involving oxygen depletion, altered free-radical chemistry, and differential biological responses. This article provides an overview of available experimental and computational tools that can be utilized to probe the tumor and normal tissue microenvironment. We analyze in vitro, ex vivo, and in vivo systems used to study FLASH responses. We describe various computational and imaging technologies that can potentially aid in understanding the biophysics of FLASH-RT and lead to safer clinical translational. Full article

In recent years, the rapid development of lightweight Unmanned Aerial Vehicle (UAV) technology under 250 g has begun to challenge the validity of existing mass-based safety classifications. The commonly used 250 g threshold for defining “harmless” UAVs has become a subject requiring more detailed evaluations, especially as new models with increased speed and performance enter the market. This study aims to reassess the adequacy of the current 250 g mass limit by conducting a comprehensive analysis using human-centered injury metrics, including kinetic energy, Blunt Criterion (BC), Viscous Criterion (VC), and the Abbreviated Injury Scale (AIS). Within this scope, an extensive dataset of commercial UAV models under 500 g was compiled, with a particular focus on the sub-250 g segment. For each model, KE, BC, VC, and AIS values were calculated using publicly available technical data and validated physical models. The results were compared against established injury thresholds, such as 14.9 J (AIS-3 serious injury), 25 J (“harmless” threshold), and 33.9 J (AIS-4 severe injury). Furthermore, new recommendations were developed for regulatory authorities, including energy-based classification systems and mission-specific dynamic threshold mechanisms. According to the findings of this study, most UAVs under 250 g continue to remain below the current “harmless” threshold values. However, some next-generation high-speed UAV models are approaching or exceeding critical KE levels, indicating a need to reassess existing regulatory approaches. Additionally, the strong correlation between both BC and VC metrics with AIS outcomes demonstrates that these indicators are complementary and valuable tools for assessing injury risk. In this context, the adoption of an energy-based supplementary classification and dynamic, mission-based regulatory frameworks is recommended. Full article

Echocardiography is the primary imaging modality for diagnosing cardiac disease in children, with quantitation largely based on nomograms. Over the past decade, significant efforts have been made to address the numerical and methodological limitations of earlier nomograms. As a result, robust and reliable pediatric echocardiographic nomograms are now available for most two-dimensional anatomical measurements, three-dimensional volumes, and strain parameters. These more recent nomograms are based on adequate sample sizes, strict inclusion and exclusion criteria, and rigorous statistical methodologies. They have demonstrated good reproducibility with minimal differences across different authors, establishing them as reliable diagnostic tools. Despite these advances, some limitations persist. Certain ethnic groups remain underrepresented, and data for preterm and low-weight infants are still limited. Most existing nomograms are derived from European and North American populations, with sparse data from Asia and very limited data from Africa and South America. Nomograms for preterm and low-weight infants are few and cover only selected cardiac structures. Although diastolic parameter nomograms are available, the data remain heterogeneous due to challenges in normalizing functional parameters according to age and body size. The accessibility of current nomograms has greatly improved with the development of online calculators and mobile applications. Ideally, integration of nomograms into echocardiographic machines and reporting systems should be pursued. Future studies are needed to develop broader, more comprehensive, and multi-ethnic nomograms, with better representation of preterm and low-weight populations, and to validate new parameters derived from emerging three- and four-dimensional echocardiographic techniques. Full article

Earthquakes are sudden and highly destructive events that severely disrupt infrastructure and logistics systems, making accurate and timely emergency material demand forecasting a critical challenge in disaster response. However, the scarcity of reliable data during the early stages of an earthquake limits the effectiveness of traditional forecasting methods. To address this issue, this study proposes a hybrid forecasting framework that integrates the Grey Model (GM(1,1)) with Bayesian Dynamic Linear Models (BDLMs), aiming to improve both the accuracy and adaptability of demand predictions. The approach operates in two phases: first, GM(1,1) generates preliminary forecasts using limited initial observations; second, BDLMs dynamically update these forecasts in real time as new data become available. The model is validated through a case study of the 2010 M7.1 Yushu earthquake in Qinghai Province, China. The results indicate that the hybrid method produces reliable forecasts even at the earliest stages of the disaster, with increasing accuracy as more observational data are incorporated. Our case study demonstrates that the integrated GM(1,1)-BDLM framework substantially reduces prediction errors compared to standalone GM(1,1). Using the first five days’ data to forecast fatalities and emergency material demand for days 6–10, the hybrid model achieves a 4.01% error rate—a 19.62 percentage point improvement over GM(1,1)’s 23.63% error rate. This adaptive forecasting mechanism offers robust support for evidence-based decision-making in emergency material allocation, enhancing the efficiency and responsiveness of post-disaster relief operations. Full article

Adult entertainment work may be associated with increased vulnerability to sexually transmitted infections, particularly HIV. In Brazil, pre-exposure prophylaxis (PrEP) for HIV infection has been available through the Brazilian Unified Health System (SUS) since November 2017, representing a significant advancement in public sexual health policy. The objective of this study was to understand the individual and social determinants that promote PrEP use among adult entertainment workers. This was a cross-sectional, analytical, and quantitative study. A multivariate modeling approach was employed to identify factors independently associated with PrEP use. The study included 254 adult entertainment workers using oral PrEP through the SUS, predominantly young adults (141; 55.5%), SUS users (248; 97.6%), single (213; 83.9%), non-white (142; 55.9%), cisgender (148; 58.3%), and heterosexual (152; 59.8%). Factors independently associated with greater PrEP use included having adult entertainment as the main source of income (aPR: 2.69; 95% CI: 1.86–3.95), prior use of PEP (aPR: 2.49; 95% CI: 1.63–3.81), undergoing any type of health treatment (aPR: 1.56; 95% CI: 1.15–2.12), and having a history of STIs (aPR: 1.51; 95% CI: 1.10–2.08). Conclusion: PrEP use in this population was strongly influenced by structural and contextual factors, indicating that the availability of the technology alone does not ensure its effectiveness. Full article