Search Results (1,265)

Background/Objectives: Trigger finger is a common cause of hand pain and functional limitation. Although open A1 pulley release remains the standard surgical treatment, ultrasound-guided percutaneous needle release (UGPR) has emerged as a minimally invasive alternative. This study aimed to compare the clinical effectiveness and safety of UGPR with open surgery. Methods: In this prospective, randomized controlled trial, 146 patients with Green stage 2–4 trigger finger were randomly assigned to UGPR (n = 75) or open release (n = 71). Pain (VAS), functional status (QuickDASH), and symptom severity (Nirschl Phase Rating) were assessed preoperatively and at postoperative day 3, 1, 6, and 12 months. Grip strength was measured with a digital pinchmeter, and ultrasonographic evaluation of A1 pulley and flexor tendon thickness was performed preoperatively and at 12 months. Subgroup analyses were conducted to address the imbalance in thumb distribution. Results: Both groups showed significant postoperative improvements in VAS, QuickDASH, and Nirschl scores (p < 0.05 for intragroup comparisons), with no significant differences between groups at 12 months (p > 0.05). At the one-year follow-up, grip strength was significantly greater in the UGPR group (p = 0.008). Ultrasonographic evaluation revealed greater MCP tendon thickness in UGPR, without clinical impact. Subgroup analyses confirmed comparable functional outcomes in thumb-only and non-thumb cases. Four revisions occurred in the UGPR group (incomplete release, recurrent tenosynovitis, flexor tendon rupture, and neurovascular injury), while none were observed in the open group. Conclusions: UGPR and open release provide comparable long-term outcomes in the treatment of trigger finger. UGPR offers the advantages of being minimally invasive and preserving grip strength, although it carries a small risk of incomplete release and procedure-related complications. Patient preference, surgeon expertise, and digit type should guide treatment selection. Full article

Oleogels are a new trend in food technology aimed at enhancing the nutritional value of products that contain solid fats. Solid fats are rich in nutritionally unfavorable saturated fatty acids (FAs), but oleogels (lipid systems derived from oleogelator and oils) are in unsaturated FAs. The use of oils rich in oxidation-prone unsaturated FAs in pastry products requires the use of an antioxidant, such as green tea extract (GTE). However, new products with altered composition should also be acceptable to consumers. The purpose of this study was to carry out a sensory evaluation of short-dough biscuits obtained with 1% of GTE and high-oleic oleogels and to find what may influence consumers’ anticipated perception. Products with monoacylglycerols (MAG) and candelilla wax (CLX) oleogels and non-gelled high-oleic rapeseed oil (HORO) were found to have equal or better sensory quality compared to products with traditional baker’s (palm) fat (PF). In terms of sensory attributes, products with ethyl cellulose oleogels were the most distinct from the other biscuits. Their sensory qualities were significantly lower, with a more noticeable rancid odor and taste. Products with CLX and MAG oleogels were more preferred than those with PF, as consumers were more likely to purchase them based on sensory impressions. Information about the presence of GTE and HORO in the formulation was shown to affect the perception of the product. Similarly, the information about the low saturated fat content encouraged consumers to purchase such products. Based on this, it can be concluded that displaying this type of information can help educate consumers, support better decision-making, and promote the selection of more nutritious options. Full article

Omni-channel retailers arise to address the deficiencies in consumers’ online shopping experiences; the resulting competition between such retailers and traditional online platforms presents substantial challenges for green product manufacturers. A three-level game model is established to examine a manufacturer’s green contract design (product pricing and greenness determination) and mode selection under the competition between an online platform and a new retailer providing omni-channel services to end customers. The manufacturer can select between two modes: supplying a green product to the online platform and new retailer (mode RR) or selling it directly through the online platform and reselling it to the new retailer (mode PR). Our findings indicate that, first, even if the relationship between the manufacturer and new retailer has changed from cooperation under mode RR to competition and cooperation under mode PR, the manufacturer still favors two-channel sales over single-channel sales and affects consumer channel choices to adjust market shares through mode selection. Second, regarding the impacts of the key parameters on the manufacturer, downstream e-commerce platform retailers and environment are intricate and nuanced. While raising the omni-channel service level enhances profitability in the new retailer across both modes, its environmental impacts differ significantly between them. Additionally, it can harm the online platform in some cases. Nevertheless, when the parameters fall within suitable ranges, the manufacturer and both downstream retailers have a consistent preference for improved omni-channel services under both modes. Finally, there is a significant divergence in mode preferences among the manufacturer and both downstream platform retailers. Due to the first-mover advantage, the manufacturer opts for mode RR over mode PR in most cases. Notably, within a specific range of parameters, they consistently prefer mode RR, which also proves beneficial for the environment, resulting in a Pareto optimal outcome. This proposes a concrete cooperation mechanism among the manufacturer, retailers, and consumers from quantitative insights, which can promote green products to achieve the objective of low-carbon environmental protection. Full article

The building sector plays a key role in the transition toward climate neutrality, with national regulations across the EU requiring the construction of nearly zero-energy buildings (nZEBs). However, while energy performance has been extensively studied, less attention has been given to the problem of ensuring user comfort—both indoors and in the surrounding outdoor areas—under nZEB design constraints. This gap raises two key research objectives: (1) to evaluate whether a well-designed nZEB with extensive glazing maintains acceptable indoor thermal comfort and (2) to assess whether residents experience greater outdoor thermal comfort and satisfaction in small, sun-exposed private gardens or in larger, shaded communal green spaces. To address these objectives, a newly built residential estate near Kraków (Poland) was analyzed. The investigation included simulation-based assessments during the design phase and in situ measurements during building operation, complemented by a user survey on spatial preferences. Indoor comfort was evaluated for rooms with large glazed façades, as well as rooms with standard-sized windows, while outdoor comfort was assessed in both private gardens and a shared green courtyard. Results show that shading the southwest-oriented glazed façade with an overhanging terrace provided slightly lower temperatures in ground-floor rooms compared to rooms with standard unshaded windows. Outdoors, users experienced lower thermal comfort in small, unshaded gardens than in the larger, vegetated communal area (pocket park), which demonstrated greater capacity for temperature moderation and thermal stress reduction. Survey responses further indicate that potential future residents prefer the inclusion of a shared green–blue infrastructure area, even at the expense of building some housing units in semi-detached form, instead of maximizing the number of detached units with unshaded individual gardens. These findings emphasize the importance of addressing both indoor and outdoor comfort in residential nZEB design, showing that technological efficiency must be complemented by user-centered design strategies. This integrated approach can improve the well-being of residents while supporting climate change adaptation in the built environment. Full article

Metal Injection Molding (MIM) is based on the processing of highly filled polymers via the well established polymer injection molding process. It offers a highly efficient processing route for the indirect manufacturing of especially small and complex metal parts. In this regard, polyoxymethylene (POM) is often used as a primary binder component in MIM feedstocks due to its high debinding rate through a time-saving catalytic debinding process, utilizing the acid-catalyzed degradation of POM for polymer removal. However, thermally induced degradation of POM under processing conditions can also lead to changes in processing behavior, which is particularly important in highly filled polymers due to their already challenging processability. In this context, the present work demonstrates the impact of POM homopolymers (POM-H) and copolymers (POM-C) with varying viscosities on feedstock characteristics, their influence on the thermal processing stability, and their significance for the properties of the green parts. Within the study, the thermal degradation of both material types was assessed by viscosity measurements and thermogravimetry, with POM-H exhibiting more significant degradation compared to the thermally more stable POM-C, especially at higher temperatures. Catalytic debinding performance was found to be adequate for all materials. However, lower viscosity POM-C grades are preferred to optimize processability in MIM. Full article

Green design by manufacturers is essential for achieving supply chain sustainability, and large retailers may exhibit altruistic preferences to incentivize such efforts. Accordingly, this study develops three game-theoretic models of a two-echelon supply chain composed of a manufacturer and a dominant retailer, with and without altruistic preferences, to examine how altruism and green design affect firms’ optimal decisions and environmental impact. In addition, two coordination mechanisms—green design cost-sharing and two-part tariff contracts—are proposed under altruistic preferences. We find that the dominant retailer’s altruistic preference can motivate the manufacturer to improve the green design level and increase system profit. Although the dominant retailer has altruistic preference, they cannot always lower the total environmental impact of products, so it is helpful to motivate the manufacturer to reduce the environmental adverse impact by increasing investments in green design. Both the two contracts designed in this paper can achieve incentive compatibility and perfect coordination of supply chain. However, with the retailer’s altruistic preference enhancement, the feasible range of the two contracts will be reduced. Full article

Evaluating green data centers is a multi-attribute decision problem. To enhance the rigor and precision of green data center assessment, this study verifies the weighting of the national green data center evaluation index system using the Analytic Hierarchy Process (AHP) with the participation of 19 domain experts from various data center sectors. The aim is to gain an in-depth understanding of the perspectives and priorities of different types of institutions regarding evaluation indicators and to investigate the underlying reasons for these perspectives and priorities. Through an analysis of expert sample distribution, this paper reveals the preferences of financial, internet, research, and design, as well as technical consulting service institutions, regarding indicators such as energy-efficient utilization, computational resource utilization, green low-carbon development, scientific layout, and intensive construction. Specifically, financial institutions tend to place a relatively lower emphasis on energy efficiency due to their focus on transaction speed and security. In contrast, internet companies prioritize efficient utilization of computational resources. Research and design institutions consider scientific layout and intensive construction more crucial, while technical consulting service institutions emphasize green and low-carbon development. Meanwhile, we identified substantial discrepancies among experts in determining the weights of specific indicators, suggesting a lack of consensus within the industry about the correlation between these indicators and green data centers. To propel the sustainable development of green data centers, future assessments should refine evaluation dimensions, consider disparities such as data center types and embrace regional differences, actively adopt novel technologies and innovative practices, and establish mechanisms for long-term monitoring and evaluation. Full article

Maize, one of the most cultivated crops worldwide, has multiple uses, one of which is human food. Maize flour intended for human consumption is preferably produced from var. indurata. This maize variety, although it has some desirable traits, generally has a lower yield capacity. In order to obtain high-yielding hybrids that would have some traits necessary to obtain flour for human consumption, fourteen lines with dent or semi-dent grains were crossed with four inbred lines with flint grain in a cyclic system. The 56 resulting hybrids were tested in two experimental years for yield, the percentage of unlodged plants, grain dry matter at harvest, as well as other traits, such as ASI (anthesis-to-silking interval), the interval from sowing to the appearance of stigmas and to physiological maturity, and plant senescence. The maternal lines A478 and A480 were noted for transmitting higher yields. Three hybrids were identified with higher yields, good silking–flowering coincidence, stay-green, and a high unlodged plants percentage: A478 × D328, A480 × B330, and A480 × D328. Full article

The integration of small-scale photovoltaic (PV) systems in heritage districts poses a significant challenge: balancing sustainability and energy transition goals while preserving cultural and historical values. This study addresses the problem that existing planning and regulatory frameworks often exclude residents’ perspectives, leading to solutions that are technically feasible but socially contested. The objective is to explore how residents, as potential prosumers, can be effectively integrated into decision-making processes for PV adoption in heritage districts. Focusing on Öjeby Church Town in Piteå, northern Sweden, we employed transdisciplinary participatory design methods, including stakeholder workshops, interviews, council meetings, and a tailored resident design workshop to capture both explicit and tacit knowledge. These design methods were combined with spatial analysis and visual assessment. The findings reveal that residents favour PV solutions that minimise visual impact on heritage buildings, preferring installations in green and grey infrastructure over direct building integration. The process also enhanced awareness, legitimacy, and agency among participants, while exposing regulatory gaps, ownership complexities, and aesthetic tensions. The study contributes a replicable participatory framework that integrates community values with technical and heritage expertise, offering a pathway toward value-sensitive energy transitions in protected cultural environments. Full article

This study aims to investigate residents’ marginal willingness to pay (WTP) for accessible urban green spaces (UGSs) in Shanghai from 2012 to 2021, using a comprehensive UGS accessibility (UGSA) indicator based on an improved nSFCA method. The UGSA indicator is incorporated into a hedonic pricing model, and multiple global regressions with multilevel data structures are employed to identify a suitable and accurate estimation strategy to determine the impact of UGSA on housing prices. The results show that WTP for UGSA varies significantly across categories and years, as well as between homebuyers and renters, with homebuyers having a much higher WTP compared to renters. Furthermore, neighborhood UGSA is generally more preferred than utmost UGSA. By differentiating UGSA into “neighborhood” and “utmost” levels and conducting a decade-long longitudinal analysis of both homebuyers and renters, this study contributes to two key academic debates: the spatial scaling of amenity valuation and the role of property rights in the capitalization of public goods. Employing a robust spatial econometric framework, our research provides novel insights into these complex dynamics within a hyper-dense urban context. The research contributes to the understanding of the economic value of UGSA by providing valuable insights for urban planning, policy-making, and real estate development, highlighting the importance of considering the spatial, temporal, and heterogeneous aspects of UGSA when estimating its economic value. Full article

Climate change is elevating temperatures, shifting weather patterns, and increasing frequency and severity of extreme weather events. Despite the urgency with which solutions are needed, relatively few studies comprehensively investigate the effectiveness of alternative flood risk management options under different climate conditions. Specifically, we are interested in a comparison of the effectiveness of resistance, nature-based, and managed retreat strategies. Using an integrated 1D-2D PCSWMM model, this paper presents a comprehensive investigation into the effectiveness of alternative adaptation strategies in reducing flood risks in Eastwick, a community of Philadelphia, PA, subject to fluvial, pluvial, and coastal flood hazards. While addressing the urgent public need to develop local solutions to this community’s flood problems, the research also presents transferable insights into the limitations and opportunities of different flood risk reduction strategies, manifested here by a levee, watershed-scale green stormwater infrastructure (GSI) program, and a land swap. The effectiveness of these options is compared, respectively, under compound climate change conditions, with the spatiotemporal patterns of precipitation and Delaware river tidal conditions based on Tropical Storm Isaias (2020). The hypothesis was that the GSI and managed retreat approaches would be superior to the levee, due to their intrinsic ability to address the compound climate hazards faced by this community. Indeed, the findings illustrate significant differences in the predicted flood extents, depths, and duration of flooding of the various options under both current and future climate scenarios. However, the ideal remedy to flooding in Eastwick is more likely to require an integrated approach, based on more work to evaluate cost-effectiveness, stakeholder preferences, and various logistical factors. The paper concludes with a call for integrating multiple strategies into multifunctional flood risk management. Full article

Background: Urban loneliness is rising worldwide and is a recognised public-health threat. Nature-Based Social Prescriptions (NBSPs), guided group activities in natural settings, are being piloted in six cities through the EU project RECETAS. However, in new contexts such as Marseille, its implementation is constrained by professionals’ limited knowledge of the concept. Objectives: (i) Exploring how professionals in Marseille (France) conceptualise NBSPs; (ii) Identifying perceived facilitators and barriers to implementing NBSPs among residents facing social isolation and loneliness. Methods: Twelve semi-structured interviews were conducted with health, social-care, and urban–environment professionals selected via network mapping and snowball sampling. Verbatim transcripts underwent inductive thematic analysis informed by Social Representation Theory, with double coding to enhance reliability. Results: Five analytic themes emerged: (1) a holistic health paradigm linking nature, community, and well-being; (2) stark ecological inequities with limited green-space access in deprived districts; (3) work challenges due to the urgent needs of individuals facing significant socio-economic challenges in demanding contexts; (4) a key tension between a perceived top-down process and a preference for participatory approaches; (5) drivers and obstacles: strong professional endorsement of NBSPs meets significant systemic and institutional constraints. Conclusions: Professionals endorse NBSPs as a promising approach against loneliness, provided programmes tackle structural inequities and adopt participatory governance. Results inform the Marseille RECETAS pilot and contribute to global discussions on environmentally anchored health promotion. Full article

The rational design of artificial lighting systems in pig housing can enhance animal welfare, thereby boosting gilt health and reproductive performance while improving economic metrics for swine farms. To identify the optimal light environments for gilts under artificial illumination, we conducted self-selection-based photic preference testing, ultimately providing actionable insights for welfare-centric precision lighting protocols in modern pig production. In this study, a dynamic multi-chromatic self-selection system was developed, integrating programmable RGBW-LED arrays for spectral control, inter-compartment access channels for autonomous gilt movement, and real-time image recognition technology to investigate light color preferences. Twenty-four gilts (nulliparous female pigs) were housed for five weeks in pens with white, yellow, green, blue, or red light (100 lux), and they were given free access to all of the chromatic zones through inter-compartment channels. A YOLOv8n-based deep learning framework was used to quantify their spatiotemporal distribution, activity levels, and eating behavior. The key findings were the following: (1) a significant preference for green light environments (21.29 ± 3.77% distribution proportion) (p < 0.05), peaking at 6:00–13:00 and 18:00–20:00; (2) the average activity was the highest in a white light environment (25.49 ± 0.77%), significantly exceeding yellow (22.69 ± 0.63%) and green light (21.55 ± 0.61%) (p < 0.05); and (3) the daily feed consumption under green light was the lowest, significantly lower than that under white, blue, and red light (p < 0.05). The findings from this study offer insights into the light environment preferences of gilts, which could improve animal welfare. Full article

Lawns have evolved from medieval European grasslands into globally accepted urban green surfaces, serving recreational, aesthetic and cultural purposes. Today lawn surfaces are essential components of public urban green space (PUGS), fulfilling ecosystem services such as urban heat mitigation, carbon sequestration and social well-being. However, their ecological and resource-intensive disservices, particularly in dry climates, have prompted growing concerns among environmental scientists, urban planners and landscape designers. In water-scarce regions like Perth, Western Australia, traditional lawns face increasing scrutiny due to their high irrigation demands and limited ecological diversity. This study contributed to the transdisciplinary LAWN as Cultural and Ecological Phenomenon project, focusing on the perspectives of professionals, landscape architects, park managers, turf producers and researchers responsible for the planning, design and management of urban lawn in PUGS. Using qualitative methods (semi-structured in-depth interviews), the research explores expert insights on the values, challenges and future trajectories of lawn use in a warming, drying climate. The interviews included 21 participants. Findings indicate that while professionals acknowledge lawns’ continued relevance for sports and active recreation, water scarcity is a major concern influencing design and species selection. Alternatives such as drought-tolerant plants, hard landscaping and multifunctional green spaces are increasingly considered for non-sporting areas. Despite growing concerns, the ideal lawn is still envisioned as an expansive, green, soft surface, mirroring entrenched public preferences. This study underscores the need to balance environmental sustainability with public preference and cultural expectations of green lawns. Balancing expert insights with public attitudes is vital for developing adaptive, water-conscious landscape design strategies suited to future urban planning and environmental conditions in Mediterranean climates. Full article

Green buildings (GBs) are a means of achieving sustainable construction. However, they face challenges, such as higher (perceived or actual) investment costs and inadequate capital. Green finance (GF) presents opportunities to address some challenges of GB. Barriers hinder GF-in-GB; however, previous studies identifying barriers to GF-in-GB are limited. Moreover, prior studies have not considered the interrelationships among these barriers. This study aims to identify and prioritize the critical barriers to GF-in-GB in Ghana to inform decision-making by policymakers and stakeholders. This study developed a valid set of barriers and criteria from the literature to ascertain their interactions through two rounds of Delphi surveys with 12 professionals with GF-in-GB experience. A two-step fuzzy decision-making trial and evaluation laboratory (FDEMATEL) method was employed to validate 16 criteria of barriers using linguistic preferences. The findings of this study indicate that split incentives, inadequate private investment, inadequate management support, and limited green projects are critical barriers to GF-in-GB. These criteria deserve critical attention, as they are of high importance cause indices and can give rise to effect barriers. The government can adopt the research findings in policymaking and by other stakeholders that seek to eliminate barriers by focusing on the most influential ones. Full article