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23 pages, 8724 KB  
Article
Comparative Analysis of Emulsion, Cutting Oil, and Synthetic Oil-Free Fluids on Machining Temperatures and Performance in Side Milling of Ti-6Al-4V
by Hui Liu, Markus Meurer and Thomas Bergs
Lubricants 2025, 13(9), 396; https://doi.org/10.3390/lubricants13090396 - 6 Sep 2025
Viewed by 55
Abstract
During machining, most of the mechanical energy is converted into heat. A substantial part of this heat is transferred to the cutting tool, causing a rapid rise in tool temperature. Excessive thermal loads accelerate tool wear and lead to displacement of the tool [...] Read more.
During machining, most of the mechanical energy is converted into heat. A substantial part of this heat is transferred to the cutting tool, causing a rapid rise in tool temperature. Excessive thermal loads accelerate tool wear and lead to displacement of the tool center point, reducing machining accuracy and workpiece quality. This challenge is particularly pronounced when machining titanium alloys. Due to their low thermal conductivity, titanium alloys impose significantly higher thermal loads on the cutting tool compared to conventional carbon steels, making the process more difficult. To reduce temperatures in the cutting zone, cutting fluids are widely employed in titanium machining. They have been shown to significantly extend tool life. Cutting fluids are broadly categorized into cutting oils and water-based cutting fluids. Owing to their distinct thermophysical properties, these fluids exhibit notably different cooling and lubrication performance. However, current research lacks comprehensive cross-comparative studies of different cutting fluid types, which hinders the selection of optimal cutting fluids for process optimization. This study examines the influence of three cutting fluids—emulsion, cutting oil, and synthetic oil-free fluid—on tool wear, temperature, surface quality, and energy consumption during flood-cooled end milling of Ti-6Al-4V. A novel experimental setup incorporating embedded thermocouples enabled real-time temperature measurement near the cutting edge. Tool wear, torque, and surface roughness were recorded over defined feed lengths. Among the tested fluids, emulsion achieved the best balance of cooling and lubrication, resulting in the longest tool life with a feed travel path of 12.21 m. This corresponds to an increase of approximately 200% compared to cutting oil and oil-free fluid. Cutting oil offered superior lubrication but limited cooling capacity, resulting in localized thermal damage and edge chipping. Water-based cutting fluids reduced tool temperatures by over 300 °C compared to dry cutting but, in some cases, increased notch wear due to higher mechanical stress at the entry point. Power consumption analysis revealed that the cutting fluid supply system accounted for 60–70% of total energy use, particularly with high-viscosity fluids like cutting oil. Complementary thermal and CFD simulations were used to quantify heat partitioning and convective cooling efficiency. The results showed that water-based fluids achieved heat transfer coefficients up to 175 kW/m2·K, more than ten times higher than those of cutting oil. These findings emphasize the importance of selecting suitable cutting fluids and optimizing their supply to enhance tool performance and energy efficiency in Ti-6Al-4V machining. Full article
(This article belongs to the Special Issue Friction and Wear Mechanism Under Extreme Environments)
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19 pages, 1006 KB  
Article
The Swinging Sticks Pendulum: Small Perturbations Analysis
by Yundong Li, Rong Tang, Bikash Kumar Das, Marcelo F. Ciappina and Sergio Elaskar
Symmetry 2025, 17(9), 1467; https://doi.org/10.3390/sym17091467 - 5 Sep 2025
Viewed by 115
Abstract
The swinging sticks pendulum is an intriguing physical system that exemplifies the intersection of Lagrangian mechanics and chaos theory. It consists of a series of slender, interconnected metal rods, each with a counterweighted end that introduces an asymmetrical mass distribution. The rods are [...] Read more.
The swinging sticks pendulum is an intriguing physical system that exemplifies the intersection of Lagrangian mechanics and chaos theory. It consists of a series of slender, interconnected metal rods, each with a counterweighted end that introduces an asymmetrical mass distribution. The rods are arranged to pivot freely about their attachment points, enabling both rotational and translational motion. Unlike a simple pendulum, this system exhibits complex and chaotic behavior due to the interplay between its degrees of freedom. The Lagrangian formalism provides a robust framework for modeling the system’s dynamics, incorporating both rotational and translational components. The equations of motion are derived from the Euler–Lagrange equations and lack closed-form analytical solutions, necessitating the use of numerical methods. In this work, we employ the Bulirsch–Stoer method, a high-accuracy extrapolation technique based on the modified midpoint method, to solve the equations numerically. The system possesses four fixed points, each one associated with a different level of energy. The fixed point with the lowest energy level is a center, around which small perturbations are studied. The other three fixed points are unstable. The maximum energy used for the perturbations is 0.001% larger than the lowest equilibrium energy. When the system’s total energy is low, nonlinear terms in the equations can be neglected, allowing for a linearized treatment based on small-angle approximations. Under these conditions, the pendulum oscillates with small amplitudes around a stable equilibrium point. The resulting motion is analyzed using tools from nonlinear dynamics and Fourier analysis. Several trajectories are generated and examined to reveal frequency interactions and the emergence of complex dynamical behavior. When a small initial perturbation is applied to one rod, its motion is characterized by a single frequency with significantly greater amplitude and angular velocity compared to the second rod. In contrast, the second rod displayed dynamics that involved two frequencies. The present study, to the best of our knowledge, is the first attempt to describe the dynamical behavior of this pendulum. Full article
(This article belongs to the Special Issue Symmetry and Asymmetry in Nonlinear Partial Differential Equations)
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16 pages, 821 KB  
Article
Comprehensive Geriatric Assessment of Older Patients with Multiple Myeloma: A Prospective Observational Study
by Paula Sobrini-Morillo, Celia Corral-Tuesta, Carmen Sánchez-Castellano, Tamara Gutiérrez-Blanco, Pablo Palomo-Rumschisky, Claudia Gabriela Álvarez-Pinheiro, María Jesús Blanchard-Rodríguez, José A. Serra-Rexach and Alfonso J. Cruz-Jentoft
Cancers 2025, 17(17), 2904; https://doi.org/10.3390/cancers17172904 - 4 Sep 2025
Viewed by 233
Abstract
Background/Objectives: Multiple myeloma (MM) predominantly affects older adults, a heterogeneous population. Comprehensive Geriatric Assessment (CGA) and abbreviated tools support individualized treatment planning. This study aimed to evaluate the feasibility of CGA and its impact on clinical outcomes in this subgroup of patients. [...] Read more.
Background/Objectives: Multiple myeloma (MM) predominantly affects older adults, a heterogeneous population. Comprehensive Geriatric Assessment (CGA) and abbreviated tools support individualized treatment planning. This study aimed to evaluate the feasibility of CGA and its impact on clinical outcomes in this subgroup of patients. Methods: Prospective, observational, and single-center study including patients aged ≥65 years assessed at MM diagnosis and one year later in an onco-hematogeriatrics clinic. A CGA was performed, and frailty was evaluated using the following: G8, Geriatric Assessment in Hematology (GAH), Clinical Frailty Scale (CFS), Frail-VIG Index (FI-VIG), modified Fried phenotype, International Myeloma Working Group Frailty Index (IMWG-FI), and Revised Myeloma Comorbidity Index (R-MCI). At one year, patients were reassessed; treatment response (IMWG criteria), adverse events (CTCAE v5.03), and mortality were recorded. Results: Fifty-five patients (mean age 78.0 ± 5.4 years, 58.2% female) diagnosed between December 2019 and May 2024 were included. CGA completion exceeded 90% at both time points. At one year, 9 patients (16.4%) had died, and 16 (29.1%) achieved complete response, with daratumumab-lenalidomide-dexamethasone (DRd) being the most used regimen. Frailty prevalence significantly declined (FRAIL: p = 0.012; CFS: p = 0.016; IMWG-FI: p = 0.020). GAH was significantly associated with ≥grade 3 hematologic toxicity (OR = 5.67, p = 0.004) and mortality (AUC = 0.750, p = 0.027). FI-VIG also predicted mortality (OR = 14.67, p = 0.026). Conclusions: CGA and its abbreviated forms are feasible and clinically valuable tools for identifying vulnerable older adults with MM, enabling treatment individualization and improved risk stratification. Full article
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24 pages, 23275 KB  
Article
Developing a Replicable ESG-Based Framework for Assessing Community Perception Using Street View Imagery and POI Data
by Jingxue Xie, Zhewei Liu and Jue Wang
ISPRS Int. J. Geo-Inf. 2025, 14(9), 338; https://doi.org/10.3390/ijgi14090338 - 31 Aug 2025
Viewed by 343
Abstract
Urban livability and sustainability are increasingly studied at the neighborhood scale, where built, social, and governance conditions shape residents’ everyday experiences. Yet existing assessment frameworks often fail to integrate subjective perceptions with multi-dimensional environmental indicators in replicable and scalable ways. To address this [...] Read more.
Urban livability and sustainability are increasingly studied at the neighborhood scale, where built, social, and governance conditions shape residents’ everyday experiences. Yet existing assessment frameworks often fail to integrate subjective perceptions with multi-dimensional environmental indicators in replicable and scalable ways. To address this gap, this study develops an Environmental, Social, and Governance (ESG)-informed framework for evaluating perceived environmental quality in urban communities. Using Baidu Street View imagery—selected due to its comprehensive coverage of Chinese urban areas—and Point of Interest (POI) data, we analyze seven communities in Shenyang, China, selected for their diversity in built form and demographic context. Kernel Density Analysis and Exploratory Factor Analysis (EFA) are applied to derive latent ESG-related spatial dimensions. These are then correlated with Place Pulse 2.0 perception scores using Spearman analysis to assess subjective livability. Results show that environmental and social factors—particularly greenery visibility—are strongly associated with favorable perceptions, while governance-related indicators display weaker or context-specific relationships. The findings highlight the differentiated influence of ESG components, with environmental openness and walkability emerging as key predictors of perceived livability. By integrating pixel-level spatial features with perception metrics, the proposed framework offers a scalable and transferable tool for human-centered neighborhood evaluation, with implications for planning strategies that align with how residents experience urban environments. Full article
(This article belongs to the Special Issue Spatial Information for Improved Living Spaces)
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18 pages, 1414 KB  
Article
Increasing Measurement Agreement Between Different Instruments in Sports Environments: A Jump Height Estimation Case Study
by Chiara Carissimo, Annalisa D’Ermo, Angelo Rodio, Cecilia Provenzale, Gianni Cerro, Luigi Fattorini and Tommaso Di Libero
Sensors 2025, 25(17), 5354; https://doi.org/10.3390/s25175354 - 29 Aug 2025
Viewed by 484
Abstract
The assessment of physical quantity values, especially in case of sports-related activities, is critical to evaluate the performance and fitness level of athletes. In real-world applications, motion analysis tools are often employed to assess motor performance in subjects. In case the methods used [...] Read more.
The assessment of physical quantity values, especially in case of sports-related activities, is critical to evaluate the performance and fitness level of athletes. In real-world applications, motion analysis tools are often employed to assess motor performance in subjects. In case the methods used to calculate a specific quantity of interest differ from each other, different values may be provided as output. Therefore, there is the need to get a coherent final measurement, giving the possibility to compare results homogeneously, combining the different methodologies used by the instruments. These tools vary in measurement capabilities and the physical principles underlying the measurement procedures. Emerging differences in results could lead to non-uniform evaluation metrics, thus making a fair comparison unpracticable. A possible solution to this problem is provided in this paper by implementing an iterative approach, working on two measurement time series acquired by two different instruments, specifically focused on jump height estimation. In the analyzed case study, two instruments estimate the jump height exploiting two different technologies: the inertial and the vision-based ones. In the first case, the measurement value depends on the movement of the center of gravity during jump activity, while, in the second case, the jump height is derived by estimating the maximum distance ground–foot during the jump action. These approaches clearly could lead to different values, also considering the same jump test, due to their observation point. The developed methodology can provide three different ways out: (i) mapping the inertial values towards the vision-based reference system; (ii) mapping the vision-based values towards the inertial reference system; (iii) determining a comprehensive measurement, incorporating both contributions, thus making measurements comparable in time (performance progression) and space (comparison among subjects), eventually adopting only one of the analyzed instruments and applying the transformation algorithm to get the final measurement value. Full article
(This article belongs to the Special Issue Sensors Technologies for Measurements and Signal Processing)
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10 pages, 4186 KB  
Proceeding Paper
Indirect Crop Line Detection in Precision Mechanical Weeding Using AI: A Comparative Analysis of Different Approaches
by Ioannis Glykos, Gerassimos G. Peteinatos and Konstantinos G. Arvanitis
Eng. Proc. 2025, 104(1), 32; https://doi.org/10.3390/engproc2025104032 - 25 Aug 2025
Viewed by 260
Abstract
Growing interest in organic food, along with European regulations limiting chemical usage, and the declining effectiveness of herbicides due to weed resistance, are all contributing to the growing trend towards mechanical weeding. For mechanical weeding to be effective, tools must pass near the [...] Read more.
Growing interest in organic food, along with European regulations limiting chemical usage, and the declining effectiveness of herbicides due to weed resistance, are all contributing to the growing trend towards mechanical weeding. For mechanical weeding to be effective, tools must pass near the crops in both the inter- and intra-row areas. The use of AI-based computer vision can assist in detecting crop lines and accurately guiding weeding tools. Additionally, AI-driven image analysis can be used for selective intra-row weeding with mechanized blades, distinguishing crops from weeds. However, until now, there have been two separate systems for these tasks. To enable simultaneous in-row weeding and row alignment, YOLOv8n and YOLO11n were trained and compared in a lettuce field (Lactuca sativa L.). The models were evaluated based on different metrics and inference time for three different image sizes. Crop lines were generated through linear regression on the bounding box centers of detected plants and compared against manually drawn ground truth lines, generated during the annotation process, using different deviation metrics. As more than one line appeared per image, the proposed methodology for classifying points in their corresponding crop line was tested for three different approaches with different empirical factor values. The best-performing approach achieved a mean horizontal error of 45 pixels, demonstrating the feasibility of a dual-functioning system using a single vision model. Full article
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11 pages, 2637 KB  
Article
AI Enhances Lung Ultrasound Interpretation Across Clinicians with Varying Expertise Levels
by Seyed Ehsan Seyed Bolouri, Masood Dehghan, Mahdiar Nekoui, Brian Buchanan, Jacob L. Jaremko, Dornoosh Zonoobi, Arun Nagdev and Jeevesh Kapur
Diagnostics 2025, 15(17), 2145; https://doi.org/10.3390/diagnostics15172145 - 25 Aug 2025
Viewed by 561
Abstract
Background/Objective: Lung ultrasound (LUS) is a valuable tool for detecting pulmonary conditions, but its accuracy depends on user expertise. This study evaluated whether an artificial intelligence (AI) tool could improve clinician performance in detecting pleural effusion and consolidation/atelectasis on LUS scans. Methods [...] Read more.
Background/Objective: Lung ultrasound (LUS) is a valuable tool for detecting pulmonary conditions, but its accuracy depends on user expertise. This study evaluated whether an artificial intelligence (AI) tool could improve clinician performance in detecting pleural effusion and consolidation/atelectasis on LUS scans. Methods: In this multi-reader, multi-case study, 14 clinicians of varying experience reviewed 374 retrospectively selected LUS scans (cine clips from the PLAPS point, obtained using three different probes) from 359 patients across six centers in the U.S. and Canada. In phase one, readers scored the likelihood (0–100) of pleural effusion and consolidation/atelectasis without AI. After a 4-week washout, they re-evaluated all scans with AI-generated bounding boxes. Performance metrics included area under the curve (AUC), sensitivity, specificity, and Fleiss’ Kappa. Subgroup analyses examined effects by reader experience. Results: For pleural effusion, AUC improved from 0.917 to 0.960, sensitivity from 77.3% to 89.1%, and specificity from 91.7% to 92.9%. Fleiss’ Kappa increased from 0.612 to 0.774. For consolidation/atelectasis, AUC rose from 0.870 to 0.941, sensitivity from 70.7% to 89.2%, and specificity from 85.8% to 89.5%. Kappa improved from 0.427 to 0.756. Conclusions: AI assistance enhanced clinician detection of pleural effusion and consolidation/atelectasis in LUS scans, particularly benefiting less experienced users. Full article
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27 pages, 7925 KB  
Article
Development and Verification of a Centrifugal Pump Rotor Model Based on Integrated Multibody Dynamics in the ADAMS Environment
by Madina Isametova, Rollan Nussipali, Gulbarshyn Smailova, Layla Sabirova, Arailym Tursynbayeva, Laila Sagatova, Denis Tkachenko and Nazym Saidinbayeva
Appl. Sci. 2025, 15(16), 9132; https://doi.org/10.3390/app15169132 - 19 Aug 2025
Viewed by 526
Abstract
This study proposes a novel computational method, employing the integral dynamics of multibody systems to simulate the transverse vibrations of the rotor in a cantilever-type centrifugal pump. This method was applied to the kinematic assembly of the rotor and its supports, with the [...] Read more.
This study proposes a novel computational method, employing the integral dynamics of multibody systems to simulate the transverse vibrations of the rotor in a cantilever-type centrifugal pump. This method was applied to the kinematic assembly of the rotor and its supports, with the latter modeled as springs possessing stiffness and damping properties equivalent to those of real bearings supporting the shaft in an actual design. To investigate transverse vibrations within the system, three key observation points were defined—at the locations of the left and right bearings, as well as at the rotor’s center of mass—to allow for a thorough dynamic analysis. Additionally, the influence of motor rotational speed and the impeller’s eccentricity on the transverse vibrations of the supports and the shaft was examined. The results have revealed that transverse vibrations significantly affect the system’s dynamics at lower rotational speeds, leading to the classification of the shaft as flexible. As the rotational speed increases, the system exhibits enhanced dynamic stability. Furthermore, it was found that for impellers with a diameter less than 300 mm, the unbalanced forces are negligible and can be disregarded in pump design. To reduce vibration levels, an elastic damping ring was selected and incorporated into the system. This novel method provides an effective tool for analyzing the transverse vibrations of centrifugal pump rotors and for optimizing vibration mitigation strategies. Full article
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21 pages, 6270 KB  
Article
Development of Formulas Predicting Bending Moments of Elastic–Plastic and Bi-Modular-Layered Particleboards
by Yan Wang, Samet Demirel, Wengang Hu, Franklin Quin, Jilei Zhang, Shunyao Sun and Xiaohong Yu
Forests 2025, 16(8), 1315; https://doi.org/10.3390/f16081315 - 12 Aug 2025
Viewed by 287
Abstract
Four mechanical models were proposed to derive formulas predicting the bending moment capacities of layered particleboard under simply supported center-loading. Experimental validation confirmed these models are effective tools for describing the bending moment development process, including proportional limit, yield, and ultimate points. With [...] Read more.
Four mechanical models were proposed to derive formulas predicting the bending moment capacities of layered particleboard under simply supported center-loading. Experimental validation confirmed these models are effective tools for describing the bending moment development process, including proportional limit, yield, and ultimate points. With predicted and experimental ratios ranging from 0.88 to 1.04, Model 4 can reasonably predict the ultimate bending moment capacity of elastic–plastic and bi-modular-layered particleboard materials. Photo-elastic testing revealed neutral axis shifting toward the compressive side, resulting from the face layer’s significantly higher mean modulus of elasticity in compression than in tension. Additionally, the core material above the centerline of PB thickness contributed to tensile resistance. The proposed mechanical models require inputs such as the tensile and compressive strengths and thickness of each layer, accounting for the asymmetric strength profile and neutral axis shifting. The main conclusion was that the bending moment resistance of the particleboard depends on the combined effect of tensile and compressive strengths of all layers. A 3D plot visualized the PB’s mechanical design space, displaying feasible tensile–compressive strength combinations of particleboard layers. This enables determination of optimal strength properties for each layer. For M2 grade particleboard, the most cost-effective design occurred when the face layer reached a 5.38 MPa tensile strength, with the compressive strength ranging between 13.00 and 18.59 MPa. Full article
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14 pages, 490 KB  
Article
Assessment of Pain Complaints and Perioperative and Delayed Complications of Hysteroscopy Performed Under Local Anesthesia—A Retrospective Analysis
by Agnieszka Lach, Maciej Wilczak, Adam Malinger, Adrian Nowak, Piotr Piekarski, Adrian Mruczyński, Kinga Bednarek and Karolina Chmaj-Wierzchowska
J. Clin. Med. 2025, 14(16), 5646; https://doi.org/10.3390/jcm14165646 - 9 Aug 2025
Viewed by 408
Abstract
Modern, small-diameter endoscopic instruments, such as resectoscopes (e.g., the GUBBINI System) and mini-hysteroscopes, are widely used in clinical practice. These tools allow endoscopic procedures to be conducted without cervical dilation, often in an outpatient setting, and under local anesthesia alone. Background/Objectives: The [...] Read more.
Modern, small-diameter endoscopic instruments, such as resectoscopes (e.g., the GUBBINI System) and mini-hysteroscopes, are widely used in clinical practice. These tools allow endoscopic procedures to be conducted without cervical dilation, often in an outpatient setting, and under local anesthesia alone. Background/Objectives: The present retrospective study aimed to analyze the perioperative and delayed complications of hysteroscopy performed under local anesthesia. This study also assessed the pain experienced during hysteroscopy under local anesthesia, depending on the type of procedure performed. Methods: A retrospective analysis was conducted in 1945 patients who underwent hysteroscopy under local anesthesia at the Center for Hysteroscopy, Heliodor Święcicki Gynecological and Obstetrical Clinical Hospital, Karol Marcinkowski Medical University, Poznań, Poland, between January 2021 and December 2023. Hysteroscopic procedures were performed with the GUBBINI Mini Hystero-Resectoscope through a paracervical block using lignocaine. Results: The procedure was discontinued in 46 patients, accounting for 2.36% of all hysteroscopies. The most common reasons for procedure discontinuation were severe pain and uterine perforation, accounting for 52.8% and 13% of discontinued procedures, respectively. The complication rates were low: uterine perforation occurred in 0.3% of cases (n = 6), and late complications requiring readmission occurred in 0.2% (n = 3). The average pain intensity score for all the patients was 2 points (2.8 ± 2.14). Conclusions: Our study confirmed that hysteroscopy performed under local anesthesia is a safe and effective diagnostic and therapeutic method for selected uterine pathologies, noting increased risks in cases such as extensive intrauterine adhesions. The low complication rates in both the perioperative and postoperative stages indicate the high safety profile of this procedure, particularly when performed by experienced personnel using standardized, validated protocols. Full article
(This article belongs to the Special Issue Advanced Hysteroscopic Technology for Gynecological Disease)
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17 pages, 516 KB  
Article
Incidence and Predictive Factors of Acute Kidney Injury After Major Hepatectomy: Implications for Patient Management in Era of Enhanced Recovery After Surgery (ERAS) Protocols
by Henri Mingaud, Jean Manuel de Guibert, Jonathan Garnier, Laurent Chow-Chine, Frederic Gonzalez, Magali Bisbal, Jurgita Alisauskaite, Antoine Sannini, Marc Léone, Marie Tezier, Maxime Tourret, Sylvie Cambon, Jacques Ewald, Camille Pouliquen, Lam Nguyen Duong, Florence Ettori, Olivier Turrini, Marion Faucher and Djamel Mokart
J. Clin. Med. 2025, 14(15), 5452; https://doi.org/10.3390/jcm14155452 - 2 Aug 2025
Viewed by 627
Abstract
Background: Acute kidney injury (AKI) frequently occurs following major liver resection, adversely affecting both short- and long-term outcomes. This study aimed to determine the incidence of AKI post-hepatectomy and identify relevant pre- and intraoperative risk factors. Our secondary objectives were to develop [...] Read more.
Background: Acute kidney injury (AKI) frequently occurs following major liver resection, adversely affecting both short- and long-term outcomes. This study aimed to determine the incidence of AKI post-hepatectomy and identify relevant pre- and intraoperative risk factors. Our secondary objectives were to develop a predictive score for postoperative AKI and assess the associations between AKI, chronic kidney disease (CKD), and 1-year mortality. Methods: This was a retrospective study in a cancer referral center in Marseille, France, from 2018 to 2022. Results: Among 169 patients, 55 (32.5%) experienced AKI. Multivariate analysis revealed several independent risk factors for postoperative AKI, including age, body mass index, the use of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, time to liver resection, intraoperative shock, and bile duct reconstruction. Neoadjuvant chemotherapy was protective. The AKIMEBO score was developed, with a threshold of ≥15.6, demonstrating a sensitivity of 89.5%, specificity of 76.4%, positive predictive value of 61.8%, and negative predictive value of 94.4%. AKI was associated with increased postoperative morbidity and one-year mortality following major hepatectomy. Conclusion: AKI is a common complication post-hepatectomy. Factors such as time to liver resection and intraoperative shock management present potential clinical intervention points. The AKIMEBO score can provide a valuable tool for postoperative risk stratification. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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12 pages, 441 KB  
Article
Diagnostic Value of Point-of-Care Ultrasound for Sarcopenia in Geriatric Patients Hospitalized for Hip Fracture
by Laure Mondo, Chloé Louis, Hinda Saboul, Laetitia Beernaert and Sandra De Breucker
J. Clin. Med. 2025, 14(15), 5424; https://doi.org/10.3390/jcm14155424 - 1 Aug 2025
Viewed by 538
Abstract
Introduction: Sarcopenia is a systemic condition linked to increased morbidity and mortality in older adults. Point-of-Care Ultrasound (POCUS) offers a rapid, bedside method to assess muscle mass. This study evaluates the diagnostic accuracy of POCUS compared to Dual-energy X-ray Absorptiometry (DXA), the [...] Read more.
Introduction: Sarcopenia is a systemic condition linked to increased morbidity and mortality in older adults. Point-of-Care Ultrasound (POCUS) offers a rapid, bedside method to assess muscle mass. This study evaluates the diagnostic accuracy of POCUS compared to Dual-energy X-ray Absorptiometry (DXA), the gold standard method, and explores its prognostic value in old patients undergoing surgery for hip fractures. Patients and Methods: In this prospective, single-center study, 126 patients aged ≥ 70 years and hospitalized with hip fractures were included. Sarcopenia was defined according to the revised 2018 EWGSOP2 criteria. Muscle mass was assessed by the Appendicular Skeletal Muscle Mass Index (ASMI) using DXA and by the thickness of the rectus femoris (RF) muscle using POCUS. Results: Of the 126 included patients, 52 had both DXA and POCUS assessments, and 43% of them met the diagnostic criteria for sarcopenia or severe sarcopenia. RF muscle thickness measured by POCUS was significantly associated with ASMI (R2 = 0.30; p < 0.001). POCUS showed a fair diagnostic accuracy in women (AUC 0.652) and an excellent accuracy in men (AUC 0.905). Optimal diagnostic thresholds according to Youden’s index were 5.7 mm for women and 9.3 mm for men. Neither RF thickness, ASMI, nor sarcopenia status predicted mortality or major postoperative complications. Conclusions: POCUS is a promising, accessible tool for diagnosing sarcopenia in old adults with hip fractures. Nonetheless, its prognostic utility remains uncertain and should be further evaluated in long-term studies. Full article
(This article belongs to the Special Issue The “Orthogeriatric Fracture Syndrome”—Issues and Perspectives)
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25 pages, 9769 KB  
Article
Mesoscale Mechanical Analysis of Concrete Based on a 3D Random Aggregate Model
by Shuaishuai Wei, Huan Zhang, Ding Wang, Xuchun Wang and Mengdi Cao
Coatings 2025, 15(8), 883; https://doi.org/10.3390/coatings15080883 - 29 Jul 2025
Viewed by 662
Abstract
The shape, size, and interfacial transition zone (ITZ) of aggregates significantly impact the nonlinear mechanical behavior of concrete. This study investigates concrete’s mechanical response and damage mechanisms by developing a three-dimensional, three-phase mesoscale model comprising coarse aggregates, mortar, and ITZ to explore the [...] Read more.
The shape, size, and interfacial transition zone (ITZ) of aggregates significantly impact the nonlinear mechanical behavior of concrete. This study investigates concrete’s mechanical response and damage mechanisms by developing a three-dimensional, three-phase mesoscale model comprising coarse aggregates, mortar, and ITZ to explore the compressive performance of concrete. A method for simulating the random distribution of aggregates based on three-dimensional grid partitioning is proposed, where the value of each grid point represents the maximum aggregate radius that can be accommodated if the point serves as the aggregate center. Aggregates are generated by randomly selecting grid points that meet specific conditions, avoiding overlapping distributions and significantly improving computational efficiency as the generation progresses. This model effectively enhances the precision and efficiency of aggregate distribution and provides a reliable tool for studying the random distribution characteristics of aggregates in concrete. Additionally, an efficient discrete element model (DEM) was established based on this mesoscale model to simulate the compressive behavior of concrete, including failure modes and stress–strain curves. The effects of aggregate shape and maximum aggregate size on the uniaxial compressive failure behavior of concrete specimens were investigated. Aggregate shape has a particular influence on the compressive strength of concrete, and the compressive strength decreases with an increase in maximum aggregate size. Combined with existing experimental results, the proposed mesoscale model demonstrates high reliability in analyzing the compressive performance of concrete, providing valuable insights for further research on the mechanical properties of concrete. Full article
(This article belongs to the Special Issue Advances in Pavement Materials and Civil Engineering)
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13 pages, 246 KB  
Article
A Multicentric Analysis of a Pre-Ecographic Score in Pregnancy: Time for a Dedicated Classification System
by Gianluca Campobasso, Fabio Castellana, Annalisa Tempesta, Alice Bottai, Annachiara Scatigno, Elisa Rizzo, Francesca Petrillo, Grazia Cappello, Prisco Piscitelli and Roberta Zupo
Epidemiologia 2025, 6(3), 39; https://doi.org/10.3390/epidemiologia6030039 - 24 Jul 2025
Viewed by 399
Abstract
Objectives: The objectives are to evaluate the influence of different maternal characteristics on ultrasound image quality and operator satisfaction, and to assess, preliminarily, a rating scale to stratify the difficulty level of ultrasound examination in early gestation. Methods: A multicentric observational [...] Read more.
Objectives: The objectives are to evaluate the influence of different maternal characteristics on ultrasound image quality and operator satisfaction, and to assess, preliminarily, a rating scale to stratify the difficulty level of ultrasound examination in early gestation. Methods: A multicentric observational study of ultrasound scans was carried out on singleton pregnant women undergoing routine gestational ultrasound at 11–14 weeks and 19–21 weeks of gestation at two Prenatal Care Centers in the Apulia region (Southern Italy). Inclusion criteria included the presence of one or more limiting features, i.e., obesity, retroverted uterus, myomas, previous abdominal surgery, and limited echo-absorption. Each woman was given an overall pre-echographic limiting score from 0 to 9. The outcome measure was the operator’s satisfaction with the examination, scored on a Likert scale. Nested linear regression models (raw, semi- and fully adjusted) were built for each of the two trimesters on the pre-ecographic limiting score (0–9 points) as dependent variables, with the operator’s satisfaction as the regressor. Results: The whole sample included 445 pregnant women. The two-center samples did not show statistically different baseline features. The operator’s satisfaction with the sonographic examination was significantly (and inversely) related to the pre-echographic limiting score, regardless of the mother’s age, the operator performing the ultrasound, the Hospital Center where the ultrasound examination was performed, and the duration of the sonographic examination. Conclusions: A number of maternal conditions need to be monitored for good ultrasound performance; using a specific rating scale to stratify the level of difficulty of the ultrasound examination at early gestation could represent a potentially useful tool, although it requires further validation. Full article
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22 pages, 7324 KB  
Article
Evaluating Urban Greenery Through the Front-Facing Street View Imagery: Insights from a Nanjing Case Study
by Jin Zhu, Yingjing Huang, Ziyue Cao, Yue Zhang, Yuan Ding and Jinglong Du
ISPRS Int. J. Geo-Inf. 2025, 14(8), 287; https://doi.org/10.3390/ijgi14080287 - 24 Jul 2025
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Abstract
Street view imagery has become a vital tool for assessing urban street greenery, with the Green View Index (GVI) serving as the predominant metric. However, while GVI effectively quantifies overall greenery, it fails to capture the nuanced, human-scale experience of urban greenery. This [...] Read more.
Street view imagery has become a vital tool for assessing urban street greenery, with the Green View Index (GVI) serving as the predominant metric. However, while GVI effectively quantifies overall greenery, it fails to capture the nuanced, human-scale experience of urban greenery. This study introduces the Front-Facing Green View Index (FFGVI), a metric designed to reflect the perspective of pedestrians traversing urban streets. The FFGVI computation involves three key steps: (1) calculating azimuths for road points, (2) retrieving front-facing street view images, and (3) applying semantic segmentation to identify green pixels in street view imagery. Building on this, this study proposes the Street Canyon Green View Index (SCGVI), a novel approach for identifying boulevards that evoke perceptions of comfort, spaciousness, and aesthetic quality akin to room-like streetscapes. Applying these indices to a case study in Nanjing, China, this study shows that (1) FFGVI exhibited a strong correlation with GVI (R = 0.88), whereas the association between SCGVI and GVI was marginally weaker (R = 0.78). GVI tends to overestimate perceived greenery due to the influence of lateral views dominated by side-facing vegetation; (2) FFGVI provides a more human-centered perspective, mitigating biases introduced by sampling point locations and obstructions such as large vehicles; and (3) SCGVI effectively identifies prominent boulevards that contribute to a positive urban experience. These findings suggest that FFGVI and SCGVI are valuable metrics for informing urban planning, enhancing urban tourism, and supporting greening strategies at the street level. Full article
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