Search Results (109)

This study investigates how traditional versus modern Chinese ink painting styles in tourism advertisements affect viewers’ visual attention, aesthetic evaluations, and tourism intentions. Using eye-tracking experiments combined with surveys and interviews, the researchers conducted a mixed-design experiment with 80 Chinese college students. Results indicate that traditional ink-style advertisements attracted longer total fixation durations, higher aesthetic evaluations, and stronger cultural resonance in natural landscape contexts, while modern ink-style advertisements captured initial attention more quickly and performed better aesthetically in urban settings. Qualitative analyses further revealed cultural familiarity and aesthetic resonance underpinning preferences for traditional style, whereas modern style mainly attracted attention through novelty and creativity. These findings expand Cultural Schema Theory and the aesthetic processing model within advertising research, suggesting practical strategies for tourism advertising to match visual styles appropriately with destination types and audience characteristics to enhance promotional effectiveness. Full article

The assessment of visual attention is important in visual and cognitive neuroscience, providing objective measures for researchers and clinicians. This study investigated the effects of chemotherapy on eye movements in women with breast cancer. Twelve women with breast cancer and twelve healthy controls aged between 33 and 59 years completed a visual search task, identifying an Arabic number among 79 alphabetic letters. Test duration, fixation duration, total fixation duration, and total visit duration were recorded. Compared to healthy controls, women with breast cancer exhibited significantly longer mean fixation duration [t = 4.54, p < 0.00]; mean total fixation duration [t = 2.41, p < 0.02]; mean total visitation duration [t = 2.05, p < 0.05]; and total test time [t = 2.32, p < 0.03]. Additionally, positive correlations were observed between the number of chemotherapy cycles and the eye tracking parameters. These results suggest the possibility of slower information processing in women experiencing acute effects of chemotherapy. However, further studies are needed to clarify this relationship. Full article

Historic districts are key urban spaces that convey cultural heritage and support tourism and social interaction. As the spatial interface shapes form and perception, this study explores youth-oriented visual behaviour and cognitive preferences regarding historic street interfaces. Using Kuan-Narrow Alley in Chengdu as a case study, we analysed eye-tracking data to assess visual engagement with interface elements. Architectural components received the highest attention for Total Fixation Duration, Fixation Count, and Visit Count, while commercial elements yielded a longer Average Fixation Duration. A multiple linear regression model identified Historical Linguistic Landscape (β = 1.088), Street Permeability (β = 0.401), and Street Width-to-Height Ratio (β = 0.178) as significant predictors of perceived usability, with Historical Linguistic Landscape proving most influential. These findings underscore the value of preserving cultural significance in streetscape morphology and provide theoretical and practical insights from a youth-centric perspective. By integrating eye-tracking with morphological analysis, the study offers a novel approach to understanding visual perceptions in historic districts. Despite limitations in sample size and scope, the study provides solid insights, with future research needed to broaden contexts for greater generalisability. Full article

Background: Pelvic organ prolapse (POP) significantly impairs patients’ quality of life, especially in urinary, bowel, and sexual domains. While laparoscopic sacrocolpopexy (LS) is the current gold standard for apical prolapse repair, it is associated with certain complications. Laparoscopic pectopexy (LP), a newer technique utilizing the iliopectineal ligament for apical suspension, may offer improved outcomes with fewer adverse effects. This scoping review aimed to evaluate patient-reported outcomes (PROs) and quality of life (QoL) following LP and compare its effectiveness to other established surgical approaches. Methods: A scoping review was conducted in accordance with PRISMA-ScR guidelines. Searches of PubMed, Scopus, and Web of Science databases were performed through June 2025. Eligible studies included randomized controlled trials, prospective and retrospective cohorts, and case series that reported PROs following LP. Data on validated QoL tools (e.g., P-QOL, PFDI-20, PFIQ-7, FSFI, PISQ-12), surgical technique, and follow-up duration were extracted. Due to heterogeneity in the study design and outcomes, findings were synthesized qualitatively. Results: Thirteen studies including a total of 742 patients met the inclusion criteria. Across all included studies, LP was associated with significant improvements in QoL metrics, including urinary and sexual function, and overall patient satisfaction. Tools such as PFDI-20, FSFI, PISQ-12, and PGI-I consistently showed postoperative improvement (p < 0.05). Comparative studies demonstrated that the outcomes for LP were similar or superior to those of sacrocolpopexy, sacrospinous fixation, or sacrohysteropexy, particularly regarding sexual function. Conclusions: LP is an effective surgical alternative for apical POP repair, offering significant improvements in patient-reported quality of life and functional outcomes. Its favorable safety profile and comparable efficacy to traditional methods make it a compelling option, particularly for patients with contraindications to sacral dissection. Findings are limited by small and heterogeneous studies, short follow-up, and potential publication and language biases. Further prospective studies with long-term follow-up periods are necessary to confirm these findings and refine patient selection criteria. Full article

Objectives: Tibial anterior cruciate ligament avulsion fractures (TAFs) are avulsions of the anterior cruciate ligament (ACL) from its insertion at the tibial intercondylar eminence that share the same trauma mechanism as ACL tears. TAFs were initially considered to be a pediatric equivalent to adult ACL ruptures due to the weaker insertion of the ACL on the immature tibial spine. Recent literature suggests that adult TAFs may be more common than previously thought. The incidence, possible concomitant injuries, and other differences between pediatric and adult TAFs remain a topic of ongoing debate in the literature. This systematic review provides a descriptive synthesis of the symptoms, biomechanics, and treatment outcomes of TAFs in pediatric and adult populations. This study highlights notable trends but avoids formal comparisons or meta-analysis due to heterogeneity in the literature. Methods: A systematic review was conducted on human-related studies involving tibial anterior cruciate ligament avulsion fractures, identified in PubMed^®® and EMBASE^®® databases between 2000 and 2024. Studies in English or German were included, while editorials, reviews, experimental studies, and papers with insufficient data were excluded. Data were extracted on patient demographics, trauma mechanisms, fracture classification, diagnostic modalities, treatment approaches, and clinical outcomes. Specific outcome parameters included: incidence and type of postoperative complications, return to sport rate, revision surgeries, hardware removal rates, and duration of follow-up. Due to heterogeneity in reporting, a descriptive synthesis approach was used rather than a meta-analysis. Results: The systematic search identified 3938 publications, with 2707 articles screened after duplicate removal. A total of 56 studies met the inclusion criteria. A total of 677 tibial avulsion fractures (TAF) were analyzed, with 208 (30.4%) pediatric and 469 (69.6%) adult patients. Type III fractures were most common in both groups (pediatric: 63.9%, adult: 63.4%). Concomitant injuries were more frequent in adults (35.6%) than children (8.2%). Arthroscopic surgery was the predominant technique (pediatric: 79.1%, adult: 87.8%). Fixation methods differed: pediatric cases more often used screws (40.5%) and sutures (38.2%), while adults favored sutures (49.7%) and suture anchors (23.1%). Complications were more frequent in pediatric patients (35.1% vs. 17.1%). Conclusions: TAFs show age-related differences in injury patterns and outcomes. Pediatric cases are mostly sports-related, while adult cases are commonly due to road traffic accidents. Concomitant injuries are more frequent in adults, whereas pediatric patients experience higher rates of arthrofibrosis and instability. Adults are more prone to malunion and non-union. These findings support the need for age-specific diagnostic and treatment strategies. Full article

Against the backdrop of rapid digitization of cultural heritage, assessing the public’s genuine perception of digital heritage has become a critical issue in the study of cultural sustainability and communication. This study takes the “Digital Dunhuang Museum” exhibition in Guangzhou as a case, focusing on the differences and underlying mechanisms in public aesthetic perception of digital Dunhuang murals. Integrating eye-tracking experiments, subjective image evaluations, and semi-structured interviews, the research innovatively introduces multimodal visual behaviour and physiological data as core indicators in the field of digital cultural heritage. It systematically compares the explicit attitudes and implicit responses of audiences with different artistic backgrounds during the aesthetic perception process. The results reveal that participants with an art-related background show significantly higher scores in subjective dimensions such as pleasure, attraction, and visiting intention. They also demonstrate stronger visual engagement and emotional arousal in physiological dimensions, including the number of fixations, total fixation duration, and pupil diameter changes. This study constructs a mechanism of aesthetic perception for digital cultural heritage based on “visual attention–cognitive processing–emotional arousal”, enriching the public’s understanding of digital cultural heritage conservation and communication from both cognitive and emotional perspectives. The findings provide empirical support for the design of digital exhibitions of cultural heritage and expand the methodological and cognitive approaches in cultural sustainability research, offering important theoretical and practical implications. Full article

Previous landscape design mostly relies on general standards, failing to fully consider gender differences in landscape visual perception, with relevant research still needing further exploration. This study takes Beijing’s Beihai Park as the research object, using five types of on-site-collected photos (water landscape, plant landscape, architectural landscape, path landscape, and square landscape) as stimuli. Twenty males and twenty females participated in an eye-tracking experiment and a questionnaire survey to analyze gender differences in the visual perception of these five landscapes. The results show the following: (1) females show a “core–radiation” pattern, focusing on mid-short vision and environmental details; males focus on distant views and functional areas. (2) Females have slightly higher APD and fixation counts, with stronger cognitive/emotional fluctuations; males have longer total fixation time and more sustained attention. (3) Males prefer architectural/square landscapes, emphasizing functionality; females favor water/plant landscapes, prioritizing emotional connection with nature. (4) The total fixation time significantly impacts subjective evaluations; the average fixation duration is gender-neutral but uniquely affects evaluations of certain landscape types. This study has guiding significance for enhancing park landscapes’ inclusiveness and attractiveness, promoting different genders’ participation and satisfaction, and boosting space vitality and utilization efficiency. Full article

Background/Objectives: Given the different biomechanical properties and surgical techniques between the L5-S1 and ≥L4-5 levels, it is necessary to explore RF risk factors at ≥L4-5 levels separately from the lumbosacral junction. This study aims to investigate the risk factors for rod fracture (RF) occurring at ≥L4-5 levels following adult spinal deformity (ASD) surgery. RF occurrence was assessed at the segment level. Methods: Patients who underwent ≥ 5-level fusion, including the sacrum or pelvis, with a minimum follow-up of 2 years were included in this study. Presumed risk factors in terms of patient, surgical, and radiographic variables were compared between the non-RF and RF groups at the segment level. Multivariate logistic regression analysis was performed to identify independent risk factors for RF at ≥L4-5 levels. Results: A total of 318 patients (mean age, 69.3 years; 88.4% female) were included, and 1082 segments were evaluated. During the mean follow-up duration of 47.4 months, RF developed in 45 (14.2%) patients for 51 (4.7%) segments. In multivariate logistic regression analysis, several risk factors were identified, as follows: the use of perioperative teriparatide (odds ratio [OR] = 0.26, p = 0.012), operated levels (L2-3 and L3-4 vs. L4-5 level [OR = 0.45, p = 0.022; OR = 0.16, p < 0.001, respectively]), fusion methods (posterior fusion and anterior column realignment vs. posterior lumbar interbody fusion [OR = 8.04, p < 0.001; OR = 5.37, p = 0.002, respectively]), pedicle subtraction osteotomy (PSO) (OR = 3.14, p = 0.020), and number of rods (four-rod configuration vs. dual-rod fixation [OR = 0.34, p = 0.044]). Conclusions: In this study, the factors related to RF at ≥L4-5 levels included the perioperative use of teriparatide, operated levels, fusion methods, performance of PSO, and rod configuration. Considering that surgical procedures vary by each segment, our findings may help establish segment-specific preventive strategies to reduce RF at ≥L4-5 levels. Full article

Given the severe global traffic safety challenges—including threats to human lives and socioeconomic impacts—this study analyzes visual behavior to promote sustainable transportation, improve road safety, and reduce resource waste and pollution caused by accidents. Four typical road sections, namely, turning, straight ahead, uphill, and downhill, were selected, and the eye movement data of 23 drivers in different driving stages were collected by aSee Glasses eye-tracking device to analyze the visual gaze characteristics of the drivers and their transfer patterns in each road section. Using Markov chain theory, the probability of staying at each gaze point and the transfer probability distribution between gaze points were investigated. The results of the study showed that drivers’ visual behaviors in different road sections showed significant differences: drivers in the turning section had the largest percentage of fixation on the near front, with a fixation duration and frequency of 29.99% and 28.80%, respectively; the straight ahead section, on the other hand, mainly focused on the right side of the road, with 31.57% of fixation duration and 19.45% of frequency of fixation; on the uphill section, drivers’ fixation duration on the left and right roads was more balanced, with 24.36% of fixation duration on the left side of the road and 25.51% on the right side of the road; drivers on the downhill section looked more frequently at the distance ahead, with a total fixation frequency of 23.20%, while paying higher attention to the right side of the road environment, with a fixation duration of 27.09%. In terms of visual fixation, the fixation shift in the turning road section was mainly concentrated between the near and distant parts of the road ahead and frequently turned to the left and right sides; the straight road section mainly showed a shift between the distant parts of the road ahead and the dashboard; the uphill road section was concentrated on the shift between the near parts of the road ahead and the two sides of the road, while the downhill road section mainly occurred between the distant parts of the road ahead and the rearview mirror. Although drivers’ fixations on the front of the road were most concentrated under the four road sections, with an overall fixation stability probability exceeding 67%, there were significant differences in fixation smoothness between different road sections. Through this study, this paper not only reveals the laws of drivers’ visual behavior under different driving environments but also provides theoretical support for behavior-based traffic safety improvement strategies. Full article

Cover cropping has emerged as a pivotal sustainable agronomic practice aimed at enhancing soil health and sustaining crop productivity. To quantify its effects across diverse agroecosystems, we conducted a meta-analysis of 1877 paired observations from 114 studies (1980–2025) comparing cover cropping with bare fallow during fallow periods in major cereal systems across China. Cover cropping significantly reduced soil bulk density by 6.1% and increased key soil nutrients including total nitrogen (+13.1%), total phosphorus (+15.6%), hydrolysable nitrogen (+9.3%), available phosphorus (+11.1%), available potassium (+12.4%), soil organic matter (+11.7%), and microbial biomass carbon (+41.1%). Leguminous cover crops outperformed non-legumes in enhancing nitrogen availability, reflecting biological nitrogen fixation. Mixed-species cover crop mixtures showed superior benefits over monocultures, likely due to complementary effects on nutrient cycling and soil structure. Soil texture and initial soil organic carbon significantly moderated these outcomes. Furthermore, although overall soil pH remained stable, cover cropping exhibited a clear buffering effect, tending to regulate soil pH toward neutrality. Meta-regression analyses revealed a diminishing positive effect on total nitrogen (TN), available potassium (AK), and microbial biomass carbon (MBC) with an extended duration of cover cropping, suggesting potential saturation effects. These results underscore the context-dependent efficacy of cover cropping as a strategy for soil quality enhancement. Optimizing cover crop implementation should integrate the consideration of inherent soil characteristics, baseline fertility, and species composition to maximize agroecosystem resilience and sustainability. Full article

With the widespread adoption of mobile reading across diverse scenarios, understanding environmental impacts on attention has become crucial for reading performance optimization. Building upon this premise, the study examined the impacts of different reading environments on attention during mobile reading, utilizing a mixed-methods approach that combined eye-tracking experiments with semi-structured interviews. Thirty-two college students participated in the study. Quantitative attention metrics, including total fixation duration and fixation count, were collected through eye-tracking, while qualitative data regarding perceived environmental influences were obtained through interviews. The results indicated that the impact of different environments on mobile reading attention varies significantly, as this variation is primarily attributable to environmental complexity and individual interest. Environments characterized by multisensory inputs or dynamic disturbances, such as fluctuating noise and visual motion, were found to induce greater attentional dispersion compared to monotonous, low-variation environments. Notably, more complex potential task-like disturbances (e.g., answering calls, conversations) were found to cause the greatest distraction. Moreover, stimuli aligned with an individual’s interests were more likely to divert attention compared to those that did not. These findings contribute methodological insights for optimizing mobile reading experiences across diverse environmental contexts. Full article

Background/Objective: This study aims to evaluate the predictive performance of three supervised machine learning algorithms—decision tree (DT), support vector machine (SVM), and k-nearest neighbors (KNN) in forecasting key visual skills relevant to rhythmic gymnastics. Methods: A total of 383 rhythmic gymnasts aged 4 to 27 years were evaluated in various sports centers across Madrid, Spain. Visual assessments included clinical tests (near convergence point accommodative facility, reaction time, and hand–eye coordination) and eye-tracking tasks (fixation stability, saccades, smooth pursuits, and visual acuity) using the DIVE (Devices for an Integral Visual Examination) system. The dataset was split into training (70%) and testing (30%) subsets. Each algorithm was trained to classify visual performance, and predictive performance was assessed using accuracy and macro F1-score metrics. Results: The decision tree model demonstrated the highest performance, achieving an average accuracy of 92.79% and a macro F1-score of 0.9276. In comparison, the SVM and KNN models showed lower accuracies (71.17% and 78.38%, respectively) and greater difficulty in correctly classifying positive cases. Notably, the DT model outperformed the others in predicting fixation stability and accommodative facility, particularly in short-duration fixation tasks. Conclusion: The decision tree algorithm achieved the highest performance in predicting short-term fixation stability, but its effectiveness was limited in tasks involving accommodative facility, where other models such as SVM and KNN outperformed it in specific metrics. These findings support the integration of machine learning in sports vision screening and suggest that predictive modeling can inform individualized training and performance optimization in visually demanding sports such as rhythmic gymnastics. Full article

Background: There are no clear guidelines to support management decisions for patients with three-part fractures of the proximal humerus. The aim of the study is to identify the treatment used and to assess the functional and radiological outcomes at follow-up. Methods: A total of 126 patients were retrospectively included in the study and were divided into two groups based on the type of surgery: plate and nail group. We collected data on the patient’s sex, age, fracture type, surgery duration, fracture healing, initial and final neck–shaft angles, shoulder joint score, and complications. Results: A total of 69 patients received locking-plate internal fixation, while 77 patients underwent fixation with intramedullary nail. The two groups were comparable, with no significant differences observed in age, sex, or the number of patients. The average operation time for the locking-plate group (88.7 ± 10.5 min) was significantly longer compared to the intramedullary nail group (70.2 ± 8.3 min). The Constant–Murley score was 91.2 ± 6.7 (range 79–98) in the plate group and 90.5 ± 7.7 (range 80–98) in the nail group, with no statistically significant difference. Complications were observed in 16 patients (23.2%) of the locking-plate group and in 7 patients (9.1%) of the intramedullary nail group, with significant difference. Conclusions: Our assessment revealed no significant differences in fracture healing times, loss of reduction, or Constant–Murley scores between two groups. However, our results suggest that intramedullary nails have an advantage over locking plates in terms of reduced operation time and complications. Full article

Background/Objectives: Acetabular fractures in older adults pose significant challenges due to bone fragility, complex fracture patterns, and increased comorbidities. Surgical management, including isolated open reduction and internal fixation (ORIF) and ORIF combined with acute total hip arthroplasty (THA) (combined hip procedure—CHP), have advanced considerably. Nevertheless, optimal postoperative rehabilitation and particularly weight-bearing (WB) recommendations remain controversial and inconsistent. This review aims to assess rehabilitation protocols, focusing on WB strategies following the surgical treatment of acetabular fractures in older adults. It also examines differences in WB restrictions by surgical technique (ORIF vs. CHP) and their impact on recovery, complications, reoperations, and mortality. Methods: A systematic review of PubMed, Embase, and the Cochrane Library (2006–2024) included studies involving patients aged ≥65 years treated surgically for displaced acetabular fractures. Data included WB protocols (full, partial, toe-touch), length of stay (LOS), healing, functional outcomes (mobility, Harris and Oxford Hip Scores), complications, reoperations, delayed THA, compliance, readmission, and mortality. Due to heterogeneity, findings were narratively synthesized. Risk of bias was assessed using ROBINS-I and RoB2. Results: Twenty studies involving 929 patients (530 isolated ORIF, 399 CHP) were analyzed. The overall mean follow-up was 3.5 years (range: 1–5.25 years). Postoperative WB protocols were reported in 19 studies (95%). Immediate full WB was permitted in 0% of isolated ORIF studies (0/13), with partial WB recommended by 62% (8/13) for durations typically between 6 and 12 weeks. On the other hand, immediate full WB was allowed in 53% (9/17) of CHP studies. Functional outcomes were moderate following isolated ORIF (mean HHS: 63–82 points), with delayed THA conversion rates ranging from 16.5% to 45%. CHP demonstrated superior functional outcomes (mean HHS: 70–92 points), earlier independent ambulation, and higher patient satisfaction (74–90%), yet increased orthopedic complications, including dislocations (8–11%) and implant loosening (up to 18%). LOS varied from 12 to 21 days (mean 16 days) for isolated ORIF and from 8 to 25 days (mean 17 days) for CHP. Readmission within 30 days was not explicitly reported in any study. Mortality at 1 year varied significantly (ORIF: 0–25%; CHP: 0–14%), increasing markedly at long-term follow-up (up to 42% ORIF, up to 70% CHP at five years). Compliance with WB restrictions was monitored in only two studies (11%). Conclusions: Postoperative rehabilitation after acetabular fracture surgery in older adults remains inconsistent and lacks standardization. Combining ORIF with acute THA may enable earlier weight-bearing and improved short-term function but carries risks such as dislocation and implant loosening. In contrast, isolated ORIF avoids these implant-related complications but often requires prolonged weight-bearing restrictions. Robust evidence is still missing. Future trials are essential to establish standardized protocols that balance mechanical protection and functional recovery. Full article

In addition to architecture and infrastructure, urban outdoor advertising also shapes urban visual identity, serving as a prominent carrier of public information and visual stimuli. However, excessive or poorly designed advertisements disrupt the cityscape and contribute to visual pollution and cognitive overload. Leveraging computer-based eye tracking, this study examines the visual and cognitive effects of outdoor advertising designs within urban contexts. Key eye-tracking metrics, including total fixation duration, fixation count, time to first fixation, and first fixation duration, are measured to analyze the influence of various variables on visual attention and user experience, such as color contrast, text complexity, information hierarchy, and spatial layout. The findings reveal that high-contrast, text-heavy designs hinder visual flow and increase mental effort, while visually balanced layouts improve legibility and reduce cognitive burden. These results offer actionable insights for optimizing urban visual identity and enhancing the clarity, comfort, and coherence of outdoor advertising. By integrating perceptual data into urban design strategies, this research provides a data-driven approach to smarter, more human-centered advertising management and urban aesthetic governance. Full article