Search Results (1,662)

Background and Objectives: Dry needling (DN) is a technique that involves inserting a thin filament needle through the skin to target myofascial trigger points for the treatment of musculoskeletal pain and dysfunction. Despite its efficacy in a broad plethora of musculoskeletal pain conditions, its safety remains a topic of debate among clinicians and researchers. The aim of this study was to provide an overview of the current practice of DN through a national survey, focusing on the frequency of its use and the incidence of adverse events (AEs), considering factors including physiotherapist experience, clinical workload, the extent of training received by practitioners, and the use of ultrasound guidance. Materials and Methods: An online cross-sectional survey was conducted. Respondents were licensed physical therapists (PTs) working in Spain. The survey covered demographics, professional data, frequency of adverse effects, and if they use ultrasound routinary for guiding interventions. Results: A total of 422 PTs participated in the study, mostly having 21–60 h of DN training (38.6%), less than 2 years of experience (36%), and not using ultrasound during the interventions (85.5%). Post-needling soreness and bent needles were the most common AEs, with most severe events rarely reported. Adverse event frequencies varied significantly based on training hours, experience, patient percentage treated with DN, and weekly clinical dedication. Clinicians with more hours of DN training or fewer years of experience reported higher incidences of certain complications. Conclusions: DN is a common intervention among PTs, with minor AEs frequently occurring and major AEs being less common but still significant. The accidental puncture of non-desired structures highlights the necessity for improve training on anatomical landmarks, needle insertion depth, cross-sectional anatomy education, and patient monitoring. To ensure safe practice, emphasize comprehensive training, adhere to safety protocols, exercise caution, and prioritize the use of ultrasound-guide is encouraged. Full article

Neotropical species of the genus Fannia remain poorly known despite their potential collection as biological evidence in criminal investigations. This is partly due to taxonomic difficulties and a lack of specialists. Identifying neotropical species of Fannia relies mainly on the classical morphological characters of adult males, as females show high similarity between species. Here, landmark-based geometric morphometrics of the wing could constitute an additional tool for associating adult females with conspecifics in this genus. In this study, we used a reference dataset of males belonging to ten putative species of Fannia from Colombia and molecular data to test this hypothesis. We found a strong wing shape sexual dimorphism, resulting in an almost perfect sex assignment based solely on this trait. However, the differences in wing shape between sexes were greater than those between species, making conspecific identification difficult. Our data show that wing shape could only feasibly be used for identifying adult males and females of F. lamosca, and males of F. dorsomaculata and F. pseudoconstricta. Low discrimination scores among remaining species may be partly explained by high intraspecific variation, slight wing shape differences among closely related species, or sampling bias. Although this study provides the first wing size and shape comparison among neotropical Fannia species, more samples and species are needed to validate these findings and identify the potential factors influencing this trait. Furthermore, the wing shape sexual dimorphism across Fannia species suggests different life-history strategies between sexes and possible genetic canalization mechanisms. Full article

The 19th century neo-Gothic chapel located in the Stradom district of Czestochowa, Southern Poland and built at the intersection of the main streets is a recognizable landmark of great historical value. Unfortunately, the current condition of the surroundings depreciates the charm of such a chapel, and thus does not encourage people to admire it. Therefore, in order to expose such a valuable object, we planned to create a conceptual design of a pocket park around this cultural monument. When choosing the location of any park, it is recommended to know the needs of the local residents, so we conducted a survey regarding their wishes. When designing the area, we intended to use species representing the vegetation characteristic of the Krakow–Czestochowa Upland located in Southern Poland. At the same time, we used a material typical of the area, namely limestone. Design principles around the chapel were taken into account, separating the sacred and profane zones with the intention of giving this site a unique character and creating the first urban pocket park of this kind. Full article

Background: The malar bone provides an anchorage point for zygomatic implants, avoiding invasive reconstructive surgeries in the fixed rehabilitation of fully edentulous and severely atrophic maxillae. The limited bone volume, however, requires precise implant placement to prevent complications related to nearby anatomical structures. This observational cross-sectional study aims to measure the malar and zygomatic arch bones and their distances from critical anatomical landmarks to guide surgeons in safe zygomatic implant placement. Methods: Dissections were performed bilaterally on 29 heads from human donated bodies in a cross-sectional observational study. Key landmarks evaluated include the infraorbital foramen (IF), pyriform nasal aperture (PNA), infraorbital margin (IM), zygomaticofacial foramen (ZFF), anterior end (A), and the most protruding point of the zygomatic arch (B). Measurements included IF-PNA, IF-IM, IF-ZFF, ZFF-IM, A-B, and orbital floor depth (OFD). Results: Significant findings showed IF-PNA was greater in males (18.66 ± 2.63 mm, p = 0.001), and IF-ZFF varied between sides (26.72 ± 8.7 mm, p = 0.002). ZFF-IM was larger in males (7.43 ± 2.09 mm, p < 0.001). Heights and thicknesses were also assessed, with significant side differences observed. Conclusions: These findings underscore the importance of understanding precise anatomical distances for successful implant placement. The study provides essential data to enhance surgical planning and training, ensuring safer procedures and minimizing the risk of complications. Full article

Amid global rural decline, the main approach to rural revitalization (RR) is to transform rural ecological resources into development advantages by means of ecological product value realization (EPVR). The fragility of the karst ecological environment limits the development of the karst countryside, and agroforestry is an important way to achieve the ecological protection and economic development of the karst countryside. At present, research on EPVR and RR is rapidly developing. Although there is an increasing number of publications on EPVR and RR separately, the literature on their comprehensive analysis is lacking, and how the karst agroforestry ecosystem can be improved is unclear. The objective of this is to provide an overview of the current research status and challenges of EPVR and RR in order to optimize agroforestry ecosystems in karst desertification control (KDC). This paper systematically analyzed 263 relevant articles on EPVR and RR, and the results are as follows: (1) The number of studies increased exponentially after 2017. The research has primarily focused on the relationship between EPVR and RR, as well as the EPVR and the formation mechanisms of the eco-industry and value accounting of eco-products, which account for 95.53% of the total literature. China has published the most research in this area. At the intercontinental scale, this research is mainly concentrated in East Asia, Europe, and North America. (2) The main progress and landmark achievements in the research on EPVR and RR are summarized. Four key scientific questions that need to be addressed in the future are presented. (3) The above information highlights the three key areas for improving the agroforestry ecosystem in karst desertification control (KDC): the value accounting of eco-products, EPVR, and RR. This study found that EPVR and RR can improve the karst agroforestry ecosystem and further promote rural development, providing significant insights for the overall revitalization of rural areas worldwide and the scientific control of karst desertification. Full article

Stress urinary incontinence (SUI) is a common condition in patients following radical prostatectomy (RP), which has a significant impact on all aspects of quality of life and is associated with significant social stigma. The factors that improve urinary incontinence in patients following surgery remain controversial. The aim of our narrative review was to identify and synthesise the latest evidence on pre-, intra- and post-operative factors and predictors that contribute to early continence recovery after RP. In this narrative review, primary resources were identified by searching PubMed, EMBASE and Medline, and secondary resources were collected by cross-referencing citations in the relevant articles. We started our review by searching for systematic reviews of factors and predictors that contribute to early recovery of urinary continence after RP. We then reviewed societal guidelines such as the American Urological Association and European Urological Association guidelines on male urinary incontinence. This review focuses on the pre-, intra and postoperative factors that influence postoperative SUI after RP, as well as highlighting modifications in surgical techniques that lead to early continence recovery. Increasing age, higher BMI, shorter membranous urethral length (MUL), and larger PV are independent prognostic factors for SUI within 3 months after RP. Factors such as modified surgical technique preservation of anatomical structure lead to influence postoperative early continence recovery. SUI after RP is influenced by various factors. These factors include not only anatomical landmarks and patient-related factors such as age, BMI, length of MUL and prostate volume, but also prior transurethral resection or laser enucleation of the prostate, the surgeon’s expertise, the surgical approach and NS technique. Full article

This paper introduces a classification model that detects and classifies argumentative behaviors between two individuals by utilizing a machine learning application, based on the MediaPipe Holistic model. The approach involves the distinction between two different classes based on the behavior of two individuals, argumentative and non-argumentative behaviors, corresponding to verbal argumentative behavior. By using a dataset extracted from video frames of hand gestures, body stance and facial expression, and by using their corresponding landmarks, three different classification models were trained and evaluated. The results indicate that Random Forest Classifier outperformed the other two by classifying argumentative behaviors with 68.07% accuracy and non-argumentative behaviors with 94.18% accuracy, correspondingly. Thus, there is future scope for advancing this classification model to a prediction model, with the aim of predicting aggressive behavior in patients suffering with dementia before their onset. Full article

This article delves into the advancements in indoor navigation in metro stations and describes the development and implementation of algorithms for the automatic generation of navigation guidance. The LIFT project at the Warsaw University of Technology serves as a practical example, showcasing a system designed to cater to people with special needs. This article presents a rule-based algorithm that generates navigation directions based on a trade-off between landmark references and spatial references in relation to the user’s location. The research uses a spatial data model consisting of three interconnected layers: the transport network, the room topology, and the building topography. The algorithm uses these data in subsequent stages. A defined set of rules generates redundant navigation directions for all potential decision points and then, subsequent rules filter and generalise them. To discuss the details of how the algorithm works, an example route is described in this study and the consequences of applying the selected rules are analysed. Next, a few problems that arose during the testing of the algorithm at Warsaw Metro stations are presented with proposed solutions. The results of the study made it possible to develop a mobile application, which is planned to be available to users by the end of 2024. Full article

Recent studies have demonstrated the significance of mental maps in facilitating a more comprehensive understanding of how individuals perceive and mentally represent physical spaces. It is of great importance to consider discrepancies between real and perceived environments when utilising mental maps as instruments. The objective of this paper is to examine the mental representations of Timișoara, Romania in order to identify the spatial elements (neighbourhoods, streets, landmarks, urban symbols) that are particularly salient in the respondents’ mental representations of the city. A total of 559 mental maps were conducted using GIS and quantitative methods to indicate the perceived spatial elements. The findings suggest that spatial perception is influenced by certain dimensions connected to respondents’ socio-demographic features. The findings also indicate that peripheral areas of the city are perceived as lacking memorability and attractiveness, confirming that these neighbourhoods do not fulfil the necessary functions of an urban space. It can be concluded that mental mapping serves as an efficient approach to the analysis of community–space relationships. The implications of this study are valuable for any stakeholders with activities in the city of Timisoara and contribute to sustainable, qualitative, and community-based urban planning. Full article

Objectives: The dry needling of the piriformis muscle (especially in the medial region) is a challenging procedure since there is a high risk of accidentally puncturing the sciatic nerve. This study aimed to explain the variance of the deep limit of the piriformis based on anthropometric and demographic predictors potentially associated with it by exploring if clinicians can select the optimal needle length needed accurately to avoid accidental punctures of the sciatic nerve during palpation-guided dry needling interventions. Methods: An observational study was conducted that included fifty-six patients with piriformis muscle syndrome. We recorded the skin-to-sciatic nerve distance at the location with greatest risk of accidental sciatic puncture (assessed with ultrasound imaging) and demographic (e.g., age, gender, height, weight and body mass index—BMI) and anthropometric (hip circumference) variables. Results: Thirty-four males (n = 34) and twenty-two females (n = 22) were analyzed. Although men presented a significantly greater hip circumference than women (p = 0.007), no skin-to-sciatic nerve distance differences were observed (p > 0.05). Correlation analyses revealed that the sciatic nerve’s depth is associated with weight, BMI and hip perimeter (all, p < 0.01) but not with age or height (p > 0.05). Due to shared variance and multicollinearity, the hip circumference was the only predictor included in the regression model, explaining 37.9% of the piriformis muscle’s deeper fascia depth variance (R² Adjusted = 0.379). Conclusions: Although the use of landmarks and measuring the hip perimeter may result in greater dry needling accuracy and a lower risk of adverse events derived from accidental sciatic nerve puncture, ultrasound guidance is encouraged as is the safest method for avoiding serious adverse events. Full article

Brazil’s Forest Code (FC) is a landmark law that, despite dating back to the 1930s, has low compliance. Illegal deforestation continues, and millions of hectares that were set to be reforested remain degraded. Although sector agreements such as the Amazon Soy Moratorium (ASM) have been important in the fight against deforestation, the implementation of the FC represents the key long-term strategy to halt deforestation in the soy supply chain. Here, we used datasets of the boundaries of rural properties, deforestation permits, environmental licensing, and land cover in Mato Grosso to quantify illegal deforestation and analyzed compliance with the Forest Code (FC) on soy farms to explore how loopholes in the implementation of the FC allow deforestation to continue unabated. Our analyses show that between August 2009 and July 2019, soy farms in Mato Grosso State, the largest Brazilian soy producer, were responsible for 15% (or 468.1 thousand hectares) of all land cleared in registered properties. Half of this deforestation was illegal. The FC implementation within these properties has been slow: only 11% of registered soy farms have made it to the final stage of the registration process, thus being considered fully compliant. This novel analysis reinforces that accelerating the implementation of the FC could significantly reduce deforestation and advance the restoration of illegally cleared land particularly in the Cerrado, where 50% of the original cover has already been lost, as well as in the Amazon. By achieving full compliance in the soy sector, Brazil’s position in the international market would be strengthened as a supplier of sustainably produced, deforestation-free commodities. Full article

Background: A prominent anterior tibial tuberosity (or tibial tubercle) can be seen in ongoing Osgood–Schlatter disease (OSD) in teenagers or as a sequela of OSD in adults. Current radiological methods do not provide a true anatomical assessment of the tibial tuberosity; therefore, we proposed and developed a Magnetic Resonance Imaging (MRI)-based method for measuring the anterior tibial tuberosity index, aiming to deal with the current lack of effective techniques for accurately assessing these particular morphologic features. Methods: A retrospective study included 47 knees with tibial tuberosity measurements on both true sagittal MPR images of 3D proton density (PD)-weighted MRI sequences and lateral knee radiographs. The same landmarks were followed and the anterior tibial tuberosity index (ATTI) was measured. Results: The comparison of the results obtained by the two methods demonstrates that our method is reliable and reproducible with substantial inter- and intra-observer agreement. The intraclass correlation coefficient was 0.9250 (95% CI: 0.8654 to 0.9582), indicating excellent reliability between the two methods. A strong positive correlation was also identified, with a correlation coefficient of r = 0.8746 (95% CI: 0.7845 to 0.9286, p < 0.0001) between the two methods. No significant deviation from linearity was observed by analyzing the linear model validity using the cusum test (p = 0.62). Conclusions: Based on these results, we encourage the use of 3D PD-weighted MRI sequences for the measurement of the anterior tibial tuberosity on MRI in order to avoid unnecessary exposure to ionizing radiation and potentially obtain a more accurate measurement. Future larger studies should also explore the benefit of utilizing 3D sequences over 2D lateral projections to minimize measuring bias. Full article

The accounting profession plays a crucial role in serving public interest by establishing the foundation for sustainable development and taking on social responsibility. The growing focus on sustainability practices of companies and stakeholders has also had a significant impact on the role of accounting and professional accountants. This has led to increased expectations for greater involvement in integrating sustainability into corporate decision making at every level. We used a bibliometric analysis of academic literature as a research method to identify the relationships between accounting, professional accountants, and sustainability issues (APASI). Bibliometrix R-package and VOSviewer were used to achieve the proposed objectives. This study analyzes the performance of the scientific literature, establishes the conceptual, intellectual, and social structure of research, and identifies new research directions. A period of 37 years (1987–2024) is taken into consideration, with 2556 documents and 859 sources extracted from the Web of Science database analyzed. We offer, in an original manner, descriptive statistics and relevant landmarks of the sources, authors, publications, organizations, and countries that have contributed significantly to the development of research in this field. Interested researchers have the opportunity to identify scholars for potential collaborations and valuable study resources. Full article

The autonomous landing of unmanned aerial vehicles (UAVs) relies on a precise relative 6D pose between platforms. Existing model-based monocular pose estimation methods need an accurate 3D model of the target. They cannot handle the absence of an accurate 3D model. This paper adopts the multi-view geometry constraints within the monocular image sequence to solve the problem. And a novel approach to monocular pose estimation is introduced, which jointly optimizes the target’s 3D model and the relative 6D pose. We propose to represent the target’s 3D model using a set of sparse 3D landmarks. The 2D landmarks are detected in the input image by a trained neural network. Based on the 2D–3D correspondences, the initial pose estimation is obtained by solving the PnP problem. To achieve joint optimization, this paper builds the objective function based on the minimization of the reprojection error. And the correction values of the 3D landmarks and the 6D pose are parameters to be solved in the optimization problem. By solving the optimization problem, the joint optimization of the target’s 3D model and the 6D pose is realized. In addition, a sliding window combined with a keyframe extraction strategy is adopted to speed up the algorithm processing. Experimental results on synthetic and real image sequences show that the proposed method achieves real-time and online high-precision monocular pose estimation with the absence of an accurate 3D model via the joint optimization of the target’s 3D model and pose. Full article

Rye (Secale cereale L.) genes, which contribute to the tertiary gene pool of wheat, include multiple disease resistance genes useful for the genetic improvement of wheat. Introgression lines are the most valuable materials for wheat breeding because of their small alien segments and limited or lack of linkage drag. In the present study, wheat–rye derivative lines SN21627-2 and SN21627-6 were produced via distant hybridization. A genomic in situ hybridization analysis revealed that SN21627-2 and SN21627-6 lack alien segments, while a multi-color fluorescence in situ hybridization analysis detected structural changes in both introgression lines. At the seedling and adult plant stages, SN21627-2 and SN21627-6 were highly resistant to stripe rust and powdery mildew. Primers for 86 PCR-based landmark unique gene markers and 345 rye-specific SLAF markers were used to amplify SN21627-2 and SN21627-6 genomic DNA. Eight markers specific to rye chromosome 2R were detected in both introgression lines, implying these lines carry chromosome 2R segments with genes conferring stripe rust and powdery mildew resistance. Therefore, SN21627-2 and SN21627-6 are resistant to more than one major wheat disease, making them promising bridging parents for breeding disease-resistant wheat lines. Full article