bluuebunny/crossref_metadata_2025 huggingface dataset:
Operating Renewable Energy Communities to Reduce Power Peaks in the Distribution Grid: An Analysis on Grid-Friendliness, Different Shares of Participants, and Economic Benefits
Authors: Sudhoff Robin , Schreck Sebastian , Thiem Sebastian , Niessen Stefan
Published: July 2022

Improving the control of flexible assets in distribution grids, e.g., battery storages, electric vehicle charging points, and heat pumps, can balance power peaks caused by high renewable power generation or load to prevent overloading the grid infrastructure. Renewable energy communities, introduced as part of the recast of the Renewable Energy Directive, provide a regulatory framework for this. As a multi-site energy management method, they can tap flexibility potential. The present work quantifies stimulus for renewable energy communities to incentivize the grid-friendly operation of flexible assets, depending on the shares of participants in rural, suburban, and urban grid topologies. Results indicate that an operation of the community, driven by maximizing the economic benefits of its members, does not clearly reduce the annual peak load at the low-voltage substation, while the operation strategy of a grid-friendly renewable energy community achieves a peak power reduction of 23–55%. When there is not full participation, forecasts of the residual load of non-participants provided by the distribution system operator can be considered in the optimization of the renewable energy community. For all simulation cases, the economic benefit between the two operation strategies differs by less than one percent, resulting in a very low additional incentive required for grid-friendliness in terms of reduced peak power. Thus, grid-friendly renewable energy communities might be a cost-effective way to defer future grid reinforcements.
Electrification of Chemical Engineering: A New Way to Intensify Chemical Processes
Authors: Meloni Eugenio
Published: July 2022

The increasing use of fossil fuels as an energy source has resulted in a serious problem regarding two of their main drawbacks: (i) the exhaustion of these resources and (ii) the greenhouse gas (GHG) emissions associated with their use [...]
Sensorless Control Strategy of Novel Axially Magnetized Vernier Permanent-Magnet Machine
Authors: Xu Bowen , Ma Jien , Wu Qiyi , Qiu Lin , Liu Xing , Luo Chao , Fang Youtong
Published: July 2022

Vernier permanent-magnet machines have been attracted more and more attention because of their high torque density. In this paper, the sensorless control strategy of the novel axially magnetized Vernier permanent-magnet (AMVPM) machine is presented. First, the inductance non-linearity is investigated under different load conditions. Second, the mathematical model is established in cooperation with the finite element method. After that, the back electromotive force based sensorless control strategy is developed according to the state equation of the motor. In the sensorless drive, the model reference adaptive system (MRAS) technique incorporated with the inductance non-linearity is used for the speed estimation. The modified control strategy not only increases the stability but also improves the dynamic response of the system. Finally, the simulation results show that the modified MRAS is of high estimation precision, and the AMVPM machine can be well controlled, and the experimental results validated the theoretical design process.
The Effect of Urban Form on the Heat Island Phenomenon and Human Thermal Comfort: A Comparative Study of UAE Residential Sites
Authors: Elkhazindar Ayat , Kharrufa Sahar N. , Arar Mohammad S.
Published: July 2022

The Urban Heat Island (UHI) has a detrimental impact on human thermal comfort and the health of city dwellers through raising average temperatures. Urban geometry is one of the factors that affect the intensity of the UHI phenomena. The purpose of this research is to evaluate and compare traditional vs. modern urban forms with respect to temperature and thermal comfort in the United Arab Emirates. Three of each were chosen based on their densities and form. Traditional buildings in the UAE differ from others in the Middle East in that they are primarily single-story, while in the surrounding countries of the region, such as Iran, Iraq, and Saudi Arabia, they are mainly two stories. The UAE climate also has its distinct characteristics. Each configuration was investigated using the ENVI-met urban microclimate simulation software. The comparisons were made for three seasons: summer, winter, and spring. Each configuration was evaluated through four parameters: building shape, street geometry, orientation, and urban density. The results revealed that the low-density traditional urban form exhibited the lowest air temperature in August because it has a low sky view factor (SVF), high height-to-width ratio, and less density. The highest ambient temperature was observed in the sites with low-medium density, lowest height/width ratio, and maximum SVF. The high-density modern urban form displayed lower air temperatures in the summer season than the low and low-medium-density modern urban sites due to the building form, high height-to-width ratio, low SVF, and wind corridors. The traditional compact urban form in Al Fahidi, which has the highest urban density of the six configurations, achieved the best thermal comfort levels in the summer due to the sizable height-to-width ratio and lowest SVF.
Novel Gas Turbine Challenges to Support the Clean Energy Transition
Authors: Farhat Hiyam , Salvini Coriolano
Published: July 2022

The ongoing energy transformation, which is fueled by environmentally cautious policies, demands a full synergy with existing back-up gas turbines (GTs). Renewable energy sources (RESs), such as wind and solar, are intermittent by nature and present large variations across the span of the day, seasons, and geographies. The gas turbine is seen as an essential part of the energy transition because of its superior operational flexibility over other non-renewable counterparts, such as hydro and nuclear. Besides the technical aspects, the latter are less popular due to controversies associated with safety, ecological, and social aspects. GTs can produce when required and with acceptable reaction times and load ranges. This allows a balance between the energy supply and demand in the grid, mitigating the variations in RESs. The increased cycling due to operational flexibility has adverse effects on GT components and the unit efficiency. The latter dictates how well GTs make use of the burned fuel and influence the emissions per energy unit. This paper investigates these aspects. First, it presents the effects of increased penetration of renewable energy sources (RESs) into the grid. Second, it defines the new operation requirements including more dynamic load regimes, the provision for high occurrences of starts and stops, continuous and variant load cycling operations, extended partial loading or stand-by, and other conditions not foreseen under the classic baseload or cyclic operations. Finally, it proposes the overhauling of the present GT inspection and lifing criteria to meet the new role of GTs.
Fault Detection and Classification in Transmission Lines Connected to Inverter-Based Generators Using Machine Learning
Authors: Al Kharusi Khalfan , El Haffar Abdelsalam , Mesbah Mostefa
Published: July 2022

Integrating inverter-based generators in power systems introduces several challenges to conventional protection relays. The fault characteristics of these generators depend on the inverters’ control strategy, which matters in the detection and classification of the fault. This paper presents a comprehensive machine-learning-based approach for detecting and classifying faults in transmission lines connected to inverter-based generators. A two-layer classification approach was considered: fault detection and fault type classification. The faults were comprised of different types at several line locations and variable fault impedance. The features from instantaneous three-phase current and voltages and calculated swing-center voltage (SCV) were extracted in time, frequency, and time–frequency domains. A photovoltaic (PV) and a Doubly-Fed Induction Generator (DFIG) wind farm plant were the considered renewable resources. The unbalanced data problem was investigated and mitigated using the synthetic minority class oversampling technique (SMOTE). The hyperparameters of the evaluated classifiers, namely decision trees (DT), Support Vector Machines (SVM), k-Nearest Neighbors (k-NN), and Ensemble trees, were optimized using the Bayesian optimization algorithm. The extracted features were reduced using several methods. The classification performance was evaluated in terms of the accuracy, specificity, sensitivity, and precision metrics. The results show that the data balancing improved the specificity of DT, SVM, and k-NN classifiers (DT: from 99.86% for unbalanced data to 100% for balanced data; SVM: from 99.28% for unbalanced data to 99.93% for balanced data; k-NN: from 99.64% for unbalanced data to 99.74% for balanced data). The forward feature selection combined with the Bag ensemble classifier achieved 100% accuracy, sensitivity, specificity, and precision for fault detection (binary classification), while the Adaboost ensemble classifier had the highest accuracy (99.4%), compared to the other classifiers when using the complete set of features. The classification models with the highest performance were further tested using a new dataset test case. They showed high detection and classification capabilities. The proposed approach was compared with the previous methodologies from the literature.
Review on Floating Offshore Wind Turbine Models for Nonlinear Control Design
Authors: Basbas Hedi , Liu Yong-Chao , Laghrouche Salah , Hilairet Mickaël , Plestan Franck
Published: July 2022

This article proposes a review of the modeling approaches for floating offshore wind turbines (FOWTs) for nonlinear control design. The aerodynamic, hydrodynamic and mooring line dynamic modules for the FOWT have been reviewed to provide an overview of several modeling approaches with their respective features. Next, three control-oriented models from the literature are revisited by presenting their methodological approaches to modeling and identification. These three models cover the three most popular types of FOWTs. Then, the performances of these models are validated with the open fatigue, aerodynamics, structures, and turbulence (OpenFAST) code, and their performances are evaluated according to several criteria. Finally, one of the three models is used to illustrate a nonlinear second-order sliding mode control based on the twisting algorithm to optimize the performance of the FOWT in terms of energy extraction and reduction in the platform pitch oscillation.
A Theoretical Investigation on the Physical Properties of Zirconium Trichalcogenides, ZrS3, ZrSe3 and ZrTe3 Monolayers
Authors: Mortazavi Bohayra , Shojaei Fazel , Yagmurcukardes Mehmet , Makaremi Meysam , Zhuang Xiaoying
Published: July 2022

In a recent advance, zirconium triselenide (ZrSe3) nanosheets with anisotropic and strain-tunable excitonic response were experimentally fabricated. Motivated by the aforementioned progress, we conduct first-principle calculations to explore the structural, dynamic, Raman response, electronic, single-layer exfoliation energies, and mechanical features of the ZrX3 (X = S, Se, Te) monolayers. Acquired phonon dispersion relations reveal the dynamical stability of the ZrX3 (X = S, Se, Te) monolayers. In order to isolate single-layer crystals from bulk counterparts, exfoliation energies of 0.32, 0.37, and 0.4 J/m2 are predicted for the isolation of ZrS3, ZrSe3, and ZrTe3 monolayers, which are comparable to those of graphene. ZrS3 and ZrSe3 monolayers are found to be indirect gap semiconductors, with HSE06 band gaps of 1.93 and 1.01 eV, whereas the ZrTe3 monolayer yields a metallic character. It is shown that the ZrX3 nanosheets are relatively strong, but with highly anisotropic mechanical responses. This work provides a useful vision concerning the critical physical properties of ZrX3 (X = S, Se, Te) nanosheets.
A Design Methodology for Dual-Mode Electro-Mechanical Transmission Scheme Based on Jointing Characteristics
Authors: Li Xueliang , Kang Xinyu , Ba Xin , Peng Zengxiong , Yang Shujun , Zhao Zhifu
Published: July 2022

Electro-mechanical transmission is the best choice for the transmission system of military, engineering and other heavy special vehicles. The scheme design is fundamental and key to realize the original innovation of the electro-mechanical transmission. Therefore, a novel design method of a planetary-gear scheme is proposed for electro-mechanical transmission. According to the distribution of mechanical points and the speed continuous condition of mode switching, the mode combination law of a dual-mode electro-mechanical transmission is obtained, i.e., the input split mode based on the scheme of three-degree-of-freedom (3-DOF) and the compound split mode based on the scheme of 2-DOF. Moreover, a design method for an electro-mechanical transmission scheme is proposed based on the mode combination law. Two single-mode schemes are combined to form a dual-mode scheme, and then mode jointing, control logic, isomorphism and other screening conditions are in turn used to screen schemes; therefore, two optimized schemes are obtained ultimately. Lastly, by analyzing the characteristics of speed, torque and the power split of the optimized schemes, the accuracy of the proposed design method in this paper is verified. The proposed design method can provide new ideas of designing multi-mode and multi-output electro-mechanical transmission schemes.
Advances in Leakage Control and Energy Consumption Optimization in Drinking Water Distribution Networks
Authors: Ortega-Ballesteros Andrés , Muñoz-Rodríguez David , Perea-Moreno Alberto-Jesus
Published: July 2022

Water is an essential element for life [...]
A Numerical Study on the Performance Evaluation of a Semi-Type Floating Offshore Wind Turbine System According to the Direction of the Incoming Waves
Authors: Ahn Hyeonjeong , Ha Yoon-Jin , Cho Su-gil , Lim Chang-Hyuck , Kim Kyong-Hwan
Published: July 2022

In this study, the performance evaluation of a semi-type floating offshore wind turbine system according to the direction of the incoming waves is investigated. The target model in this this study is a DTU 10 MW reference wind turbine and a LIFES50+ OO-Star Wind Floater Semi 10 MW, which is the semisubmersible platform. Numerical simulation is performed using FAST developed by National Renewable Energy Laboratory (NREL), which is an aero-hydro-servo-elastic fully coupled simulation tool. The analysis condition used in this study is the misalignment condition, which is the wind direction fixed at 0 degree and the wave direction changed at 15 degrees intervals. In this study, two main contents could be confirmed. First, it is confirmed that sway, roll, and yaw motions occur even though the direction of the incoming waves is 0 degree. The cause of the platform’s motion such as sway, roll and yaw is the turbulent wind and gyroscope phenomenon. In addition, the optimal value for the nacelle–yaw angle that maximizes the rotor power and minimizes the tower load is confirmed by solving the multiobjective optimization problem. These results show the conclusion that setting the initial nacelle–yaw angle can reduce the tower load and get a higher generator power. Second, it is confirmed that the platform’s motion and loads may be underestimated depending on the interval angle of incidence of the wind and waves. In particular, through the load diagram results, it is confirmed that most of the results are asymmetric, and the blade and tower loads are especially spiky. Through these results, the importance of examining the interval angle of incidence of the wind and waves is confirmed. Unlike previous studies, this will be a more considerable issue as turbines become larger and platforms become more complex.
Analysis of the Thermal Conductivity of a Bio-Based Composite Made of Hemp Shives and a Magnesium Binder
Authors: Kubiś Michał , Łapka Piotr , Cieślikiewicz Łukasz , Sahmenko Genadijs , Sinka Maris , Bajare Diana
Published: July 2022

The evolution of bio-based composites in the building industry is strongly linked with the growing demand for sustainable development, which is relevant nowadays. Hemp shives are a large group of organic residues that are obtained in the process of oil extraction as well as straw processing. These residues could be utilized along with a binder as constituents in the manufacture of bio-based building composites. This study is focused on the impact of density and relative humidity on the effective thermal conductivity of hemp shive-based bio-composites with a magnesium binder. For this reason, a series of samples with variable densities was manufactured and subjected to conditioning in a climatic chamber at a constant temperature and different relative humidity settings. As soon as samples were stabilized, the guarded hot plate method was applied to determine their thermal conductivities. Before each measurement, great care was taken during sample preparation to ensure minimum moisture loss during long-lasting measurements. The results showed that an increase in sample density from 200 kg/m3 to 600 kg/m3 corresponded to up to a three-fold higher composite thermal conductivity. In the case of sample conditioning, a change in relative humidity from a very low value to 90% also resulted in almost 60% average higher thermal conductivity.
Post-Processing for Shadow Detection in Drone-Acquired Images Using U-NET
Authors: Zali Siti-Aisyah , Mat-Desa Shahbe , Che-Embi Zarina , Mohd-Isa Wan-Noorshahida
Published: July 2022

Shadows in drone images commonly appear in various shapes, sizes, and brightness levels, as the images capture a wide view of scenery under many conditions, such as varied flying height and weather. This property of drone images leads to a major problem when it comes to detecting shadow and causes the presence of noise in the predicted shadow mask. The purpose of this study is to improve shadow detection results by implementing post-processing methods related to automatic thresholding and binary mask refinement. The aim is to discuss how the selected automatic thresholding and two methods of binary mask refinement perform to increase the efficiency and accuracy of shadow detection. The selected automatic thresholding method is Otsu’s thresholding, and methods for binary mask refinement are morphological operation and dense CRF. The study shows that the proposed methods achieve an acceptable accuracy of 96.43%.
Physical Activity and Ecological Means of Transport—Functional Assessment Methodology
Authors: Bęczkowska Sylwia Agata , Grabarek Iwona , Zysk Zuzanna , Gosek-Ferenc Katarzyna
Published: July 2022

Medical developments have led to lower mortality rates but have increased the proportion of people with disabilities or mobility dysfunctions. A higher level of awareness of the general need to perform physical activity, in different spheres of life and at any age, is necessary. A device produced in response to the growing need of supporting active participation in activities of daily life is the Torqway. The aim of this research conducted at the Faculty of Transport, Warsaw University of Technology, was to evaluate the kinematic of users’ upper and lower body muscles motion while riding the tested device. The research was carried out using the MyoMotion system on a stand designed for the purpose of the experiment. Analysis of the results showed a high level of activity in the muscles of the upper limbs, demonstrating that the device can be used to train muscle strength and mass, prevent muscle atrophy, improve the elasticity of periarticular soft tissues and improve the action of the muscle pump (increasing blood flow to the muscles and, with it, the flow of oxygen and nutrients, which promotes the development and subsequent regeneration of muscles). The device can not only serve as a form of recreation but also be used to promote convalescence.
Ultra-Orthodox Nursing Students’ Cultural Challenges Inside and Outside Their Community during the COVID-19 Pandemic
Authors: Genut Sara , Bachner Yaacov G. , Orr Zvika , Finkelstein Adi
Published: July 2022

In line with findings that nurses from minority groups have an important role in making health services accessible to their community, our study aimed to identify the challenges ultra-Orthodox Jewish nurses faced during COVID-19 in their encounters with patients and health staff from other communities, as well as their own community. The ultra-Orthodox community is a highly religious group that maintains isolation from general society, a phenomenon that affected its member experiences during COVID-19. Our research followed sequential explanatory mixed methods. The quantitative phase included a questionnaire completed by 235 female students (111 ultra-Orthodox and 124 non-ultra-Orthodox), followed by a qualitative phase, which included six focus-groups (n = 15). The quantitative analysis showed that the ultra-Orthodox students felt a higher sense of responsibility toward their community. They used their authority and knowledge to guide their community during the pandemic. The qualitative analysis identified two themes expressed as challenges ultra-Orthodox nursing students encountered within their community and with other sections of Israeli society. Our research shows the important role that transcultural nurses play in mediating updated health information otherwise inaccessible to their community, especially in times of crises. It is important to address dilemmas this group faces inside and outside their respective communities.
Influence of the Corporate Image of Nursing Homes on the Loyalty of Residents’ Family Members
Authors: Nadales Rodríguez Daniel , Bermúdez-González Guillermo , Soler-García Ismael Pablo
Published: July 2022

This study analyzes the influence of the corporate image of nursing homes on the decisions made by family members as to whether their elderly relatives will stay in the same nursing home. An empirical study was conducted considering 566 residents’ family members with the capacity to decide whether said residents will remain in the same nursing home, using a binary regression model with a logistic link function (i.e., logit). For the first time in the nursing home sector, these results show the specific variables of the corporate image that influence family members when deciding whether their elders will stay in the same nursing home. In order of importance, these variables are the level of trust conveyed by the nursing home, the investment made in the facilities, price-quality ratio, emotional connection to the nursing home, and the promotion of the nursing home’s services. The study also highlights the importance of other personal factors in family members’ decisions to keep their elders in the same nursing home, such as the family members’ employment situations (higher loyalty among those employed by third parties) and the determining factors involved in the relative’s choice of nursing home (higher loyalty among those whose choice was mainly based on humane and dignified treatment). This study offers a discussion of the theoretical contributions this research brings to academia as well as managerial implications for the industry. We believe that one future line of research should be continued after the COVID-19 pandemic comes to an end to compare the results and observe whether the most influential variables on family members’ loyalty remain the same as data for this study was collected from November 2019 to February 2020.
Health Behavior Changes during the COVID-19 Pandemic: A Longitudinal Analysis among Children
Authors: Bekelman Traci A. , Dong Yanan , Elliott Amy J. , Ferrara Assiamira , Friesen Kaylyn , Galarce Maren , Gilbert-Diamond Diane , Glueck Deborah H. , Hedderson Monique M. , Hockett Christine W. , Karagas Margaret R. , Knapp Emily A. , Lucchini Maristella , McDonald Julia C. , Sauder Katherine A. , Dabelea Dana
Published: July 2022

This longitudinal study compared children’s health behaviors before the COVID-19 pandemic versus during the pandemic. This analysis examined the association between individual-level characteristics and health behavior change. Four prospective cohort studies in the Environmental influences on Child Health Outcomes (ECHO) Program contributed data. Children aged 4–12 years and their caregivers were recruited in California, Colorado, North Dakota, and New Hampshire. Dietary intake, physical activity, screen time, and sleep duration were assessed with questionnaires pre-pandemic and during the pandemic. The final sample included 347 children: 47% female and 62% non-Hispanic White. Compared with pre-pandemic, weekday screen time duration was higher during the pandemic (3.0 vs. 4.5 h, p < 0.001). Unadjusted increases in screen time duration differed by race and ethnicity: 1.3 h/day for non-Hispanic White children, 2.3 h/day for Hispanic children, and 5.3 h/day for non-Hispanic Black children. Overall, no changes occurred in sugar-sweetened beverage (SSB) intake (p = 0.26), discretionary food intake (p = 0.93), and physical activity (p = 0.15). Sleep duration increased by 30 min among children who did not meet sleep recommendations pre-pandemic. Child sex and maternal education level were not associated with health behavior change. The pandemic may have exacerbated disparities in some health behaviors. Families may need support to re-establish healthy routines.
Five-Year Trend in Adherence Rate to Aerobic Physical Activity Guidelines among Korean Adults in Metropolitan Cities: 2016–2020 Korea Community Health Survey
Authors: Lee Hyo , Vitiello Damien
Published: July 2022

This study investigated the five-year (2016–2020) trend in physical activity adherence rate (PAR)—before and after the onset of the COVID-19 pandemic—and its association with socioeconomic status and community environment among Korean adults. Data were analyzed from the Korea Community Health Survey 2016–2020 concerning adults (19–65 years old) living in seven metropolitan municipalities of South Korea (N = 190,761). The independent variables were socioeconomic status (household income and educational attainment) and community environment (density of physical activity facilities and social cohesion), and the dependent variable was the PAR, as measured by the International Physical Activity Questionnaire-Short Form, a recall-based subjective survey. Multilevel logistic regression models with age, sex, and body mass index as covariates were applied. The results showed that the PAR increased from 37.26% (2016) to 40.84% (2019), during the pre-COVID-19 pandemic, but it sharply decreased to 31.59% (2020) during the COVID-19 confinement (trend p < 0.001); PAR disparities were observed following socioeconomic status, as indicated by household income (trend p < 0.001) and educational attainment (trend p < 0.001). Furthermore, significant moderation effects were observed from socioeconomic status and community environment, but the direction of the effects varied by indicator and COVID-19-related confinement period. Lower educational attainment and higher income were associated with a greater decrease in PAR during the pandemic. This study shows that PAR substantively decreased in South Korea during the COVID-19 pandemic, although it had shown a steady increase through 2019. In addition, PAR disparities by socioeconomic status were found, and socioeconomic status and community environment had distinct influences on PAR trends, depending on their indicators and pre- and post-pandemic periods. Lower educational attainment is associated with greater decreases in PAR during the pandemic, suggesting the necessity for a public campaign to maintain a physically active lifestyle during such social disaster.
A Community-Based Therapeutic Education Programme for People with Alcohol Use Disorder in France: A Qualitative Study (ETHER)
Authors: Costa Marie , Barré Tangui , Antwerpes Saskia , Coste Marion , Bureau Morgane , Ramier Clémence , Maradan Gwenaelle , Riccobono-Soulier Olivier , Vassas-Goyard Stéphanie , Casanova Danielle , Carrieri Patrizia
Published: July 2022

Therapeutic patient education (TPE) aims to help people with chronic disease strengthen their empowerment and psychosocial skills to better manage their condition. Although TPE has great potential for addiction medicine, studies on its benefits for reducing alcohol-related harms and increasing empowerment are sparse. We conducted a qualitative study of people with alcohol use disorder (AUD) who participated in the community-based TPE programme Choizitaconso to assess their perceptions and experiences of it. Semi-structured interviews were conducted with 16 participants who had completed the TPE programme at least six months previously. The interviews were transcribed and analysed using a sequential thematic analysis. We identified four general themes: (1) the context of participation: the TPE programme could be a strategy to facilitate engagement in AUD care; (2) representations and experiences: the programme helped to “normalize” participants’ relationship with alcohol use by increasing empowerment; (3) TPE strengths: improved knowledge about alcohol use, self-image, weight loss, self-stigma reduction; (4) TPE limitations: difficulty putting learning into practice after the programme ended. The Choizitaconso programme met participants’ health and psychosocial expectations, strengthening their empowerment and reducing self-stigma, thereby facilitating engagement in AUD care.
Treatment and Prognosis of Oral Cancer Patients with Confirmed Contralateral Neck Metastasis: A Multicenter Retrospective Analysis
Authors: Sakamoto Yuki , Otsuru Mitsunobu , Hasegawa Takumi , Akashi Masaya , Yamada Shin-ichi , Kurita Hiroshi , Okura Masaya , Yamakawa Nobuhiro , Kirita Tadaaki , Yanamoto Souichi , Umeda Masahiro , Kojima Yuka
Published: July 2022

The prognosis of oral cancer that has metastasized to the contralateral cervical lymph nodes is poor, although the appropriate treatment method has not been established because of its rarity. A multicenter retrospective study on the treatment and prognosis of pN2c oral cancer patients was conducted. We investigated the treatment and prognosis of 62 pN2c patients out of 388 pN+ patients with oral squamous cell carcinomas. Statistical analysis was performed on the various factors with overall survival (OS) and disease specific survival (DSS). In multivariate cox regression analysis, advanced T stage was significantly correlated with poor OS (p = 0.011) and DSS (p = 0.023) of patients with pN2c neck. In pN2c patients, OS, DSS, and neck control was not different between those undergoing ipsilateral neck dissection initially and those undergoing bilateral neck dissection. Thus, contralateral elective neck dissection is not recommended. The most important risk factor for prognosis in pN2c oral cancer patients is advanced T stage. No evidence was found to recommend contralateral elective neck dissection in clinically N1/2b patients. Therefore, the indication for contralateral elective neck dissection in N1/2b patients should be carefully determined in consideration of individual conditions.
A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders
Authors: Spanakis Marios , Xylouri Ioanna , Patelarou Evridiki , Patelarou Athina
Published: July 2022

Neurological physiotherapy adopts a problem-based approach for each patient as determined by a thorough evaluation of the patient’s physical and mental well-being. Τhis work aims to provide a literature review of physical therapy interventions in the elderly with neurological diseases (NDs) and discuss physiotherapy procedures and methods that utilize cutting-edge technologies for which clinical studies are available. Hence, the review focuses on acute NDs (stroke), deteriorating NDs (Parkinson’s disease), and age-related cognitive impairment. The most used physiotherapy procedures on which clinical data are available are balance and gait training (robot-assisted or not), occupational therapy, classical physiotherapy, walking and treadmill training, and upper limb robot-assisted therapy. Respectively, the most often-used equipment are types of treadmills, robotic-assisted equipment (Lokomat® and Gait Trainer GT1), and portable walkway systems (GAITRite®), along with state-of-the-art technologies of virtual reality, virtual assistants, and smartphones. The findings of this work summarize the core standard tools and procedures, but more importantly, provide a glimpse of the new era in physiotherapy with the utilization of innovative equipment tools for advanced patient monitoring and empowerment.
Fatigue and Arousal Modulations Revealed by Saccade and Pupil Dynamics
Authors: Chen Jui-Tai , Kuo Ying-Chun , Hsu Tzu-Yu , Wang Chin-An
Published: July 2022

Saccadic eye movements are directed to the objects of interests and enable high-resolution visual images in the exploration of the visual world. There is a trial-to-trial variation in saccade dynamics even in a simple task, possibly attributed to arousal fluctuations. Previous studies have showed that an increase of fatigue level over time, also known as time-on-task, can be revealed by saccade peak velocity. In addition, pupil size, controlled by the autonomic nervous system, has long been used as an arousal index. However, limited research has been done with regards to the relation between pupil size and saccade behavior in the context of trial-to-trial variation. To investigate fatigue and arousal effects on saccadic and pupillary responses, we used bright and emotional stimuli to evoke pupillary responses in tasks requiring reactive and voluntary saccade generation. Decreased voluntary saccade peak velocities, reduced tonic pupil size and phasic pupillary responses were observed as time-on-task increased. Moreover, tonic pupil size affected saccade latency and dynamics, with steeper saccade main sequence slope as tonic pupil size increased. In summary, saccade dynamics and tonic pupil size were sensitive to fatigue and arousal level, together providing valuable information for the understanding of human behavior.
Flexibility of Ballet Dancers in COVID-19 Pandemic: A Prospective Observational Study in Portugal
Authors: Batista Amanda , Neto Elmiro , Branquinho Luís , Ferraz Ricardo , Ribeiro Joana , Forte Pedro , Ávila-Carvalho Lurdes
Published: July 2022

The aim of this study was to verify how dancers’ flexibility work has developed during confinement through four assessment moments: before, during (two times), and after the lockdown period. The sample was formed by 18 dancers from the Porto Dance Conservatory (Portugal) with an average age of 11.4 ± 1.4 years and 1.4 ± 0.7 years of experience. To assess the passive and active flexibility level, we used seven of the International Gymnastics Federation’s recommended tests using main joints (i.e., hips and spine). The first evaluation was performed before the pandemic situation began in a training environment, and the second and third evaluation were performed during the lockdown, in home environment, and in virtual trainings. Finally, the last evaluation was carried out in a training environment after returning to face-to-face activities and with several rules such a social distancing and mask use. The results showed that significant improvements were verified in the flexibility level of the dancers from the first to the fourth moment of evaluation. In the current study, no statistical significance was noted for the decreased values of functional asymmetry between the preferred and non-preferred lower limbs. These differences may have substantial relevance for dancers’ harmonious body development.
Solo Fathers and Mothers: An Exploration of Well-Being, Social Support and Social Approval
Authors: Jones Catherine , Zadeh Sophie , Jadva Vasanti , Golombok Susan
Published: July 2022

Research has begun to explore the experiences of single mothers by choice who choose to start a family alone and do so using donated gametes. However, very little is known about the experiences of single fathers by choice, and even less is known about how their experiences might compare to mothers in the same position. This exploratory study of single mothers (n = 19) and fathers (n = 17) by choice examined mental health and social support among mothers who used sperm donation, and fathers who used egg donation and surrogacy, to become parents. Data relating to their reasoning for pursuing solo parenthood, mental health, and social support were analyzed quantitatively. To further explore fathers’ experiences of being a solo parent, a thematic analysis was conducted exploring their descriptions of social responses to their family type. Regarding parental mental health, no statistically significant differences were found between mothers and fathers, and both groups of parents had sought out supportive networks, both before becoming a parent, and as a single parent. Fathers’ responses indicated that they received both supportive and negative reactions, although they generally perceived the majority of interactions to be positive. However, frequent references made by members of the public, or by the media, to their family type being new or different served to reproduce social scripts about normative family types. The study findings, despite the small sample size, contribute to a new understanding of the well-being and experiences of both mothers and fathers who choose to start their family and parent alone.
Assessing the Dynamic Outcomes of Containment Strategies against COVID-19 under Different Public Health Governance Structures: A Comparison between Pakistan and Bangladesh
Authors: Zhang Weiwei , Huggins Thomas , Zheng Wenwen , Liu Shiyong , Du Zhanwei , Zhu Hongli , Raza Ahmad , Tareq Ahmad Hussen
Published: July 2022

COVID-19 scenarios were run using an epidemiological mathematical model (system dynamics model) and counterfactual analysis to simulate the impacts of different control and containment measures on cumulative infections and deaths in Bangladesh and Pakistan. The simulations were based on national-level data concerning vaccination level, hospital capacity, and other factors, from the World Health Organization, the World Bank, and the Our World in Data web portal. These data were added to cumulative infections and death data from government agencies covering the period from 18 March 2020 to 28 February 2022. Baseline curves for Pakistan and Bangladesh were obtained using piecewise fitting with a consideration of different events against the reported data and allowing for less than 5% random errors in cumulative infections and deaths. The results indicate that Bangladesh could have achieved more reductions in each key outcome measure by shifting its initial lockdown at least five days backward, while Pakistan would have needed to extend its lockdown to achieve comparable improvements. Bangladesh’s second lockdown appears to have been better timed than Pakistan’s. There were potential benefits from starting the third lockdown two weeks earlier for Bangladesh and from combining this with the fourth lockdown or canceling the fourth lockdown altogether. Adding a two-week lockdown at the beginning of the upward slope of the second wave could have led to a more than 40 percent reduction in cumulative infections and a 35 percent reduction in cumulative deaths for both countries. However, Bangladesh’s reductions were more sensitive to the duration of the lockdown. Pakistan’s response was more constrained by medical resources, while Bangladesh’s outcomes were more sensitive to both vaccination timing and capacities. More benefits were lost when combining multiple scenarios for Bangladesh compared to the same combinations in Pakistan. Clearly, cumulative infections and deaths could have been highly impacted by adjusting the control and containment measures in both national settings. However, COVID-19 outcomes were more sensitive to adjustment interventions for the Bangladesh context. Disaggregated analyses, using a wider range of factors, may reveal several sub-national dynamics. Nonetheless, the current research demonstrates the relevance of lockdown timing adjustments and discrete adjustments to several other control and containment measures.
Physiotherapeutic Scoliosis-Specific Exercise Methodologies Used for Conservative Treatment of Adolescent Idiopathic Scoliosis, and Their Effectiveness: An Extended Literature Review of Current Research and Practice
Authors: Seleviciene Vaiva , Cesnaviciute Aiste , Strukcinskiene Birute , Marcinowicz Ludmiła , Strazdiene Neringa , Genowska Agnieszka
Published: July 2022

Due to the multifactorial etiology of scoliosis, a comprehensive treatment plan is essential for conservative management. Physiotherapeutic scoliosis-specific exercise (PSSE) methods have lately gained popularity for the conservative treatment of scoliosis. The aim of this study was to analyze the PSSE methodologies used for conservative treatment of adolescent idiopathic scoliosis (AIS), as well as their effectiveness. The study was based on an extended literature search conducted in the PubMed, Google Scholar, PEDro, eLABA, and BioMed Central databases. A total of 123 articles were selected for this study (including articles overviewed in systematic reviews and meta-analyses) after applying the inclusion criteria. The study revealed that inappropriate management of AIS could result in serious health problems. Conservative interventions that aid in stabilizing spine curvature and improving esthetics are preferred for scoliosis treatment. Bracing has traditionally been the mainstay of treatment, but growing evidence suggests that PSSE physiotherapy allows effective management of idiopathic adolescent scoliosis. Currently, there are the following PSSE physiotherapy schools in Europe: Schroth, SEAS, BSPTS, FED, FITS, Lyon, Side Shift, and DoboMed. The methodologies of these schools are similar, in that they focus on applying corrective exercises in three planes, developing stability and balance, breathing exercises, and posture awareness. Although high-quality research supporting the effectiveness of PSSE physiotherapy in the treatment of AIS is lacking, existing evidence indicates that PSSE physiotherapy helps to stabilize spinal deformity and improve patients’ quality of life. Among the abovementioned methodologies, Schroth is the most widely studied and has been proven to be effective. However, both SEAS and BSPTS effectively stabilize and even reduce the Cobb angle of scoliosis. Data supporting the validity of other methodologies are very limited. Only the Schroth method significantly reduces the angle of trunk rotation, while both SEAS and Schroth methods greatly improve the quality of life indicators. In any case, the available evidence is insufficient to confirm the advantage of one specific physiotherapy technique over others.
Aging and Family Relationships among Aymara, Mapuche and Non-Indigenous People: Exploring How Social Support, Family Functioning, and Self-Perceived Health Are Related to Quality of Life
Authors: Gallardo-Peralta Lorena Patricia , Sanchez-Moreno Esteban , Herrera Soledad
Published: July 2022

Family relationships play a central role in wellbeing among older adults in Chile. Based on the theory of social production functions, this study examined the relationship between perceived social support from children, partners and relatives, family functioning, self-perceived health and quality of life (QoL) among Chilean older adults. The study used a multi-ethnic sample of Chilean older adults living in rural areas in the regions of Arica and Parinacota (north) and Araucanía (south). A model was analyzed that emphasizes relationships differentiated by the source of support, family functioning and self-perceived health in the explanation of QoL. The results obtained from the structural equation modelling (SEM) analysis showed the existence of indirect relationships of social support from children, partners and other family members via family functioning, while self-perceived health was directly associated with QoL. The findings indicate that family functioning is a main variable in the contrasted model, in addition to confirming the importance of distinguishing the role of the various sources of support. Research is needed to examine in detail intergenerational relationships and other relationships with family members who are significant in the wellbeing of older adults. This research corroborates that family relationships have a specificity that needs to be addressed in gerontological social intervention, as well as continuing along the lines of strengthening or improving existing family ties (more quality) over the quantity of social relationships.
Physical Activity Behavior, Motivation and Active Commuting: Relationships with the Use of Green Spaces in Italy
Authors: Grigoletto Alessia , Loi Alberto , Maietta Latessa Pasqualino , Marini Sofia , Rinaldo Natascia , Gualdi-Russo Emanuela , Zaccagni Luciana , Toselli Stefania
Published: July 2022

Many benefits of physical activity (PA) are observed with weekly average volumes of 150–300 min at moderate intensity. Public parks may be an attraction for many people living in the city and could help to achieve the recommended dose of PA. The present study aims to understand the motivation that drives people to a park and evaluate the amount of PA practiced by park-goers. A questionnaire was anonymously administered to 383 voluntary visitors to the Arcoveggio park (Bologna), aged 18–70 years. Sixty-one percent of participants practiced outdoor PA. Differences in park use between sexes and age groups were found. PA was higher in men than in women and in the 18–30 age group than in other age groups. Most participants travelled to the park in an active way (86.4%), resulting in easier attainment of the recommended amount of PA (64.5%). The main motivations for using the park were related to relaxation, performing PA, or both. According to a multiple regression model, the time per week spent at the park, the method of getting there, and the kind of PA were significant explanatory variables of the amount of PA practiced. In particular, the highest number of minutes of PA was achieved by those who travelled to the park by running, while those using vehicles presented the lowest number. All initiatives to promote active commuting and activities in the urban park represent an important strategy to improve health, supporting adults to lead an active lifestyle.
Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults
Authors: Wang Jin , Liu Nan , Zhao Xiaoguang
Published: July 2022

Cognitive decline in older adults is a major public health threat. This study aimed to explore the association of participation in cards or mahjong with cognitive function in older adults. A total of 7308 older adults were selected from the 2018 Chinese Longitudinal Healthy Longevity Survey. A modified Mini-Mental State Examination (MMSE) was used to assess cognitive function. The participants were classified according to the frequency of playing cards or mahjong into the “regularly” (R) group, “occasionally” (O) group, or “never” (N) group. The results showed that older persons in the R group and O group had better cognitive function than those in the N group. Specifically, significant differences were found in attention and calculation, language, and total MMSE score between the R group and the N group. However, significant differences were not observed for adults aged 60–69 years old. Regression analysis indicated that playing cards or mahjong, together with age, educational level, sex, marital status, and occupation before age 60 could explain the cognitive function. The findings suggest that there is an association between participation in cards or mahjong and cognitive function in the population of Chinese older adults, and that the frequency of participation plays an important role in the association.