Search Results (27,509)

The present paper studies the changes that occurred in the clothing trade during the COVID-19 pandemic and the influences exerted on business management. The pandemic sped up digitalization, pushing companies to quickly adapt to new economic conditions and marking a turning point for online commerce. In the fashion sector, where consumer behavior has shifted rapidly and digital technologies have transformed the business landscape, it is essential to examine these changes and their long-term impact. The research methodology involved an online questionnaire-based survey, targeting 153 respondents from various age groups. Descriptive statistics were used, such as the analysis of variation indicators, to explore patterns in the data and provide a clearer understanding of the phenomena studied. Additionally, a series of statistical tests were applied to validate the research questions. The aim was not to predict future behavior but to explain current trends and shifts, particularly the acceleration of digitalization during the pandemic. The findings highlight changes in customer behavior, the need for investments in technology and innovation, and the importance of adaptability, especially in marketing. There is a statistically significant relationship between income levels and spending on clothing, with higher incomes leading to increased expenditure. The pandemic amplified the role of online channels, particularly among higher-income groups. Promotional campaigns significantly impact purchase decisions, especially for lower-income consumers, serving as both purchase drivers and tools for customer retention. The shift toward online shopping, accelerated by the pandemic, highlights substantial growth potential for e-commerce in the fashion sector. Consumers favor platforms offering convenience, product diversity, and personalized experiences. A moderate interest in sustainable fashion was observed, with preferences leaning toward affordable and durable materials, underscoring the need for transparent and eco-friendly business practices. Full article

Given the current global circumstances, marked by severe environmental pollution—including the contamination of food—along with daily stress and a sedentary lifestyle, many consumers choose to improve their quality of life by using, among others, minimally processed food, food supplements, and gemmo-derivatives. Recent lab and clinical studies have shown the positive impact of specific nutrients with antioxidant capacities in the treatment of several conditions generated by oxidative stress. This paper reviews antioxidant plant extracts utilized as components in various dietary supplements and gemmoderivatives, highlighting their chemical composition and biological properties in preventing diseases caused by oxidative stress. A modern approach to food science brings to the fore the concept of dietary supplements vs. functional food, nutraceuticals, and gemmo-derivatives. The definitions of these terms are not being unanimously regulated in this respect and describe each category of compound and product, also emphasizing the need to implement adequate nutrivigilance. In order to enhance the absorption and bioavailability of dietary supplements and gemmo-derivatives based on antioxidant plant extracts, some encapsulation techniques are outlined. Full article

The paper starts by describing the manufacturing process of cups thermoformed from extruded foils of 80% recycled PET (80r-PET), which comprises heating, hot deep drawing and cooling. The 80r-PET foils were heated up to 120 °C, at heating rates of the order of hundreds °C/min, and deep drawn with multiple punchers, having a depth-to-width ratio exceeding 1:1. After puncher-assisted deformation, the cups were air blown away from the punchers, thus being “frozen” in the deformed state. Due to the high cooling rate, most of the polymer’s structure reached a rigid, glassy state, the internal stresses that tended to recover the flat undeformed state were blocked and the polymer remained in a temporary cup form. When heating was applied, glass transition occurred, and the polymer reached a rubbery state and softened. This softening process released the blocked internal stresses and the polymer tended to recover its flat permanent shape. This relative volume contraction quantitatively describes the shape memory effect (SME) which can be obtained either with free recovery (FR-SME) or with work generation (WG-SME) when the cups lifted their bottoms with different loads placed inside them. The paper discusses the results obtained by differential scanning calorimetry (DSC), dynamic mechanical analysis (DMA), room-temperature tensile failure tests (TENS) and scanning electron microscopy (SEM). The DSC charts emphasized a glass transition, responsible for SME occurrence. The DMA thermograms and the TENS curves revealed that there are slight differences between the storage modulus and the tensile strains of the specimens cut on longitudinal, transversal, or 45° to the film rolling direction. The SEM micrographs enabled to observe structural differences between the specimens cut parallelly and transversally to the film’s rolling direction. The thermoformed cups were heated on a special experimental setup, which enabled the determination of FR-SME and WG-SME after applying different maximum temperatures and loads placed into the cups, respectively. Full article

Noncoding RNAs, particularly microRNAs (miRNAs) and small interfering RNAs (siRNAs), have emerged as key players in the pathogenesis and therapeutic strategies for inflammatory bowel disease (IBD). MiRNAs, small endogenous RNA molecules that silence target mRNAs to regulate gene expression, are closely linked to immune responses and inflammatory pathways in IBD. Notably, miR-21, miR-146a, and miR-155 are consistently upregulated in IBD, influencing immune cell modulation, cytokine production, and the intestinal epithelial barrier. These miRNAs serve as biomarkers for disease progression and severity, as well as therapeutic targets for controlling inflammation. This comprehensive review highlights the intricate interplay between the gut microbiota, fecal microbiota transplantation (FMT), and miRNA regulation. It concludes that microbiota and FMT influence miRNA activity, presenting a promising avenue for personalized IBD treatment. Full article

Stroke, amyotrophic lateral sclerosis (ALS), and Parkinson’s disease are some of the conditions that can lead to neuromotor disabilities requiring rehabilitation. To address the socio-economic burden that is amplified by the rapidly increasing elderly population, traditional rehabilitation techniques have recently been complemented by technological advancements, particularly Robot-Assisted Therapy (RAT). RAT enhances motor learning by improving both accuracy and consistency. This study proposes an innovative rehabilitation system that combines serious gaming and augmented reality (AR) with the LegUp parallel robot, developed for the spatial rehabilitation of the hip, knee, and ankle in bed-ridden patients. The system aims to improve patient outcomes and actively involve patients in their therapy. Electro-goniometers and a HoloLens 2 device are used to provide immediate feedback about the position of the patient’s joints, forming the basis of an interactive game in which the patient moves their leg to reach various targets. Two game modes were developed, each targeting different aspects of neuromotor rehabilitation, such as coordination, strength, and flexibility. Preliminary findings suggest that combining RAT with augmented reality-based serious gaming can increase patient motivation and engagement. Furthermore, the personalized and interactive nature of the therapy holds the potential to improve rehabilitation outcomes by fostering sustained engagement and effort. Full article

This narrative review comprehensively synthesizes laser technology’s clinical applications, advantages, and limitations in modern dentistry. The review of 67 articles published between 2018 and 2023 highlights the latest advancements, including photobiomodulation (PBM) for enhanced tissue healing and inflammation control, alongside innovative uses in implantology, endodontics, and teeth whitening. The findings underscore the transformative potential of lasers in improving dental treatment precision and patient outcomes while addressing the barriers to their widespread adoption, such as costs and training needs. This review emphasizes the integration of laser technology into routine clinical practice and identifies pathways for future innovations in dentistry. Full article

Background/Objectives: Psoriasis is a chronic dermatological condition with systemic implications, especially with metabolic syndrome (MS). This study evaluated the vicious cycle where obesity and MS exacerbate systemic inflammation that complicates the efficacy of psoriasis therapies by examining the PASI score over a one-year period. Patients were classified into two subgroups: those with psoriasis alone (PSO) and those with both psoriasis and metabolic syndrome (PSO-MS). Methods: A total of 150 patients, half of whom also concomitantly presented with metabolic syndrome, received biologic therapies comprising anti-IL-17, anti-IL-23, and anti-TNF-a, or methotrexate, with PASI scores assessed at baseline and at 3, 6, and 12 months. Results: All treatments showed significant reductions in PASI; however, patients with PSO showed more marked reductions in PASI score than those in the PSO-MS group. Anti-IL-17 treatments produced the greatest sustained long-term improvements, whereas anti-IL-23 produced prompt early improvements. Increases in BMI and leptin concentrations were associated with a modest rate of reduction in PASI score, underlining the impact of obesity and metabolic dysfunction on treatment efficacy. Conclusions: This study highlights the importance of managing comorbidities such as MS in the treatment of psoriasis, as the interplay between systemic inflammation and metabolic health further complicates therapeutic outcomes. Full article

Background and Objectives: The impact of craniocervical posture on malocclusion has long intrigued researchers in dentistry, orthodontics, and physical therapy. This research aims to elucidate the relationship between craniocervical posture and both dental and skeletal malocclusions and to explore the potential for integrated multidisciplinary therapeutic approaches. Materials and Methods: We analyzed peer-reviewed articles published between 2013 and 2023 from PubMed/Medline, Web of Science, EMBASE, and Scopus. The search strategy included terms related to craniocervical posture and malocclusion, focusing on studies that evaluated the relationship between these conditions before and after various orthodontic or surgical treatments. Results: A total of 20 studies met the inclusion criteria, providing nuanced insights into the interplay between malocclusion types and craniocervical alignment. Findings suggest that altered craniocervical posture is more prevalent in individuals with skeletal malocclusions. In particular, orthodontic treatment and orthognathic surgery appear to influence craniocervical posture, suggesting a bidirectional relationship between craniofacial structure and neck alignment. Conclusions: Our literature review confirms a significant association between craniocervical posture and malocclusion, emphasizing the need for an integrative approach to the diagnosis and treatment of craniofacial anomalies. Future research should aim to quantify these relationships further through longitudinal studies, thereby increasing the understanding necessary to develop comprehensive treatment protocols. Full article

The paper presents an innovative virtual reality (VR)-based environment for personalized telerehabilitation programs. This environment integrates a parallel robotic structure designed for the lower limb rehabilitation of patients with neuromotor disabilities and a virtual patient. The robotic structure is controlled via a user interface (UI) that communicates with the VR environment via the TCP/IP protocol. The robotic structure can also be operated using two controllers that communicate with a VR headset via the Bluetooth protocol. Through these two controllers, the therapist demonstrates to the patient various exercises that the robotic system can perform. With the right-hand controller, the therapist guides exercises for the hip and knee, while the left-hand controller manages ankle exercises. The therapist remotely designs a rehabilitation plan for patients at home, defining exercises, interacting with the rehabilitation robot in real-time via the VR headset and the two controllers, and initiating therapy sessions. The user interface allows monitoring of patient progress through video feedback, electromyography (EMG) sensors, and session recording. Full article

Background: The transition from the pediatric to the adult healthcare system is a challenging process involving adolescents, parents, and pediatric and adult specialists. For a successful approach for an organized transition program, we must assess the level of training of adolescents facing transition. Methods: We applied a clinic-based questionnaire measuring perceived self-management skills, adherence to health-related tasks, medication knowledge, and social adjustment to pediatric patients with chronic digestive diseases from North-East Romanian medical units, including a tertiary center and private practice offices. Results: There were 124 participants; 73.38% from rural areas, 26.62% from urban areas; 59.67% were females, and 40.33% were males; 91.93% attended school and 73.4% declared wanting to pursue university classes after turning 18. Adolescents from urban areas showed better medication managerial (p < 0.01) and tracking healthcare change skills. Significant correlations were found between medication and appointment making, tracking health dynamics, and communication skills. Other correlations were found between communication skills and medication knowledge, appointments management, and tracking healthcare dynamics. All the investigated domains were positively correlated with the overall scores, highlighting the potential impact of active targeted interventions during transition. Conclusions: We identified significant areas to address and potentially influence during an organized transition program such as communication skills and knowledge regarding the chronic disease and the followed medication. Full article

This paper explores the enhancement of cavitation and corrosion resistance in cast stainless steel through laser beam surface remelting. The influence of laser treatment on material properties was assessed by analyzing the microstructure using optical microscopy, electron microscopy, and X-ray diffraction. Cavitation erosion was evaluated in tap water using an ultrasonic vibration setup, following ASTM G32—2016 standards. Results show that local remelting of the surface with a laser beam causes a reduction in material loss and cavitation erosion rate. Potentiodynamic polarization tests revealed a significant improvement in corrosion resistance, indicated by a reduced corrosion current density in the laser-treated surface. The observed improvements in cavitation and corrosion resistance are attributed to microstructural hardening, characterized by grain refinement and a uniform, homogeneous structure with finely dispersed, small precipitate particles. Full article

Background: Pressure injuries are localized areas of tissue damage or necrosis that occur when pressure is applied to the skin for prolonged periods, often over bony prominences, often the sacrum, heels, ischial tuberosities, and greater trochanters. The pathophysiology is complex, involving a combination of mechanical forces, ischemia, and tissue hypoxia. Methods: We conducted a 2-year retrospective study aiming to assess the clinical characteristics, risk factors, and management of pressure injuries in patients admitted to an emergency hospital who underwent a plastic surgery examination. Results: This study included 176 patients with clinically diagnosed pressure ulcers, with findings showing 28.52% of cases as stage III and 35.57% as stage IV. Common sites included the sacrum (40.94%), ischium (15.1%), and heel (14.43%). The median patient age was 76 years, with 47.15% between 60 and 80 years and 36.93% ≥ 80 years, often presenting with comorbidities increasing the risk of pressure injuries, such as cardiovascular disease (71.59%), diabetes (18.18%) and obesity (9.66%). Important risk factors included neurological diseases (46.02%), spinal cord injuries (14.7%), and nutritional deficiencies, as indicated by anemia (10.43g/dL; 95% CI [10.04; 10.82]), low serum albumin (2.56 g/dL; 95% CI [2.43; 2.69]) and proteins (5.54 g/dL; 95% CI [5.34; 5.73]). Mortality was significant, at 36.93%, with 23.3% occurring within the first 7 days of hospitalization due to the patients’ critical condition. Decision-making for surgical intervention considered the patient's general status, comorbidities, and ulcer severity. Surgical treatment consisted of seriate debridement, negative pressure vacuum therapy, and/or coverage using skin grafting, local advancement, or rotation flaps. Conclusions: The key question for a plastic surgeon to consider is how pressure ulcers should be managed. Various debridement and covering techniques should be tailored to the wound’s characteristics, considering patient comorbidities and general health condition. Full article

Background/Objectives: Heart failure (HF) remains a leading cause of hospitalization and morbidity. Arterial stiffness, measured by pulse wave velocity (PWV) and the augmentation index (AIx), has been linked to HF severity and prognosis. This study investigates the relationship between clinical parameters, biochemical indicators, and arterial stiffness in hospitalized patients with HF, aiming to identify predictors of hospitalization and improve patient management. Methods: This cross-sectional study included 98 patients admitted with HF: 53 with acutely decompensated HF (sudden worsening of symptoms) and 45 with chronic HF (stable symptoms of HF). Clinical and biochemical parameters, including ejection fraction (EF), N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels, and arterial stiffness indicators (PWV and AIx), were measured at admission. During follow-up, 59 patients required re-hospitalization due to acutely decompensated HF, while 39 remained outpatients without further hospitalization. The relationship between these parameters was analyzed using Pearson correlation coefficients, and multiple Cox regression analysis was conducted to identify independent predictors of re-hospitalization. Results: A significant negative correlation between EF and PWV was found (r = −0.853, 95% CI [−0.910, −0.764]), suggesting an association between improved heart function (higher EF) and reduced arterial stiffness (lower PWV). A moderate positive correlation between EF and AIx (r = 0.626, 95% CI [0.473, 0.805]) suggests that, while higher EF is associated with increased AIx, the relationship is weaker compared to EF and PWV. This may reflect differing contributions of vascular and myocardial factors to HF severity. Hospitalized patients exhibited significantly poorer clinical and biochemical profiles, including higher NT-proBNP levels (p < 0.001) and worse blood pressure (BP) measurements (systolic and diastolic, p < 0.01). Multiple Cox regression analysis identified PWV, Aix, and NT-proBNP as independent predictors of re-hospitalization in HF patients, with significant hazard ratios: PWV (HR = 1.15, p = 0.02), AIx (HR = 1.03, p = 0.02), and NT-proBNP (HR = 1.0001, p < 0.01). Conclusions: Arterial stiffness indices (PWV and AIx), EF, and NT-proBNP were identified as significant predictors of re-hospitalization in HF patients. These findings suggest that integrating arterial stiffness measurements into routine clinical assessments may enhance the risk stratification and inform targeted interventions to reduce hospitalizations and improve outcomes. Full article

The connections of seismic isolation devices for mitigating seismic shocks in the fundamental excitation mode are designed and implemented based on the serial combination of elastomeric isolators, which are primarily elastic, with fluid-based isolators, which are primarily viscous. The energy dissipated in the fluidic isolators represents a significant parameter for ensuring the attenuation degree of the amplitude of the displacement of the system as well as for its energy dissipation capacity as a direct effect on deformability and speed of the heat transfer. For bridges, viaducts, and buildings, families of elastomeric and fluid isolators connected in series are used to enable both analytical and experimental evaluations of the system’s dynamic isolation and energy dissipation capacities. Based on the results obtained from specialized isolation devices from Italy and the numerical and experimental evaluations carried out by ICECON S.A. Bucharest, Romania, this article will address the aforementioned topic. Full article

Urticaria is a debilitating skin condition affecting up to 20% of the global population, characterized by erythematous, maculopapular lesions and significant quality of life impairment. This study focused on the role of interleukin 33 (IL-33) and its polymorphisms, particularly SNP rs1929992, in chronic spontaneous urticaria (CSU). Using demographic, clinical, and laboratory data from CSU patients and controls, we estimated allele and genotype frequencies, Hardy–Weinberg equilibrium condition, and serum IL-33 levels, using unconditional binomial logistic regression for association analysis. Results revealed that CSU patients had significantly higher frequencies of the minor allele of IL-33 rs1929992 compared to controls (31.25% vs. 17.35%, p = 0.024), and carriers of the GA genotype exhibited increased odds of CSU (adjusted OR = 2.208, p ≤ 0.001). Additionally, serum IL-33 levels were markedly elevated in CSU patients, particularly those with the GA genotype. The findings suggest that the IL-33 SNP is associated with an increased susceptibility to CSU, emphasizing its potential as a diagnostic and therapeutic biomarker. This study underscores the genetic and immunological underpinnings of CSU, paving the way for personalized treatment approaches. Full article