Sort by
The Eight-Chop Technique: Mechanistic Principles and Clinical Performance of a Segmentation-First Phacoemulsification Strategy
Tsuyoshi Sato
Objectives: To review the conceptual evolution, mechanical principles, and clinical outcomes of the Eight-Chop Technique, and to clarify its position within modern cataract surgery. Methods: A narrative review was conducted focusing on the historical development of nuclear fragmentation strategies, including sculpting-based techniques, divide-and-conquer, chop-based methods, femtosecond laser–assisted cataract surgery, and prechop techniques. Particular attention was given to the wedge-induced fracture mechanism, geometric optimization through eightfold division, and integration with modern fluidics systems. Published clinical studies and the author’s clinical data were reviewed and synthesized across a wide range of cataract subtypes. Literature relevant to nuclear fragmentation techniques and phacoemulsification fluidics was identified through searches of PubMed and Google Scholar using combinations of keywords including “phacoemulsification,” “nuclear fragmentation,” “phaco-chop,” “prechop,” “active fluidics,” and “cataract surgery.” Both original studies and review articles published in English were considered. Reference lists of relevant articles were also screened to identify additional sources. Results: In both standard cataracts and challenging conditions—including hard nuclear cataracts, white cataracts, small pupils, shallow anterior chamber, microcornea, diabetic eyes, and pseudoexfoliation syndrome—the Eight-Chop Technique consistently demonstrated reduced phaco time, cumulative dissipated energy, and irrigation volume compared with conventional techniques. Corneal endothelial cell density loss was generally limited to approximately 1–3%, even in high-risk subgroups. Postoperative intraocular pressure showed a sustained reduction over mid- to long-term follow-up. These subtype-specific outcomes are integrated in Table 1, highlighting the reproducibility and low invasiveness of the technique regardless of nuclear hardness or anterior segment anatomy. Conclusions: The Eight-Chop Technique is a segmentation-first nuclear fragmentation strategy based on complete in-the-bag prefragmentation using a wedge-induced fracture mechanism. Its compatibility with modern fluidics systems, including active fluidics systems, enhances anterior chamber stability and reinforces its minimally invasive profile. By reducing energy use, fluid load, and zonular stress, Eight-Chop Technique may represent a rational and versatile option for contemporary cataract surgery, particularly in high-risk eyes.
Objectives: To review the conceptual evolution, mechanical principles, and clinical outcomes of the Eight-Chop Technique, and to clarify its position within modern cataract surgery. Methods: A narrative review was conducted focusing on the historical development of nuclear fragmentation strategies, including sculpting-based techniques, divide-and-conquer, chop-based methods, femtosecond laser–assisted cataract surgery, and prechop techniques. Particular attention was given to the wedge-induced fracture mechanism, geometric optimization through eightfold division, and integration with modern fluidics systems. Published clinical studies and the author’s clinical data were reviewed and synthesized across a wide range of cataract subtypes. Literature relevant to nuclear fragmentation techniques and phacoemulsification fluidics was identified through searches of PubMed and Google Scholar using combinations of keywords including “phacoemulsification,” “nuclear fragmentation,” “phaco-chop,” “prechop,” “active fluidics,” and “cataract surgery.” Both original studies and review articles published in English were considered. Reference lists of relevant articles were also screened to identify additional sources. Results: In both standard cataracts and challenging conditions—including hard nuclear cataracts, white cataracts, small pupils, shallow anterior chamber, microcornea, diabetic eyes, and pseudoexfoliation syndrome—the Eight-Chop Technique consistently demonstrated reduced phaco time, cumulative dissipated energy, and irrigation volume compared with conventional techniques. Corneal endothelial cell density loss was generally limited to approximately 1–3%, even in high-risk subgroups. Postoperative intraocular pressure showed a sustained reduction over mid- to long-term follow-up. These subtype-specific outcomes are integrated in Table 1, highlighting the reproducibility and low invasiveness of the technique regardless of nuclear hardness or anterior segment anatomy. Conclusions: The Eight-Chop Technique is a segmentation-first nuclear fragmentation strategy based on complete in-the-bag prefragmentation using a wedge-induced fracture mechanism. Its compatibility with modern fluidics systems, including active fluidics systems, enhances anterior chamber stability and reinforces its minimally invasive profile. By reducing energy use, fluid load, and zonular stress, Eight-Chop Technique may represent a rational and versatile option for contemporary cataract surgery, particularly in high-risk eyes.
Posted: 10 March 2026
Inventory, Distribution and Geometric Characteristics of Landslides in Dongchuan District, Yunnan Province, China
Inventory, Distribution and Geometric Characteristics of Landslides in Dongchuan District, Yunnan Province, China
Shaochang Liu
,Siyuan Ma
,Xiaoli Chen
The Dongchuan District of Kunming City lies in the transition zone between the Yunnan-Guizhou Plateau and the Sichuan Basin, hosting numerous landslides that pose a serious threat to local lives and property. Therefore, compiling a comprehensive landslide inventory and analyzing the relationships between landslide spatial distribution and influencing factors are of significant importance for geological hazard prevention. This study focuses on the Dongchuan District. High-resolution remote sensing imagery was interpreted to establish a landslide inventory, and the spatial distribution and geometric characteristics of landslides were systematically analyzed. The results show that a total of 1,623 landslides were identified, covering an area of 10.36 km². Landslides predominantly occur at elevations of 1,000-2,000 m, on slopes of 20°-45°, with aspects of 255°-285°, relief between 150-400 m, annual rainfall below 825 mm, and within a distances of 1,000 m from rivers and 3,000 m from faults. Four landslide clusters were delineated along the Xiao River Fault, highlight the significant influence of the fault on the spatial distribution of landslides. Most landslides are longitudinal in planform, with travel distances (L) of 50-450 m and heights (H) from 25 to 350 m, exhibiting allometric relationships between these parameters and volume. The mean H/L ratio is 0.56 (corresponding to a mean reach angle of 29°), significantly higher than that observed in Baoshan City (mean reach angle of 21°). The results would be helpful for further understanding landslide initiation mechanisms and spatial distribution patterns on the northern margin of the Yunnan-Guizhou Plateau and providing valuable data support for subsequent landslide hazard risk assessment in this region.
The Dongchuan District of Kunming City lies in the transition zone between the Yunnan-Guizhou Plateau and the Sichuan Basin, hosting numerous landslides that pose a serious threat to local lives and property. Therefore, compiling a comprehensive landslide inventory and analyzing the relationships between landslide spatial distribution and influencing factors are of significant importance for geological hazard prevention. This study focuses on the Dongchuan District. High-resolution remote sensing imagery was interpreted to establish a landslide inventory, and the spatial distribution and geometric characteristics of landslides were systematically analyzed. The results show that a total of 1,623 landslides were identified, covering an area of 10.36 km². Landslides predominantly occur at elevations of 1,000-2,000 m, on slopes of 20°-45°, with aspects of 255°-285°, relief between 150-400 m, annual rainfall below 825 mm, and within a distances of 1,000 m from rivers and 3,000 m from faults. Four landslide clusters were delineated along the Xiao River Fault, highlight the significant influence of the fault on the spatial distribution of landslides. Most landslides are longitudinal in planform, with travel distances (L) of 50-450 m and heights (H) from 25 to 350 m, exhibiting allometric relationships between these parameters and volume. The mean H/L ratio is 0.56 (corresponding to a mean reach angle of 29°), significantly higher than that observed in Baoshan City (mean reach angle of 21°). The results would be helpful for further understanding landslide initiation mechanisms and spatial distribution patterns on the northern margin of the Yunnan-Guizhou Plateau and providing valuable data support for subsequent landslide hazard risk assessment in this region.
Posted: 10 March 2026
Epigenetics of Aging in Mammals: Mechanistic Foundations and Intervention Effects on DNA Methylation–Based Aging Biomarkers
André Fabio Amador Cervantes
Posted: 10 March 2026
Research on the Decision-Making of Technological Transformation and Pollution Reduction and Carbon Emission Reduction of Energy Enterprises under the Reputation Incentive Mechanism
Research on the Decision-Making of Technological Transformation and Pollution Reduction and Carbon Emission Reduction of Energy Enterprises under the Reputation Incentive Mechanism
Xishui Yang
,Yuexin Xi
,Ailian Qiu
This paper addresses the practical challenge of inadequate motivation for energy enterprises to reduce pollution and carbon emissions in the context of increasing environmental pollution and carbon emissions. From the perspective of the informal institution of reputation incentives, this paper constructs a tripartite evolutionary game model involving energy enterprises, the public and the government. Through theoretical derivation and numerical simulation, the paper systematically analyzes the influence path of reputational gains and losses on enterprises' technological transformation decisions, and examines the moderating effects of key parameters such as transformation costs and government subsidies. The conclusions are as follows: (1) The reputation incentive mechanism regulates the cost-profit structure of enterprises through the dual effects of reputation gains and losses, and has a significant driving effect on the technological transformation and pollution reduction and carbon emission reduction of energy enterprises. (2) The three-party strategy exhibits dynamic dependence and collaborative evolution characteristics. The system converges to the ideal equilibrium of enterprise transformation, public participation, and government empowerment, depending on the relative magnitudes and coupling relationships of key parameters such as transformation costs. (3) Government subsidies provide short-term incentives for enterprises to undergo transformation, but they also impose long-term constraints. Therefore, government subsidies need to be combined with the reputation incentive mechanism to achieve sustainable governance. These findings provide a theoretical foundation and practical reference for designing incentive-compatible policy combinations and promoting the deep low-carbon transformation of energy enterprises.
This paper addresses the practical challenge of inadequate motivation for energy enterprises to reduce pollution and carbon emissions in the context of increasing environmental pollution and carbon emissions. From the perspective of the informal institution of reputation incentives, this paper constructs a tripartite evolutionary game model involving energy enterprises, the public and the government. Through theoretical derivation and numerical simulation, the paper systematically analyzes the influence path of reputational gains and losses on enterprises' technological transformation decisions, and examines the moderating effects of key parameters such as transformation costs and government subsidies. The conclusions are as follows: (1) The reputation incentive mechanism regulates the cost-profit structure of enterprises through the dual effects of reputation gains and losses, and has a significant driving effect on the technological transformation and pollution reduction and carbon emission reduction of energy enterprises. (2) The three-party strategy exhibits dynamic dependence and collaborative evolution characteristics. The system converges to the ideal equilibrium of enterprise transformation, public participation, and government empowerment, depending on the relative magnitudes and coupling relationships of key parameters such as transformation costs. (3) Government subsidies provide short-term incentives for enterprises to undergo transformation, but they also impose long-term constraints. Therefore, government subsidies need to be combined with the reputation incentive mechanism to achieve sustainable governance. These findings provide a theoretical foundation and practical reference for designing incentive-compatible policy combinations and promoting the deep low-carbon transformation of energy enterprises.
Posted: 10 March 2026
Arithmetic Attractors and Identity Persistence: A Discrete Dynamical Model of Keith Sequences and Informational Stability
Raoul Bianchetti
Posted: 10 March 2026
Mel-Frequency Cepstral Coefficients and Recording Studio Features for the Analysis of Producer-Driven Music
Tim Ziemer
Posted: 10 March 2026
A Ranking-Based Human Validation Layer for Concept Implementation in AI-Generative Design
Manuel Ibáñez-Arnal
,Luis Doménech-Ballester
,Víctor García-Peñas
Posted: 10 March 2026
3D Printed Titanium Anterior Lumbar Interbody Fusion Cage for Treatment of Foraminal Stenosis Due to Congenital L5 Hemivertebra with Virtual Surgical Planning: Technical Note and Case Report
Richard J. Parkinson
,Ralph J. Mobbs
,Christopher Huang
,William C. H. Parr
Posted: 10 March 2026
Targeting the Epithelial Alarmin Pathway with Tezepelumab in Highly Comorbid, Biologic-Experienced Severe Asthma: 52-Week Real-World Outcomes
Ruperto González-Pérez
,Irene De Lorenzo-García
,Hemily Izaguirre-Flores
,Héctor González-Expósito
,Sara García-Gil
,Paloma Poza-Guedes
Posted: 10 March 2026
Global High-Risk Clones of Pseudomonas aeruginosa and Their Antimicrobial Resistance Profiles in Clinical Isolates from Hospitals in Greater Accra, Ghana
Francisca Duah
,Noah Obeng-Nkrumah
,Beverly Egyir
,Japheth Opintan
,Amoako Duah
,Mary -Magdalene Osei
,Michael Baffuor-Asare
,Eric Sampane -Donkor
Background: Pseudomonas aeruginosa is an opportunistic pathogen with both intrinsic and acquired antimicrobial resistance. High-risk clones are associated with carbapenem resistance because they frequently harbour and disseminate carbapenemase genes and other resistance determinants, enabling their persistence and spread in healthcare settings. Carbapenem-resistant strains have limited treatment options. However, genomic data on high-risk clones circulating in Ghana remain limited. Methods: This cross-sectional study was conducted between December 2023 and January 2024 in eight government hospitals in Accra, Ghana. Clinical isolates were collected from multiple specimen types and identified using standard antimicrobial susceptibility testing in accordance with CLSI guidelines to determine resistance profiles, and subsequently confirmed by MALDI-TOF-MS, Whole-genome sequencing was carried out using the Illumina NextSeq 2000 platform. Bioinformatic analyses were then conducted to determine sequence types, identify antimicrobial resistance genes and virulence factors, and assess phylogenetic relationships among the isolates. Results: High-risk international clones (ST235, ST244, ST308, and ST773) predominated. Low SNP differences (≤10 SNPs) indicated recent clonal transmission within and between hospitals. Serotype O11 was dominant and strongly associated with high-risk clones. Isolates carried multiple resistance determinants, including aminoglycoside-modifying enzymes and ESBL genes (blaCTX-M-15, blaTEM-1B) — carbapenemase genes, particularly blaNDM-1, coexisted with blaOXA-50 variants. Findings demonstrate local clonal expansion, global relatedness, and the emergence of a novel sequence type (ST5336) in Ghana. Conclusion: High-risk clones, especially ST773, are widely circulating in hospitals across Accra, indicating ongoing transmission and clonal expansion. The emergence of the novel ST5336, emphasize the urgent need for enhanced genomic surveillance and antimicrobial stewardship in Ghana. Significance of this research article: This work strengthens the evidence base needed to inform infection prevention strategies, antimicrobial stewardship programs, and the implementation of routine genomic surveillance to curb the spread of high-risk, carbapenem-resistant clones in Ghana and similar resource-limited settings.
Background: Pseudomonas aeruginosa is an opportunistic pathogen with both intrinsic and acquired antimicrobial resistance. High-risk clones are associated with carbapenem resistance because they frequently harbour and disseminate carbapenemase genes and other resistance determinants, enabling their persistence and spread in healthcare settings. Carbapenem-resistant strains have limited treatment options. However, genomic data on high-risk clones circulating in Ghana remain limited. Methods: This cross-sectional study was conducted between December 2023 and January 2024 in eight government hospitals in Accra, Ghana. Clinical isolates were collected from multiple specimen types and identified using standard antimicrobial susceptibility testing in accordance with CLSI guidelines to determine resistance profiles, and subsequently confirmed by MALDI-TOF-MS, Whole-genome sequencing was carried out using the Illumina NextSeq 2000 platform. Bioinformatic analyses were then conducted to determine sequence types, identify antimicrobial resistance genes and virulence factors, and assess phylogenetic relationships among the isolates. Results: High-risk international clones (ST235, ST244, ST308, and ST773) predominated. Low SNP differences (≤10 SNPs) indicated recent clonal transmission within and between hospitals. Serotype O11 was dominant and strongly associated with high-risk clones. Isolates carried multiple resistance determinants, including aminoglycoside-modifying enzymes and ESBL genes (blaCTX-M-15, blaTEM-1B) — carbapenemase genes, particularly blaNDM-1, coexisted with blaOXA-50 variants. Findings demonstrate local clonal expansion, global relatedness, and the emergence of a novel sequence type (ST5336) in Ghana. Conclusion: High-risk clones, especially ST773, are widely circulating in hospitals across Accra, indicating ongoing transmission and clonal expansion. The emergence of the novel ST5336, emphasize the urgent need for enhanced genomic surveillance and antimicrobial stewardship in Ghana. Significance of this research article: This work strengthens the evidence base needed to inform infection prevention strategies, antimicrobial stewardship programs, and the implementation of routine genomic surveillance to curb the spread of high-risk, carbapenem-resistant clones in Ghana and similar resource-limited settings.
Posted: 10 March 2026
Entropy is Not Extensive
Chris Jeynes
,Michael C. Parker
The Gibbs Paradox (concerning the entropy of mixing and entropic extensivity) was explored in depth by Edwin Jaynes (1992). We take up Jaynes’ treatment, considering the special cases for which entropy is (approximately) extensive, and the general case in which it is not. We also explore the Holographic Principle which (strictly speaking) excludes the extensivity of entropy. The formalism of Quantitative Geometrical Thermodynamics shows that, being isomorphic to energy, it is entropy production (not entropy) that is extensive. As a corollary, Shannon information is also not extensive, although information production is extensive.
The Gibbs Paradox (concerning the entropy of mixing and entropic extensivity) was explored in depth by Edwin Jaynes (1992). We take up Jaynes’ treatment, considering the special cases for which entropy is (approximately) extensive, and the general case in which it is not. We also explore the Holographic Principle which (strictly speaking) excludes the extensivity of entropy. The formalism of Quantitative Geometrical Thermodynamics shows that, being isomorphic to energy, it is entropy production (not entropy) that is extensive. As a corollary, Shannon information is also not extensive, although information production is extensive.
Posted: 10 March 2026
Assessing the Readiness of Cultural Heritage Institutions’ Digital Data to Engage with the European Collaborative Cloud for Cultural Heritage – Late Bronze Age Cypriot figurines as a Case-Study
Sorin Hermon
,Martin Doerr
,Maria Theodoridou
,Athina Kritsotaki
,Dimitris Kotzinos
Posted: 10 March 2026
Study of Population Structure of Alternaria solani and Adaptation of the Pathogen Isolates on Commercial Tomato Varieties
Saba Khalid
,Shaukat Hussain
,Syed Jawad Ahmad Shah
Posted: 10 March 2026
Analysis of Community Vulnerability Using Standardised Health Indicators: Health Systems as a Source of Community Information
Andrea Sierra-Ortega
,Enrique Monsalvo-San Macario
,Veronica Sanchez-Niño
,Almudena del Puerto-Claros
,Sonia Maria Chamarro Rubio
,Maria Teresa Villar Espejo
,Alba Maldonado Flores
,Mercedes Losada Novo
,Silvia Medrano Sanz
,Julia Quevedo Rivera
+7 authors
Posted: 09 March 2026
Global Disparities and Trends in Radiotherapy for Early-Stage Glottic Cancer
Issa Mohamad
,Shatha Abu Taha
,Ahmad Bushehri
,Bassem Youssef
,Enis Ozyar
,Ibrahim Alotain
,Ibrahim Abu-Gheida
,Mohammad Aldehaim
,Carlton Johnny
,Layth Mulla
+15 authors
Posted: 09 March 2026
Avrami Kinetics of Cylindrical Growth Under Hard-Wall Confinement: A Monte Carlo Study of Thin Film Crystallization
Catalin Iulian Berlic
Posted: 09 March 2026
Advancements in Early Cancer Detection: Toward Integrated, Longitudinal Precision Screening
Dario Rusciano
Posted: 09 March 2026
On the Structural Distortion Induced by the Inverse Box–Cox Transformation
Rui Gonçalves
Posted: 09 March 2026
Semisynthesis of Bruceine-A Derivatives via Acylation Reaction and Its Mechanism of Reaction Potential as Antiplasmodial
Sonlimar MKes
,Sarmalina Simamora
,Iwan Dwi Prahasto
,Mustofa Mustofa
,Jumina Jumina
Posted: 09 March 2026
Charisma and Conscience: Narcissistic Leaders' Use of Ethical Language to Justify Control
Abdelaziz Abdalla AlOwais
,Abubakr Suliman
Posted: 09 March 2026
of 5,656