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Impact of Massive Weight Loss Following Bariatric Surgery on Gait Mechanics After Total Knee Arthroplasty: A Case Report
Andrei Machado Viegas da Trindade
,Leonardo Pinheiro Rezende
,Rodolfo Borges Parreira
,Cláudio Santili
,Helder Rocha da Silva Araújo
,Veronica Cimolin
,Rodrigo Antonio Carvalho Andraus
,Karla Cristina Naves de Carvalho
,Cláudia Santos Oliveira
Posted: 05 January 2026
Algorithmic Empathy: A Dialectical Analysis of Artificial Intelligence in the Nosology and Treatment of Burnout Syndrome
Sora Pazer
The escalating prevalence of occupational burnout constitutes a global public health crisis, exacerbating the existing supply-demand disparity in mental healthcare provision. This paper investigates the transformative potential of Artificial Intelligence (AI) as an adjunctive and autonomous modality in the treatment of burnout, employing a dialectical framework to assess the tension between algorithmic scalability and clinical nuance. We analyze the utility of Natural Language Processing (NLP) for sentiment analysis and the emergence of Digital Phenotyping as a mechanism for objective behavioral quantification. Furthermore, we critically evaluate the efficacy of CBT-based conversational agents versus the indispensable nature of the human therapeutic alliance. The analysis reveals that while AI significantly lowers barriers to entry and reduces stigma, it introduces profound ethical paradoxes regarding surveillance, algorithmic bias, and the ”Black Box” of machine cognition. We conclude that the future of psychiatric care lies not in replacement but in Augmented Intelligence—a ”Human-in-the-Loop” (HITL) hybrid model that synthesizes computational precision with intersubjective empathy.
The escalating prevalence of occupational burnout constitutes a global public health crisis, exacerbating the existing supply-demand disparity in mental healthcare provision. This paper investigates the transformative potential of Artificial Intelligence (AI) as an adjunctive and autonomous modality in the treatment of burnout, employing a dialectical framework to assess the tension between algorithmic scalability and clinical nuance. We analyze the utility of Natural Language Processing (NLP) for sentiment analysis and the emergence of Digital Phenotyping as a mechanism for objective behavioral quantification. Furthermore, we critically evaluate the efficacy of CBT-based conversational agents versus the indispensable nature of the human therapeutic alliance. The analysis reveals that while AI significantly lowers barriers to entry and reduces stigma, it introduces profound ethical paradoxes regarding surveillance, algorithmic bias, and the ”Black Box” of machine cognition. We conclude that the future of psychiatric care lies not in replacement but in Augmented Intelligence—a ”Human-in-the-Loop” (HITL) hybrid model that synthesizes computational precision with intersubjective empathy.
Posted: 05 January 2026
Contextualized Diverse Reasoning: Enhancing Video Question Answering with Multi-Perspective MLLM Pathways
Xuan Li
,Haoran Zuo
Posted: 05 January 2026
Spatiotemporal Gait Parameters in Fixed Versus Rotating Bearing Total Knee Arthroplasty: A Prospective 24-Month Longitudinal Study
Andrei Machado Viegas da Trindade
,Leonardo Pinheiro Rezende
,Helder Rocha da Silva Araújo
,Rodolfo Borges Parreira
,Claudio Santili
,Claudia Santos Oliveira
Background/Objectives: The clinical superiority of rotating-bearing (RB) versus fixed-bearing (FB) total knee arthroplasty (TKA) remains controversial despite the proposed biomechanical advantages of mobile-bearing designs. Objective gait assessment with inertial measurement units (IMUs) provides a measurable view of functional recovery that may complement patient-reported outcome measures (PROMs). This study compared spatiotemporal gait parameters between FB and RB TKA over 24 months. Methods: This prospective longitudinal comparative study enrolled 47 patients undergoing primary unilateral TKA for end-stage knee osteoarthritis. Spatiotemporal gait parameters (gait velocity, cadence, and stance-phase duration) were measured using wireless IMUs (G-WALK system) at 6, 12, and 24 months post-surgery. WOMAC and the 10-point Geriatric Locomotive Function Scale (GLFS-1) were assessed at 12 and 24 months. Group, time, and Group × Time effects were analyzed using linear mixed-effects models. Results: Both groups improved during follow-up, with performance largely plateauing between 12 and 24 months. At 24 months, there were no significant differences between groups in gait velocity (FB 1.17 vs. RB 1.16 m/s; p = 0.65), cadence (99.8 vs. 97.4 steps/min; p = 0.72), or stance-phase duration (59.3% vs. 59.0%; p = 0.82). Group × Time interactions were not significant across gait outcomes. WOMAC and GLFS-1 improved similarly in both groups (p > 0.05). Cadence was inversely correlated with the WOMAC function subscale at 24 months (rho = −0.563; p = 0.036). Conclusions: FB and RB bearing designs showed similar objective gait recovery trajectories and PROM improvements through 24 months after primary TKA, suggesting no intermediate-term functional advantage from bearing design.
Background/Objectives: The clinical superiority of rotating-bearing (RB) versus fixed-bearing (FB) total knee arthroplasty (TKA) remains controversial despite the proposed biomechanical advantages of mobile-bearing designs. Objective gait assessment with inertial measurement units (IMUs) provides a measurable view of functional recovery that may complement patient-reported outcome measures (PROMs). This study compared spatiotemporal gait parameters between FB and RB TKA over 24 months. Methods: This prospective longitudinal comparative study enrolled 47 patients undergoing primary unilateral TKA for end-stage knee osteoarthritis. Spatiotemporal gait parameters (gait velocity, cadence, and stance-phase duration) were measured using wireless IMUs (G-WALK system) at 6, 12, and 24 months post-surgery. WOMAC and the 10-point Geriatric Locomotive Function Scale (GLFS-1) were assessed at 12 and 24 months. Group, time, and Group × Time effects were analyzed using linear mixed-effects models. Results: Both groups improved during follow-up, with performance largely plateauing between 12 and 24 months. At 24 months, there were no significant differences between groups in gait velocity (FB 1.17 vs. RB 1.16 m/s; p = 0.65), cadence (99.8 vs. 97.4 steps/min; p = 0.72), or stance-phase duration (59.3% vs. 59.0%; p = 0.82). Group × Time interactions were not significant across gait outcomes. WOMAC and GLFS-1 improved similarly in both groups (p > 0.05). Cadence was inversely correlated with the WOMAC function subscale at 24 months (rho = −0.563; p = 0.036). Conclusions: FB and RB bearing designs showed similar objective gait recovery trajectories and PROM improvements through 24 months after primary TKA, suggesting no intermediate-term functional advantage from bearing design.
Posted: 05 January 2026
SORT-AI: Runtime Control Coherence in Large-Scale AI Systems Structural Causes of Cost, Instability, and Non-Determinism Beyond Interconnect Failures
Gregor Wegener
Posted: 05 January 2026
Market Power and Multidimensional Efficiency in Banking: Diversification, Stability, and Digital–Governance Dynamics
Ari Warokka
,Jong Kyun Woo
,Dewi Sartika
,Aina Zatil Aqmar
Posted: 05 January 2026
The Effects of Different Performance Enhancing Methods on Muscle Metabolism Post Exercise
Haywood Albert
Posted: 05 January 2026
Quantifying Snow-Ground Backscatter Uncertainty: A Bayesian Approach Using Multifrequency SAR and In-Situ Observations
Ashwani Rai
,Ana P. Barros
Posted: 05 January 2026
Effect of Counter-Surface Texturing on the Tribological Behaviour of Virgin and Glass-Filled PTFE Sliding Against Grey Cast Iron
Effect of Counter-Surface Texturing on the Tribological Behaviour of Virgin and Glass-Filled PTFE Sliding Against Grey Cast Iron
M. F. Wani
,Firdous Ahmad Bhat
,Umida Ziyamukhamedova
,M. J. Khan
,Lutfilo Bakirov
,Jasurbek Nafasov
,Elbek Turgunaliev
In this research study, effect of laser surface texturing on the tribological performance of composite of polytetrafluoroethylene with 25 wt.% glass fibre against grey cast iron. Dimples (50 µm diameter) were ablated on GCI with dimple pitches of 100 µm and 150 µm. Friction and wear tests were conducted on a pin-on-disc tribometer under ambient conditions. Specific wear rate of both PTFE and its composite generally decreased with increasing sliding distance for all GCI surfaces, whether textured or untextured. The coefficient of friction (COF) followed a similar trend for PTFE but increased for 25 wt.% glass fibre/PTFE on textured GCI surfaces. Compared to untextured GCI, PTFE exhibited a 14.2-16.7% reduction in COF and specific wear rate when sliding against GCI with a 150 µm dimple pitch. For 25 wt.% glass fibre/PTFE, LST increased friction but significantly reduced specific wear rate by 66.6-73.2%.Increasing the dimple pitch from 100 µm to 150 µm further decreased COF and wear. FESEM micrographs of textured GCI surfaces post-sliding against PTFE revealed polymer debris deposition, forming transfer films that contributed to friction and wear reduction. These findings highlight the potential of LST in enhancing the tribological performance of PTFE-based materials, particularly in optimizing wear resistance and friction control through surface texturing.
In this research study, effect of laser surface texturing on the tribological performance of composite of polytetrafluoroethylene with 25 wt.% glass fibre against grey cast iron. Dimples (50 µm diameter) were ablated on GCI with dimple pitches of 100 µm and 150 µm. Friction and wear tests were conducted on a pin-on-disc tribometer under ambient conditions. Specific wear rate of both PTFE and its composite generally decreased with increasing sliding distance for all GCI surfaces, whether textured or untextured. The coefficient of friction (COF) followed a similar trend for PTFE but increased for 25 wt.% glass fibre/PTFE on textured GCI surfaces. Compared to untextured GCI, PTFE exhibited a 14.2-16.7% reduction in COF and specific wear rate when sliding against GCI with a 150 µm dimple pitch. For 25 wt.% glass fibre/PTFE, LST increased friction but significantly reduced specific wear rate by 66.6-73.2%.Increasing the dimple pitch from 100 µm to 150 µm further decreased COF and wear. FESEM micrographs of textured GCI surfaces post-sliding against PTFE revealed polymer debris deposition, forming transfer films that contributed to friction and wear reduction. These findings highlight the potential of LST in enhancing the tribological performance of PTFE-based materials, particularly in optimizing wear resistance and friction control through surface texturing.
Posted: 05 January 2026
The Influence of Structural Design Parameters on the Retention Force and Interference-Fit Reliability of Connecting Rod Bushings
Ting Li
,Yi Zhang
,Liqiang Zhang
,Siyuan Gong
,Tao Song
Posted: 05 January 2026
From Bateman-Horn to Chowla
Huan Xiao
Posted: 05 January 2026
Acceptability and Implementation Considerations for a 40-Hz Sine-Wave–Integrated Soundscape Intervention: A Qualitative Exploratory Study
Kiechan Namkung
,Kanghyun Lee
Posted: 05 January 2026
EcoTechnoPolitics: Towards Planetary Thinking Beyond Digital-Green Twin Transitions
Igor Calzada
,Itziar Eizaguirre
Posted: 05 January 2026
Beyond Fear Conditioning: Synaptic Pruning Dysregulation as the Core Pathogenetic Mechanism in Post-Traumatic Stress Disorder
Ngo Cheung
Posted: 05 January 2026
Pediatric Heavy-Metal Exposome and Chronic Disease Trajectories: From Neurodevelopment to Metabolic and Endocrine Outcomes
Carlos Domínguez-Vargas
,Jesús Eduardo García-Hernández
,Emiliano Peña-Durán
,Samantha Jonnue Ramírez-Flores
,Ulises Moisés González-Reyes
,Ramsés Emiliano Martínez-Hernández
,Daniela Alejandra Torres-Rodríguez
,Paloma Marylí Prado-López
Posted: 05 January 2026
Process‐Driven Acetate‐Based Lipid Production by the Oleaginous Yeast Lipomyces starkeyi
Akihiro Ishioka
,Prihardi Kahar
,Tasuku Nagano
,Noor-Afiqah Ahmad Zain
,Yutaro Mori
,Chiaki Ogino
Posted: 05 January 2026
CRISPR Precision Meets Self-Powered Bioelectronics in Spinal Cord Recovery: Design Principles, Safety and Regulatory Pathways
Abdullah Ayad
Posted: 05 January 2026
Modelling the Probability of Functional Health Literacy Based on Traditional Media Consumption Patterns in High‐Illiteracy Provinces in South Africa
Oratilwe Penwell Mokoena
,Solly Matshonisa Seeletse
Posted: 05 January 2026
ppAIsec: Privacy-Preserving Artificial Intelligence Models in Healthcare Security—A Synthesis of AI Frameworks
Tanzina Sultana
,Asura Akter Sunna
,Mohammed Majbah Uddin
,Naresh Kshetri
Posted: 05 January 2026
Study, Modelling and Computing of Pressure Losses in GH2 Pipelines
Akshay Bambore
,Patrick Hendrick
,Jean Philippe Ponthot
Posted: 05 January 2026
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