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This study aims to investigate how firms of different sizes respond to competitive pressure from peers.

This study employs machine learning techniques to measure competitive pressure based on management discussion and analysis (MD&A) documents and then utilises the constructed pressure indicator to explore the relationship between competitive pressure and corporate risk-taking behaviours amongst firms of different sizes.

We find that firm sizes are positively associated with their risk-taking behaviours when firms respond to competitive pressure. Large firms are inclined to exhibit a high level of risk-taking behaviours, whereas small firms tend to make conservative decisions. Regional growth potential and institutional ownership moderate the relationships.

Utilising text mining techniques, this study constructs a novel quantitative indicator to measure competitive pressure perceived by focal firms and demonstrates the heterogeneous behaviour of firms of different sizes in response to competitive pressure from peers, advancing research on competitive market pressures.

COVID-19 continues to spread, and cause increasing deaths. Physicians diagnose COVID-19 using not only real-time polymerase chain reaction but also the computed tomography (CT) and chest x-ray (CXR) modalities, depending on the stage of infection. However, with so many patients and so few doctors, it has become difficult to keep abreast of the disease. Deep learning models have been developed in order to assist in this respect, and vision transformers are currently state-of-the-art methods, but most techniques currently focus only on one modality (CXR).

This work aims to leverage the benefits of both CT and CXR to improve COVID-19 diagnosis. This paper studies the differences between using convolutional MobileNetV2, ViT DeiT and Swin Transformer models when training from scratch and pretraining on the MedNIST medical dataset rather than the ImageNet dataset of natural images. The comparison is made by reporting six performance metrics, the Scott–Knott Effect Size Difference, Wilcoxon statistical test and the Borda Count method. We also use the Grad-CAM algorithm to study the model's interpretability. Finally, the model's robustness is tested by evaluating it on Gaussian noised images.

Although pretrained MobileNetV2 was the best model in terms of performance, the best model in terms of performance, interpretability, and robustness to noise is the trained from scratch Swin Transformer using the CXR (accuracy = 93.21 per cent) and CT (accuracy = 94.14 per cent) modalities.

Models compared are pretrained on MedNIST and leverage both the CT and CXR modalities.

Additive manufacturing (AM), a rapidly evolving paradigm, has shown significant advantages over traditional subtractive processing routines by allowing for the custom creation of structural components with enhanced performance. Numerous studies have shown that the technical qualities of AM components are profoundly affected by the discovery of novel metastable substructures in diverse alloys. Therefore, the purpose of this study is to determine the effect of cell structure parameters on its mechanical response.

Initially, a methodology was suggested for testing porous materials, focusing on static tensile testing. For a qualitative evaluation of the cellular structures produced, computed tomography (CT) was used. Then, the CT scanner was used to analyze a sample and determine its actual relative density, as well as perform a detailed geometric analysis.

The experimental research demonstrates that the mechanical properties of a cell’s structure are significantly influenced by its shape during formation. It was also determined that using selective laser melting to produce cell structures with a minimum single-cell size of approximately 2 mm would be the most appropriate method.

Further studies of cellular structures for testing their static tensile strength are planned for the future. The study will be carried out for a larger number of samples, taking into account a wider range of cellular structure parameters. An important step will also be the verification of the results of the static tensile test using numerical analysis for the model obtained by CT scanning.

The fabrication of metallic parts with different cellular structures is very important with a selective laser melted machine. However, the determination of cell size and structure with mechanical properties is quiet novel in this current investigation.

The development of new advanced materials, such as photopolymerizable resins for use in stereolithography (SLA) and Ti6Al4V manufacture via selective laser melting (SLM) processes, have gained significant attention in recent years. Their accuracy, multi-material capability and application in novel fields, such as implantology, biomedical, aviation and energy industries, underscore the growing importance of these materials. The purpose of this study is oriented toward the application of new advanced materials in stent manufacturing realized by 3D printing technologies.

The methodology for designing personalized medical devices, implies computed tomography (CT) or magnetic resonance (MR) techniques. By realizing segmentation, reverse engineering and deriving a 3D model of a blood vessel, a subsequent stent design is achieved. The tessellation process and 3D printing methods can then be used to produce these parts. In this context, the SLA technology, in close correlation with the new types of developed resins, has brought significant evolution, as demonstrated through the analyses that are realized in the research presented in this study. This study undertakes a comprehensive approach, establishing experimentally the characteristics of two new types of photopolymerizable resins (both undoped and doped with micro-ceramic powders), remarking their great accuracy for 3D modeling in die-casting techniques, especially in the production process of customized stents.

A series of analyses were conducted, including scanning electron microscopy, energy-dispersive X-ray spectroscopy, mapping and roughness tests. Additionally, the structural integrity and molecular bonding of these resins were assessed by Fourier-transform infrared spectroscopy–attenuated total reflectance analysis. The research also explored the possibilities of using metallic alloys for producing the stents, comparing the direct manufacturing methods of stents’ struts by SLM technology using Ti6Al4V with stent models made from photopolymerizable resins using SLA. Furthermore, computer-aided engineering (CAE) simulations for two different stent struts were carried out, providing insights into the potential of using these materials and methods for realizing the production of stents.

This study covers advancements in materials and additive manufacturing methods but also approaches the use of CAE analysis, introducing in this way novel elements to the domain of customized stent manufacturing. The emerging applications of these resins, along with metallic alloys and 3D printing technologies, have brought significant contributions to the biomedical domain, as emphasized in this study. This study concludes by highlighting the current challenges and future research directions in the use of photopolymerizable resins and biocompatible metallic alloys, while also emphasizing the integration of artificial intelligence in the design process of customized stents by taking into consideration the 3D printing technologies that are used for producing these stents.

The objective of the proposed work is to identify the most commonly occurring non–small cell carcinoma types, such as adenocarcinoma and squamous cell carcinoma, within the human population. Another objective of the work is to reduce the false positive rate during the classification.

In this work, a hybrid method using convolutional neural networks (CNNs), extreme gradient boosting (XGBoost) and long-short-term memory networks (LSTMs) has been proposed to distinguish between lung adenocarcinoma and squamous cell carcinoma. To extract features from non–small cell lung carcinoma images, a three-layer convolution and three-layer max-pooling-based CNN is used. A few important features have been selected from the extracted features using the XGBoost algorithm as the optimal feature. Finally, LSTM has been used for the classification of carcinoma types. The accuracy of the proposed method is 99.57 per cent, and the false positive rate is 0.427 per cent.

The proposed CNN–XGBoost–LSTM hybrid method has significantly improved the results in distinguishing between adenocarcinoma and squamous cell carcinoma. The importance of the method can be outlined as follows: It has a very low false positive rate of 0.427 per cent. It has very high accuracy, i.e. 99.57 per cent. CNN-based features are providing accurate results in classifying lung carcinoma. It has the potential to serve as an assisting aid for doctors.

It can be used by doctors as a secondary tool for the analysis of non–small cell lung cancers.

It can help rural doctors by sending the patients to specialized doctors for more analysis of lung cancer.

In this work, a hybrid method using CNN, XGBoost and LSTM has been proposed to distinguish between lung adenocarcinoma and squamous cell carcinoma. A three-layer convolution and three-layer max-pooling-based CNN is used to extract features from the non–small cell lung carcinoma images. A few important features have been selected from the extracted features using the XGBoost algorithm as the optimal feature. Finally, LSTM has been used for the classification of carcinoma types.

This study aims to evaluate and assess the elastoplastic properties of Ti-6Al-4V alloy manufactured by Arcam Q20 Plus electron beam melting (EBM) machine by a tensile test campaign and micro computerized tomography (microCT) imaging.

ASTM E8 tensile test specimens are designed and manufactured by EBM at an Arcam Q20 Plus machine. Surface quality is improved by machining to discard the effect of surface roughness. After surface machining, hot isostatic pressing (HIP) post-treatment is applied to half of the specimens to remove unsolicited internal defects. ASTM E8 tensile test campaign is carried out simultaneously with digital image correlation to acquire strain data for each sample. Finally, build direction and HIP post-treatment dependencies of elastoplastic properties are analyzed by F-test and t-test statistical analyses methods.

Modulus of elasticity presents isotropic behavior for each build direction according to F-test and t-test analysis. Yield and ultimate strengths vary according to build direction and post-treatment. Stiffness and strength properties are superior to conventional Ti-6Al-4V material; however, ductility turns out to be poor for aerospace structures compared to conventional Ti-6Al-4V alloy. In addition, micro CT images show that support structure leads to dense internal defects and pores at applied surfaces. However, HIP post-treatment diminishes those internal defects and pores thoroughly.

As a novel scientific contribution, this study investigates the effects of three orthogonal build directions on elastoplastic properties, while many studies focus on only two-build directions. Evaluation of Poisson’s ratio is the other originality of this study. Furthermore, another finding through micro CT imaging is that temporary support structures result in intense defects closer to applied surfaces; hence high-stress regions of structures should be avoided to use support structures.

The present study investigates the mechanical properties of three types of Ti6Al4V ELI bone screws realized using the laser powder bed fusion (LPBF) process: a fully threaded screw and two groups containing differently arranged sectors made of lattice-based Voronoi (LBV) structure in a longitudinal and transversal position, respectively. This study aims to explore the potentialities related to the introduction of LBV structure and assess its impact on the implant’s primary stability and mechanical performance.

The optimized bone screw designs were realized using the LPBF process. The quality and integrity of the specimens were assessed by scanning electron microscopy and micro-computed tomography. Primary stability was experimentally verified by the insertion and removal of the screws in standard polyurethane foam blocks. Finally, torsional tests were carried out to compare and assess the mechanical strength of the different designs.

The introduction of the LBV structure decreases the elastic modulus of the implant. Longitudinal LBV type screws demonstrated the lowest insertion torque (associated with lower bone damage) while still displaying promising torsional strength and removal force compared with full-thread screws. The use of LBV structure can promote improved functional performances with respect to the reference thread, enabling the use of lattice structures in the biomedical sector.

The paper fulfils an identified interest in designing customized implants with improved primary stability and promising features for secondary stability.

This study aims to investigate how trauma team members perceive technological equipment and tools in the trauma room (TR) environment and to identify how the technological equipment could be optimized in relation to the TR’s space.

A total of 21 focus group sessions were conducted with 69 trauma team members, all of whom worked in Level I TRs from six teaching hospitals in the USA.

The collected data was analyzed and categorized into three parent themes: imaging equipment, assistive devices and room features. The results of the study suggest that trauma team members place high importance on the availability and versatility of the technological equipment in the TR environment. Although CT scans are a usual procedure necessity in TRs, few facilities were optimized for easy access to CT-scanners for the TR. The implementation of cameras and screens was suggested as an improvement to accommodate situational awareness. Rapid sharing of data, such as imaging results, was highly sought after. Unorthodox approaches, such as the use of automatic doors, were associated with slowing down the course of actions.

This study provides health-care designers with the knowledge they need to make informed decisions when designing TRs. It will cover key considerations such as room layout, equipment selection, lighting and controls. Implementing the strategies will help minimize negative patient outcomes.

Level I TRs are a critical element of emergency departments and designing them correctly can significantly impact patient outcomes. However, designing a TR can be a complex process that requires careful consideration of various factors, including patient safety, workflow efficiency, equipment placement and infection control. This study suggests multiple considerations when designing TRs.

This paper aims to automatically obtain the implant parameter from the CBCT images to improve the outcome of implant planning.

This paper proposes automatic simulated dental implant positioning on CBCT images, which can significantly improve the efficiency of implant planning. The authors introduce the fusion point calculation method for the missing tooth's long axis and root axis based on the dental arch line used to obtain the optimal fusion position. In addition, the authors proposed a semi-interactive visualization method of implant parameters that be automatically simulated by the authors' method. If the plan does not meet the doctor's requirements, the final implant plan can be fine-tuned to achieve the optimal effect.

A series of experimental results show that the method proposed in this paper greatly improves the feasibility and accuracy of the implant planning scheme, and the visualization method of planting parameters improves the planning efficiency and the friendliness of system use.

The proposed method can be applied to dental implant planning software to improve the communication efficiency between doctors, patients and technicians.

Porosity is a commonly analyzed defect in the laser-based additive manufacturing processes owing to the enormous thermal gradient caused by repeated melting and solidification. Currently, the porosity estimation is limited to powder bed fusion. The porosity estimation needs to be explored in the laser melting deposition (LMD) process, particularly analytical models that provide cost- and time-effective solutions compared to finite element analysis. For this purpose, this study aims to formulate two mathematical models for deposited layer dimensions and corresponding porosity in the LMD process.

In this study, analytical models have been proposed. Initially, deposited layer dimensions, including layer height, width and depth, were calculated based on the operating parameters. These outputs were introduced in the second model to estimate the part porosity. The models were validated with experimental data for Ti6Al4V depositions on Ti6Al4V substrate. A calibration curve (CC) was also developed for Ti6Al4V material and characterized using X-ray computed tomography. The models were also validated with the experimental results adopted from literature. The validated models were linked with the deep neural network (DNN) for its training and testing using a total of 6,703 computations with 1,500 iterations. Here, laser power, laser scanning speed and powder feeding rate were selected inputs, whereas porosity was set as an output.

The computations indicate that owing to the simultaneous inclusion of powder particulates, the powder elements use a substantial percentage of the laser beam energy for their melting, resulting in laser beam energy attenuation and reducing thermal value at the substrate. The primary operating parameters are directly correlated with the number of layers and total height in CC. Through X-ray computed tomography analyses, the number of layers showed a straightforward correlation with mean sphericity, while a converse relation was identified with the number, mean volume and mean diameter of pores. DNN and analytical models showed 2%–3% and 7%–9% mean absolute deviations, respectively, compared to the experimental results.

This research provides a unique solution for LMD porosity estimation by linking the developed analytical computational models with artificial neural networking. The presented framework predicts the porosity in the LMD-ed parts efficiently.