Issue 5 / 2025 
Inner covers
Article: Investigating the heat measurement techniques of sewing needle
Authors: ADNAN MAZARI, FUNDA BUYUK MAZARI
Pages: 607–613
DOI: 10.202539/IT.076.05.2024198
Published online: October 2025
Abstract
Industrial lockstitch sewing machines have an unavoidable issue with the heat generated by the sewing needle during
high-speed sewing. This needle heat causes thread breakage, burn spots on fabric and poor seam strength. Garment
manufacturers and technical textile producers are forced to slow down production or use expensive cooling techniques,
such as needle coating, thread lubrication, and forced cooling. In this research, the techniques used in needle heat
measurement are summarised and show why the classical technique of thermal camera shows false readings. The
research work shows repeatable results from a unique technique of embedded thermocouple technique to measure
sewing needle temperature and compares with other techniques. The overall setup of this technique, including the types
of thermocouples and receiver, is deeply explained in the article. This technique shows significant improvement in the
needle temperature measurement methodology, which is tested at different sewing speeds and with the most common
sewing threads used in the market. The article is useful for researchers and also for the industry to know exactly the
needle heat before sewing and consider the machine parameters accordingly for better seam quality.
Keywords: needle heat, garment, heat transfer, sewing, lock stich
Citation: Mazari, A., Mazari, F.B., Investigating the heat measurement techniques of sewing needle, In: Industria Textila, 2025, 76, 5, 607–613, https://doi.org/10.35530/IT.076.05.202539
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Article: The dual high phenomenon and corporate innovation capabilities: Empirical evidence from Chinese textile enterprises
Authors: FU FANWEI, FU LIYING
Pages 614–624
DOI: 10.35530/IT.076.05.2024137
Published online: October 2025
Abstract
“Dual high” describes a situation where a firm simultaneously holds a high proportion of monetary funds and a high
proportion of short-term loans. Using a sample of 1,796 textile companies in China, this paper explores the impact of
the dual high phenomenon on a firm’s innovation capabilities. The study finds that the more pronounced the dual high
characteristics of a firm, the stronger the inhibitory effect on its innovation capabilities. The underlying mechanisms
suggest that dual high characteristics increase financial risk, leading firms to reduce R&D investment to mitigate these
risks, thereby inhibiting innovation. Moreover, digitalisation significantly moderates the relationship between the
dual-high phenomenon and innovation capabilities, implying that a higher level of digitalisation reduces the adverse
effects of dual high characteristics on innovation capabilities of Chinese textile enterprises. Further analysis shows that
non-state-owned enterprises experience a stronger inhibitory effect on innovation capabilities compared to state-owned
enterprises. Additionally, the lower the proportion of digitalisation in a firm, the stronger the inhibitory effect of dual high
characteristics on innovation capabilities. This research enriches the theoretical understanding of the dual high
phenomenon and provides practical insights for mitigating its negative impacts.
Keywords: Dual High, short-term borrowings, monetary funds, corporate innovation, corporate financial risk, digitalisation
Citation: Fanwei, F., Liying, F., The dual high phenomenon and corporate innovation capabilities: Empirical evidence from Chinese textile enterprises, In: Industria Textila, 2025, 76, 5, 614–624, https://doi.org/10.35530/IT.076.05.2024137
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Article: Iterative development of flexible textile composites for naval emergency shuttles in oil spill recovery
Authors: ALEXANDRA GABRIELA ENE, ALINA POPESCU, CRISTINA GROSU, ALINA FLORENTINA VLADU, MARIAN CATALIN GROSU, FELICIA DONDEA, RAZVAN VICTOR SCARLAT, SORIN MIHAI RADU
Pages 625–630
DOI: 10.35530/IT.076.05.2024106
Published online: October 2025
Abstract
Maritime oil spill accidents should not be regarded as irreversible disasters, as hydrocarbons are recoverable and
economically valuable resources that, when efficiently processed, can be reintroduced into the economic value chain.
Currently, five principal strategies are employed to mitigate hydrocarbon pollution: natural biodegradation, transfer to
storage barges, in situ combustion, dispersion within the water column, and surface concentration followed by recovery.
This paper focuses on the fifth strategy – concentration and recovery of hydrocarbons from the water surface – by
presenting an iterative development approach for two composite materials intended for use in a naval emergency
response unit. This unit is specifically engineered to improve the efficiency of hydrocarbon collection, concentration and
recovery during maritime spill incidents, particularly under emergency conditions. The composite materials comprise a
textile matrix structure made from 100% polyester yarns, obtained through a weaving process and subsequently coated
with polyvinyl chloride (PVC) to enhance mechanical durability and resistance to water and oil. To optimise the structural
performance of the composites in marine environments, textile engineering methodologies were applied, including
advanced Computer-Aided Design (CAD) and Computer-Aided Engineering (CAE) tools.
This research highlights the critical role of the textile structure and the intrinsic properties of polyester fibres, including
their tensile strength, flexibility, and chemical resistance to oil, saltwater, and ultraviolet (UV) degradation. An iterative
design methodology supported by virtual prototyping was employed to evaluate how textile construction techniques –
such as weaving and coating – affect the deployment of the composite material’s overall mechanical performance and
suitability for deployment in emergency oil spill response operations.
Keywords: marine pollution, oil spill recovery, functional textiles, composite materials, naval emergency unit, computeraided design (CAD), computer-aided engineering (CAE)
Citation: Ene, A.G., Popescu, A., Grosu, C., Vladu, A.F., Grosu, M.C., Dondea, F., Scarlat, R.V., Radu, S.M., Iterative development of flexible textile composites for naval emergency shuttles in oil spill recovery, In: Industria Textila, 2025, 76, 5, 625–630, https://doi.org/10.35530/IT.076.05.2024106
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Article: Balancing of the national clothing production line based on the genetic taboo mixing algorithm
Authors: ZHOU YING, YAN YINONG
Pages 631–639
DOI: 10.35530/IT.076.05.2024105
Published online: October 2025
Abstract
In order to solve the problems of complicated process types, long production process arrangement time and low
production efficiency of national clothing production, a national clothing production line is constructed based on a
hanging assembly line. Firstly, the national clothing production line is thoroughly explored. Considering the constraints
of the production line and the multi-objective optimisation, a mathematical model of balance optimisation is constructed.
Secondly, the adaptive improvement of the genetic algorithm (GA) in coding and genetic operation is explored. On this
basis, the tabu search algorithm is embedded into the GA framework, and the genetic tabu hybrid algorithm is proposed
to realise the production balance of national clothing. MATLAB software is used to solve the problem of balancing the
production line process arrangement. Finally, the Flexsim simulation software is used to simulate the actual production
process to verify the intelligent arrangement results, and an application analysis is carried out with a Mongolian clothing
with a national clothing characteristic manufacturing process as an example. The results show that the genetic tabu
hybrid algorithm is suitable for solving the problem of process arrangement balance in the national clothing production
line. The assembly line equilibrium index after intelligent automatic arrangement of the genetic tabu hybrid algorithm was
6.6, the maximum beat and the minimum beat difference Fmin was 19. The simulation model verifies that the stable
operation time of each station accounts for more than 95%, and the simulation results show that the arrangement
scheme is feasible.
Keywords: national clothing, clothing production line, genetic taboo hybrid algorithm, Flexsim, simulation optimisation
Citation: Ying, Z., Yinong, Y., Balancing of the national clothing production line based on the genetic taboo mixing algorithm, In: Industria Textila, 2025, 76, 5, 631–639, https://doi.org/10.35530/IT.076.05.2024105
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Article: The influence of weft density in fabric on the mechanical characteristics of sewn seams
Authors: ANITA MILOSAVLJEVIC, VASILIJE PETROVIC, NENAD CIRKOVIC, JOVAN STEPANOVIC, DRAGAN DORDIC
Pages 640–647
DOI: 10.35530/IT.076.05.2024145
Published online: October 2025
Abstract
The goal of this paper was to examine the influence of three different densities of fabric threads per weft (10, 17 and
25 m–1) as well as three different yarn counts of weft yarn (20, 30 and 50 Tex) on the mechanical characteristics of sewn
seams. To test the strength of seams, fabric samples were prepared according to the regulations of the ISO 13935-1
standard. The patterns were then sewn in the direction of the weft with the selected type of sewing seam, mark
1.01.01/301 according to the ISO 4916 standard. Using a video camera, it was determined that at one point the value
of the force drops sharply, but then again it begins to grow to the point of breaking the seam, in all samples. This more
precisely determines the point where the seam structure is significantly damaged. This phenomenon is analysed in detail
in this paper, because in the available literature, only the end point of the break is taken as the strength of the seams.
The obtained results show that the stitch strength values, for all samples, increase with the increase of: stitch density,
thread density per weft and yarn per weft. The precise determination of these parameters, which affect the strength of
the sewn seams, is a significant contribution for manufacturers of quality clothing because it gives them the opportunity
to project the necessary production parameters in advance.
Keywords: mechanical characteristics of seams, damage to sewn seams, structure and density of fabrics, yield point of the seam, breaking point of the seam
Citation: Milosavljević, A., Petrović, V., Ćirković, N., Stepanović, J., Đorđić, D., The influence of weft density in fabric on the mechanical characteristics of sewn seams, In: Industria Textila, 2025, 76, 5, 640–647, https://doi.org/10.35530/IT.076.05.2024145
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Article: Application of the TOPSIS optimisation method with different weight selections on selected criteria in basalt, aramid, and carbon layered composite structures
Author: CIGDEM SARPKAYA
Pages 648–654
DOI: 10.35530/IT.076.05.2024184
Published online: October 2025
Abstract
Composite materials have a wide range of applications today due to the advantages they offer, including durability and
lightness, and are widely preferred as raw materials and products in industrial production. This study focuses on
optimising certain performance criteria of these materials, which are critical in terms of engineering design. In the study,
three different high-tech fabric materials (Basalt, Aramid, Carbon) were produced in 2 and 3 layers by the vacuum
infusion method, and 6 composite plates were obtained. The TOPSIS optimisation technique was applied to determine
the most suitable of these composites in terms of thermal and economic properties such as heat insulation, sound
insulation, cost and lightness. Optimum alternatives were determined by giving weights according to the priority status
of the criteria. As a result of the analysis in all three weight combinations, it was determined that the optimum composite
material was the 3-layer structure with the Carbon/Aramid/Basalt combination.
Keywords: hybrid composite, thermal insulation, sound insulation, cost, lightness
Citation: Sarpkaya, Ç., Application of the TOPSIS optimisation method with different weight selections on selected criteria in basalt, aramid, and carbon layered composite structures, In: Industria Textila, 2025, 76, 5, 648–654, https://doi.org/10.35530/IT.076.05.2024184
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Article: Maintaining the antibacterial durability of chitosan-added cotton fabric to E-coli bacteria after many washing cycles
Authors: PHAM DUC DUONG, VU THI HONG KHANH, PHAN DUY NAM, VU TOAN THANG
Pages 655–663
DOI: 10.35530/IT.076.05.2024141
Published online: October 2025
Abstract
In countries with hot and humid climates like Vietnam, textile products made from natural fibres will have limitations in
resisting the attack and destruction of bacteria, microorganisms and mould. However, this is an opportunity to develop
textile products with antibacterial properties to protect consumers under certain conditions. Furthermore, polluted air
combined with Vietnam’s hot and humid climate are causes of increased epidemics. These are the reasons why
antibacterial textile products will increase in type, quantity, and quality to satisfy consumer needs. Antibacterial treatment
of textile materials using chitosan is ecologically significant and has many advantages. Chitosan is a natural biopolymer
with many chemical characteristics including its ability to convert to natural cations. This article develops a technological
process for antibacterial finishing treatment for cotton fabrics with antibacterial durability maintaining after 20 washing
cycles with chitosan produced in Vietnam. This study combines three methods, microbial method, infrared spectroscopy
(FTIR) analysis method, and scanning electron microscope (SEM) method to evaluate the antibacterial ability and
antibacterial durability of cotton fabric after complete treatment with chitosan. The results showed that after washing up
to 20 cycles, chitosan bonded to cellulose stably and the antibacterial performance reached 56.62%. This indicated that
chitosan-treated cotton fabric exhibits notable antibacterial properties, enhancing its suitability for antimicrobial products.
Keywords: chitosan, cotton fabric, antibacterial treatment, fibre surface, textile product
Citation: Duong, P.D., Khanh, V.T.H., Nam, P.D., Thang, V.T., Maintaining the antibacterial durability of chitosan-added cotton fabric to E-coli bacteria after many washing cycles, In: Industria Textila, 2025, 76, 5, 655–663, https://doi.org/10.35530/IT.076.05.2024141
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Article: Sustainable biomedical waste management in healthcare: exploring composting through Fuzzy DEMATEL-ANP analysis
Authors: VINOTHINI VELLINGRI, JAISANKAR SHANMUGA SUNDARAM, KISHORE KUNAL, VAIRAVEL MADESHWAREN
Pages 664–674
DOI: 10.35530/IT.076.05.202520
Published online: October 2025
Abstract
Effective biomedical waste management is critical for ensuring health safety, environmental sustainability, and regulatory
compliance in healthcare settings. This study introduces an integrated decision-making framework that combines the
Fuzzy Decision-Making Trial and Evaluation Laboratory (DEMATEL) with the Analytic Network Process (ANP) to
evaluate and prioritise sustainable waste management practices, with a focus on composting and recycling. The
framework incorporates fuzzy logic to handle uncertainties in expert-driven evaluations, ensuring robust and adaptive
assessments. Using criteria such as environmental impact, health safety, cost-efficiency, social equity, and regulatory
adherence, the DEMATEL analysis highlights key causal relationships, providing targeted prioritisation of strategies.
Results indicate that composting achieves superior performance, with higher scores in environmental sustainability
(0.85) and health impact (0.88), making it the preferred approach for fostering circular economy practices. The objective
of this study is to support data-driven decision-making by integrating expert opinions and system interdependencies.
This study underscores the importance of multi-criteria, data-driven methods like Fuzzy DEMATEL-ANP in advancing
sustainable biomedical waste management systems, promoting resource optimisation and sustainable development
within healthcare facilities.
Keywords: biomedical waste management, Fuzzy DEMATEL-ANP, healthcare waste optimisation, multi-criteria decision-making, sustainable development
Citation: Vellingri, V., Sundaram, J.S., Kunal, K., Madeshwaren, V., Sustainable biomedical waste management in healthcare: exploring composting through Fuzzy DEMATEL-ANP analysis, In: Industria Textila, 2025, 76, 5, 664–674, https://doi.org/10.35530/IT.076.05.202520
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Article: Development and application of a green degree evaluation framework for the environmental sustainability of clothing
Authors: SHANSEN WEI, JIANFANG LIANG, XUERONG CAO
Pages 675–686
DOI: 10.35530/IT.076.05.20254
Published online: October 2025
Abstract
The production, use, and disposal of clothing contribute significantly to environmental pollution and resource depletion,
necessitating robust methodologies to evaluate environmental sustainability. Nevertheless, a holistic framework for
evaluating the environmental sustainability of clothing is still absent. To bridge this gap, this study introduces the concept
of green degree to develop a holistic evaluation framework for clothing, which comprises an evaluation system and an
evaluation model. The clothing green degree evaluation system is based on the principles of environmental friendliness,
technological advancement, and economic rationality, and is composed of green material, green design, green
production, green quality, and green packaging. TFN-AHP and grey clustering method were integrated to develop the
evaluation model. Among the five evaluation dimensions, green production and green material received the highest
weights, at 36.89% and 33.64% respectively. To validate the proposed model, a men’s polo shirt was evaluated as a
case study. With a score of 3.647, the shirt was evaluated as ‘green’ grade on the five-tier green degree scale, a result
consistent with its actual environmental properties. Through this green degree evaluation framework, the environmental
sustainability of clothing can be evaluated, thereby providing a scientific basis for product development and classification
strategies.
Keywords: environmental sustainability of clothing, clothing green degree, evaluation framework, TFN-AHP, grey clustering method
Citation: Wei, S., Liang, J., Cao, X., Development and application of a green degree evaluation framework for the environmental sustainability of clothing, In: Industria Textila, 2025, 76, 5, 675–686, https://doi.org/10.35530/IT.076.05.20254
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Article: Application of Olea Europea L. barks as eco-friendly adsorbent material: mechanism studies and efficiency evaluation
Authors: WAFA MILED, FOUED KHOFFI, SONDOS GARGOUBI, HIND ALGAMDY
Pages 687–695
DOI: 10.35530/IT.076.05.2024115
Published online: October 2025
Abstract
The olive tree (Olea europaea L.) holds significant nutritional importance due to the therapeutic properties of virgin olive
oil. Consequently, there has been a growing interest in exploring novel applications for the agricultural and industrial
waste generated by the olive industry. This study investigates the performance of bark material derived from olive trees
in removing dyes from textile wastewater. The study elucidates the influence of pH, ionic strength, adsorbent
concentration, and chemical structure on the adsorption process. For direct dye removal, a basic pH value demonstrated
superior depollution results. However, an acidic medium was necessary to achieve complete decolourisation of reactive
dyes. Notably, the Olea europaea L. bark exhibited remarkable decolourisation and COD abatement capacities,
surpassing 75% and 65%, respectively.
The experimental data were further validated by comparing them with classical calculations obtained using activated
carbon. A relatively high level of agreement was observed, suggesting that bio-sorption using olive bark presents a
promising alternative to the utilisation of expensive adsorbent materials.
Keywords: Olea europea L., olive bark, biomaterial, dye uptake, reactive dye, direct dye
Citation: Miled, W., Khoffi, F., Gargoubi, S., Algamdy, H., Application of Olea Europea L. barks as eco-friendly adsorbent material: mechanism studies and efficiency evaluation, In: Industria Textila, 2025, 76, 5, 687–695, https://doi.org/10.35530/IT.076.05.2024115
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Article: Analysis of risk factors affecting occupational health and safety in textile firms in the framework of sustainability
Authors GONCA SIMSEK GUNDUZ
Pages 696–702
DOI: 10.35530/IT.076.05.202512
Published online: October 2025
Abstract
Determining risk factors affecting occupational health and safety is crucial for textile firms today. Identifying these risks
helps firms assess their current situation and take stronger steps toward the future. In this study, the DEMATEL method
was used to calculate the interactions and weighting of risk factors based on expert opinions, enabling a realistic and
applicable occupational health and safety management approach. The analysis revealed that management perceptions,
education, and employee expectations have the greatest impact on other criteria, while chemical factors are the most
influenced by them. The criteria that do not significantly affect any of the criteria are employee psychology, biological
factors, and technology. Implementing occupational health and safety practices while considering these factors will lead
to more effective and efficient outcomes. Textile firms must prioritise such analyses and recognise their role in enhancing
overall efficiency. Furthermore, firms that successfully foster an occupational health and safety culture will be better
positioned to achieve their sustainability goals. By integrating these practices into their operational strategies, textile
firms can create a safer and healthier environment for employees, ensure production continuity, and contribute to
long-term growth and stability. Ultimately, understanding risk factors is key to aligning occupational health and safety
with broader sustainability objectives, benefiting both firms and their stakeholders.
Keywords: textile industry, sustainability, occupational health and safety, DEMATEL method, risk factors
Citation: Gündüz, G.Ş., Analysis of risk factors affecting occupational health and safety in textile firms in the framework of sustainability, In: Industria Textila, 2025, 76, 5, 696–702, https://doi.org/10.35530/IT.076.05.202512
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Article: Leadership for sustainability: A study of the impact of sustainable leadership on sustainable performance in the textile industry
Authors: AALIYA ASHRAF, NANCY SAHNI, RAMONA BIRAU, ISHAQ AHMAD DAR, ULFAT ANDRABI, GENU ALEXANDRU CARUNTU, DUMITRU-DOREL D. CHIRITESCU, ROBERT DORIN FILIP, GABRIELA ANA MARIA LUPU (FILIP), MADALINA RADU
Pages 703–713
DOI: 10.35530/IT.076.05.2024187
Published online: October 2025
Abstract
The textile industry is under increasing pressure to implement sustainable practices because of its labour-intensive
operations and substantial environmental impact. This study looks into how sustainable leadership affects the economic,
environmental, and social facets of sustainable performance for textile sector workers. Based on theories of
organisational behaviour and sustainable leadership, the study looks at how leaders who put sustainability first affect
social well-being, eco-friendly practices, and worker productivity. Through surveys and interviews with employees and
leadership representatives, data was gathered from workers in different textile organisations in the Indian states of
Punjab and Jammu & Kashmir union territory. The results show that sustainable leadership improves social performance
by encouraging employee involvement and well-being, improves environmental performance through green practices,
and increases economic performance by promoting productivity and innovation. The study emphasises how important
leadership is in coordinating organisational objectives with sustainability, and it provides managers and policymakers
with practical advice on how to include sustainable leadership frameworks for sustained performance enhancements in
the textile sector.
Keywords: sustainable leadership, sustainable performance, textile industry, economic performance, environmental performance, social performance
Citation: Ashraf, A., Sahni, N., Birau, R., Dar, I.A., Andrabi, U., Căruntu, G.A., Chirițescu, D.-D.D., Filip, R.D., Lupu (Filip), G.A.M., Radu, M., Leadership for sustainability: A study of the impact of sustainable leadership on sustainable performance in the textile industry, In: Industria Textila, 2025, 76, 5, 703–713, https://doi.org/10.35530/IT.076.05.2024187
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Article: Design improvement and performance of the inflatable anti-immersion suit
Authors: LIYUN XU, YUANMEI XU, LUZHEN SHI, HONG TANG, MINGLIN XU, SHUYUN XUE, CHENGJIAO ZHANG
Pages 714–721
DOI: 10.35530/IT.076.05.2024152
Published online: October 2025
Abstract
The human body’s exposure to cold water can lead to rapid heat loss, even frostbite, cold stress and drowning.
To protect the lives of individuals working in cold water environments, an anti-immersion suit is worn as protective
equipment. But active anti-immersion suit faces problems such as single function, lack of warmth, poor floatability, poor
thermal, wet comfort, poor body suitability and so on. In this paper, the performance of the anti-immersion suit was tested
and evaluated by changing the inflatable thermal fabric as part of the inner layer and optimising the structure of key parts
of the suit. It was found that the use of inflatable thermal inner layer materials and the improved design of the garment
structure caused significant improvement of floating and thermal properties of the suit, inhibited the average skin
temperature drop of the human body in a cold water environment, and improved the subjective comfort of the human
body in a human subject experiment. Therefore, the results of this study may form the basis for research into a new
anti-immersion suit.
Keywords: anti-immersion suit, inflatable thermal fabric, buoyancy, thermal manikin, average skin temperature
Citation: Xu, L., Xu, Y., Shi, L., Tang, H., Xu, M., Xue, S., Zhang, C., Design improvement and performance of the inflatable anti-immersion suit, In: Industria Textila, 2025, 76, 5, 714–721, https://doi.org/10.35530/IT.076.05.2024152
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Article: Investigation of the effect of sewing parameters on the bursting strength of knitted fabrics
Authors: EMINE ERYAZICI, OZGE URAL
Pages 722–730
DOI: 10.35530/IT.076.05.202542
Published online: October 2025
Abstract
Knitted fabrics are extensively employed in the textile and apparel industries due to their structural adaptability,
favourable mechanical behaviour, and cost-efficient production. Nevertheless, their inherent loop-based architecture
renders them susceptible to complex, multidirectional loading conditions, including tensile, compressive, and shear
stresses. Bursting strength is considered a more representative mechanical property for evaluating the multidirectional
load-bearing capacity of knitted fabrics than the uniaxial tensile strength, which is limited to wale and course directions.
Moreover, seam performance under such stresses is influenced by the intricate interaction of fabric structure, stitch
configuration, and sewing parameters. This study is a continuation of the previous research. The findings of this study
aim to enhance the understanding of seam-fabric interactions and contribute to the optimisation of knitted garment
durability and performance. The results indicated that optimal bursting resistance varied depending on fabric type and
sewing configuration. Specifically, Interlock fabrics achieved superior bursting strength with chain stitch, 5-step stitch
density, Nm 70 needle thickness, and sewing in the loop bar direction. For Lacoste fabrics, the optimal configuration
involved lock stitch, 5-step stitch density, Nm 70 needle thickness, and sewing in the seam bar direction. For Single
Jersey fabrics, chain stitch, Nm 70 needle thickness, and loop bar direction yielded the most favourable results.
Statistical analysis using regression models confirmed that sewing direction, stitch type, and needle thickness
statistically significantly affected bursting pressure across all fabric types.
Keywords: knitted fabrics, bursting strength, multiaxial loading, sewing parameters, textile
Citation: Eryazici, E., Ural, Ö., Investigation of the effect of sewing parameters on the bursting strength of knitted fabrics, In: Industria Textila, 2025, 76, 5, 722–730, https://doi.org/10.35530/IT.076.05.202542
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Article: Modified Meek technique using pre-folded polyamide gauzes: a 10-patient case series with extensive burns
Authors: ANCA BULIMAN, ALEXANDRU LAURENTIU CHIOTOROIU, TATIANA-ALEXANDRA PANCHICI, DIANA CINTACIOIU, SORIN VIOREL PARASCA, ILEANA CARMEN BOIANGIU, TATIANA-ALEXANDRA PANCHICI, MARIUS P. IORDACHE
Pages 731–736
DOI: 10.35530/IT.076.05.2025113
Published online: October 2025
Abstract
Extensive burns still represent a major challenge due to high mortality rates and limited donor skin area availability,
particularly in patients with inhalation injuries, advanced age, and large total body surface area (TBSA) burns. This case
series presents the clinical outcomes of 10 patients treated with the modified Meek micrografting technique using
pre-folded polyamide gauzes at the Emergency Clinical Hospital for Plastic, Reconstructive, and Burn Surgery in
Bucharest between 2020 and 2025.
Patients included in this article sustained burns involving more than 20% TBSA, with an average of 56% and a mean
Abbreviated Burn Severity Index (ABSI) score of 11. The Meek micrografting technique utilised expansion rates of up to
1:6 and was primarily employed in the initial grafting surgeries. The most commonly affected areas were the thorax, the
upper limbs, and the lower limbs. A single Meek procedure was used in seven patients, while the remaining three
patients required multiple surgeries, with one of them undergoing four Meek interventions.
In our cohort, the Meek technique demonstrated consistent performance, with actual expansion rates of 89% for the
intended 1:6 ratio and 90.02% for the intended 1:4 ratio. Reliable graft take and coverage were achieved using the
modified Meek procedure in all ten patients, with minimal regrafting (≤ 3% TBSA) required in initially grafted areas.
Despite favorable local outcomes, overall mortality in our group remained high (90%), largely attributable to the severity
of initial burn injuries and associated systemic complications.
The modified Meek micrografting technique has proven effective in maximising graft coverage in full-thickness,
extensive burns with limited donor areas. However, patient prognosis primarily depends on the severity of burns and the
extent of systemic compromise.
Keywords: Meek grafting, burns, textile wound coverage, full-thickness burns, pre-folded gauze
Citation: Buliman, A., Chiotoroiu, A.L., Panchici, T.-A., Cintacioiu, D., Parasca, S.V., Boiangiu, I.C., Iordache, M.P., Modified Meek technique using pre-folded polyamide gauzes: a 10-patient case series with extensive burns, In: Industria Textila, 2025, 76, 5, 731–736, https://doi.org/10.35530/IT.076.05.2025113
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