bluuebunny/crossref_metadata_2025 huggingface dataset:
In Ischemic Heart Disease, Reduced Sensitivity to Pressure at the Sternum Accompanies Lower Mortality after Five Years: Evidence from a Randomized Controlled Trial
Authors: Ballegaard Søren , Faber Jens , Selmer Christian , Gyntelberg Finn , Kreiner Svend , Karpatschof Benny , Klausen Tobias Wirenfeldt , Hjalmarson Åke , Gjedde Albert
Published: December 2023

Background: Autonomic nervous system dysfunction (ANSD) is associated with negative prognosis of ischemic heart disease (IHD). Elevated periosteal pressure sensitivity (PPS) at the sternum relates to ANSD and sympathetic hyperactivity. Two previous observational case–control studies of the effect of reduction of PPS suggested lower all-cause mortality from IHD and stroke. We now used a specific daily, adjunct, non-pharmacological program of reduction of elevated PPS to test the hypothetical association between the intervention and reduced all-cause mortality in patients with stable IHD in a randomized controlled trial (RCT). Methods: We completed active (n = 106) and passive interventions (n = 107) and compared the five-year mortalities. We also compared the five-year individual all-cause mortality of each participant to approximately 35.000 members of the general population of Denmark. Pooling the mortality data from the active group of the RCT with the two preliminary studies, we registered the mortality following active intervention of 1.168 person-years, compared to 40 million person-years of the pooled general population. Results: We recorded fewer deaths of the active RCT intervention group than of the corresponding control group from the general population (p = 0.01), as well as of the passive RCT intervention group (p = 0.035). The meta-analysis of the three studies together demonstrated reduced 4.2-year all-cause mortality of 60% (p = 0.007). Conclusions: The test of the hypothetical effect of an intervention aimed at the attenuation of ANSD accompanied by a lowered PPS revealed reduced all-cause mortality in patients with stable IHD.
Activity-Based Therapy for Mobility, Function and Quality of Life after Spinal Cord Injuries—A Mixed-Methods Case Series
Authors: Quel de Oliveira Camila , Bundy Anita , Middleton James W. , Refshauge Kathryn , Rogers Kris , Davis Glen M.
Published: December 2023

(1) Background: Despite inconclusive evidence on the benefits of activity-based therapies (ABTs) in people with spinal cord injuries, implementation has occurred in clinics worldwide in response to consumers’ requests. We explored the clinical changes and participants’ perceptions from engaging in an ABT program in the community. (2) Methods: This mixed-methods study involved a pragmatic observational multiple-baseline design and an evaluation of participants’ perceptions. Fifteen participants were included. Outcome measures were balance in sitting using the Seated Reach Distance test, mobility using the Modified Rivermead Mobility Index and quality of life using the Quality of Life Index SCI version pre- and post-participation in an ABT community-based program. Linear mixed models and logistic regressions were used to analyse the effects of intervention. Semi-structured interviews explored participants’ perceptions using inductive thematic analysis. (3) Results: There was an increase of 9% in the standardised reach distance (95% CI 2–16) for sitting balance, 1.33 points (95% CI: 0.81–1.85) in mobility and 1.9 points (0.17–2.1) in quality of life. Two themes emerged from the interviews: (1) reduced impact of disability and an increased sense of life as before, and (2) the program was superior to usual rehabilitation. No adverse events related to the intervention were observed. (4) Conclusion: ABT delivered in the community improved clinical outcomes in people with a chronic SCI. High levels of satisfaction with the program were reported.
Treatment of Acute Otitis Media with Inner Ear Involvement in Adults
Authors: Dogan Soner , Huber Alexander M. , Roosli Christof
Published: December 2023

Inner ear involvement (IED) is a rare local complication of the very common acute otitis media (AOM). The most beneficial treatment for IED remains a matter of debate. The aim of this study is to analyze different treatment modalities based on hearing outcomes to contribute to the discussion of therapy for IED in AOM. This retrospective study includes 112 adult patients diagnosed with AOM with IED between 2000 and 2020. Patients either received conservative (systemic antibiotic and systemic steroid therapy), interventional (conservative plus myringotomy and tympanic tube) or operative (interventional plus antrotomy) treatment. Pre- and post-treatment pure tone audiometry was performed. The hearing outcome was compared, and hearing recovery was analyzed based on modified Siegel’s criteria. The pre-treatment pure tone average (PTA) was significantly (p < 0.05) higher in the operative group than in the other groups. All treatment modalities led to a significant hearing improvement (p < 0.001). The pre- and post-treatment hearing loss was predominantly observed in high frequencies 2–4 kHz. The operative group showed the highest rate of complete hearing recovery. While all treatment modalities led to a significant improvement in hearing, the operative group showed the most beneficial hearing results in patients with high pre-treatment hearing loss. It remains to be shown if the findings in patients with high pre-treatment hearing loss can be generalized to patients with mild or moderate pre-treatment hearing loss.
Preliminary Outcomes of Zone 2 Thoracic Endovascular Aortic Repair Using Castor Single-Branched Stent Grafts: A Single-Center Experience
Authors: Rizza Antonio , Trimarchi Giancarlo , Di Sibio Silvia , Bastiani Luca , Murzi Michele , Palmieri Cataldo , Foffa Ilenia , Berti Sergio
Published: December 2023

In the context of thoracic endovascular aortic repair (TEVAR), the reconstruction of the left subclavian artery (LSA) has emerged as a crucial component in establishing a sufficient proximal landing zone. However, the technical difficulty of these procedures raises the possibility of endoleaks and neurological consequences. Single-branched stent grafts offer good anchoring and LSA flow for these patients. This study evaluates the feasibility of utilizing novel single-branched stent grafts in the treatment of distal aortic arch disease, identifying good results in the short and medium term. From September 2019 to March 2023, TEVAR and revascularized LSA were performed on ten patients at the Ospedale del Cuore—FTGM in Massa, Italy, using Castor single-branched thoracic aortic stent grafts (Microport Medical, Shanghai, China). The authors’ first findings demonstrated that, after an average follow-up of one year, the Castor branching aortic stent graft system was safe and achieving an appropriate proximal landing zone and maintaining sufficient LSA perfusion was possible. With regard to the endovascular treatment of distal aortic arch diseases, this product offers a compelling substitute for surgery. For the purpose of assessing the long-term effectiveness of this approach, the follow-up period should be extended.
Alveolar Ridge Preservation with a Novel Cross-Linked Collagen Sponge: Histological Findings from a Case Report
Authors: Abundo Roberto , Dellavia Claudia Paola Bruna , Canciani Elena , Daniele Monica , Dioguardi Mario , Zambelli Marta , Perelli Michele , Mastrangelo Filiberto
Published: December 2023

Alveolar ridge preservation (ARP) is a well-documented procedure to maintain bone volume after tooth extraction in order to place implants. However, at the end of the healing process, the residual biomaterial that is not reabsorbed remains embedded in the bone over time. Ribose cross-linked biomaterials demonstrated their ability to promote osteoconduction and complete resorption. The aim of this study was to evaluate the histological healing pattern of a novel ribose cross-linked collagen sponge used as a grafting material left exposed in human sockets at the time of tooth extraction. On a single patient, non-restorable lower first molars were extracted on both sides, and a ribose cross-linked collagen sponge was placed bilaterally in the cavities and left uncovered at the end of the surgery. After six months, core biopsies were taken immediately prior to implant placement; after the sample preparation, a histological analysis was performed. The results are very promising for substitution with newly formed bone and the amount of residual material. Ribose cross-linked collagen sponge could represent a valid alternative to conventional biomaterials for ARP procedures with no need for flap advancement and/or the addition of a membrane to cover the graft, reducing the invasiveness, complexity, and costs of the treatment.
Changes in Arterial Stiffness in Response to Blood Flow Restriction Resistance Training: A Narrative Review
Authors: Zota Ioana Mădălina , Ghiciuc Cristina Mihaela , Cojocaru Doina Clementina , Dima-Cozma Corina Lucia , Leon Maria Magdalena , Gavril Radu Sebastian , Roca Mihai , Costache Alexandru Dan , Maștaleru Alexandra , Anghel Larisa , Stătescu Cristian , Sascău Radu Andy , Mitu Florin
Published: December 2023

Arterial stiffness naturally increases with age and is a known predictor of cardiovascular morbimortality. Blood flow restriction (BFR) training involves decreasing muscle blood flow by applying a strap or a pneumatic cuff during exercise. BFR induces muscle hypertrophy even at low intensities, making it an appealing option for older, untrained individuals. However, BFR use in patients with cardiovascular comorbidities is limited by the increased pressor and chronotropic response observed in hypertensive elderly patients. Furthermore, the impact of BFR on vascular function remains unclear. We conducted a comprehensive literature review according to PRISMA guidelines, summarizing available data on the acute and long-term consequences of BFR training on vascular function. Although evidence is still scarce, it seems that BFR has a mild or neutral long-term impact on arterial stiffness. However, current research shows that BFR can cause an abrupt, albeit transient, increase in PWV and central blood pressure. BFR and, preferably, lower-body BFR, should be prescribed with caution in older populations, especially in hypertensive patients who have an exacerbated muscle metaboreflex pressor response. Longer follow-up studies are required to assess the chronic effect of BFR training on arterial stiffness, especially in elderly patients who are usually unable to tolerate high-intensity resistance exercises.
Acute Effect of Positive Airway Pressure on Heart Rate Variability in Obstructive Sleep Apnea
Authors: Shin Ji Hye , Song Min Ji , Kim Ji Hyun
Published: December 2023

Autonomic dysregulation is associated with cardiovascular consequences in obstructive sleep apnea (OSA). This study aimed to investigate the effect of acute continuous positive airway pressure (CPAP) treatment on autonomic activity and to identify factors contributing to heart rate variability (HRV) changes in OSA. Frequency domain HRV parameters were calculated and compared between the baseline polysomnography and during the CPAP titration in 402 patients with moderate to severe OSA. There were significant reductions in total power, very low-frequency band power, low-frequency band power, and high-frequency band power during the CPAP titration as compared to the baseline polysomnography. This tendency was pronounced in male patients with severe OSA. Multivariate analysis found that changes in the apnea-hypopnea index and oxygen saturation were significantly associated with changes in sympathetic and parasympathetic activity, respectively. This study demonstrated that HRV parameters significantly changed during the CPAP titration, indicating a beneficial effect of CPAP in the restoration of sympathetic and parasympathetic hyperactivity in OSA. Prospective longitudinal studies should determine whether long-term CPAP treatment aids in maintaining the long-lasting improvement of the autonomic functions, thereby contributing to the prevention of cardiovascular and cerebrovascular diseases in patients with OSA.
Correlation of Hematological Indices and Acute-Phase Reactants in Rheumatoid Arthritis Patients on Disease-Modifying Antirheumatic Drugs: A Retrospective Cohort Analysis
Authors: Pan Yu-Jen , Su Kuei-Ying , Shen Chih-Lung , Wu Yi-Feng
Published: December 2023

Acute-phase markers are often used to evaluate the disease activity of rheumatoid arthritis (RA). Occasionally, the serum levels of acute-phase reactants remain normal in patients with obvious inflamed joints. Hematological indices derived from complete blood counts have been shown to correlate with disease activity. This provides a potential practical implementation in daily practice. Only a few studies have evaluated the relation between hematological indices and novel RA treatment (i.e., biological and targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs); no research has examined the changes in hematological indices in RA treatments longitudinally. We conducted a retrospective study involving 273 RA patients with b/tsDMARD treatment and followed them for at least a year. Baseline, 3-month, and 6-month lab data were collected. The results indicated a reduction in the neutrophil–lymphocyte ratio (NLR), platelet–lymphocyte ratio (PLR), monocyte–lymphocyte ratio (MLR), and systemic immune-inflammation index (SII) post-treatment. Higher baseline PLRs and SIIs were associated with a more significant reduction in ESR at three months (η2 = 0.03/0.13, p = 0.21/0.023). NLR and SII correlated with CRP moderately at three months (r = 0.373/0.394, p < 0.001/< 0.001). A correlation comparison showed that the correlation of NLR and PLR with CRP differs during different periods (p = 0.037/0.004). Subgroup analysis revealed that the time effect on correlation is related to treatment with Janus kinase inhibitor and anti-interleukin-6 but not antitumor necrosis factors.
Visual Acuity Examination Methodology in Keratoconus
Authors: Nandzik Magdalena , Wylęgała Edward , Wylęgała Adam , Szkodny Dominika , Roszkowska Anna Maria , Wróblewska-Czajka Ewa
Published: December 2023

Visual acuity is one of the most important parameters for evaluating the vision of patients with keratoconus. This study reviewed 295 articles related to keratoconus published between 2017 and 2022 in which visual acuity was one of the parameters measured. The methodology of visual acuity testing in studies on keratoconus was thoroughly analyzed. The analysis showed that the most commonly indicated chart for testing visual acuity papers on keratoconus is the Snellen chart. It was shown that in 150 out of 295 articles, the authors do not describe the methodology for testing visual acuity. What is more, it was also shown that in 68 of the 295 articles which were analyzed, a procedure for converting visual acuity tested with a Snellen chart into a logMAR scale was used. In this review, we discuss the validity and reliability of such conversions. In particular, we show that insufficient description of visual acuity testing methodology and lack of information on the conversion of visual acuity results into the logMAR scale may contribute to the misinterpretation of visual acuity test results.
Idiopathic Nephrotic Syndrome in Children in Chad: Epidemiology and Clinical Outcomes
Authors: Mahamat Abderraman Guillaume , Djidita Hagré Youssouf , Mahamat Hissein Ali , Charfadine Senoussi , Amne Ali Sakine , Khadidja Adoum Attimer , Rostaing Lionel
Published: December 2023

Introduction: Nephrotic syndrome (NS) remains the most common presentation of glomerular diseases in children. Moreover, NS is primarily idiopathic, accounting for 90% of cases, with an average onset age between 2 and 10 years. The objective of our study was to describe the characteristics and outcomes of NS in children from three major hospitals in one of the world’s poorest countries, Chad. Patients and Methods: This observational, cross-sectional, descriptive, and multicenter study took place over a period of 36 months (1 January 2019–31 December 2021) and was carried out in three hospitals in N’Djamena, Chad. Children aged 1–15 years presenting with NS were included in the study. Results: Out of 16,776 children hospitalized or followed up with in outpatient clinics, 24 cases of NS were identified, yielding a prevalence of 0.14%. The median age at presentation was 6.16 years (1–10). Nineteen children were male (sex ratio 3.8). Eight cases were classified as impure NS (33.3%). Edema was present in all patients, while oliguria was present in 29.16% (n = 7), and arterial hypertension was present in 20.83% (n = 5) of cases. Mean proteinuria, albuminemia, and total proteins were 2.86g/L, 19.13g/L and 30.41g/L, respectively. The median serum creatinine was 87.3 µmol/L (75–1375 µmol/L). Three patients experienced acute renal failure upon admission. Four patients had secondary NS. All idiopathic NS patients (n = 20) who had received corticosteroid therapy had a 90% response rate to steroids. Non-responsive or relapsed patients underwent kidney biopsy (n = 7), revealing focal segmental glomerulosclerosis (FSGS; n = 4) as the most common histological lesion, followed by minimal change disease (n = 2) and membranoproliferative glomerulonephritis (n = 1). The median length of hospitalization stay was 10.67 (5–27) days. None of the patients with idiopathic NS died. At the last follow-up, sixteen patients (80%) achieved long-term complete remission with normal renal function; however, four of those had subsequent relapses. One patient with secondary NS died. Conclusion: In Chad, childhood idiopathic nephrotic syndrome predominantly affects young males; steroid sensitivity is as high as 95%, and in the long-term, 80% of patients achieve remission with normal renal function.
Real-World Effectiveness of Belimumab in Patients with Active Lupus
Authors: Sumichika Yuya , Yoshida Shuhei , Suzuki Eiji , Saito Kenji , Matsumoto Haruki , Temmoku Jumpei , Fujita Yuya , Matsuoka Naoki , Asano Tomoyuki , Sato Shuzo , Migita Kiyoshi
Published: December 2023

This study evaluated the real-world effectiveness of belimumab (BLM) in the treatment of systemic lupus erythematosus (SLE) patients with moderate to high disease activity. This retrospective cohort study enrolled 129 Japanese patients with moderate to high SLE disease activity who received BLM between January 2013 and March 2023. The clinical outcomes, including the flare-free survival, SLE Disease Activity Index 2000 (SLEDAI-2K) score, and prednisone-equivalent dose, in the BLM and mycophenolate mofetil (MMF) treatment groups were compared before and after treatment. Safety data for BLM were collected. Additionally, we compared the effectiveness of BLM and intravenous cyclophosphamide (IV-CY) treatment using the stabilized inverse probability of treatment weighting (IPTW) method based on the propensity scores. This observational study enrolled 129 patients with moderate/severe SLE: 48 patients received belimumab, 45 received IV-CY, and 36 received MMF and prednisolone for remission induction therapy. The median follow-up for the BLM group was 17.0 months. Among them, 19 received BLM plus MMF. BLM significantly reduced the mean SLEDAI-2K (from mean baseline to 52 weeks: 49.2% reduction from 12.8 to 6.5) and prednisone daily dose (from mean baseline to 52 weeks: 21.9% reduction from 12.8 to 10.0 mg/day). The flare-free survival at 52 weeks was not significantly different between the BLM and MMF groups. There was no significant difference in the flare-free survival rates or reduction rates of the SLEDAI-2K between the patients treated with BLM and those treated with BLM plus MMF. In the propensity score-matched comparative analyses, there was no significant difference in the flare-free survival rates or an estimated decline in the SLEDAI-2K scores between the patients with lupus treated with BLM and IV-CY. BLM may be a promising alternative treatment option for lupus patients with moderate or high disease activity who do not respond to conventional treatments.
Reference-Based Restriction-Site-Associated DNA Sequencing Data Are Useful for Species Delineation in a Recently Diverged Asexually Reproducing Species Complex (Parmeliaceae, Ascomycota)
Authors: Barcenas-Peña Alejandrina , Divakar Pradeep K. , Crespo Ana , Nuñez-Zapata Jano , Lumbsch H. Thorsten , Grewe Felix
Published: December 2023

Cryptic species are common in lichen-forming fungi and have been reported from different genera in the most speciose family, Parmeliaceae. Herein, we address species delimitation in a group of mainly asexually reproducing Parmelina species. The morphologically distinct P. pastillifera was previously found nested within a morphologically circumscribed P. tiliacea based on several loci. However, these studies demonstrated a relatively high genetic diversity within P. tiliacea sensu lato. Here, we revisit the species delimitation in the group by analyzing single-nucleotide polymorphisms (SNPs) through genome-wide assessment using Restriction-Site-Associated sequencing and population genomic methods. Our data support previous studies and provide further insight into the phylogenetic relationships of the four clades found within the complex. Based on the evidence suggesting a lack of gene flow among the clades, we recognize the four clades as distinct species, P. pastillifera and P. tiliacea sensu stricto, and two new species, P. clandestina sp. nov. and P. mediterranea sp. nov.
Gene Family Expansion during the Adaptation of Colletotrichum gloeosporioides to Woody Plants
Authors: Meng Fanli , Tian Chengming
Published: December 2023

Gene gains/losses during evolution are critical for the adaptation of organisms to new environments or hosts. However, it remains unknown whether gene family expansions facilitated the adaptation of phytopathogenic fungi to woody plants. In this study, we compared the newly sequenced genome of the Colletotrichum gloeosporioides strain CFCC80308 with the genomes of two other C. gloeosporioides strains, Cg-14 and Lc-1, isolated from Persea americana and Liriodendron leaves, respectively. The genes in the expanded families, which were associated with plant surface signal recognition, encoded various proteins, including glycosyde hydrolases (GHs) and cytochrome P450. Interestingly, there was a substantial increase in the number of GH family genes in CFCC80308. Specifically, there were 368 enriched genes in the GH families (e.g., GH1, GH3, GH10, GH12, GH15, GH16, GH17, GH18, GH25, GH32, GH53, GH61, GH76, and GH81); the expression levels of these genes were highly up-regulated during the infection of poplar trees. Additionally, the GH17 family was larger in CFCC80308 than in C. gloeosporioides strains Cg-14 and Lc-1. Furthermore, the expansion of the MP65-encoding gene family during the adaptation of Colletotrichum species to woody plants was consistent with the importance of gene gains/losses for the adaptation of organisms to their environments. This study has clarified how C. gloeosporioides adapted to woody plants during evolution.
Comparative Diversity and Functional Traits of Fungal Endophytes in Response to Elevated Mineral Content in a Mangrove Ecosystem
Authors: Jacob James Kennard S. , Witzel Katja , dela Cruz Thomas Edison E.
Published: December 2023

This study investigates the impact of water quality, specifically elevated phosphate and zinc content, on the diversity and functional properties of mangrove fungal endophytes in two distinct mangrove forests. Mangrove plant performance is directly related to the presence of fungal leaf endophytes as these fungi could enhance plant health, resilience, and adaptability under stressed environmental conditions. Two distinct mangrove forest sites, one non-disturbed (ND) and one disturbed by aquaculture practices (D), were assessed for differences in water quality parameters. We further analyzed the fungal endophyte diversity associated with the leaves of a target host mangrove, Rhizophora mucronata Lamk., with the aim to elucidate whether fungal diversity and functional traits are linked to disturbances brought about by aquaculture practices and to characterize functional traits of selected fungal isolates with respect to phosphate (PO4) and zinc (Zn) solubilization. Contrary to expectations, the disturbed site exhibited a higher fungal diversity, challenging assumptions about the relationship between contamination and fungal community dynamics. Water quality, as determined by nutrient and mineral levels, emerged as a crucial factor in shaping both microbial community compositions in the phyllosphere of mangroves. From both sites, we isolated 188 fungal endophytes, with the ND site hosting a higher number of isolates and a greater colonization rate. While taxonomic diversity marginally differed (ND: 28 species, D: 29 species), the Shannon (H’ = 3.19) and FAI (FA = 20.86) indices revealed a statistically significant increase in species diversity for fungal endophytes in the disturbed mangrove site as compared to the non-disturbed area (H’ = 3.10, FAI = 13.08). Our chosen mangrove fungal endophytes exhibited remarkable phosphate solubilization capabilities even at elevated concentrations, particularly those derived from the disturbed site. Despite their proficiency in solubilizing zinc across a wide range of concentrations, a significant impact on their mycelial growth was noted, underscoring a crucial aspect of their functional dynamics. Our findings revealed a nuanced trade-off between mycelial growth and enzymatic production in fungal endophytes from ostensibly less contaminated sites, highlighting the relationship between nutrient availability and microbial activities. These insights provide a foundation for understanding the impact of anthropogenic pressures, specifically nutrient pollution, on mangrove-associated fungal endophytes.
Oxidation Products of Tryptophan and Proline in Adipokinetic Hormones—Artifacts or Post-Translational Modifications?
Authors: König Simone , Marco Heather G. , Gäde Gerd
Published: December 2023

Background: Adipokinetic hormones (AKHs) regulate important physiological processes in insects. AKHs are short peptides with blocked termini and Trp in position 8. Often, proline occupies position 6. Few post-translational modifications have been found, including hydroxyproline ([Hyp6]) and kynurenine. Our recent data suggest that the Hyp- and Kyn-containing AKHs occur more often than originally thought and we here investigate if they are natural or artifactual. Methods: From crude extracts of the corpora cardiaca (CC) of various insect species, AKHs were analyzed using liquid chromatography coupled to high-resolution mass spectrometry (LC-MS). Synthetic [Hyp6]-AKHs were tested in an in vivo metabolic assay. Freshly dissected Periplaneta americana and Blaberus atropos CCs (with precautions taken against oxidation) were analyzed. B. atropos CC were placed into a depolarizing saline and the released AKHs were measured. Results: Hyp was detected in several decapeptides from cockroaches. The modified form accompanied the AKH at concentrations below 7%. The [Hyp6]-AKHs of B. atropos were present in fresh CC preparations and were shown to be releasable from the CC ex vivo. Synthetic [Hyp6]-containing peptides tested positively in a hypertrehalosemic bioassay. Hydroxyprolination was also detected for Manto-CC from the termite Kalotermes flavicollis and for Tetsu-AKH of the grasshopper, Tetrix subulata. Oxidized Trp-containing forms of Nicve-AKH were found in species of the burying beetle genus Nicrophorus. Conclusions: Trp oxidation is known to occur easily during sample handling and is likely the reason for the present findings. For hydroxyprolination, however, the experimental evidence suggests endogenous processes.
Mechanical and Microstructural Properties of Thermally Sprayed Metallic Materials in Compression Tests over a Vast Range of Strain Rates
Authors: Wypych Artur , Jankowiak Tomasz , Sumelka Wojciech
Published: December 2023

This paper presents the mechanical behavior of thermally sprayed coatings produced using an arc wire coating material. The produced coatings were cut and subjected to strength resistance tests in static and in dynamic loading. The compressive behavior for the strain rates between 0.001 1/s and 2612 1/s was examined. The strain rate sensitivity of the material was recognized in the material during dynamic loading using the SHPB technique. Microstructural observations were made, and properties such as changes in porosity and the microhardness of the coatings tested were examined. A significant reduction in coating porosity was demonstrated after static loading (90%) and dynamic loading (86%). The result of porosity reduction is the strengthening of the coatings through an increase in the microhardness of these coatings after loading in the static test (160 HV 0.3/8) and the dynamic test (278 HV 0.3/8). As a result of the tests, the coatings retain their cohesion and remain consistent. At the same time, they can absorb a significant amount of mechanical energy due to plastic deformation and porosity reduction. The presented results concern a completely new coating material created from a core wire.
Composite Medical Tabletops Made of CFRP with Different Cross-Sections: Numerical Analysis and Laboratory Testing
Authors: Golewski Przemysław , Pietras Daniel , Sadowski Tomasz , Wit-Rusiecki Albin Michał
Published: December 2023

This paper presents the results of laboratory tests of CFRP (carbon fiber-reinforced polymer) laminates, which allowed the development of numerical material models. The obtained data were used in a further stage to perform numerical simulations of four variants of medical tabletops, differing, among other features, in the shape of the cross-section. Maximum deflections and effort in the composite material were analyzed. The final step was to perform a laboratory test for one of the tabletop versions, the results of which confirmed the correctness of the numerical calculations. This work is aimed at both researchers and designers involved in the practical application of fiber-reinforced polymer matrix composites.
Preparation, Characterization, and Properties of UV-Curable Coating Doped with Nano-SiO2
Authors: Chen Tianlei , Zhong Rong , Wang Zhengjie
Published: December 2023

In this study, a hydrophobic, wear-resistant ultraviolet (UV)-curable coating was investigated as an alternative to traditional coatings with low hardness and high susceptibility to scratching. The SiO2 nanoparticles were ground and modified using high-energy ball milling, during which the surface energy of nano-SiO2 particles rapidly increased as their particle size decreased. Different proportions of modified nano-SiO2 particles were added to the coating and cured into a film. The structure of the composite coating was analyzed via infrared spectroscopy, scanning electron microscopy, and X-ray diffraction, which confirmed the successful preparation of the composite coating. The mechanical and optical property tests of the coating were investigated. With a 5% nano-SiO2 content, the hardness of the coating reached 5H, whereas the adhesion was poor (2B), and the flexibility was 1. The overall comprehensive performance of the coating was best when the addition amount was 3%. The coating exhibited good hardness, flexibility, and adhesion. The hardness of the coating reached 4H, the adhesion was 4B, the flexibility was 5, the coating haze was 12.38 HZ, and the contact angle was 118°.
Assessment of Unfrozen Water Content in Copper Bentonites Using the 1H NMR Technique: Optimization, the Method’s Limitation, and Comparative Analysis with DSC
Authors: Nartowska Edyta , Kanuchova Maria , Kozáková Ľubica
Published: December 2023

Studies on changes in unfrozen water content in copper bentonite from Slovakia were conducted using both differential scanning calorimetry (DSC) and nuclear magnetic resonance (NMR) methods. The aims of this study were to 1. optimize the method for determining changes in unfrozen water content using the 1H NMR technique in model bentonites based on the DSC results; 2. analyze the relationship between unfrozen water content, as determined via DSC and the optimized NMR technique, and the physicochemical parameters of bentonites; and 3. identify the limitations in determining changes in unfrozen water content using the 1H NMR technique in relation to copper-contaminated bentonites. The results obtained using the optimized NMR method applied to the model bentonites correlated well with the DSC results. The unfrozen water content in the Cu-contaminated bentonites was 2–18% lower after NMR compared to the DSC results, likely due to the mobility of copper ions and their paramagnetic properties. Statistically significant differences in unfrozen water content between the DSC and NMR methods were observed, depending on molar concentration, copper ion concentration, and temperature, confirmed via Analysis of Variance (ANOVA). Calorimetric studies are recommended for investigating unfrozen water content changes in contaminated clays. Further NMR research could identify metals influencing free induction decay signals under varying physicochemical conditions.
New Minerals from Inclusions in Corundum Xenocrysts from Mt. Carmel, Israel: Magnéliite, Ziroite, Sassite, Mizraite-(Ce) and Yeite
Authors: Ma Chi , Cámara Fernando , Bindi Luca , Toledo Vered , Griffin William L.
Published: December 2023

Our nanomineralogical investigation of melt inclusions in corundum xenocrysts from the Mt. Carmel area, Israel has revealed seven IMA-approved new minerals since 2021. We report here four new oxide minerals and one new alloy mineral. Magnéliite (Ti3+2Ti4+2O7; IMA 2021-111) occurs as subhedral crystals, ~4 μm in size, with alabandite, zirconolite, Ti,Al,Zr-oxide, and hibonite in corundum Grain 767-1. Magnéliite has an empirical formula (Ti3+1.66Al0.13Ti4+0.15Mg0.10Ca0.01Sc0.01)Σ2.06 (Ti4+1.93Zr0.08)Σ2.01O7 and the triclinic P1¯ Ti4O7-type structure with the cell parameters: a = 5.60(1) Å, b = 7.13(1) Å, c = 12.47(1) Å, α = 95.1(1)°, β = 95.2(1)°, γ = 108.7(1)°, V = 466(2) Å3, Z = 4. Ziroite (ZrO2; IMA 2022-013) occurs as irregular crystals, ~1–4 μm in size, with baddeleyite, hibonite, and Ti,Al,Zr-oxide in corundum Grain 479-1a. Ziroite has an empirical formula (Zr0.72Ti4+0.26Mg0.02Al0.02Hf0.01)Σ1.03O2 and the tetragonal P42/nmc zirconia(HT)-type structure with the cell parameters: a = 3.60(1) Å, c = 5.18(1) Å, V = 67.1(3) Å3, Z = 2. Sassite (Ti3+2Ti4+O5; IMA 2022-014) occurs as subhedral-euhedral crystals, ~4–16 μm in size, with Ti,Al,Zr-oxide, mullite, osbornite, baddeleyite, alabandite, and glass in corundum Grain 1125C1. Sassite has an empirical formula (Ti3+1.35Al0.49Ti4+0.08Mg0.07)Σ1.99(Ti4+0.93Zr0.06Si0.01)Σ1.00O5 and the orthorhombic Cmcm pseudobrookite-type structure with the cell parameters: a = 3.80(1) Å, b = 9.85(1) Å, c = 9.99(1) Å, V = 374(1) Å3, Z = 4. Mizraite-(Ce) (Ce(Al11Mg)O19; IMA 2022-027) occurs as euhedral crystals, <1–14 μm in size, with Ce-silicate, Ti-sulfide, Ti,Al,Zr-oxide, ziroite, and thorianite in corundum Grain 198-8. Mizraite-(Ce) has an empirical formula (Ce0.76Ca0.10La0.07Nd0.01)Σ0.94(Al10.43Mg0.84Ti3+0.60Si0.09Zr0.04)Σ12.00O19 and the hexagonal P63/mmc magnetoplumbite-type structure with the cell parameters: a = 5.61(1) Å, c = 22.29(1) Å, V = 608(2) Å3, Z = 2. Yeite (TiSi; IMA 2022-079) occurs as irregular-subhedral crystals, 1.2–3.5 μm in size, along with wenjiite (Ti5Si3) and zhiqinite (TiSi2) in Ti-Si alloy inclusions in corundum Grain 198c. Yeite has an empirical formula (Ti0.995Mn0.003V0.001Cr0.001)(Si0.996P0.004) and the orthorhombic Pnma FeB-type structure with the cell parameters: a = 6.55(1) Å, b = 3.64(1) Å, c = 4.99(1) Å, V = 119.0(4) Å3, Z = 4. The five minerals are high-temperature oxide or alloy phases, formed in melt pockets in corundum xenocrysts derived from the upper mantle beneath Mt. Carmel.
Multi-Order Asymmetric Acoustic Metamaterials with Broad Bandgaps at Subwavelength Scales
Authors: Wang Xiaopeng , Chen Wenjiong , Li Sheng
Published: December 2023

Noise manipulation at the subwavelength scale remains a challenging problem. To obtain better broadband sound isolation within the subwavelength range, a class of asymmetric acoustic metamaterials (AAMs) based on rotation is proposed, and this class of AAMs can further improve subwavelength sound isolation performance by introducing multi-orders. The influences of changing the alternate propagation length of the coiled channel and the square cavity in the unit cell on the band frequency distribution and the omnidirectional band structure were investigated. The effective parameters are calculated with the S-parameter retrieval method, and the generation and change mechanisms of the bandgaps were elucidated. The calculation of sound transmission characteristics showed that, in the asymmetric mode, the overall sound isolation performance of the structure was greatly improved, and the relative bandwidth expanded as the alternate propagation length of the coiled channel and square cavity increased. The omnidirectional bandgaps from the first-order to the third-order AAMs occupied 63.6%, 75.96%, and 76.84% of the subwavelength range, respectively. In particular, the first bandgap moves to the low frequency and becomes wider. Both the experimental results and numerical analyses consistently showed that disrupting structural symmetry enhances acoustic metamaterials for superior broadband sound isolation, inspiring broader applications for asymmetry in this field.
Performance of Single-Layer Lining Using Shotcrete and Reinforcement Ribs Employed for Supporting Large-Span Tunnel
Authors: Li Zijian , Diao Pinxin , Lu Weihua , Zhang Yongxing
Published: December 2023

Single-layer tunnel lining using shotcrete has the significant advantages of reducing the tunnel excavation volume and saving construction materials, which has been gradually applied in tunnel construction. The high-performance concretes are generally adopted in single-layer tunnel lining for enhancing the bearing capacity of the tunnel lining, whereas the single-layer tunnel lining may still induce damages due to the adverse conditions such as shallow buried depth of the tunnel, and further study related to its application condition is thus required. This paper presents a study of the single-layer tunnel lining with shotcrete employed for supporting the large-span tunnel, in which the reinforcement ribs are also adopted in the single-layer lining for improving the lining stiffness and strength. The study is implemented using numerical simulation, focusing on the safety and performance variation of the single-layer tunnel lining influenced from the varied lining thicknesses and shallow buried depths of the tunnel. The results shows that the single-layer tunnel lining has the obvious advantage of toughness in significantly absorbing large deformation of surrounding rocks and improving the ability to resist lining cracking. The results also demonstrate that the single-layer tunnel lining with shotcrete and reinforcement ribs can safely support the large-span tunnel, in which the stability and safety of the large-span tunnel are confirmed from both the tunnel deformation and lining stresses. Moreover, the factors related to both the lining thickness and shallow buried depth of the tunnel have great influence on the single-layer tunnel lining with shotcrete and reinforcement ribs, in which the insufficient lining thickness and excessive shallow buried depth of the tunnel can induce the damages of the single-layer tunnel lining due to shotcrete stresses exceeding its strength. This study provides some references of employing the single-layer tunnel lining with shotcrete and reinforcement ribs for supporting large-span tunnel.
Effect of Heat Treatment States of Feedstock on the Microstructure and Mechanical Properties of AA2219 Layers Deposited by Additive Friction Stir Deposition
Authors: Zhang Ming , Ye Xianjue , Li Yidi , Wang Hui , Lai Ruilin , Li Yunping
Published: December 2023

This study is the first to research the microstructure and mechanical properties of the workpiece after additive friction stir deposition (AFSD) of the feedstock at different heat treatment stages. AA2219 aluminum alloys with three different heat treatment stages were selected as the feedstock, and alloys with dense structure were successfully prepared by the additive friction stir deposition AFSD process. Experimental results show that AFSD exhibits an excellent ability to refine grains and improve the uniform distribution of precipitates in the second phase, thereby improving the plasticity of AA2219 alloy after the AFSD process. Because of the continuous dynamic recrystallization (CDRX) in the AA2219 alloy during AFSD, the grain size after the AFSD process is independent of the initial feedstock grain size for three samples. The equilibrium phase (θ) size is genetically related to the initial size of the second-phase particles in the feedstock. Due to grain refinement and dislocation strengthening, the yield strength of AA2219-casting increased significantly from 79.8 MPa to 124.1 MPa after AFSD. The yield strength of the AA2219-T4 decreases slightly from 151.8 MPa to 140.4 MPa after AFSD. The precipitation of the second phase leads to a decrease in solid solution strengthening and dislocation strengthening. However, grain refinement strengthening partially offsets this reduction. The yield strength of AA2219-T87 decreased from 398.5 MPa to 147.2 MPa after AFSD. As such, grain refinement strengthening and solid solution strengthening by the AFSD process are much smaller than the yield strength lost by precipitation strengthening and dislocation strengthening.
The Impact of 45S5-Bioactive Glass on Synovial Cells in Knee Osteoarthritis—An In Vitro Study
Authors: Platzer Hadrian , Marinescu Max , Nawaz Qaisar , Tripel Elena , Gantz Simone , Horsch Axel , Daniel Volker , Boccaccini Aldo R. , Hagmann Sébastien , Moradi Babak , Renkawitz Tobias , Westhauser Fabian
Published: December 2023

Synovial inflammation in osteoarthritis (OA) is characterized by the release of cartilage-degrading enzymes and inflammatory cytokines. 45S5-bioactive glass (45S5-BG) can modulate inflammation processes; however, its influence on OA-associated inflammation has hardly been investigated. In this study, the effects of 45S5-BG on the release of cartilage-degrading metalloproteinases and cytokines from synovial membrane cells (SM) isolated from patients with knee OA was assessed in vitro. SM were cultivated as SM monocultures in the presence or absence of 45S5-BG. On day 1 (d1) and d7 (d7), the concentrations of Matrix Metalloproteinases (MMPs) and cytokines were assessed. In 45S5-BG-treated SM cultures, MMP9 concentration was significantly reduced at d1 and d7, whilst MMP13 was significantly increased at d7. Concentrations of interleukin (IL)-1B and C-C motif chemokine ligand 2 (CCL2) in 45S5-BG-treated SM cultures were significantly increased at both time points, as were interferon gamma (IFNG) and IL-6 at d7. Our data show an effect of 45S5-BG on SM activity, which was not clearly protective, anti-inflammatory, or pro-inflammatory. The influence of 45S5-BG on MMP release was more suggestive of a cartilage protective effect, but 45S5-BG also increased the release of pro-inflammatory cytokines. Further studies are needed to analyze the effect of BGs on OA inflammation, including the anti-inflammatory modification of BG compositions.
A Literature Review of Incorporating Crack Tip Plasticity into Fatigue Crack Growth Models
Authors: Garcia-Gonzalez Antonio , Aguilera Jose A. , Cerezo Pablo M. , Castro-Egler Cristina , Lopez-Crespo Pablo
Published: December 2023

This paper presents an extensive literature review focusing on the utilisation of crack tip plasticity as a crucial parameter in determining and enhancing crack growth models. The review encompasses a comprehensive analysis of various methodologies, predominantly emphasising numerical simulations of crack growth models while also considering analytical approaches. Although experimental investigations are not the focus of this review, their relevance and interplay with numerical and analytical methods are acknowledged. The paper critically examines these methodologies, providing insights into their advantages and limitations. Ultimately, this review aims to offer a holistic understanding of the role of crack tip plasticity in the development of effective crack growth models, highlighting the synergies and gaps between theoretical, experimental, and simulation-based approaches.
Acupuncture for Japanese Katakori (Chronic Neck Pain): A Randomized Placebo-Controlled Double-Blind Study
Authors: Takakura Nobuari , Takayama Miho , Kawase Akiko , Kaptchuk Ted J. , Kong Jian , Vangel Mark , Yajima Hiroyoshi
Published: December 2023

Background and Objectives: Although acupuncture is listed as a beneficial treatment for neck/shoulder stiffness, which has increased with the spread of information technology, to date, evidence of its efficacy under double-blind conditions has not been shown. This study aimed to assess whether acupuncture treatment with superficial skin piercing is superior to placebo treatment. Materials and Methods: A randomized, double-blind (practitioner–patient) placebo-controlled trial was performed at a single center with four arms (ISRCTN76896018). Four hundred patients with essential neck/shoulder stiffness were randomly assigned to penetrating needle treatment (acupuncture ritual and skin penetration), skin-touch needle treatment (acupuncture ritual and skin touch), no-touch needle treatment (acupuncture ritual alone), and no-treatment control. Each of the six acupuncturists applied a needle to each of the four acupoints in the neck/shoulder of 50 patients. Results: Each of the three treatments significantly (p = 0.01) improved neck/shoulder stiffness compared with the no-treatment control immediately and 24 h after treatment. There was a significant improvement in penetrating needle treatment over no-touch needle treatment 24 h later. However, there was no significant difference between the penetrating and skin-touch and skin-touch vs. no-touch. Conclusions: All treatments that received the ritual of acupuncture were better than the no-treatment control. Only genuine acupuncture involves the specific effects of needle insertion into the body. The acupuncture ritual had a significant impact on the subjective improvement of neck/shoulder stiffness; however, improvement with ritual alone versions of placebo acupuncture was not maintained as with superficial skin piercing. Our study provides important evidence of acupuncture efficacy and information regarding inert no-touch placebo control in acupuncture research.
Afatinib-Induced Tumor Lysis Syndrome in Pulmonary Adenocarcinoma: A Case Report and Literature Review
Authors: Hong Goohyeon
Published: December 2023

Tumor lysis syndrome (TLS) is a potentially fatal oncological emergency that typically develops during the treatment of rapidly proliferating malignancies. It is infrequently reported in solid tumors, such as pulmonary adenocarcinoma. A 59-year-old male patient with shortness of breath presented with a 3.3 cm × 3.0 cm mass in the right upper lobe, along with massive right-sided pleural effusion. A percutaneous needle biopsy was performed, and a diagnosis of pulmonary adenocarcinoma with an epidermal growth factor receptor (EGFR) mutation was made. The patient was treated with afatinib because of the malignant pleural effusion and multiple metastases to the intrathoracic lymph nodes, left scapula, and brain. After 4 days of afatinib treatment, he developed oliguric acute kidney injury and progressively worsening dyspnea. Based on the clinical and laboratory findings, the patient was diagnosed with afatinib-induced TLS. To the best of our knowledge, this is the first reported case of afatinib-induced TLS in pulmonary adenocarcinoma.