bluuebunny/crossref_metadata_2025 huggingface dataset:
Mechanical Properties, Curing Mechanism, and Microscopic Experimental Study of Polypropylene Fiber Coordinated Fly Ash Modified Cement–Silty Soil
Authors: Lu Linfang , Ma Qiang , Hu Jing , Li Qingfu
Published: September 2021

Silty soil has the characteristics of low natural moisture content and poor viscosity, and the strength and deformation required for foundation engineering can be satisfied by reinforcing and improving the silt. In order to study the reinforcement and improvement effects of polypropylene (PP) fiber and fly ash (FA) on cement–silty soil, an unconfined compressive strength (UCS) test, scanning electron microscope (SEM) test, and X-ray diffraction (XRD) analysis test were carried out. Cement (mixed amounts are 4%, 8%, 12%, and 16% of dry soil mass) was used as the basic modifier, and PP fiber (mixed amounts are 0%, 0.15%, 0.3%, and 0.45% of dry soil mass) compounded with FA (adding amounts of 0%, 5%, 10%, and 15% of dry soil mass) were used as an external admixture of cement–silty soil to study the mechanical properties, curing mechanism, and microstructure of the modified soil in different ages of 7 d, 14 d, 28 d, and 60 d. The test results show that with the increase in cement and curing age, the UCS of the modified soil increases, and with the increase in the PP fiber and FA, the UCS of the modified soil first increases and then decreases; there is an optimal content of FA and PP fiber, which are 10 and 0.15%, respectively. A large amount of C-S-H and AFt substances are produced inside the modified soil to cover the surface of soil particles or fill in the pores between soil particles, forming a tight spatial network structure and improving the mechanical properties of the cement–soil. The intensity of the diffraction peaks of the mineral components within the modified soils is more influenced by the cement and age, and the effect of FA is weaker. The stress–strain curve of the modified soil is divided into elastic stage, plastic deformation stage, and strain-softening stage, and the specimens in each stage have corresponding deformation characteristics. By analyzing the behavioral characteristics and curing improvement mechanism of modified soil from the duo perspective of macro-mechanical properties and microstructural composition, it can provide some basis for the engineering application of silty soil.
Numerical Simulations of the Soil–Rock Mixture Mechanical Properties Considering the Influence of Rock Block Proportions by PFC2D
Authors: Gao Wenwei , Yang Hairong , Wang Le , Hu Ruilin
Published: September 2021

Soil-rock mixtures (S-RMs), as a kind of special engineering geological material, need to be studied because of the special structure and complex movement mechanism of their rock blocks, their physical and mechanical properties, and the factors underlying rock block movement in the process of their deformation and failure. In this paper, a series of discrete-element numerical models are constructed in particle flow code software (PFC2D). First, the random structure numerical models of S-RMs with different rock block proportions are established. Then, the parameters of the soil meso-structure are inversed by the biaxial simulation test, and a series of biaxial compressive tests are performed. The characteristics of stress and strain, deformation and failure, and rock block rotation and energy evolution are systematically investigated. The results show the following. (1) As the rock block proportion (confining pressure 0.5 MPa) increases, the peak strength of increases, the fluctuations of the post-peak become more obvious, and the dilatancy of the sample increases. (2) As the rock block proportion increases, the width of the shear band increases, the distribution of cracks becomes more complex and dispersed, and the range of the shear zone increases. (3) The number of rock blocks with rotation also increases significantly as rock block proportion increases, and the rotation angles are mostly between −5° and 5°. (4) The strain energy of S-RMs with different rock block proportions follows the same change rule as axial strain, showing a trend of first increasing and then decreasing, like the stress–strain curve.
Torsional Crack Localization in Palm Oil Clinker Concrete Using Acoustic Emission Method
Authors: Khan Safdar , Yap Soon Poh , Tan Chee Ghuan , Ganasan Reventheran , Sherif Muhammad M. , El-Shafie Ahmed
Published: September 2021

Palm oil clinker (POC) aggregates is a viable alternative to the naturally occurring sand and gravel in the manufacturing of concrete. The usage of POC aggregates assists in the reduction of solid waste and preserves the consumption of natural resources. Although researchers investigated the mechanical response of POC-containing concrete, limited research is available for its torsional behavior. In general, the torsional strength depends on the tensile strength of concrete. This research investigates the compressive, tensile, and torsional response of concrete with various ratios of POC-aggregates. Five batches of concrete were casted with POC-aggregate replacing granite at ratios of 0, 20, 40, 60, and 100%. The selection for the mixture proportions for the various batches was based on the design of experiments (DOE) methodology. The hard density, compressive strength, splitting tensile strength, and flexural strength of concrete with a 100% replacement of granite with POC-aggregates reduced by 8.80, 37.25, 30.94, and 14.31%, respectively. Furthermore, a reduction in initial and ultimate torque was observed. While cracks increased with the increase in POC-aggregates. Finally, the cracking of concrete subjected to torsional loads was monitored and characterized by acoustic emissions (AE). The results illustrate a sudden rise in AE activities during the initiation of cracks and as the ultimate cracks were developed. This was accompanied by a sudden drop in the torque/twist curve.
Effects of W Alloying on the Lattice Distortion and Wear Behavior of Laser Cladding AlCoCrFeNiWx High-Entropy Alloy Coatings
Authors: Wu Tao , Chen Yunxiang , Shi Shuqin , Wu Mengting , Gui Wanyuan , Tan Yuanyuan , Li Jiheng , Wu Yuan
Published: September 2021

Friction and wear properties of hot working die steel at above 800 °C are of particular interest for high temperature applications. Here, novel AlCoCrFeNiWx high-entropy alloy (HEA) coatings have been fabricated on the surface of hot working die steel by laser cladding. The effects of the as-prepared AlCoCrFeNiWx HEA coatings on the microstructure and high temperature friction and wear behavior of hot working die steel are investigated through scanning electron microscopy (SEM), electron probe microanalysis (EPMA), X-ray diffraction (XRD), and X-ray absorption fine structure (XAFS). Having benefited from the formation of W-rich intermetallic compounds after the addition of W elements, the high temperature wear resistance of the coatings is obviously improved, and friction coefficient shows a large fluctuation. The microstructural characteristics of the AlCoCrFeNiWx HEA coatings after the high temperature wear resistance test shows a highly favorable impact on microstructure stability and wear resistance, due to its the strong lattice distortion effect of W element on BCC solid solutions and the second phase strengthening of the W-rich intermetallic compounds. These findings may provide a method to design the high temperature wear resistant coatings.
Ironsand (Titanomagnetite-Titanohematite): Chemistry, Magnetic Properties and Direct Applications for Wireless Power Transfer
Authors: Leveneur Jérôme , Trompetter William J. , Chong Shen V. , Rumsey Ben , Jovic Vedran , Kim Seho , McCurdy Murray , Anquillare Emma , Smith Kevin E. , Long Nick , Kennedy John , Covic Grant , Boys John
Published: September 2021

Ironsand is an abundant and inexpensive magnetic mineral resource. However, the magnetic properties of unprocessed ironsand are often inadequate for any practical applications. In this work, the applicability of ironsand for use as a component in a soft magnetic composite for large-scale inductive power transfer applications was investigated. After magnetic separation, the chemical, structural and magnetic properties of ironsand sourced from different locations were compared. Differences observed in the DC magnetic properties were consistent with changes in the chemical compositions obtained from X-ray Absorption Near-Edge Spectroscopy (XANES), which suggests varying the titanohematite to titanomagnetite content. Increased content in titanomagnetite and magnetic permeability correlated well with the total Fe content in the materials. The best-performing ironsand with the highest permeability and lowest core losses was used alongside Mn,Zn-Ferrite particles (ranging from ∼100 μm to 2 mm) to fabricate toroid cores with varying magnetic material loading. It was shown that ironsand can be used to replace up to 15 wt.% of the magnetic materials with minimal impact on the composite magnetic performance, thus reducing the cost. Ironsand was also used as a supporting material in a single-rail wireless power transfer system, effectively increasing the power transfer, demonstrating potential applications to reduce flux leakage.
Optimization of the Preparation Parameters of High-Strength Nickel Layers by Electrodeposition on Mild Steel Substrates
Authors: Wang Dongai , Li Feihui , Shi Yan , Liu Meihua , Liu Bin , Chang Qing
Published: September 2021

The electrodeposition process parameters were optimized for the acquisition of high-strength monolithic nickel layers on Q235A substrates based on the Watts nickel plating solution using the DC electrodeposition method. Based on the study of the electrochemical polarization behavior of nickel ions in Watts’ plating solution, 16 experimental protocols were selected according to the orthogonal test method. The residual stress, microhardness, modulus of elasticity, and surface roughness of the nickel plating were tested by X-ray diffractometer, nano-mechanical test system, and surface profilometer, respectively, to investigate the influence of current density, temperature, and PH on the mechanical properties of nickel plating, so as to determine the best process solution for the preparation of high-strength nickel plating. The results of the study show that the mechanical properties of the nickel deposits electrodeposited onto Q235A are optimized when plating at a current density of 3 A/dm2, a bath temperature of 45 °C, and a pH of 3.5. The nickel-plated layer has a minimum grain size of 34.8 nm, a microhardness of 3.86 GPa, a modulus of elasticity of 238 GPa, and a surface roughness Ra of 0.182 μm.
Explainable Artificial Intelligence for Human Decision Support System in the Medical Domain
Authors: Knapič Samanta , Malhi Avleen , Saluja Rohit , Främling Kary
Published: September 2021

In this paper, we present the potential of Explainable Artificial Intelligence methods for decision support in medical image analysis scenarios. Using three types of explainable methods applied to the same medical image data set, we aimed to improve the comprehensibility of the decisions provided by the Convolutional Neural Network (CNN). In vivo gastral images obtained by a video capsule endoscopy (VCE) were the subject of visual explanations, with the goal of increasing health professionals’ trust in black-box predictions. We implemented two post hoc interpretable machine learning methods, called Local Interpretable Model-Agnostic Explanations (LIME) and SHapley Additive exPlanations (SHAP), and an alternative explanation approach, the Contextual Importance and Utility (CIU) method. The produced explanations were assessed by human evaluation. We conducted three user studies based on explanations provided by LIME, SHAP and CIU. Users from different non-medical backgrounds carried out a series of tests in a web-based survey setting and stated their experience and understanding of the given explanations. Three user groups (n = 20, 20, 20) with three distinct forms of explanations were quantitatively analyzed. We found that, as hypothesized, the CIU-explainable method performed better than both LIME and SHAP methods in terms of improving support for human decision-making and being more transparent and thus understandable to users. Additionally, CIU outperformed LIME and SHAP by generating explanations more rapidly. Our findings suggest that there are notable differences in human decision-making between various explanation support settings. In line with that, we present three potential explainable methods that, with future improvements in implementation, can be generalized to different medical data sets and can provide effective decision support to medical experts.
Response to Static Magnetic Field-Induced Stress in Scenedesmus obliquus and Nannochloropsis gaditana
Authors: Serrano Génesis , Miranda-Ostojic Carol , Ferrada Pablo , Wulff-Zotelle Cristian , Maureira Alejandro , Fuentealba Edward , Gallardo Karem , Zapata Manuel , Rivas Mariella
Published: September 2021

Magnetic fields in biological systems is a promising research field; however, their application for microalgae has not been fully exploited. This work aims to measure the enzymatic activity and non-enzymatic activity of two microalgae species in terms of superoxide dismutase (SOD), catalase (CAT), and carotenoids, respectively, in response to static magnetic fields-induced stress. Two magnet configurations (north and south) and two exposure modes (continuous and pulse) were applied. Two microalgae species were considered, the Scenedesmus obliquus and Nannochloropsis gaditana. The SOD activity increased by up to 60% in S. obliquus under continuous exposure. This trend was also found for CAT in the continuous mode. Conversely, under the pulse mode, its response was hampered as the SOD and CAT were reduced. For N. gaditana, SOD increased by up to 62% with the south configuration under continuous exposure. In terms of CAT, there was a higher activity of up to 19%. Under the pulsed exposure, SOD activity was up to 115%. The CAT in this microalga was increased by up to 29%. For N. gaditana, a significant increase of over 40% in violaxanthin production was obtained compared to the control, when the microalgae were exposed to SMF as a pulse. Depending on the exposure mode and species, this methodology can be used to produce oxidative stress and obtain an inhibitory or enhanced response in addition to the significant increase in the production of antioxidant pigments.
Necessity of Immediate MRI Imaging in the Acute Care of Severely Injured Patients
Authors: Popp Daniel , Kerschbaum Maximilian , Mahr Daniel , Thiedemann Claudius , Ernstberger Antonio , Wiesinger Isabel , Bäumler Wolf , Alt Volker , Schicho Andreas
Published: September 2021

Background and Objectives: The standard diagnostic procedure for a patient with a suspected polytrauma injury is computed tomography (CT). In individual cases, however, extended acute imaging using magnetic resonance imaging (MRI) can provide valuable and therapy-relevant information. The aim of our cohort study was to find such cases and to describe their characteristics in order to be able to give possible recommendations for MRI application in acute trauma situations. Materials and Methods: In the study period from 2015–2019, an evaluation of the imaging performed on polytrauma patients was carried out. The specific diagnostic and therapeutic criteria of the MRI group were further defined. Results: In total, 580 patients with an ISS ≥16 (injury severity score) were included in the study. Of these 580 patients, 568 patients received a CT scan and 12 patients an MRI scan as part of the initial diagnostic. Altogether, 66.67% of the MRIs took place outside of regular service hours. The main findings for MRI indications were neurological abnormalities with a focus on myelon injuries. Further MRI examinations were performed to rule out vascular injuries. All in all, 58.3% of the MRIs performed resulted in modified therapeutic strategies afterward. Conclusions: MRI in the context of acute diagnostic of a severely injured patient will likely remain reserved for special indications in the future. However, maximum care hospitals with a high flow of severely injured patients should provide 24/7 MR imaging to ensure the best possible care, especially in neurological and blunt vascular injuries.
Superior Sinus Venosus Atrial Septal Defect with Partial Anomalous Pulmonary Venous Drainage—Minimally Invasive Approach—Case Report
Authors: Moldovan Horațiu , Sibișan Andra-Mădălina , Țigănașu Robert , Popescu Bogdan-Ștefan , Vasile Gabriel , Gheorghiță Daniela , Zaharia Ondin , Costache Victor Sebastian , Guță Andrada , Molnar Adrian
Published: September 2021

The atrial septal defect is, after bicuspid aortic valve disease, the most common congenital cardiac disease present in the adult population. The most common atrial septal defects are the ostium secundum type (75–80%), followed by the ostium primum type (15%). The sinus venosus atrial septal defects (SV-ASD), defined as a communication in the posterior part of the interatrial septum, account for about 5 to 10% of atrial septal defects. Approximately 90% of SV-ASDs are associated with partial anomalous pulmonary venous drainage (PAPVD). The minimally invasive approach has gained ground in the treatment of ASDs, especially those of the ostium secundum type. The sinus venosus type is a relatively uncommon form of ASD, which, when associated with a PAPVD, is considered a complex cardiac malformation, and is usually treated in a classical manner, through median sternotomy. We describe the case of a 45-year-old woman diagnosed in adolescence with SV-ASD with PAPVD, who successfully underwent minimally invasive repair with fresh autologous pericardial patch reconstruction through an anterolateral mini-thoracotomy incision. The patient presented with shortness of breath and fatigue after heavy exertions, episodes of paroxysmal nocturnal dyspnea, palpitations during effort and at rest, and had a history of syncope dating from 17 years previously. Echocardiography revealed an SV-ASD with PAPVD in the right atrium and the intraoperative examination discovered that both right pulmonary veins were draining into the superior vena cava.
Launay’s External Carotid Vein
Authors: Manta Mihaela Daniela , Jianu Adelina Maria , Rusu Mugurel Constantin , Popescu Şerban Arghir
Published: September 2021

Background and Objectives: Launay’s external carotid vein (ECV) is poorly represented in the anatomical literature, although it is an occasional satellite of the external carotid artery (ECA). We aimed to establish the incidence and morphology of the ECV. Materials and Methods: One hundred computed tomography angiograms were investigated, and ECVs were documented anatomically, when found. Results: Launay’s vein was found in 3/200 sides (1.5%) in a male and two female cases. In two of these cases, the ECV was a replaced variant of the anterior division of the retromandibular vein (RMV), and the facial vein (FV) ended in the external jugular vein. In the third case with the ECV, the RMV was absent and the common FV that resulted from that ECV and the FV drained into the internal jugular vein. The ECV could also appear as an accessory RMV, not just as a replaced one. Additional variants were found, such as fenestration of the external jugular vein (EJV), the extracondylar vein draining the deep temporal veins and an arterial occipitoauricular trunk. Conclusions: Surgical dissections of the ECA in the retromandibular space should carefully observe an ECV to avoid unwanted haemorrhagic events. Approaches of the neck of the mandible should also carefully distinguish the consistent extracondylar veins.
Direct-Acting Antiviral Use for Genotype 1b Hepatitis C Patients with Associated Hematological Disorders from Romania
Authors: Marincu Iosif , Bratosin Felix , Curescu Manuela , Suciu Oana , Turaiche Mirela , Cerbu Bianca , Vidican Iulia
Published: September 2021

Background and objectives: this study assessed variations in the blood parameters of patients with hematological disorders infected with HCV throughout a 12-week interferon-free treatment regimen. Materials and methods: We followed a total of 344 patients suffering from chronic hepatitis C, infected with the 1b genotype and concomitant hematological disorders, who benefited from the direct-acting antiviral (DAA) therapy in our clinic. Seven of the most routinely checked blood parameters were analyzed, namely, hemoglobin, leucocyte count, neutrophils, erythrocyte count, platelet count, ALT, and total bilirubin level. In total, 129 patients received a treatment scheme comprising ombitasvir, paritaprevir, ritonavir, and dasabuvir, while the 215 other patients received a sofosbuvir and ledipasvir regimen. Results: Patients enrolled in the study showed remarkably increased ALT levels in the first four weeks of DAA treatment, normalizing to levels below 40 U/L by the end of regimen. There were no other blood parameters that worsened throughout the 12-week regimen to levels below our laboratory’s normal range. After 12 weeks of DAA therapy, 309 patients (90%) achieved SVR. Conclusions: Our findings are consistent in evaluating the efficacy and tolerability of direct-acting antivirals for 1b genotype HCV infected patients with associated hematological malignancies under remission, and other hematological disturbances, that were previously unsuccessfully treated with a pegylated interferon regimen. Thus, paving a pathway for government-funded programs being implemented in this direction.
A Rare Case Report of Metastatic Urothelial Carcinoma to Skull with Significant Reossification after Pembrolizumab
Authors: Liu Yung-Hao , Chou Meng-Han , Meng En , Kao Chien-Chang
Published: September 2021

Background: Urothelial carcinoma ranks as the fourth most common cancer in men in the U.S; upon diagnosis, 10–15% have metastasized, mostly to lymph nodes, liver, lung, bone, and adrenal glands. Very few cases of skull invasion have been reported, and there is no established definite treatment. Case presentation: A 64-year-old Taiwanese male presented with metastatic urothelial carcinoma (mUC) of bladder with skull invasion. A sunken forehead without painful sensation could be palpated. After failure of chemotherapy, the patient received immunotherapy pembrolizumab, and complete remission of distant metastasis with reossification of osteolytic skull were noted. Conclusion: Immunotherapy has been reported to show significant remission in mUC, but mostly in solid organs or bone. While skull metastasis usually suggests late progression of the disease, immunotherapy has fewer systemic adverse effects than chemotherapy, and should be taken into consideration as a first-line therapy.
Detecting Binocular Diplopia in Orbital Floor Blowout Fractures: Superiority of the Orthoptic Approach
Authors: Timkovic Juraj , Stransky Jiri , Handlos Petr , Janosek Jaroslav , Tomaskova Hana , Stembirek Jan
Published: September 2021

Background and Objectives: In patients with orbital floor blowout fracture (OFBF), accurate diagnosis of ocular motility disorder is important for decisions about conservative or surgical therapy. However, the accuracy of the traditional test for detecting binocular diplopia/ocular motility disorder using a moving pencil or finger (hereinafter, “finger test”) has been generally accepted as correct and has not been subject to scrutiny so far. Hence, its accuracy relative to full orthoptic examination is unknown. Materials and Methods: In this paper, the results of the “finger test” were compared with those derived from a complex examination by orthoptic tests (considered “true” value in patients with OFBF). Results: “Finger test” detected ocular motility disorder in 23% of patients while the full orthoptic examination proved much more efficient, detecting ocular motility disorder in 65% of patients. Lancaster screen test and test with color filters were the most important tests in the battery of the orthoptic tests, capable of identifying 97.7% and 95.3% of patients with ocular motility disorder, respectively. Still, none of the tests were able to correctly detect all patients with ocular motility disorder in itself. Conclusions: As the presence of ocular motility disorder/binocular diplopia is an important indication criterion for the surgical solution of the orbital floor blowout fracture, we conclude that a complex orthoptic evaluation should be always performed in these patients.
The Development of Large Radicular Cysts in Endodontically Versus Non-Endodontically Treated Maxillary Teeth
Authors: Schvartzman Cohen Ruth , Goldberger Tomer , Merzlak Ina , Tsesis Igor , Chaushu Gavriel , Avishai Gal , Rosen Eyal
Published: September 2021

Background and Objectives: Large radicular cysts of the maxilla present a clinical challenge, as they may cause recurrent infection, severe alveolar bone loss and disruption of the nasal and maxillary sinus floors. The aim of this study was to evaluate the effect of previous root canal treatment on the clinical presentation of large maxillary radicular cysts. Materials and Methods: All cases of radicular cysts treated at the Oral and Maxillofacial Surgery Department of a tertiary public hospital over a period of six years (2012–2018) were evaluated. Histologically confirmed radicular cysts of the maxilla with a maximal dimension of over 15 mm were included. Demographic data of the patients, clinical presentation and radiographic features of the lesions were analyzed. Results: A total of 211 inflammatory cysts were treated in the study period, of these 54 histologically diagnosed radicular cysts in the maxilla were found to have a maximal dimension of over 15 mm. The mean age of patients with large maxillary radicular cysts was 43.3 years, 57.6% of which were male and 42.4% female. The lateral incisor was the most common tooth affected (46.3%). The mean size of the large radicular cysts was 25 mm. Then, 83.8% of the cysts were observed in teeth with previous endodontic treatment. Teeth without endodontic treatment presented clinically with significantly fewer acute symptoms in comparison to teeth with previous endodontic treatment. Conclusions: the vast majority (83.8%) of large maxillary radicular cysts were associated with endodontically treated teeth. Previous endodontic treatment was correlated to increased frequency of clinical symptoms.
Giant Pulmonary Artery Thrombotic Material, Due to Chronic Thromboembolic Pulmonary Hypertension, Mimics Pulmonary Artery Sarcoma
Authors: Triantafyllidi Helen , Iordanidis Dimitrios , Mpahara Aikaterini , Mademli Maria , Birmpa Dionyssia , Argentos Stylianos , Benas Dimitrios , Trivilou Paraskevi , Anagnostopoulos Konstantinos , Mayer Eckhard
Published: September 2021

In this article, we present the case of a 38-year-old female who suffered from serious respiratory distress. After an extensive pulmonary artery imaging diagnostic work-up (CTPA, MRA and PET), we were unable to differentiate between chronic thromboembolic pulmonary hypertension (CTEPH) vs. pulmonary artery sarcoma (PAS) due to extensive filling defects and extraluminal findings. Although surgery was postponed for nine months due to the COVID-19 pandemic, CTEPH diagnosis, due to a high-thrombus burden, was finally confirmed after pulmonary endarterectomy (PEA). Conclusively, imaging findings of rare cases of CTEPH might mimic PAS and the surgical removal of the lesion are both needed for a final diagnosis. What is Already Known about This Topic? Pulmonary artery sarcoma (PAS) is a rare but aggressive malignancy, which originates from the intimal layer of the pulmonary artery (PA); Chronic thromboembolic pulmonary hypertension (CTEPH) is based on chronic, organized flow-limiting thrombi inside PA circulation and subsequent pulmonary hypertension. What Does This Study Contribute? Since radiological findings of CTEPH cases might rarely mimic PAS, pulmonary artery endarterectomy and subsequent histopathologic study are needed for a final diagnosis.
Perceived Positive and Negative Life Changes in Testicular Cancer Survivors
Authors: Vehling Sigrun , Oechsle Karin , Hartmann Michael , Bokemeyer Carsten , Mehnert-Theuerkauf Anja
Published: September 2021

Background and objectives: Despite a generally good prognosis, testicular cancer can be a life-altering event. We explored perceived positive and negative life changes after testicular cancer in terms of frequency, demographic and disease-related predictors, and associations with depression and anxiety. Materials and methods: All testicular cancer survivors receiving follow-up care at two specialized outpatient treatment facilities were approached at follow-up visits or via mail. We assessed a total of N = 164 patients (66% participation rate, mean time since diagnosis: 11.6 years, SD = 7.4) by the Posttraumatic Growth Inventory (PTGI, modified version assessing positive and negative changes for each of 21 items), Patient-Health-Questionnaire-9 (PHQ-9), and Generalized-Anxiety-Disorder-Scale-7 (GAD-7). We conducted controlled multivariate regression analyses. Results: Most survivors (87%) reported at least one positive change (mean number: 7.2, SD = 5.0, possible range: 0–21). The most frequent perceived positive changes were greater appreciation of life (62%), changed priorities in life (62%), and ability rely on others (51%). At least one negative change was perceived by 33% (mean number of changes: 1.1, SD = 2.5). Negative changes were most frequent for decreases in self-reliance (14%), personal strength (11%), and ability to express emotions (9%). A higher socioeconomic status was associated with more positive changes (β = 0.25, 95% CI 0.08 to 0.42); no other association with demographic and disease-related predictors emerged. While positive life changes were not associated with depression (β = −0.05, 95% CI −0.17 to 0.07) and anxiety (β = 0.00, 95% CI −0.13 to 0.13), more negative life changes were significantly associated with higher depression (β = 0.15, 95% CI −0.03 to 0.27) and anxiety (β = 0.23, 95% CI 0.11 to 0.36). There was no significant interaction of positive and negative changes on depression or anxiety. Conclusions: Although positive life changes after testicular cancer are common, a significant number of survivors perceive negative changes in life domains that have been primarily investigated in terms of personal growth. Early identification of and psychosocial support for patients who perceive predominantly negative changes may contribute to prevention of prolonged symptoms of anxiety and depression.
Aging of the Nigrostriatal Tract in the Human Brain: A Diffusion Tensor Imaging Study
Authors: Seo Jeong-Pyo , Koo Dong-Kyun
Published: September 2021

Background and Objectives: The loss of dopamine neurons in the nigrostriatal tract (NST) is one of the main pathological features of Parkinson’s disease (PD), and degeneration of the NST leads to the motor symptoms observed in PD, which include hypokinesia, tremors, rigidity, and postural imbalance. In this study, we used diffusion tensor tractography (DTT) to investigate the aging of the NST in normal human subjects to elucidate human brain structures. Materials and Methods: Fifty-nine healthy subjects were recruited for this study and allocated to three groups, that is, a 20 to ≤39 year old group (the young group), a 40 to ≤59 year old group (the middle-aged group), and a ≥60 year old group (the old group). DTT scanning was performed, and NSTs were reconstructed using the probabilistic tractography method. NSTs were defined by selecting fibers passing through seed and target regions of interest placed on the substantia nigra and the striatum. Results: A significant negative correlation was observed between age and fractional anisotropy and tract volume (TV) of the NST. Mean TV values of the NST were significantly lower in the old group than in the young and middle-aged groups (p < 0.05). The TV values of the NST were significantly reduced with age for men and women (p < 0.05). Conclusion: We found that aging of the NST began in the 3rd decile and progressed steadily throughout life until old age, when it exhibited significant degeneration. We suspect these results are related to the correlation between the incidence of PD and age.
Bariatric Surgery: Late Outcomes in Patients Who Reduced Comorbidities at Early Follow-Up
Authors: Almeida Rebeca Rocha de , Aidar Felipe J. , Souza Márcia Ferreira Cândido de , Oliveira Victor Batista , Oliveira Joselina Luzia Menezes , Baumworcel Leonardo , Pereira Larissa Monteiro Costa , Oliveira Larissa Marina Santana Mendonça de , Costa Jamille Oliveira , Rocha Raysa Manuelle Santos , Barreto-Filho José Augusto Soares , Neves Eduardo Borba , Díaz-de-Durana Alfonso López , Silva José Rodrigo Santos , Almeida-Santos Marcos Antonio , Sousa Antônio Carlos Sobral
Published: September 2021

Backgroundand Objectives: In severe obesity, a relevant weight loss can promote the reduction of comorbidities, such as systemic arterial hypertension (SAH), dyslipidemia, and diabetes mellitus (DM2). Bariatric surgery (BS) has been an essential resource in the therapy of this disease with a short-term reduction of cardiometabolic risk (CR). This study aimed to evaluate the reduction of factors associated with the CR in patients undergoing BS at a 5-year follow-up. Materials and Methods: This is a longitudinal, retrospective study carried out with patients undergoing BS by the Brazilian Public Healthcare System (PHS). Anthropometric and clinical parameters related to the CR (DM2, dyslipidemia, and SAH), quantified by the Assessment of Obesity-Related Comorbidities (AORC) score, were evaluated at the following moments: admission and preoperative and postoperative returns (3 months, 6 months, 1 to 5 years). Results: The sample had a mean age of 44.69 ± 9.49 years and were predominantly in the age group 20–29 years (34.80%) and women (72.46%). At admission to the service, 42.3% had DM2, 50.7% dyslipidemia, and 78.9% SAH. Regarding BS, the gastric bypass technique was used in 92.86% of the sample, and the waiting time for the procedure was 28.3 ± 24.4 months. In the pre- and postoperative period of 3 months, there was a significant reduction in the frequency of DM2 (p < 0.003), dyslipidemia (p < 0.000), and SAH (p < 0.000). However, at postoperative follow-up from 6 months to 5 years, there was no significant reduction in the comorbidities studied. After five years, 35.7% had total remission of DM2 and 2.9% partial remission of DM2, 44.2% had control and remission of dyslipidemia, and 19.6% of SAH (AORC score ≤ 2 for the comorbidities). Conclusion: BS promoted a reduction of the CR in the first three months after BS in severely obese PHS users.
Could a Multi-Marker and Machine Learning Approach Help Stratify Patients with Heart Failure?
Authors: Lotierzo Manuela , Bruno Romain , Finan-Marchi Amanda , Huet Fabien , Kalmanovich Eran , Rodrigues Glaucy , Dupuy Anne-Marie , Adda Jérôme , Piquemal David , Richard Sylvain , Cristol Jean-Paul , Roubille François
Published: September 2021

Half of the patients with heart failure (HF) have preserved ejection fraction (HFpEF). To date, there are no specific markers to distinguish this subgroup. The main objective of this work was to stratify HF patients using current biochemical markers coupled with clinical data. The cohort study included HFpEF (n = 24) and heart failure with reduced ejection fraction (HFrEF) (n = 34) patients as usually considered in clinical practice based on cardiac imaging (EF ≥ 50% for HFpEF; EF < 50% for HFrEF). Routine blood tests consisted of measuring biomarkers of renal and heart functions, inflammation, and iron metabolism. A multi-test approach and analysis of peripheral blood samples aimed to establish a computerized Machine Learning strategy to provide a blood signature to distinguish HFpEF and HFrEF. Based on logistic regression, demographic characteristics and clinical biomarkers showed no statistical significance to differentiate the HFpEF and HFrEF patient subgroups. Hence a multivariate factorial discriminant analysis, performed blindly using the data set, allowed us to stratify the two HF groups. Consequently, a Machine Learning (ML) strategy was developed using the same variables in a genetic algorithm approach. ML provided very encouraging explorative results when considering the small size of the samples applied. The accuracy and the sensitivity were high for both validation and test groups (69% and 100%, 64% and 75%, respectively). Sensitivity was 100% for the validation and 75% for the test group, whereas specificity was 44% and 55% for the validation and test groups because of the small number of samples. Lastly, the precision was acceptable, with 58% in the validation and 60% in the test group. Combining biochemical and clinical markers is an excellent entry to develop a computer classification tool to diagnose HFpEF. This translational approach is a springboard for improving new personalized treatment methods and identifying “high-yield” populations for clinical trials.
Removal of Humic Acid Using 3-Methacryloxypropyl Trimethoxysilane Functionalized MWCNT Loaded TiO2/PES Hybrid Membrane
Authors: Shoparwe Noor Fazliani , Kee Lim-Cee , Otitoju Tunmise Ayode , Shukor Hafiza , Zainuddin Nor’Izzah , Makhtar Muaz Mohd Zaini
Published: September 2021

In the present work, a highly efficient mixed matrix membrane (MMM) for humic acid (HA) removal was developed. Multiwalled carbon nanotubes (MWCNTs) were functionalized in the presence of 3-methacryloxypropyl trimethoxysilane using the co-condensation method and were subsequently loaded with TiO2 (prepared via the sol–gel route). The as-prepared material was then incorporated into a PES polymer solution to prepare a fMWCNT-TiO2/PES hybrid membrane via non-solvent induced phase inversion. The microstructure of the membrane was characterized using Fourier transform infrared spectroscopy, atomic force microscopy, scanning electron microscopy, water contact angle, thickness, porosity, and pore size. The fMWCNT-TiO2/PES hybrid membrane was tested for the removal of HA and antifouling performance. The results show that the surface hydrophilicity of the membranes was greatly improved upon the addition of the fMWCNT-TiO2 particles. The results show that 92% of HA was effectively removed after 1 h of filtration. In comparison with pristine membrane, the incorporation of fMWCNT-TiO2 nanoparticles led to enhanced pure water flux (99.05 L/m2 h), permeate flux (62.01 L/m2 h), higher HA rejection (92%), and antifouling improvement (RFR: 37.40%, FRR: 86.02%). Thus, the fMWCNT-TiO2/PES hybrid membrane is considered to be a great potential membrane for the improvement of ultrafiltration membranes.
Comparison of the Possibilities of Environmental Usage of Sewage Sludge from Treatment Plants Operating with MBR and SBR Technology
Authors: Kowalik Robert , Latosińska Jolanta , Metryka-Telka Monika , Porowski Rafał , Gawdzik Jarosław
Published: September 2021

Sewage sludge from sewage treatment plants has soil-forming and fertilising properties. However, sewage sludge cannot always be used in nature, including agriculture. One of the main reasons is the concentration of heavy metals. Sludge from wastewater treatment plants operating in MBR (membrane biological reactor) and SBR (sequential batch reactor) systems was analysed. Studies comparing the risk analysis of the natural use of sludge from MBR and SBR treatment plants were performed for the first time, due to the fact that more and more MBR plants, which are a BAT technology, are being developed in Poland, displacing the classical SBR plants. MBR technology uses a combination of activated sludge and filtration with microfiltration membranes. Wastewater treated in these reactors meets the highest quality standards, both in terms of physicochemical and microbiological aspects. This paper presents studies on the mobility of heavy metals in sewage sludge carried out using the BCR sequential extraction method. Geo-accumulation index (GAI), potential environmental risk index (ER), risk assessment code (RAC), and environmental risk determinant (ERD) were calculated. Heavy metals dominated the stable fractions in all cases. Furthermore, an increased content of copper and cadmium was observed in the MBR sludge. This fact is favourable in view of the efforts to eliminate heavy metals in the environment.
Dissimilar Non-Ferrous Metal Welding: An Insight on Experimental and Numerical Analysis
Authors: Devaraj Jeyaganesh , Ziout Aiman , Abu Qudeiri Jaber E.
Published: September 2021

In recent years Gas Metal Arc Welding (GMAW) technology has expanded its functionalities in various areas which have further motivated its usage in several emerging manufacturing industries. There are several issues and challenges associated with this technology, especially in dissimilar metal welding (DMW). One of the predominant challenges is selecting appropriate welding parameters which influence the efficiency of this technology. To explore several modern advancements in this expertise, this paper has done an exclusive survey on various standards of GMAW and its variants for selecting suitable parameters for welding dissimilar nonferrous metals. This review summarizes various experimental and numerical results along with related illustrations to highlight the feasibility of welding dissimilar nonferrous metals using traditional GMAW and investigations on advanced GMAW processes such as cold metal transfer (CMT) and pulsed GMAW (P-GMAW). Simulation and modeling of nonferrous DMW have identified several research gaps and modeling problems. Researchers and manufacturers can use this review as a guideline to choose appropriate welding parameters to implement GMAW and its variants for non-ferrous dissimilar welding. It found that by controlling the heat input and effective post-heat treatments, adequate joint properties can be achieved. Automated large -scale manufacturing will widen the utilization scope of GMAW and avoid some costly methods such as laser welding, ultrasonic welding, and friction stir welding etc.
Effect of the Thermomechanical Treatment on the Corrosion of UNSM Processed Inconel 718: An Electrochemical Study
Authors: Martin Ulises , Ress Jacob , Bastidas David M.
Published: September 2021

In this work, the influence of thermal (TT), mechanical, and thermomechanical (TMT) treatments using the ultrasonic nanocrystal surface modification (UNSM) on the corrosion protection properties of Inconel 718 was studied, correlating the changes in the electrochemical properties with the promoted microstructure. The UNSM treatment had a grain refinement effect on the top surface, reducing the grain size from 11.5 to 7.4 µm for the first 10 µm in depth. The high grain boundary density, due to the grain refinement, enabled a faster growth of the passive film. The impedance showed a decrease in the charge transfer resistance by three orders of magnitude, from 106 to 103 Ω cm2 for as-received to 1000 °C, as the TT temperature crossed the solvus of the γ′/γ″ and approached the solvus of the δ-phase. The UNSM treatment lowered the pitting corrosion susceptibility, increasing the charge transfer resistance and decreasing the effective capacitance of the double layer, leading to the thickest passive film with 6.8 nm.
Preparation of Ag0 Nanoparticles by EDM Method as Catalysts for Oxygen Reduction
Authors: Guo Jia , Mu Xiaoming , Song Shihao , Ren Yanwei , Wang Kai , Lu Zunming
Published: September 2021

At present, platinum-based catalysts are the best cathode catalysts, but due to their high prices, they are difficult to use widely. Under alkaline conditions, silver is a better low-cost substitute. Here, a physical preparation method—electrical discharge machining (EDM)—is used to prepare Ag0 nanoparticles. The method is simple and has a high yield. The diameter of prepared nanoparticles is about 30 nm and the nanoparticle surface is rich in defects. These defects enhance the adsorption of O2. In addition, defects can cause tensile strain on the silver catalyst, causing the d-band center of silver to move upward. The defects and the upward shift of the d-band center jointly improve the adsorption energy and catalytic performance of Ag0. This work provides a new method for the engineering construction of surface defects and the preparation of metal catalysts.
Investigating Nanoindentation Creep Behavior of Pulsed-TIG Welded Inconel 718 and Commercially Pure Titanium Using a Vanadium Interlayer
Authors: Shehbaz Tauheed , Khan Fahd Nawaz , Junaid Massab , Haider Julfikar
Published: September 2021

In a dissimilar welded joint between Ni base alloys and titanium, creep failure is a potential concern as it could threaten to undermine the integrity of the joint. In this research, the mechanical heterogeneity of a Pulsed TIG welded joint between commercially pure titanium (CpTi) and Inconel 718 (IN718) with a vanadium (V) interlayer was studied through a nanoindentation technique with respect to hardness, elastic modulus, and ambient temperature creep deformation across all regions (fusion zones and interfaces, mainly composed of a dendritic morphology). According to the experimental results, a nanohardness of approximately 10 GPa was observed at the V/IN718 interface, which was almost 70% higher than that at the V/CpTi interface. This happened due to the formation of intermetallic compounds (IMCs) (e.g., Ti2Ni, NiV3, NiTi) and a (Ti, V) solid solution at the V/IN718 and V/CpTi interfaces, respectively. In addition, nanohardness at the V/IN718 interface was inhomogeneous as compared to that at the V/CpTi interface. Creep deformation behavior at the IN718 side was relatively higher than that at different regions on the CpTi side. The decreased plastic deformation or creep effect of the IMCs could be attributed to their higher hardness value. Compared to the base metals (CpTi and IN718), the IMCs exhibited a strain hardening effect. The calculated values of the creep stress exponent were found in the range of 1.51–3.52 and 2.52–4.15 in the V/CpTi and V/IN718 interfaces, respectively. Furthermore, the results indicated that the creep mechanism could have been due to diffusional creep and dislocation climb.
Effects of Process Control Agent Amount, Milling Time, and Annealing Heat Treatment on the Microstructure of AlCrCuFeNi High-Entropy Alloy Synthesized through Mechanical Alloying
Authors: Yazdani Negar , Toroghinejad Mohammad Reza , Shabani Ali , Cavaliere Pasquale
Published: September 2021

This study was conducted to investigate the characteristics of the AlCrCuFeNi high-entropy alloy (HEA) synthesized through mechanical alloying (MA). In addition, effects of Process Control Agent (PCA) amount and milling time were investigated using X-ray diffraction analysis (XRD), scanning electron microscopy (SEM), and energy dispersive X-ray spectroscopy (EDS). The results indicated that the synthesized AlCrCuFeNi alloy is a dual phase (FCC + BCC) HEA and the formation of the phases is strongly affected by the PCA amount. A high amount of PCA postponed the alloying process and prevented solid solution formation. Furthermore, with an increase in the PCA amount, lattice strain decreased, crystallite size increased, and the morphology of the mechanically alloyed particles changed from spherical to a plate-like shape. Additionally, investigation of thermal properties and annealing behavior at different temperatures revealed no phase transformation up to 400 °C; however, the amount of the phases changed. By increasing the temperature to 600 °C, a sigma phase (σ) and a B2-ordered solid solution formed; moreover, at 800 °C, the FCC phase decomposed into two different FCC phases.