Search Results (1,485,244)

Background: The aim of this study was to clarify the effects of a theater training program intervention on the physical and cognitive functions in community-dwelling older people. Methods: Of the 59 participants, 30 were the control group, and 29 were the intervention group. We assessed physical and mental/cognitive functions and criteria of physical frailty. Results: Statistical analysis showed that the usual walking speed (UWS) (p < 0.01), grip strength (GS) (p < 0.01), and GDS-15 (p < 0.05) improved significantly in the intervention group, whereas the Geriatric Depression Scale short-form (GDS-15) (p < 0.01) worsened significantly in the control group. Cognitive function was not significantly different between the two groups. Physical frailty was unchanged in the control group but significantly improved in the intervention group (p < 0.05), and a significant interaction was found for GDS-15 in ANOVA (F = 5.76, p < 0.05). Conclusions: The results of this study suggest that a theater intervention for the older adults may be effective in preventing and improving depression and physical frailty in old age. Full article

The thermodynamic properties of MgSiO₃ akimotoite at high temperatures and high pressures are important for investigating the phase equilibria of the Earth’s transition zone and the upper part of the lower mantle. In this paper, we present the self-consistent unit-cell volume, elastic properties, and in particular, thermodynamic properties including thermal expansion, heat capacity, entropy, and Grüneisen parameter of MgSiO₃ akimotoite at pressures up to 30 GPa and temperatures to 2000 K using an iterative numerical method and available experimental data, which are consistent with the previous studies. The results show that the determined thermal expansion, heat capacity, entropy, and Grüneisen parameter exhibit a nonlinear and negative relationship with increasing pressure. Additionally, the pressure derivatives of these thermodynamic parameters along with the temperature are also presented. Full article

Nasal polyposis is defined as a Th2-driven chronic inflammation of the nose and sinus with polyps visible in the nasal fossae. It is a prevalent disease with a significant impact on health-related quality of life (HRQL). Allergies, allergic rhinitis, asthma, and aspirin intolerance are frequently associated. The management is individual. The first line of treatment is long-term treatment with intranasal corticosteroids. Oral corticosteroids should be used with caution. When the medical treatment fails, the patient is eligible for sinus surgery, which usually consists of a complete sphenoethmoidectomy. In the case of symptomatic recurrence after both medical and surgical treatment, biologics are currently a very promising treatment effective on all respiratory tracts. Dupilumab is considered in the literature to be the molecule of choice. However, besides the international guidelines published by EPOS and Euforea, the molecule prescribed depends also on its availability in each country and the criteria edited by the health authorities to receive reimbursement. Traditional medical treatment remains necessary as a complement to biologics. At the moment, there is no consensus on when the medical treatment can be stopped. Full article

Background: L. Australis is one of the most prevalent Leptospira strains infecting dogs, leading, in natural conditions, to severe life-threatening cases. Objective: The objective was to evaluate the onset and duration of immunity (OOI and DOI) induced by a new licensed quadrivalent antileptospiral vaccine (EURICAN^® L4) including four Leptospira components (Canicola, Icterohaemorrhagiae, Grippotyphosa and Australis) against L. Australis. To this end, a severe L. Australis challenge model was developed, using a canine strain recently isolated from the field. Material and Methods: Seven- to ten-week-old puppies received two doses of the vaccine four weeks apart and were challenged with an L. Australis isolate two weeks (OOI) and 12 months (DOI) later. Mortality, clinical signs, leptospiremia, leptospiruria, renal carriage, and renal lesions were assessed after challenge. Results: The challenge induced multiple severe clinical signs in controls, leading to the death or euthanasia of 83% of puppies and 57% of adults. In controls, leptospiremia was detected in all dogs, leptospiruria in 67% of puppies and 86% of adults, kidneys tested positive for Leptospira in 83% of puppies and 71% of adults, and kidney lesions were observed in 100% of puppies and 86% of adults. In addition, thrombocytopenia associated with increased concentrations of urea, creatinine, and aspartate aminotransferase was recorded in controls displaying severe clinical signs. In both OOI and DOI studies, none of the vaccinates had clinical signs, no Leptospira was detected in blood, urine, and kidney samples, and no kidney lesions were observed in vaccinates. No significant changes in hematological and biochemical parameters in vaccinates were recorded. Conclusion: EURICAN^® L4 was shown to induce quick and long-lasting protection against a severe L. Australis infectious challenge, preventing mortality, clinical signs, infection, bacterial excretion, renal lesions, and renal carriage. Full article

Electrospun regenerated cellulose (RC) nanofiber membranes were prepared starting from cellulose acetate (CA) with different degrees of substitution. The process was optimized to obtain continuous and uniformly sized CA fibers. After electrospinning, the CA membranes were heat-treated to increase their tensile strength before deacetylation to obtain regenerated cellulose (RC). Affinity membranes were obtained by functionalization, exploiting the hydroxyl groups on the cellulose backbone. 1,4-Butanediol-diglycidyl ether was used to introduce epoxy groups onto the membrane, which was further bioconjugated with the anti-CD63 antibody targeting the tetraspanin CD63 on the extracellular vesicle membrane surface. The highest ligand density was obtained with an anti-CD63 antibody concentration of 6.4 µg/mL when bioconjugation was performed in carbonate buffer. The resulting affinity membrane was tested for the adsorption of extracellular vesicles (EVs) from human platelet lysate, yielding a very promising binding capacity above 10 mg/mL and demonstrating the suitability of this approach. Full article

This paper presents novel chattering-free robust control strategies for addressing disturbances and uncertainties in a two-degree-of-freedom (2-DOF) unmanned aerial vehicle (UAV) dynamic model, with a focus on the highly nonlinear and strongly coupled nature of the system. The novelty lies in the development of sliding mode control (SMC), integral sliding mode control (ISMC), and terminal sliding mode control (TSMC) laws specifically tailored for the twin-rotor MIMO system (TRMS). These strategies are validated through both simulation and real-time experiments. A key contribution is the introduction of a uniform robust exact differentiator (URED) to recover rotor speed and missing derivatives, combined with a nonlinear state feedback observer to improve system observability. A feedback linearization approach, using lie derivatives and diffeomorphism principles, is employed to decouple the system into horizontal and vertical subsystems. Comparative analysis of the transient performance of the proposed controllers, with respect to metrics such as settling time, overshoot, rise time, and steady-state errors, is provided. The ISMC method, in particular, effectively mitigates the chattering issue prevalent in traditional SMC, improving both system performance and actuator longevity. Experimental results on the TRMS demonstrate the superior tracking performance and robustness of the proposed control laws in the presence of nonlinearities, uncertainties, and external disturbances. This research contributes a comprehensive control design framework with proven real-time implementation, offering significant advancements over existing methodologies. Full article

Enhancing the understanding of the behavior, optimizing the design, and improving the predictability and reliability of manufactured unidirectional (UD) FRP plies, which serve as primary building blocks for structural FRP laminates and components, are crucial to achieving a safe and cost-effective design. This research investigated the influence of fiber volume fraction ($v_f$) on the predictability and reliability of the homogenized elastic properties and damage initiation strengths of two different types of UD FRP plies using validated micromechanical virtual testing for representative volume element (RVE) models. Several sources of uncertainties were included in the RVE models. This study also proposed a modified algorithm for microstructure generation and explored the effect of $v_f$ on the optimal sizes of the RVE in terms of fiber number. Virtual tests were systematically conducted using full factorial DOE coupled with Monte Carlo simulation. The modified algorithm demonstrated exceptional performance in terms of convergence speed and jamming limit, significantly reducing the time required to generate microstructures. The developed RVE models accurately predicted failure modes, loci, homogenized elastic properties, and damage initiation strengths with a mean error of less than $5\%$. Also, it was found that increasing $v_f$ led to a concurrent increase in the optimal size of the RVE. While it was found that the $v_f$ had a direct influence on homogenized elastic properties and damage initiation strengths, it did not significantly affect the reliability and predictability of these properties, as indicated by low correlation coefficients and fluctuations in the coefficient of variation of normalized properties. Full article

This study evaluates the impact of the addition of nanoparticles of anodic manganese dioxide (NAMD) on the mechanical properties and resistance to chemical attack of concrete. The research focused on nine concrete mixtures with water/cement ratios of 0.40, 0.45, and 0.50 and NAMD contents of 0, 5, and 10%. The properties of NAMD were analyzed, and fresh concrete properties such as temperature, unit weight, and consistency were measured. The compressive strength was determined at different ages (7, 14, 28, 56, and 90 days). The tensile and flexural strength were evaluated at 28 days, and the longitudinal change generated by the SO₄Mg attack was monitored until 90 days. In addition, an accelerated carbonation test was performed on concrete samples with 28 days of curing exposed to an atmosphere of 6% CO₂ for one week. The addition of NAMD did not significantly affect the temperature or unit weight of the fresh concrete, but it did influence the consistency. An increase in compressive, tensile, and flexural strength was observed, especially at early ages and for low w/c ratios. The addition of NAMD reduced the expansion of concrete exposed to magnesium sulfate, with 5% being the most effective dose, and reduced the carbonation rate of concrete by up to 40% in mixes with w/c ratios of 0.40 and 0.50. It was shown that the addition of 5% as an effective dose of NAMD improves the mechanical and durability properties of concrete, especially in mixtures with a low water/cement ratio, contributing to the improvement of the quality and strength of concrete. Full article

Fluoride treatment of ZSM-5 zeolite can effectively adjust surface acidity and generate a secondary pore structure. In this study, a series of modified nano-HZSM-5 zeolites were prepared by NH₄F-HF mixed solution treatment and applied to the selective conversion of bioethanol to propylene at 500 °C, atmospheric pressure, and a WHSV of 10 h⁻¹. The results showed that NH₄F-HF modification weakened the surface acidity of nano-HZSM-5 zeolites, thus inhibiting coke formation. Additionally, the mesopores in the nano-HZSM-5 zeolites increased after NH₄F-HF treatment, thereby enhancing the mass transfer rate and improving the coke-resistance ability. The NH₄F-HF mixed solution modification significantly improved the stability of nano-HZSM-5 zeolites in catalyzing bioethanol to propylene and greatly extended the working life of nano-HZSM-5 zeolites. It can be seen from the characterization of the deactivated catalysts that coke deposition and weakening of acidity may be the key factors for catalyst deactivation. Full article

Background/Objectives: Uvulopalatopharyngoplasty (UPPP), palatal plus nasal surgery (PNS), and continuous positive airway pressure (CPAP) are widely implemented treatments for obstructive sleep apnea (OSA). This study aims to explore the long-term effects on objective sleep parameters and patient-reported outcomes (PROs) following different therapeutic interventions for OSA. Methods: Data from patients with moderate-to-severe OSA were retrospectively collected from a medical center and a regional hospital, spanning from December 2011 to August 2018. Objective evaluations included the Apnea–Hypopnea Index (AHI), minimum O₂ saturation, and sleep efficiency. The PROs consisted of the Snore Outcomes Survey and Epworth Sleepiness Scale. Using mixed-effects models, we evaluated longitudinal changes in sleep parameters and PROs, accounting for repeated measures and variations within individuals over time. Results: Among 448 patients with moderate-to-severe OSA, follow-up data were collected for 42 patients undergoing UPPP surgery, 171 undergoing PNS, 127 using CPAP, and 108 in the non-treated group. The mean follow-up was 16.7 months (SD = 11.9, range: 1.6–77.3). Significant improvements were observed in AHI, minimum O₂ saturation, and hypersomnia immediately following interventions with UPPP, PNS, and CPAP therapy (p < 0.05). Moreover, the analysis revealed no significant rate of change in these parameters over time, suggesting that the benefits of these treatments were sustained in the long term. Furthermore, all interventions exhibited a significant short-term effect on self-reported snoring when compared to the control group, with a p-value of less than 0.001. However, the magnitude of this improvement gradually decreased over time. The snore scores seemed to return to pre-treatment levels among the UPPP, PNS, and CPAP groups after averages of 46.4, 63.5, and 74.4 months, respectively (all p < 0.05). Conclusions: Surgical interventions and CPAP therapy showed potential long-term effectiveness in managing OSA. Snoring symptoms reappeared about 3.9–5.3 years after surgical treatments, which seemed earlier than the average of 6.2 years in patients receiving CPAP and should be considered in patient-participatory decision-making processes. Full article

Background: The definition of alcohol hangovers refers to a combination of mental and physical side effects that occur after drinking. One of the ways that hangovers can be ameliorated is by promoting the rapid and effective elimination of acetaldehyde to alleviate the discomfort it causes. This study aimed to investigate the effects of GSH (yeast extract containing 50 mg of glutathione) on the hangover-relieving effect. Methods: A randomized double-blind placebo-controlled crossover clinical trial was conducted with 40 participants who reported experiencing hangover symptoms. Participants consumed alcohol at a rate of 0.78 g per kg body weight with 40% whiskey, adjusted according to their weight. Alcohol and acetaldehyde concentrations in serum were analyzed at 0, 0.25, 1, 2, 4, 6, and 15 h after alcohol consumption. Results: In the GSH group, the serum alcohol concentration decreased, although this change was not statistically significant. The serum acetaldehyde concentration was significantly lower in the GSH group in comparison to the placebo group (at 0.25, 1, 4, and 6 h (p < 0.01) and at 0.5, 2, and 15 h (p < 0.001) after alcohol consumption). However, there was no significant difference between the two groups on questionnaires such as the Acute Hangover Scale and the Alcohol Hangover Severity Scale. Conclusions: Overall, we consider the discovery that GSH lowered acetaldehyde concentration, a crucial factor in alcohol metabolism, to be more considerable. Therefore, GSH administration effectively reduces acetaldehyde levels in serum. This result suggests that this effect may contribute to the relief of hangover symptoms. Full article

Studying rotor-bearing systems involving fluid film bearings is essential for designing and assessing the dynamic responses and performance of rotating machinery. They are involved in many applications such as pumps, turbines, and engines. Water-lubricated bearings are often used in many applications where the use of oil-based lubricants is not desirable, such as in environmentally sensitive areas such as water desalination. In this study, dynamic analysis is performed to identify the stability regions that prevent the application of water-lubricated journal bearings. This is achieved by solving the system equations of motion and then using an infinitesimal perturbation method to evaluate the second-order bearing coefficients of a journal bearing. In this paper, a steel shaft supported by two symmetrical journal bearings was used to investigate the system stability analysis. A test rig is designed and manufactured to examine the rotor’s dynamic behavior and verify the theoretical outcomes of the FE model, utilizing the bearing coefficients based on second-order analysis. Furthermore, this study compares the two fluids, both theoretically and experimentally, investigating their impact on the rotor-bearing system at different rotational speeds. The theoretical findings indicate that the threshold speed for journal bearings is significantly higher when using water as the lubricant fluid film compared to using oil as the lubricant fluid. Additionally, because of the low viscosity of water, water-lubricated bearings are susceptible to significant wear and noise in operating conditions. Our experiments show that an oil lubricant provides less response than a water lubricant for unbalanced rotors within the tested speed range. Full article

Small berries are rich sources of bioactive compounds, acknowledged for a wide variety of biological activities. The health benefits of these berries are primarily attributed to phenolic compounds, such as phenolic acids, flavonoids, and tannins, owing to their good antioxidant capacity, anti-inflammatory, anticancer, and neuro- and cardioprotective properties. In order to compensate for the lack of fresh fruit availability throughout the year, berries are usually processed to obtain various final products. Depending on the processing condition, the nutritional and functional profile of the berries might be affected. The present review focuses on the bioactive compounds with antioxidant activity that contribute to the health-related properties of berries and on the effects of the conventional and alternative thermal and non-thermal techniques employed for processing berries into final products. The literature suggests that, regardless of the processing method, incorporating berries into the daily diet offers protective and preventive benefits against various diseases. Full article

A visual workload model was constructed to determine and evaluate drivers’ visual workload characteristics in high-density interchange-merging areas. Five interchanges were selected, and a real-vehicle driving test was conducted with 47 participants. To address the differences in drivers’ visual characteristics in the interchange cluster merging areas, the Criteria Importance Through Intercriteria Correlation (CRITIC) objective weighting method was employed. Six visual parameters were selected to establish a comprehensive evaluation model for the visual workload in high-density interchange-merging areas. The results show that the average scanning frequency and average pupil area change rate are most strongly correlated with the visual workload, whereas the average duration of a single gaze has the lowest weight in the visual workload assessment system. Different driver visual workloads were observed depending on the environment of the interchange-merging areas, and based on these, recommendations are proposed to decrease drivers’ workload, thereby increasing road safety. Full article

Microbes have inhabited the earth for hundreds of millions of years longer than humans. The microbiota–gut–brain axis (MGBA) represents a bidirectional communication pathway. These communications occur between the central nervous system (CNS), the enteric nervous system (ENS), and the emotional and cognitive centres of the brain. The field of research on the gut–brain axis has grown significantly during the past two decades. Signalling occurs between the gut microbiota and the brain through the neural, endocrine, immune, and humoral pathways. A substantial body of evidence indicates that the MGBA plays a pivotal role in various neurological diseases. These include Alzheimer’s disease (AD), autism spectrum disorder (ASD), Rett syndrome, attention deficit hyperactivity disorder (ADHD), non-Alzheimer’s neurodegeneration and dementias, fronto-temporal lobe dementia (FTLD), Wilson–Konovalov disease (WD), multisystem atrophy (MSA), Huntington’s chorea (HC), Parkinson’s disease (PD), multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), temporal lobe epilepsy (TLE), depression, and schizophrenia (SCZ). Furthermore, the bidirectional correlation between therapeutics and the gut–brain axis will be discussed. Conversely, the mood of delivery, exercise, psychotropic agents, stress, and neurologic drugs can influence the MGBA. By understanding the MGBA, it may be possible to facilitate research into microbial-based interventions and therapeutic strategies for neurological diseases. Full article