Search Results (165)

Background: Gut microbiota dysregulation is increasingly recognized as a key contributor to the progression of liver cirrhosis and its complications, particularly hepatic encephalopathy. Fecal microbiota transplantation (FMT) has emerged as a novel therapeutic strategy aimed at restoring intestinal microbial homeostasis and modulating systemic inflammation. Methods: This prospective, single-center clinical trial evaluated the short-term safety and efficacy of FMT in patients with alcohol-related liver cirrhosis. Clinical assessment, liver stiffness (via elastography), steatosis (controlled attenuation parameter), inflammatory biomarkers, and extended biochemical panels were analyzed at baseline, one week and one month post-FMT. A control group receiving standard medical therapy was used for comparison. Results: FMT was associated with a significant reduction in hepatic encephalopathy severity (p = 0.014), sustained improvements in liver stiffness (p = 0.027) and decreased steatosis (p = 0.025). At one month, C-reactive protein and neutrophil-to-lymphocyte ratio both declined significantly (p = 0.043), indicating a measurable anti-inflammatory effect. No serious adverse events were recorded. In comparison with controls, FMT recipients showed lower systemic inflammation and improved neuropsychiatric status. Conclusions: FMT demonstrated a favorable safety profile and yielded early clinical and biochemical benefits in patients with cirrhosis. These preliminary findings support the potential utility of microbiota-based interventions in chronic liver disease and warrant validation in larger, multicenter trials. Full article

Exoskeleton robots function as augmentation systems that establish mechanical couplings with the human body, substantially enhancing the wearer’s biomechanical capabilities through assistive torques. We introduce a lumbar spine-assisted exoskeleton design based on Variable-Stiffness Pneumatic Artificial Muscles (VSPAM) and develop a dynamic adaptation mechanism bridging the pneumatic drive module with human kinematic intent to facilitate human–robot cooperative control. For kinematic intent resolution, we propose a multimodal fusion architecture integrating the VGG16 convolutional network with Long Short-Term Memory (LSTM) networks. By incorporating self-attention mechanisms, we construct a fine-grained relational inference module that leverages multi-head attention weight matrices to capture global spatio-temporal feature dependencies, overcoming local feature constraints inherent in traditional algorithms. We further employ cross-attention mechanisms to achieve deep fusion of visual and kinematic features, establishing aligned intermodal correspondence to mitigate unimodal perception limitations. Experimental validation demonstrates 96.1% ± 1.2% motion classification accuracy, offering a novel technical solution for rehabilitation robotics and industrial assistance. Full article

Despite significant advancements, prosthetic hernia repair continues to face unacceptably high complication rates. These likely stem from poor biological responses, such as stiff scar tissue leading to mesh shrinkage. To overcome these issues, the Stenting and Shielding (S&S) Hernia System, a newly designed 3D dynamic device, has been developed for dissection-free laparoscopic placement to permanently obliterate hernia defects. Unlike conventional meshes, this device induces a regenerative biological response, promoting viable tissue growth rather than fibrotic plaque formation. In a porcine experimental model, the S&S device demonstrated the development of a great amount of muscle fibers, alongside nervous and vascular structures, within well-perfused connective tissue. Histological analysis of biopsy specimens excised from the experimental animals revealed progressive muscle fiber maturation from early myocyte development in the short term to fully developed muscle bundles in the long term. The enhanced biological response observed with the S&S device suggests a promising shift in hernia repair, potentially reversing the degenerative processes of hernia formation and promoting tissue regeneration. The S&S Hernia System described here can be classified not merely as a conventional hernia implant, but as part of a new category of hernia devices: the dynamic regenerative scaffold. Full article

This study investigates the long-term flexural performance of prestressed concrete double tees under sustained loading. Six full-scale specimens were subjected to a comprehensive experimental program, including a 320-day storage period following prestress release, a short-term flexural test, and a 990-day sustained loading phase. Mid-span deflections were measured using a string-line method, while the effective prestress in tendons was continuously monitored with fiber Bragg grating (FBG) sensors. Results showed a pronounced increase in camber during the storage phase, with long-term camber reaching approximately three times the initial value. Under short-term loading, the slabs exhibited a clear bilinear moment–deflection behavior. During sustained loading, most of the long-term deflection developed in the early stages, and an inverse relationship between load level and deflection growth was observed. Additionally, data from 20 short-term tests were compiled, and a bilinear stiffness model was proposed to estimate flexural stiffness in the cracked state. These findings contribute to a deeper understanding of long-term deformation in prestressed concrete double tees and provide reference data for serviceability evaluation and design refinement. Full article

This study presents an approach based on data-driven methods for determining the parameters needed to model time-dependent material behaviour. The time-dependent behaviour of the thermoplastic polymer polybutylene terephthalate is investigated. The material was examined under two conditions, one with and one without the inclusion of reinforcing short fibres. Two modelling approaches are proposed to represent the time-dependent response. The first approach is the generalised Maxwell model formulated through the classical exponential Prony series, and the second approach is a model based on fractional calculus. In order to quantify the comparative capabilities of both models, experimental data from tensile creep tests on fibre-reinforced polybutylene terephthalate and unreinforced polybutylene terephthalate specimens are analysed. A central contribution of this work is the implementation of a machine-learning-ready parameter identification framework that enables the automated extraction of model parameters directly from time-series data. This framework enables the robust fitting of the Prony-based model, which requires multiple characteristic times and stiffness parameters, as well as the fractional model, which achieves high accuracy with significantly fewer parameters. The fractional model benefits from a novel neural solver for fractional differential equations, which not only reduces computational complexity but also permits the interpretation of the fractional order and stiffness coefficient in terms of physical creep resistance. The methodological framework is validated through a comparative assessment of predictive performance, parameter cheapness, and interpretability of each model, thereby providing a comprehensive understanding of their applicability to long-term material behaviour modelling in polymer-based composite materials. Full article

Background/Objectives: Affecting close to one-third of the global population, metabolic dysfunction-associated steatotic liver disease (MASLD) is a highly prevalent chronic liver disorder linked to metabolic risk factors such as obesity and insulin resistance. Liver fibrosis is a key determinant of prognosis, and its progression increases the risk of liver-related and overall mortality. This exploratory research evaluated the potential impact of a 3-month intervention involving dietary counseling and liraglutide therapy on liver fibrosis and related metabolic markers in patients with MASLD and obesity without diabetes. Methods: In this prospective, single-arm exploratory intervention, 28 adult patients with MASLD and obesity received structured dietary counseling and daily subcutaneous liraglutide for 12 weeks. Liver fibrosis was assessed using non-invasive indices (FIB-4, APRI, BARD, ELF) and transient elastography performed with the FibroScan^® device (Echosens, Paris, France). Results: After 3 months, a significant reduction in liver stiffness (−7.14%, p < 0.05) and ELF score (from 6.71 to 6.63; −1.2%, p < 0.05) was observed. APRI (p = 0.06) and FIB-4 (p = 0.09) showed trends toward improvement, while the BARD score and AST/ALT ratio remained unchanged. Conclusions: Short-term liraglutide therapy combined with lifestyle modification may improve early-stage liver fibrosis in patients with MASLD and obesity, as indicated by reductions in liver stiffness and ELF score. These preliminary findings highlight the potential of advanced non-invasive fibrosis markers in monitoring treatment response. However, as an exploratory study, results should be interpreted with caution, and larger, long-term trials are needed to confirm these observations and evaluate efficacy in patients with more advanced fibrosis stages. Full article

Background/Objectives: Bruxism has been associated with dysregulation of the autonomic nervous system (ANS). Visceral manual therapy (VMT) has shown beneficial effects on the vagal tone and modulation of ANS activity. This study aimed to evaluate the immediate and short-term effects of VMT in individuals with clinically based bruxism. Methods: A single-blind randomized controlled trial was conducted including 24 individuals with clinically based bruxism. Participants received two sessions of either VMT or a sham placebo technique. Outcome measures included heart rate variability (HRV), both normal-to-normal intervals (HRV-SDNN), and the root mean square of successive normal-to-normal intervals (HRV-RMSSD), as well as muscle tone and stiffness and pressure pain thresholds (PPTs). Measurements were made at T1 (baseline), T2 (post-first intervention), T3 (pre-second intervention), T4 (post-second intervention), and T5 (4-week follow-up). Results: A significant time*group interaction was observed for HRV-SDNN (p = 0.04, η² = 0.12). No significant changes were found for muscle tone or stiffness. PPTs significantly increased at C4 after the second session (p = 0.049, η² = 0.16) and at the left temporalis muscle after the first session (p = 0.01, η² = 0.07). Conclusions: The findings suggest that two sessions of VMT may lead to significant improvements in HRV-SDNN compared to the placebo, suggesting a modulatory effect on autonomic function. No consistent changes were observed for the viscoelastic properties of the masticatory muscles. Isolated improvements in pressure pain sensitivity were found at C4 and the left temporalis muscle. Further research with larger sample sizes and long-term follow-up is needed to determine the clinical relevance of VMT in the management of signs and symptoms in individuals with bruxism. Full article

This study investigates the impact of nonlinear constitutive models on one-dimensional seismic site response analysis (SRA) for soft, reclaimed soil deposits in Saemangeum, South Korea. Two widely used models, MKZ and GQ/H, were applied to three representative soil profiles using the DEEPSOIL program. Ground motions were scaled to bedrock peak ground accelerations (PGAs) corresponding to annual return periods (ARPs) of 1000, 2400, and 4800 years. Seismic response metrics include the ratio of GQ/H to MKZ shear strain, effective PGA (EPGA), and short- and long-term amplification factors (F_a and F_v). The results highlight the critical role of the site-to-motion period ratio (T_g/T_m) in controlling seismic behavior. Compared to the MKZ, the GQ/H model, which features strength correction and improved stiffness retention, predicts lower shear strains and higher surface spectral accelerations, particularly under strong shaking and shallow conditions. Model differences are most pronounced at low T_g/T_m values, where MKZ tends to underestimate amplification and overestimate strain due to its limited ability to reflect site-specific shear strength. Relative to code-based amplification factors, the GQ/H model yields lower short-term estimates, reflecting the disparity between stiff inland reference sites and the soft reclaimed conditions at Saemangeum. These findings emphasize the need for strength-calibrated constitutive models to improve the accuracy of site-specific seismic hazard assessments. Full article

This research evaluates the rheological and mechanical properties of polymer- and nanomaterials-modified bitumen by incorporating nanosilica (NSA), nanoclay (NCY), and Acrylonitrile Styrene Acrylate (ASA) at 5% by weight of the bitumen. The samples were prepared at 165 °C for one hour to obtain homogeneous blends. All samples were subjected to short- and long-term aging to simulate the effects of different operating conditions. The research conducted a series of tests, including consistency, frequency sweep, and multiple creep stress and recovery (MSCR) using the dynamic shear rheometer (DSR) and bending beam rheometer (BBR). The results showed that all modified bitumen outperformed the neat bitumen. The frequency sweep showed a higher complex modulus (G*) and lower phase angle (δ), indicating enhanced viscoelastic properties and, thus, higher resistance to permanent deformation. The BBR test revealed that the bitumen modified with NCY5% has a creep stiffness of 47.13 MPa, a 51.5% improvement compared to the neat bitumen, while the NSA5% has the highest m-value, a 28.5% enhancement compared with the neat bitumen. The MSCR showed that the modified blends have better recovery properties and, therefore, better resistance to permanent deformation under repeated loadings. The aging index demonstrated that the modified bitumen is less vulnerable to aging and maintains their good flexibility and resistance to permanent deformations. Finally, these results showed that adding 5% polymer and nanomaterials improved the bitumen’s’ performance before and after aging by reducing permanent deformation and enhancing crack resistance at low temperatures, thus extending the pavement service life and making them an effective alternative for improving pavement performance in various climatic conditions and under high traffic loads. Full article

This paper analyzed the behavior of polymer composite materials reinforced with randomly oriented short natural fibers (hemp, flax, etc.) subjected to external stresses under quasistatic contact conditions with dry Coulomb friction. We presumed the composite body, a 2D flat rectangular plate, being in frictional contact with a rigid foundation for the quasistatic case. The manuscript proposes the finite element method approximation in space and the finite difference approximation in time. The problem of quasistatic frictional contact is described with a special finite element, which can analyze the state of the nodes in the contact area, and their modification, between open, sliding, and fixed contact states, in the analyzed time interval. This finite element also models the Coulomb friction law and controls the penetrability according to a power law. Moreover, the quasi-static case analyzed allows for the description of the load history using an incremental and iterative algorithm. The discrete problem will be a static and nonlinear one for each time increment, and in the case of sliding contact, the stiffness matrix becomes non-symmetric. The regularization of the non-differentiable term comes from the modulus of the normal contact stress, with a convex function and with the gradient in the sub-unit modulus. The non-penetration condition was achieved with the penalty method, and the linearization was conducted with the Newton–Raphson method. Full article

The goal of this study is to evaluate how the inclusion of synthetic wax, added in 0.5% increments from 1.5% to 3.5%, affects the characteristics of PMB 45/80-65 (polymer-modified bitumen) during both short-term (RTFOT) and long-term (PAV) aging processes. Tests were carried out to assess the fundamental properties of the binder, leading to the determination of the penetration index (PI) and the plasticity range (PR). The binder’s properties were examined at below-freezing operating temperatures, with creep stiffness measured using a bent beam rheometer (BBR) at −10 °C, −16° C, −22 °C, and −28 °C. The rheological properties of the asphaltenes were evaluated based on both linear and nonlinear viscoelasticity. The experimental study explored temperature effects on the rheological properties of composite materials using a DSR dynamic shear rheometer at 40 °C, 60 °C, and 80 °C over a frequency range of 0.005 to 10 Hz. The main parameters of interest were composite viscosity (η*) and zero shear viscosity (η₀). Viscoelastic parameters, including the dynamic modulus (G*) and phase shift angle (δ), were determined, and Black’s curves were used to illustrate the relationship between these parameters, where G*/sinδ was determined. The MSCR test was employed to investigate the impact of bitumen on the asphalt mixture’s resistance to permanent deformation and to assess the degree and efficacy of asphalt modification. The test measured two parameters, irreversible creep compliance (J_nr) and recovery (R), under stress levels of 0.1 kPa (LVE) and 3.2 kPa (N-LVE). The Christensen–Anderson–Marasteanu model was used to describe the bitumen behavior during binder aging, as reflected in the rheological study results. Ultimately, this study revealed that synthetic wax influences the rheological properties of PMB 45/80-65 polymer bitumen. Specifically, it mitigated the stiffness reduction in modified bitumen caused by polymer degradation during aging at an amount less than 2.5% of synthetic wax. Full article

Background/Objectives: The relationship between upper trapezius muscle stiffness and choroidal circulatory dynamics remains unclear. This study aimed to examine changes in upper trapezius muscle stiffness and choroidal circulatory dynamics before and after trapezius muscle self-stretching. Methods: Eighteen healthy adults in their 20s (median age ± standard error: 21.0 ± 4.9 years) and eight healthy adults in their 40s (age: 43.0 ± 15.2 years) were included. Intraocular pressure (IOP); systolic, diastolic, and mean blood pressure (BP); heart rate (HR); ocular perfusion pressure (OPP); and salivary alpha-amylase (sAA) activity—as an indicator of autonomic nervous system function—were measured at baseline and after trapezius muscle self-stretching. Upper trapezius muscle stiffness was assessed using ultrasound strain elastography, whereas choroidal circulation was evaluated using laser speckle flowgraphy to determine the mean blur rate (MBR), a relative measure of macular blood flow velocity. Results: Significant reductions in systolic and mean BP; OPP; sAA activity; and MBR were observed after trapezius muscle self-stretching in both groups; however, no significant changes were found in IOP and HR. A significant decrease in upper trapezius muscle stiffness was observed after self-stretching only in the 20-year-old group. Conclusions: In healthy adults in their 20s and 40s, trapezius muscle self-stretching may enhance parasympathetic nervous system activity, resulting in decreased systemic and choroidal circulatory parameters. However, the reduction in muscle stiffness observed only in younger participants suggests that short-term self-stretching may be less effective in reducing trapezius muscle stiffness with advancing age. Full article

As an important part of national transportation infrastructure, the operation status of bridges is directly related to transportation safety and social stability. Structural deflection, which reflects the deformation behavior of bridge systems, serves as a key indicator for identifying stiffness degradation and the progression of localized damage. The accurate modeling and forecasting of deflection are thus essential for effective bridge health monitoring and intelligent maintenance. To address the limitations of traditional methods in handling multi-source data fusion and nonlinear temporal dependencies, this study proposes an enhanced iTransformer-based prediction model, termed LDAiT (LSTM Differential Attention iTransformer), which integrates Long Short-Term Memory (LSTM) networks and a differential attention mechanism for high-fidelity deflection prediction under complex working conditions. Firstly, a multi-source heterogeneous time series dataset is constructed based on wireless sensor network (WSN) technology, enabling the real-time acquisition and fusion of key structural response parameters such as deflection, strain, and temperature across critical bridge sections. Secondly, LDAiT enhances the modeling capability of long-term dependence through the introduction of LSTM and combines with the differential attention mechanism to improve the precision of response to the local dynamic changes in disturbance. Finally, experimental validation is carried out based on the measured data of Xintian Yellow River Bridge, and the results show that LDAiT outperforms the existing mainstream models in the indexes of R², RMSE, MAE, and MAPE and has good accuracy, stability and generalization ability. The proposed approach offers a novel and effective framework for deflection forecasting in complex bridge systems and holds significant potential for practical deployment in structural health monitoring and intelligent decision-making applications. Full article

Iraq’s extreme summer temperatures pose critical challenges to pavement durability, as conventional asphalt mixtures often fail under prolonged thermal stress. This paper provides a comparative evaluation of the high-temperature performance of unmodified (40/50 penetration grade) and polymer-modified (PG 76-10) asphalt mixtures for the asphalt course layer. Marshall stability, flow, and stiffness were measured at elevated temperatures of 60 °C, 65 °C, 70 °C, and 75 °C after short-term (30 min) and extended (24 h) conditioning. Results show that while both mixtures experienced performance degradation as the temperature increased, the polymer-modified mixture consistently exhibited superior thermal resistance, retaining approximately 9% higher stability and 28% higher stiffness, and displaying 18% lower flow deformation at 75 °C compared to the unmodified mixture. Stability degradation rate (SDR), stiffness degradation rate (SiDR), and flow increase rate (FIR) analyses further confirmed the enhanced resilience of PG 76-10, showing nearly 39% lower FIR under thermal stress. Importantly, PG 76-10 maintained performance within specification thresholds under all tested conditions, unlike the conventional 40/50 mixture. These findings emphasize the necessity of adapting mix design standards to regional climatic realities and support the broader adoption of polymer-modified asphalt binders to enhance pavement service life in hot-climate regions like Iraq. Full article

The structural reliability of bottom-fixed offshore wind turbines is generally influenced by the dispersion of and variability in soil properties, which affect their ultimate capacity, serviceability, and both the short- and long-term fatigue. During an earthquake, the soil–pile system is subjected to intense cyclic loads that can lead to stiffness and strength degradation, typically captured through cyclic soil models. Calibration of soil parameter variability is fundamental for reliable structural assessments of wind turbine integrity. In this study, a method to generate randomness of the parameters affecting cyclic soil degradation models is proposed. Fatigue parameters are quantified through random cyclic undrained triaxial tests conducted using the Discrete Element Method. Deterministic simulations are first performed based on experimental results from the Liquefaction Experiments and Analysis Project for validation. Subsequently, variability in the initial particle size distribution functions is introduced to generate random soil samples, and triaxial simulations are repeated to quantify the dispersion of soil fatigue parameters. The proposed procedure is then applied through Monte Carlo simulations on the IEA 15-MW reference wind turbine, which is subjected to both short- and long-duration earthquakes. The results demonstrate the significant impact of soil degradation on the bending moment envelope, as well as the effect of soil uncertainty on tower fatigue, assessed using the damage equivalent load approach. Full article