Stress Changes Research Articles

Three-Dimensional Thermo-Chemo-Mechanical Coupled Curing Analysis for the Filament Wound Composite Shell.

Carbon fiber resin-based composite materials are widely employed in the manufacturing of composite shells. During the curing process, the temperature gradients and cure degree gradients make it easy to generate thermal strains in both carbon fibers and resin, with the resin experiencing cure shrinkage strain due to the curing reaction, ultimately leading to residual stresses and strains. In this paper, a three-dimensional thermo-chemo-mechanical coupled curing model of the composite shell was established based on a resin test, and the changes of temperature, curing degree, residual stress, and strain during the solidification of the composite shell were investigated. First, the curing property parameters and elastic modulus of HCM-2184 resin were obtained through a curing dynamic test and a tensile test. Then, considering the heat release and shrinkage reaction of solidification, a coupled thermo-chemo-mechanical curing model was developed with the CHILE (α) elastic model, and the curing process of the composite shell was simulated numerically. The results show that the resin used in the test belongs to the autocatalytic reaction. For thin composite shells, the heat accumulation inside the shell during curing is not obvious. During the curing process, the curing shrinkage behavior of the resin is an important factor for the generation of residual stress and residual strain.

Heat stress in symbiotic dinoflagellates: Implications on oxidative stress and cellular changes

Global warming has been shown to harmfully affect symbiosis between Symbiodiniaceae and other marine invertebrates. When symbiotic dinoflagellates (the genus Breviolum) were in vitro exposed to acute heat stress of +7 °C for a period of 5 days, the results revealed the negative impact on all physiological and other cellular parameters measured. Elevated temperatures resulted in a severe reduction in algal density of up to 9.5-fold, as well as pigment concentrations, indicating the status of the physiological stress and early signs of photo-bleaching. Reactive oxygen species (ROS) were increased in all heated dinoflagellate cells, while the antioxidant-reduced glutathione levels initially dropped on day one but increased under prolonged temperature stress. The cell viability parameters were reduced by 97 % over the heating period, with an increased proportion of apoptotic and necrotic cells. Autofluorescence (AF) for Cy5-PE 660-20 was reduced from 1.7-fold at day 1 to up to 50-fold drop at the end of heating time, indicating that the AF changes were highly sensitive to heat stress and that it could be an extremely sensitive tool for assessing the functionality of algal photosynthetic machinery. The addition of the drug 5-AZA-2′-deoxycytidine (5-AZA), which inhibits DNA methylation processes, was assessed in parallel and contributed to some alterations in algal cellular stress response. The presence of drug 5-AZA combined with the temperature stress had an additional impact on Symbiodiniaceae density and cell complexity, including the AF levels. These variations in cellular stress response under heat stress and compromised DNA methylation conditions may indicate the importance of this epigenetic mechanism for symbiotic dinoflagellate thermal tolerance adaptability over a longer period, which needs further exploration. Consequently, the increased ROS levels and changes in AF signals reported during ongoing heat stress in dinoflagellate cells could be used as early stress biomarkers in these microalgae and potentially other photosynthetic species.

Effect of different ulnar osteotomies on loading of the distal radioulnar joint: a finite element analysis

BackgroundUlnar impingement syndrome is a prevalent source of ulnar carpal pain; however, there is ongoing debate regarding the specific location of shortening, the method of osteotomy, the extent of shortening, and the resulting biomechanical alterations.MethodTo investigate the biomechanical changes in the distal radioulnar joint (DRUJ) resulting from different osteotomy methods, a cadaveric specimen was dissected, and the presence of a stable DRUJ structure was confirmed. Subsequently, three-dimensional data of the specimen were obtained using a CT scan, and finite element analysis was conducted after additional processing.ResultsThe DRUJ stress did not change significantly at the metaphyseal osteotomy of 2–3 mm but increased significantly when the osteotomy length reached 5 mm. When the osteotomy was performed at the diaphysis, the DRUJ stress increased with the osteotomy length, and the increase was greater than that of metaphyseal osteotomy. Stress on the DRUJ significantly increases when the position is changed to pronation dorsi-extension. Similarly, the increase in stress in diaphyseal osteotomy was greater than that in metaphyseal osteotomy. When the model was subjected to a longitudinal load of 100 N, neither osteotomy showed a significant change in DRUJ stress at the neutral position. However, the 100 N load significantly increased stress on the DRUJ when the position was changed to pronation dorsi-extension, and the diaphyseal osteotomy significantly increased stress on the DRUJ.ConclusionsFor patients with distal oblique bundle, metaphyseal osteotomy result in a lower increase in intra-articular pressure in the DRUJ compared to diaphyseal osteotomy. However, it is crucial to note that regardless of the specific type of osteotomy employed, it is advisable to avoid a shortening length exceeding 5 mm.

Mechanical properties of steel fiber reinforced recycled concrete under compression-shear stress state

The continuous urbanization of construction has led to an increasing demand for concrete, resulting in large-scale gravel and river sand mining, which seriously affect the sustainable development of the environment. The waste concrete produced by the demolition of old buildings is processed into recycled aggregate to replace natural aggregate, and then the preparation of recycled concrete can effectively alleviate this problem. This paper investigates the mechanical properties of steel fiber reinforced recycled concrete (SFRRAC) under compression shear conditions, a compression shear test with 99 cubic specimens was designed, with the variation parameters being recycled aggregate concrete replacement rate, compressive stress, and steel fiber content. The failure mode of SFRRAC under compression-shear stress was observed, and the shear force-displacement curve was calculated. Furthermore, a thorough examination was performed to assess the mechanical characteristics of SFRRAC specimens under compression-shear stress. The findings of this study suggest that as the compressive stress increases, the failure characteristics of the specimens shift from exhibiting brittle failure to displaying ductile failure. The shear strength is most sensitive to the change in compressive stress. When the compressive stress reaches 6 MPa, the shear strength can reach 3.41 times that of the direct shear specimen. The shear strength of SFRRAC specimens is composed of the bond strength of concrete, shear expansion strength, and friction shear strength. The incorporation of steel fibers can modify the distribution of shear strength among the individual components. The adverse effect of the recycled aggregate replacement rate on the toughness index of the specimen is mainly concentrated after the peak point. Nevertheless, an elevation in compressive stress and the inclusion of steel fibers can counterbalance this detrimental influence. The shear strength calculation formula of SFRRAC in shear state is put forward, which has a reference value. This study provides an experimental reference and a theoretical basis for further examination of SFRRAC.

Capacitance-based structural self-sensing of stress: effect of water/cement

The compressive stress self-sensing properties of mortars with different water-cement ratios are investigated without the need for any conductive additives. Mortar specimens are cyclically loaded and the corresponding capacitance and resistance are measured. The aluminum foil that is used as the electrode is wrapped around the prismatic sample. A coplanar configuration of electrodes is used. Capacitance and resistance increase with increasing water/cement (W/C) ratio. Stress causes decrease in capacitance and increase in resistance. The relationship between stress and fractional capacitance-resistance (except for the sample with 0.30 W C−1 ratio) change is reasonably consistent. The effectiveness of stress sensing (the fractional change in capacitance-resistance per unit of stress) decreases monotonically as the maximum stress increases, regardless of the W/C ratio. It is found that the dependence of the effectiveness of the stress sensing on the W/C ratio decreases with an increase in the maximum stress.

Acoustic Characterization of Integrated Circuits During Operation

Abstract Power electronics are widely serving as core components of propulsion systems in electric vertical takeoff and landing (VTOL) aircraft. Nevertheless, affected by the Paschen effect, the breakdown voltage of these electronics during flight is significantly lower than that on the ground, which could deteriorate system stability, or even cause aircraft faults or crashes, increasing safety risks for the public. As such, condition monitoring of power electronics has become critical for the safe operation of eVTOL. To achieve non-intrusive monitoring, acoustic emissions (AE) sensors have gained traction with their prominent resistance to electromagnetic interference and high temperatures. However, existing studies yield conflicting results regarding whether an increase in loading voltage impacts the internal mechanical stress of electronics. To address this issue, we present this work to probe the existence and the pattern of a relationship between load voltage and stress wave, since the change of mechanical stress could generate acoustic waves that can be acquired by AE sensors. In this study, an AE sensor was applied onto an oscillator placed upon an epoxy substrate to characterize the acoustic waves emitted from the device under various input loads. In the experiment, we observed a unique AE signal pattern characterized by two distinct components that consistently intersect at a specific frequency. The time required to establish such intersections progressively lengthens as the load voltage increases. Through time-domain and frequency-domain analyses of the unique AE signals under different load voltages, it was discovered that certain features of the unique AE signals have an approximately linear relationship with the load voltage.

Local relaxation of residual stress in high-strength steel welded joints treated by HFMI

This research studies the influence of high-peak loads on local relaxation of residual stress and fatigue damage in high-strength steel welded joints treated by high-frequency mechanical impact (HFMI) treatment. The joint behavior is simulated with elastic–plastic finite element analyses that account for the combined effect of geometry, residual stress, and material properties. This simulation uses two treated geometry models: with or without surface roughness on HFMI groove, and two material properties: S690QL and AH36 structural steels. The results show that surface roughness and load history, including high-peak loads, significantly influence fatigue response. It is revealed that the model neglecting the surface roughness cannot represent the amount of residual stress change and fatigue damage at less than 100 µm depth from the surface. In addition, the local yield strength in the HFMI-treated zone affects the plasticity behavior near the surface imperfection under the high-peak loads, which provides comparatively different fatigue damage between S690QL and AH36 in some cases. As a result, this study provides the further understanding needed to develop a robust modeling approach to the fatigue life estimation of HFMI-treated welds subjected to high-peak loads.

Coseismic deformation and fault slip distribution of the 2023 MW7.8 and MW7.6 earthquakes in Türkiye

On February 6, 2023, a devastating earthquake with a moment magnitude of MW7.8 struck the town of Pazarcik in south-central Türkiye, followed by another powerful earthquake with a moment magnitude of MW7.6 that struck the nearby city of Elbistan 9 h later. To study the characteristics of surface deformation caused by this event and the influence of fault rupture, this study calculated the static coseismic deformation of 56 stations and dynamic displacement waveforms of 15 stations using data from the Turkish national fixed global navigation satellite system (GNSS) network. A maximum static coseismic displacement of 0.38 m for the MW7.8 Kahramanmaras earthquake was observed at station ANTE, 36 km from the epicenter, and a maximum dynamic coseismic displacement of 4.4 m for the MW7.6 Elbistan earthquake was observed at station EKZ1, 5 km from the epicenter. The rupture-slip distributions of the two earthquakes were inverted using GNSS coseismic deformation as a constraint. The results showed that the Kahramanmaras earthquake rupture segment was distinct and exposed on the ground, resulting in significant rupture slip along the Amanos and Pazarcik fault segments of the East Anatolian Fault. The maximum slip in the Pazarcik fault segment was 10.7 m, and rupture occurred at depths of 0–15 km. In the Cardak fault region, the Elbistan earthquake caused significant ruptures at depths of 0–12 km, with the largest amount of slip reaching 11.6 m. The Coulomb stress change caused by the Kahramanmaras earthquake rupture along the Cardak fault segment was approximately 2 bars, and the area of increased Coulomb stress corresponded to the subsequent rupture region of the MW7.6 earthquake. Thus, it is likely that the MW7.8 earthquake triggered or promoted the MW7.6 earthquake. Based on the cumulative stress impact of the MW7.8 and MW7.6 events, the southwestern segment of the East Anatolian Fault, specifically the Amanos fault segment, experienced a Coulomb rupture stress change exceeding 2 bars, warranting further attention to assess its future seismic hazard risk.

Involvement of oxidative stress-AMPK-Cx43-NLRP3 pathway in extracellular matrix remodeling of gastric smooth muscle cells in rats with diabetic gastroparesis.

This study aimed to investigate the changes in oxidative stress, adenosine monophosphate-activated protein kinase (AMPK), connexin43 (Cx43), nucleotide-binding oligomerization domain-like receptor protein 3 (NLRP3) expression, and extracellular matrix (ECM) in the gastric smooth muscle tissues of rats with diabetic gastroparesis (DGP) and high glucose-cultured gastric smooth muscle cells, determine the existence of oxidative stress-AMPK-Cx43-NLRP3 pathway under high glucose condition, and the involvement of this pathway in ECM remodeling in DGP rats. The results showed that with increasing duration of diabetes, oxidation stress levels gradually increased, the AMPK activity decreased first and then increased, NLRP3, CX43 expression, and membrane/cytoplasmratio of Cx43 expression were increased in the gastric smooth muscle tissues of diabetic rats. Changes in ECM of gastric smooth muscle cells wereobserved in DGP rats. The DGP group showed higher collagen type I content, increased expression of Caspase-1, transforming growth factor-beta 3 (TGF-β3), and matrix metalloproteinase-2 (MMP-2), decreased tissue inhibitor of metalloproteinase-1 (TIMP-1) expression, and higher interleukin-1betacontent when compared with the control group. For gastric smooth muscle cells cultured under higher glucose, the MMP-2 and TGF-β3 expression wasdecreased, TGF-β1 and TIMP-1 expression was increased, the interleukin-1betacontent was decreased in cells after inhibition of NLRP3 expression; the NLRP3 and Caspase-1expression was decreased, and adenosine triphosphate content was lower after inhibition of Cx43; the expression of NLRP3, Caspase-1, P2X7, and the membrane/cytoplasm ratio of CX43 expression was decreased in cells after inhibition of AMPK and oxidative stress, the phospho-AMPK expression was also decreased after suppressing oxidative stress. Our findings suggest that high glucose induced the activation of the AMPK-Cx43-NLRP3 pathway through oxidative stress, and this pathway was involved in the ECM remodeling of gastric smooth muscles in DGP rats by regulating the biological functions of TGF-β3, TGF-β1, MMP-2, and TIMP-1.

The role of phase fraction on the deformation behavior and tensile properties of dual-phase polycrystalline Fe–Ni alloy: A molecular dynamics simulation study

An alloy containing two or more phases with significantly distinct properties may produce a unique combination of high strength and ductility. Fe–Ni alloys processed through the powder metallurgy route form dual-phase structures containing both body- and face-centered cubic phases. The detailed atomic scale microstructural evolution and deformation mechanism of such alloys have not been performed as dual-phase structure materials generate more complex deformation mechanisms than single-phase structure materials. The present study utilizes molecular dynamics simulation to compute the mechanical properties and investigate the deformation mechanism in a dual-phase Fe–Ni alloy with a variable phase fraction of body-centered cubic during a uniaxial tensile test. The results show that phase fraction affects the mechanical properties as well as the deformation behavior. Shear strain distribution and dislocation density provided an explanation for the change in the average flow stress and strengthening mechanism of the dual-phase Fe–Ni alloys. Additionally, the influence of temperature on deformation behavior is investigated. The deformation mechanism at higher temperatures is found to be dislocation slip and grain boundary sliding.

Myocardial Bridge and Atherosclerosis, an Intimal Relationship.

This review investigates the relationship between myocardial bridges (MBs), intimal thickening in coronary arteries, and Atherosclerotic cardiovascular disease. It focuses on the role of mechanical forces, such as circumferential strain, in arterial wall remodeling and aims to clarify how MBs affect coronary artery pathology. MBs have been identified as influential in modulating coronary artery intimal thickness, demonstrating a protective effect against thickening within the MB segment and an increase in thickness proximal to the MB. This is attributed to changes in mechanical stress and hemodynamics. Research involving arterial hypertension models and vein graft disease has underscored the importance of circumferential strain in vascular remodeling and intimal hyperplasia. Understanding the complex dynamics between MBs, mechanical strain, and vascular remodeling is crucial for advancing our knowledge of coronary artery disease mechanisms. This could lead to improved management strategies for cardiovascular diseases, highlighting the need for further research into MB-related vascular changes.

Naringenin Mitigates Nanoparticulate-Aluminium Induced Neuronal Degeneration in Brain Cortex and Hippocampus through Downregulation of Oxidative Stress and Neuroinflammation

Alumunium usage and toxicity has been a global concern especially an increased use of nanoparticulated aluminum (Al-NPs) products from the environment and the workplace. Al degrades in to nanoparticulate form in the environment due to the routine process of bioremediation in human body. Al-NPs toxicity plays key role in the pathophysiology of neurodegeneration which is characterised by the development of neurofibrillary tangles and neuritic plaques which correlates to the Alzheimer’s disease. This study evaluated the Al-NPs induced neurodegeneration and causative behavioral alterations due to oxidative stress, inflammation, DNA damage, β-amyloid aggregation, and histopathological changes in mice. Furthermore, the preventive effect of naringenin (NAR) as a potent neuroprotective flavonoid against Al-NPs induced neurodegeneration was assessed. Al-NPs were synthesized and examined using FTIR, XRD, TEM, and particle size analyzer. Mice were orally administered with Al-NPs (6 mg/kg b.w.) followed by NAR treatment (10 mg/kg b.w. per day) for 66 days. The spatial working memory was determined by novel object recognition, T-maze, Y-maze, and Morris Water Maze tests. We measured nitric oxide, advanced oxidation of protein products, protein carbonylation, lipid peroxidation, superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, reduced glutathione, oxidised glutathione, and acetylcholine esterase, as well as cytokines analysis, immunohistochemistry, and DNA damage. Al-NPs significantly reduced the learning memory power, increased oxidative stress, reduced antioxidant enzymatic activity, increased DNA damage, altered the levels of cytokines, and increased β-amyloid aggregation in the cortex and hippocampus regions of the mice brain. These neurobehavioral impairments, neuronal oxidative stress, and histopathological alterations were significantly attenuated by NAR supplementation. In conclusion, Al-NPs may be potent neurotoxic upon exposure and that NAR could serve as a potential preventive measure in the treatment and management of neuronal degeneration.

A Study on the Time-Frequency Characteristics of Electromagnetic Radiation Signals during Concrete Cracking

At the moment of rupture, brittle materials such as concrete, coal, and rocks experience a sudden stress change that generates oscillating positive and negative charges on the crack surfaces, resulting in the emission of electromagnetic radiation (EMR) signals. While extensive investigations have focused on the EMR signals produced during the fracturing of coal and rocks, limited attention has been given to the signals arising from concrete cracking. Previous studies have predominantly concentrated on amplitude or frequency domain analysis, lacking a comprehensive exploration of the time-frequency domain characteristics of electromagnetic signals. In this study, various magnetic field sensors capable of collecting frequencies ranging from 50Hz to 50kHz are developed. A laboratory testing platform for concrete cracking is established with the utilization of data acquisition equipment and a rock point load tester. The EMR signals are subjected to time-frequency domain analysis using Short-Time Fourier Transform (STFT) methods. The study explores the relationship between the time-frequency domain characteristics of EMR signals and concrete dimensions, as well as the instantaneous stress drop at the moment of fracture. Experimental findings reveal that the dominant frequency of EMR signals generated during concrete cracking is in the low-frequency range. As the instantaneous stress drop at the moment of fracture increases, the frequency of the EMR signals shifts towards higher frequencies and the signals around 10kHz has a longer duration. When the frequency of EMR signals is lower than 20kHz, larger concrete dimensions result in greater stress drops at the moment of fracture, leading to higher intensity EMR signals. Utilizing the EMR characteristics of concrete cracking holds promise for monitoring the safety and stability of concrete structures.

An improved linear systems model of hydrothermal isometric tension testing to aid in assessing bone collagen quality: Effects of ribation and type-2 diabetes.

This study sought to further develop and validate a previously proposed physics-based model that maps denaturation kinetics from differential scanning calorimetry (DSC) to the isometric tension generated during hydrothermal isometric tension (HIT) testing of collagenous tissues. The primary objectives of this study were to verify and validate two physics-based model parameters: α, which indicates the amount of instantaneous isometric tension developed per unit of collagen denaturation, and β, which captures the proportionality between temperature and the generated isometric tension post denaturation initiation. These parameters were used as measures of bone collagen quality, employing data from HIT and DSC testing of human bone collagen from two previous studies. Additionally, given the physical basis of the model, the study aimed to further validate Max.Slope, the rate of change in isometric tensile stress with change in temperature, as an independent measure of collagen network connectivity. Max.Slope has previously been positively correlated with measures of cortical bone fracture resistance. Towards this verification and validation, the hypotheses were a) that α would correlate strongly with HIT denaturation temperature, Td, and the enthalpy of melting (ΔH) from DSC, and b) that β would correlate positively and strongly with Max.Slope.The model was employed in the analysis of HIT-DSC data from the testing of demineralized bone collagen isolated from cadaveric human femurs in two prior studies. In one study, data were collected from HIT-DSC testing of cortical bone collagen from 74 donors. Among them, 38 had a history of type 2 diabetes +/− chronic kidney disease, while the remaining 36 had no history of T2D again with or without CKD. Cortical bone specimens were extracted from the lateral mid-shaft. The second study involved 15 donor femora, with four cortical bone specimens extracted from each. Of these four, two specimens underwent a 4-week incubation in 0.1 M ribose at 37 °C to induce non-enzymatic ribation and advanced glycation endproducts, while the other two served as non-ribated controls.The examination involved investigating correlations between the model parameters α and β and various measures, such as Max.Slope, Td, ΔH, age, and duration of type 2 diabetes. The results revealed positive correlations between the model parameter β and Max.Slope (r = 0.55–0.58). The parameter α was found to be associated with Td, but also sensitive to the shape of the HIT curve around Td resulting in difficulties with variability and interpretation. As a result, while both hypotheses are confirmed, Max.Slope and β are better indicators of bone collagen quality because they are measures of the connectivity or, more generally, the integrity of the bone collagen network.

Effect of Resveratrol and Curcumin on Changes in Fatty Acid Composition and Oxidative Stress in Liver and Kidney Tissues of Rats Exposed to 7,12-Dimethylbenz[a]anthracene (DMBA)

Effect of Resveratrol and Curcumin on Changes in Fatty Acid Composition and Oxidative Stress in Liver and Kidney Tissues of Rats Exposed to 7,12-Dimethylbenz[a]anthracene (DMBA)

Experimental study on the effect of flexible joints of a deep-buried tunnel across an active fault under high in-situ stress conditions

During dislocation, a tunnel crossing the active fault will be damaged to varying degrees due to its permanent stratum displacement. Most previous studies did not consider the influence of the tunnel’s deep burial and the high in-situ stress, so the results were not entirely practical. In this paper, the necessity of solving the anti-dislocation problem of deep-buried tunnels is systemically discussed. Through the model test of tunnels across active faults, the differences in failures between deep-buried tunnels and shallow-buried tunnels were compared, and the dislocation test of deep-buried segmental tunnels was carried out to analyze the external stress change, lining strain, and failure mode of tunnels. The results are as follows: (1) The overall deformation of deep-buried and shallow-buried tunnels is both S-shaped. The failure mode of deep-buried tunnels is primarily characterized by shear and tensile failure, resulting in significant compressive deformation and a larger damaged area. In contrast, shallow-buried tunnels mainly experience shear failure, with the tunnel being sheared apart at the fault crossing, leading to more severe damage. (2) After the segmental structure design of the deep-buried tunnel, the “S” deformation pattern is transformed into a “ladder” pattern, and the strain of the tunnel and the peak stress of the external rock mass are reduced; therefore, damages are significantly mitigated. (3) Through the analysis of the distribution of cracks in the tunnel lining, it is found that the tunnel without a segmental structure design has suffered from penetrating failure and that cracks affect the entire lining. The cracks in a flexible segmental tunnel affect about 66.6% of the entire length of the tunnel, and cracks in a tunnel with a short segmental tunnel only affect about 33.3% of the entire length of the tunnel. Therefore, a deep-buried tunnel with a short segmental tunnel can yield a better anti-dislocation effect. (4) By comparing the shallow-buried segmental tunnel in previous studies, it is concluded that the shallow-buried segmental tunnel will also suffer from deformation outside the fault zone, while the damages to the deep-buried segmental tunnel are concentrated in the fault zone, so the anti-dislocation protection measures of the deep-buried tunnel shall be provided mainly in the fault zone. The results of the above study can provide theoretical reference and technical support for the design and reinforcement measures of the tunnel crossing active fault under high in-situ stress conditions.

Event-specific ground motion anomalies highlight the preparatory phase of earthquakes during the 2016–2017 Italian seismicity

Although physical models are improving our understanding of the crustal processes that lead to large earthquakes, observing their preparatory phases is still challenging. We show that the spatio-temporal evolution of the ground motion of small magnitude earthquakes can shed light on the preparatory phase of three main earthquakes that occurred in central Italy between 2016 and 2017. We analyze systematic deviations of peak ground accelerations generated by each earthquake from the values predicted by a reference ground motion model calibrated for background seismicity and refer to such deviations as event-specific ground motion anomalies (eGMAs). The eGMA temporal behavior indicates that during the activation phase of the main earthquakes, the ground shaking level deviates, positively or negatively, from the values expected for the background seismicity. eGMA can be exploited as beacons of stress change and help to monitor the mechanical state of the crust and the nucleation of large earthquakes.

Effectiveness of a Mental Health Chatbot for People With Chronic Diseases: Randomized Controlled Trial.

People with chronic diseases tend to experience more mental health issues than their peers without these health conditions. Mental health chatbots offer a potential source of mental health support for people with chronic diseases. The aim of this study was to determine whether a mental health chatbot can improve mental health in people with chronic diseases. We focused on 2 chronic diseases in particular: arthritis and diabetes. Individuals with arthritis or diabetes were recruited using various web-based methods. Participants were randomly assigned to 1 of 2 groups. Those in the treatment group used a mental health chatbot app (Wysa [Wysa Inc]) over a period of 4 weeks. Those in the control group received no intervention. Participants completed measures of depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder Scale-7), and stress (Perceived Stress Scale-10) at baseline, with follow-up testing 2 and 4 weeks later. Participants in the treatment group completed feedback questions on their experiences with the app at the final assessment point. A total of 68 participants (n=47, 69% women; mean age 42.87, SD 11.27 years) were included in the analysis. Participants were divided evenly between the treatment and control groups. Those in the treatment group reported decreases in depression (P<.001) and anxiety (P<.001) severity over the study period. No such changes were found among participants in the control group. No changes in stress were reported by participants in either group. Participants with arthritis reported higher levels of depression (P=.004) and anxiety (P=.004) severity than participants with diabetes over the course of the study, as well as higher levels of stress (P=.01); otherwise, patterns of results were similar across these health conditions. In response to the feedback questions, participants in the treatment group said that they liked many of the functions and features of the app, the general design of the app, and the user experience. They also disliked some aspects of the app, with most of these reports focusing on the chatbot's conversational abilities. The results of this study suggest that mental health chatbots can be an effective source of mental health support for people with chronic diseases such as arthritis and diabetes. Although cost-effective and accessible, these programs have limitations and may not be well suited for all individuals. ClinicalTrials.gov NCT04620668; https://www.clinicaltrials.gov/study/NCT04620668.

Digital Twins of Acute Hypoxemic Respiratory Failure Patients Suggest a Mechanistic Basis for Success and Failure of Noninvasive Ventilation

Objectives: To clarify the mechanistic basis for the success or failure of noninvasive ventilation (NIV) in acute hypoxemic respiratory failure (AHRF). Design: We created digital twins based on mechanistic computational models of individual patients with AHRF. Setting: Interdisciplinary Collaboration in Systems Medicine Research Network. Subjects: We used individual patient data from 30 moderate-to-severe AHRF patients who had failed high-flow nasal cannula (HFNC) therapy and subsequently underwent a trial of NIV. Interventions: Using the digital twins, we evaluated lung mechanics, quantified the separate contributions of external support and patient respiratory effort to lung injury indices, and investigated their relative impact on NIV success or failure. Measurements and Main Results: In digital twins of patients who successfully completed/failed NIV, after 2 hours of the trial the mean (sd) of the change in total lung stress was –10.9 (6.2)/–0.35 (3.38) cm H2O, mechanical power –13.4 (12.2)/–1.0 (5.4) J/min, and total lung strain 0.02 (0.24)/0.16 (0.30). In the digital twins, positive end-expiratory pressure (PEEP) produced by HFNC was similar to that set during NIV. In digital twins of patients who failed NIV vs. those who succeeded, intrinsic PEEP was 3.5 (0.6) vs. 2.3 (0.8) cm H2O, inspiratory pressure support was 8.3 (5.9) vs. 22.3 (7.2) cm H2O, and tidal volume was 10.9 (1.2) vs. 9.4 (1.8) mL/kg. In digital twins, successful NIV increased respiratory system compliance +25.0 (16.4) mL/cm H2O, lowered inspiratory muscle pressure –9.7 (9.6) cm H2O, and reduced the contribution of patient spontaneous breathing to total driving pressure by 57.0%. Conclusions: In digital twins of AHRF patients, successful NIV improved lung mechanics, lowering respiratory effort and indices associated with lung injury. NIV failed in patients for whom only low levels of positive inspiratory pressure support could be applied without risking patient self-inflicted lung injury due to excessive tidal volumes.

Analysis of non-physiological shear stress-induced red blood cell trauma across different clinical support conditions of the blood pump.

Systematic research into device-induced red blood cell (RBC) damage beyond hemolysis, including correlations between hemolysis and RBC-derived extracellular vesicles, remains limited. This study investigated non-physiological shear stress-induced RBC damage and changes in related biochemical indicators under two blood pump clinical support conditions. Pressure heads of 100 and 350mmHg, numerical simulation methods, and two in vitro loops were utilized to analyze the shear stress and changes in RBC morphology, hemolysis, biochemistry, metabolism, and oxidative stress. The blood pump created higher shear stress in the 350-mmHg condition than in the 100-mmHg condition. With prolonged blood pump operation, plasma-free hemoglobin and cholesterol increased, whereas plasma glucose and nitric oxide decreased in both loops. Notably, plasma iron and triglyceride concentrations increased only in the 350-mmHg condition. The RBC count and morphology, plasma lactic dehydrogenase, and oxidative stress across loops did not differ significantly. Plasma extracellular vesicles, including RBC-derived microparticles, increased significantly at 600min in both loops. Hemolysis correlated with plasma triglyceride, cholesterol, glucose, and nitric oxide levels. Shear stress, but not oxidative stress, was the main cause of RBC damage. Hemolysis alone inadequately reflects overall blood pump-induced RBC damage, suggesting the need for additional biomarkers for comprehensive assessments.