Substantial Deterioration Research Articles

Experimental study on physico-mechanical responses and energy characteristics of granite under high temperature and hydro-mechanical coupling

Thermal and hydro-mechanical coupling effects on granite's physico-mechanical responses and energy characteristics can influence its carrying capacity, hydraulic and heat transfer performance. The evolution of these properties is crucial for geothermal reservoir stability assessment and the optimization of deep geothermal energy development techniques. Hence, a variety of physical tests and rock mechanics experiments were conducted. Key findings include: (1) As temperature rises, granite undergoes thermal expansion and structural integrity degradation. The peak strength σp, elastic modulus E, total energy density U, and elastic energy density Ue initially rise at 25 °C–150 °C and subsequently decrease above 150 °C, while the proportion of dissipated energy ηd is opposite. Granite also initially experiences hardening, then turns to brittle-ductile transition. (2) The crystallinities of quartz, albite, and orthoclase demonstrate substantial deterioration beyond 450 °C. (3) 150 °C and 450 °C are regarded as the temperature thresholds for mechanical properties. (4) As confining pressure rises, granite experiences hardening, with σp, E, U, and Ue increasing, and ηd decreasing. (5) Pore water pressure increases ηd and decreases σp, E, U, and Ue, and its effect on the mechanical responses is pronounced when it reaches 80 % of confining pressure or exceeds 450 °C.

Assessing rapid spatial working memory in community-living older adults in a virtual adaptation of the rodent water maze paradigm

Aging often leads to a decline in various cognitive domains, potentially contributing to spatial navigation challenges among older individuals. While the Morris water maze is a common tool in rodents research for evaluating allocentric spatial memory function, its translation to studying aging in humans, particularly its association with hippocampal dysfunction, has predominantly focused on spatial reference memory assessments. This study expanded the adaptation of the Morris water maze for older adults to assess flexible, rapid, one-trial working memory. This adaptation involved a spatial search task guided by allocentric cues within a 3-D virtual reality (VR) environment. The sensitivity of this approach to aging was examined in 146 community-living adults from three Chinese cities, categorized into three age groups. Significant performance deficits were observed in participants over 60 years old compared to younger adults aged between 18 and 43. However, interpreting these findings was complicated by factors such as psychomotor slowness and potential variations in task engagement, except during the probe tests. Notably, the transition from the 60 s to the 70 s was not associated with a substantial deterioration of performance. A distinction only emerged when the pattern of spatial search over the entire maze was examined in the probe tests when the target location was never revealed. The VR task's sensitivity to overall cognitive function in older adults was reinforced by the correlation between Montreal Cognitive Assessment (MoCA) scores and probe test performance, demonstrating up to 17 % shared variance beyond that predicted by chronological age alone. In conclusion, while implementing a VR-based adaptation of rodent water maze paradigms in older adults was feasible, our experience highlighted specific interpretative challenges that must be addressed before such a test can effectively supplement traditional cognitive assessment tools in evaluating age-related cognitive decline.

Remote sensing analysis of spatiotemporal impacts of anthropogenic influence on mountain landscape ecology in Pir Chinasi national park

Mountain landscapes can be fragmented due to various human activities such as tourism, road construction, urbanization, and agriculture. It can also be due to natural factors such as flash floods, glacial lake outbursts, land sliding, and climate change such as rising temperatures, heavy rains, or drought.The study’s objective was to analyze the mountain landscape ecology of Pir Chinasi National Park under anthropogenic influence and investigate the impact of anthropogenic activities on the vegetation. This study observed spatiotemporal changes in vegetation due to human activities and associated climate change for the past 25 years (1995–2020) around Pir Chinasi National Park, Muzaffrabad, Pakistan. A structured questionnaire was distributed to 200 residents to evaluate their perceptions of land use and its effects on local vegetation. The findings reveal that 60% of respondents perceived spatiotemporal pressure on the park. On the other hand, the Landsat-oriented Normalized Difference Vegetation Index (NDVI) was utilized for the less than 10% cloud-covered images of Landsat 5, 7, and 8 to investigate the vegetation degradation trends of the study area. During the entire study period, the mean maximum NDVI was approximately 0.28 in 1995, whereas the mean minimum NDVI was − 2.8 in 2010. QGIS 3.8.2 was used for the data presentation. The impact of temperature on vegetation was also investigated for the study period and increasing temperature trends were observed. The study found that 10.81% (1469.08 km2) of the area experienced substantial deterioration, while 23.57% (3202.39 km2) experienced minor degradation. The total area of degraded lands was 34.38% (or 4671.47 km2). A marginal improvement in plant cover was observed in 24.88% of the regions, while 9.69% of the regions experienced a major improvement. According to the NDVI-Rainfall relationships, the area was found to be significantly impacted by human pressures and activities (r ≤ 0.50) driving vegetation changes covering 24.67% of the total area (3352.03 km2). The area under the influence of climatic variability and change (r ≥ 0.50 ≥ 0.90) accounted for 55.84% (7587.26 km2), and the area under both climatic and human stressors (r ≥ 0.50 < 0.70) was 64%. Sustainable land management practices of conservation tillage, integrated pest management, and agroforestry help preserve soil health, water quality, and biodiversity while reducing erosion, pollution, and the degradation of natural resources. landscape restoration projects of reforestation, wetland restoration, soil erosion control, and the removal of invasive species are essential to achieve land degradation neutrality at the watershed scale.

Corrosion and tribocorrosion resistance of superhydrophobic LPBF-NiTi alloys surface fabricated by nanosecond laser and ultrasonic fluorination

NiTi alloys have been extensively studied for their excellent super-elasticity (SE) and shape memory effects (SME). With the development of laser powder bed fusion (LPBF), it is possible to process the complex structure of NiTi alloy, which results in the mechanical properties of LPBF-NiTi alloys receiving great attention. However, the processing method is different from the traditional one, which not only has an impact on the mechanical properties but also seriously affects the anti-corrosion resistance and causes a substantial deterioration. In the research work of this paper, nanosecond laser processing was used to fabricate the bionic mastoid-shaped micro-nano structure on the LPBF-NiTi alloys. An efficient and convenient ultrasonic fluorination treatment was used to achieve the full surface coverage of FAS-17 in 10 min, and the superhydrophobic LPBF-NiTi alloy surface (CA ~ 157°) was successfully achieved. The constructed superhydrophobic LPBF-NiTi alloy surface exhibits excellent anti-corrosion resistance compared with the original surface, and the icorr from (4.42 ± 0.5) × 10−7 A·cm−2 reduced to (3.21 ± 0.5) × 10−9 A·cm−2. Meanwhile, the superhydrophobic surface showed outstanding stability in the 15-day immersion test n 3.5 wt% NaCl solution. And it is also stable after the tribocorrosion tests in 3.5 wt% NaCl solution at 1 N and 5 N pressures. The remarkable anti-corrosion resistance and stability of the superhydrophobic surface can be attributed to the micro-nano structure rich in the TiO2 oxide layer, the air layer formed by the superhydrophobic surface insulates the corrosive liquid and the stable hydrophobic agent film.

Unlocking the Potential Role of Decellularized Biological Scaffolds as a 3D Radiobiological Model for Low- and High-LET Irradiation.

Decellularized extracellular matrix (ECM) bioscaffolds have emerged as a promising three-dimensional (3D) model, but so far there are no data concerning their use in radiobiological studies. We seeded two well-known radioresistant cell lines (HMV-II and PANC-1) in decellularized porcine liver-derived scaffolds and irradiated them with both high- (Carbon Ions) and low- (Photons) Linear Energy Transfer (LET) radiation in order to test whether a natural 3D-bioscaffold might be a useful tool for radiobiological research and to achieve an evaluation that could be as near as possible to what happens in vivo. Biological scaffolds provided a favorable 3D environment for cell proliferation and expansion. Cells did not show signs of dedifferentiation and retained their distinct phenotype coherently with their anatomopathological and clinical behaviors. The radiobiological response to high LET was higher for HMV-II and PANC-1 compared to the low LET. In particular, Carbon Ions reduced the melanogenesis in HMV-II and induced more cytopathic effects and the substantial cell deterioration of both cell lines compared to photons. In addition to offering a suitable 3D model for radiobiological research and an appropriate setting for preclinical oncological analysis, we can attest that bioscaffolds seemed cost-effective due to their ease of use, low maintenance requirements, and lack of complex technology.

A Comprehensive Review of Biologics in Phase III and IV Clinical Trials for Atopic Dermatitis.

Atopic dermatitis (AD) is a skin condition characterized by significant challenges and a substantial deterioration in the life quality for affected patients. The therapeutic landscape for AD has witnessed a transformative shift with the emergence of biologic therapies. Our focus centers on biologics currently undergoing phase III and IV clinical trials, deeming them to hold the highest potential for significant clinical relevance. To identify biologic drugs under development in phase III and IV clinical trials, we searched ClinicalTrials.gov. Additional relevant trials were identified through JapicCTI/ Japan Registry of Clinical Trials (jRCT) with a citation search. A search in MEDLINE and EMBASE was performed. There have been 76 clinical trials identified concerning biologic drugs: dupilumab (34 trials), lebrikizumab (14 trials), tralokinumab (10 trials), rocatinlimab (7 trials), amlitelimab (2 trials), nemolizumab (6 trials), MG-K10 (1 trial), CM310 (1 trial), 611 (1 trial). A search in MEDLINE revealed 132 articles concerning phase III and IV clinical trials for AD treatment. A total of 39 articles concerned biologic drugs covering 23 clinical trials. A search in EMBASE revealed 268 relevant articles, allowing us to identify results of an additional six clinical trials. The safety and efficacy of these biologics are comprehensively addressed in this review. This comprehensive review aims to explore the current landscape of biologic therapies for AD, delving into the latest research findings, clinical trial outcomes, and the diverse mechanisms of action employed by these novel interventions.

Natural History of Visual Acuity and Microperimetry-Based Functional Outcome Measures of the Macula in Patients with Geographic Atrophy: A Retrospective Chart Review Study in Germany.

Background/Objectives: Geographic atrophy (GA) is an advanced form of age-related macular degeneration (AMD) leading to the progressive and irreversible loss of visual function. Characteristics of GA include atrophic lesions resulting from the loss of photoreceptors, retinal pigment epithelium, and choriocapillaris. During GA progression, atrophic lesions typically advance from the macular periphery to the center, affecting foveal light sensitivity and visual acuity. This study analyzed changes in light sensitivity and visual acuity during the natural course of GA progression using the topographic analysis of structural and functional changes based on Early Treatment Diabetic Retinopathy Study (ETDRS) charts, multimodal imaging, and microperimetry assessment. Methods: Medical chart data of GA patients between 2014 and 2022 from the Internationale Innovative Ophthalmochirurgie GbR (I.I.O.) research center (Düsseldorf, Germany) were retrospectively analyzed. All patient eyes fulfilling the phase 3 OAKS study inclusion criteria were included and followed up for 60 months. The imputation of missing measurements and dropouts was performed by linear mixed models. Results: A total of 20 GA eyes from 13 GA patients were included in the study. At the index, 53.8% of patients had bilateral GA, with 70.0% of the eyes showing multifocal GA and 30.0% subfoveal encroachment (SFE). A total of 35.0% of the eyes had 2-5, and 15.0% over 20, areas of atrophy. Over time, the GA lesion size increased from 6.4 mm2 to 11.8 mm2 (1.08 mm2/year). After an average observation time of 2.9 years, 78.6% of the initially unaffected study eyes developed SFE. The percentage of study eyes without visual impairment decreased from 55.0% to 30.0%, with mean normal-luminance best-corrected visual acuity (NL-BCVA) reducing from 63.7 to 55.7 ETDRS letters. The share of absolute scotoma points in microperimetry assessment increased from 15.7% to 43.5% while overall average macular sensitivity declined from 15.7 dB to 7.4 dB. Conclusions: The substantial deterioration of macular outcomes and visual function was comprehensively detected. The results were a documentation of structural and functional aspects of the natural progression of GA for a 60-month follow-up, providing a typical outline for AMD patients with GA.

Assessing the impact of long-term storage on the quality and integrity of biological specimens in a reproductive biobank.

Biobanks hold a pivotal role in facilitating translational and clinical research endeavors. However, the effects of prolonged storage on frozen blood samples analytes are not well defined yet. The aim of this study was to investigate the long-term stability of the quality of DNA, RNA, and endocrine markers within blood samples amassed from the biobank over the past 11 years. The results show that the overall quality and integrity of DNA remained not significantly influenced. However, RNA integrity and purity displayed substantial deterioration as storage duration increased, to ensure high-quality RNA for downstream analyses, advised to prioritize using blood samples stored within 3 years. Furthermore, the study examined the influence of storage time on endocrine markers. Through repeated measures ANOVA and linear regression analyses, it was evident that storage duration significantly influenced the levels of endocrine markers. This insight aids researchers in selecting appropriate markers for their investigations and augments the precision and dependability of results when dealing with long-term stored samples.

Utilization of XGBoost algorithm to predict dryout incipience quality for saturated flow boiling in mini/micro-channels

Critical heat flux (CHF) is arguably the most important design parameter for applications involving cooling of high heat flux devices. Despite prior limited successes, developing accurate predictive tools for CHF remains quite challenging, but key identifiable trigger mechanisms for CHF are intermittent liquid film dryout, complete liquid film dryout, and departure from nucleate boiling (DNB). For saturated flow boiling in mini/micro-channels, dryout incipience is a necessary condition for commencement of liquid film dryout, which is marked by a substantial deterioration in the heat transfer coefficient. The primary objective of this study is to predict system parameters for dryout incipience quality using machine learning, relying on a massive database for this parameter. Predictions are achieved using eXtreme Gradient Boosting (XGBoost), one of the supervised ensemble machine learning methods. This technique is applied to the Purdue University Boiling and Two-Phase Flow Laboratory (PU-BTPFL) consolidated database for dryout incipience quality for saturated flow boiling in mini/micro-channels. This database comprises 997 datapoints amassed from 26 sources and encompasses 13 different working fluids, hydraulic diameters from 0.51 to 6.0 mm, mass velocities from 29 to 2303 kg/m2s, liquid-only Reynolds numbers from 125 to 53,770, boiling numbers from 0.31×104 to 44.3×104, and reduced pressures from 0.005 to 0.78. Optuna, a supervised automated hyper-parameter optimization software, is used to set the best hyper-parameters in the learning process based on the consolidated database. A part of consolidated database is used to train the XGBoost algorithm, and the XGBoost machine, consisting of specific input parameters, is developed with appropriately determined hyper-parameter set after optimization. The trained XGBoost machine is shown to provide remarkable accuracy in predicting the dryout incipience quality, evidenced by a mean absolute error (MAE) of 2.45% and mean absolute deviation (MAD) of 3.57×10−2.

A study on estimating deterioration in multi recycled aggregate concrete using surface imaging techniques

The study presents a novel method for sustainable construction using multi-recycled concrete, embracing a cradle-to-cradle approach. It utilies image analysis to detect concrete deterioration due to different chemical exposures. It also demonstrates the effectiveness of the Compressible Packing Method in improving recycled aggregate properties and reducing cement content for sustainable concrete production. The image-based colour stability analysis for determining Hue (H), Saturation (S), and Intensity (I) values reveals the significant deterioration is caused by sulphuric acid and hydrochloric acid exposures relevant to field applications. A unified factor termed as Durability Loss Factor (DLF) provides a comprehensive metric for assessing deterioration, with sulphuric acid exposure resulting in the most substantial deterioration. Also, there is a strong correlation between residual strength of concrete specimen and the parameters governing image analysis in the current study. These findings offer valuable insights into mix design strategies, colour-based indicators of deterioration, and the development of a comprehensive Durability Loss Factor for multi-recycled concrete.

Analysis of thermomechanical coupled accelerated aging of HTPB propellants

AbstractThis study employed macroscopic uniaxial compression tests at low and medium strain rates, coupled with microscopic electron microscopy, to extensively analyse the impact of thermomechanical coupled aging on the accelerated aging of Hydroxyl‐terminated Polybutadiene (HTPB) propellants, contrasting it with the effects of isolated factors such as heat and dynamic reciprocating force. Results indicate that at various environmental temperatures (323 K, 343 K, and 363 K), thermomechanical coupled aging more significantly affects HTPB propellants than isolated factors. This effect is macroscopically evident in increased ease of deformation, permanent deformation during aging, continual increase in dissipated energy, and a decrease in average stress and ultimate strain post‐aging. Microscopically, the effect predominantly arises from the interplay between matrix thermal degradation and particle fragmentation, which rapidly accumulate and substantially impact the material's macroscopic mechanical properties. Furthermore, as the aging temperature rises, the alterations in both macroscopic mechanical properties and microscopic morphology of HTPB propellants become more pronounced. However, overly high temperatures may swiftly result in substantial material performance deterioration. Consequently, while elevating temperature effectively accelerates thermomechanical aging, the potential adverse effects on material performance must be judiciously considered. This underscores the necessity of balancing temperature regulation with aging efficiency enhancement in HTPB propellants to ensure effective control and quantitative assessment of the aging process, while minimizing material degradation.

Large transboundary health impact of Arctic wildfire smoke

Rapid warming at high latitudes, particularly in Siberia, has led to large wildfires in recent years that cause widespread smoke plumes. These fires lead to substantial deterioration in summer air quality in the region, with a factor 4 increase in summer fine particulate matter (PM2.5) concentrations in parts of Siberia during 1998–2020. Exposure to PM2.5 is associated with increased risk of mortality due to cardiovascular and respiratory disease, and the atmospheric lifetime of PM2.5 means that it can be efficiently transported between regions and nations. We used the Community Earth System Model to quantify the fraction of PM2.5 attributed to high latitude wildfires that occur in the Arctic Council member states and estimated the attributable health impact locally and in neighbouring countries. During 2001–2020 we attribute ~21,000 excess deaths to Arctic Council wildfires on average each year, of which ~8000 occur in countries outside the Arctic Council. Our analysis shows that the health impact of Arctic wildfires decreased during 2001–2020, despite the increase of wildfire-sourced PM2.5, which we suggest is due to a northwards shift in the average latitude of Siberian wildfires, reducing their impact on more densely populated regions.

Biogenic synthesis of Ag-doped TiO2 photocatalyst using citrus paradisi extract for solar trigged degradation of methylene blue

The world has witnessed substantial deterioration of water resources by different effluents. The most reported among effluents that have caused damage to the water resources are azo dyes that need to be expelled by most efficient techniques such as photocatalysis. This specific study has focused on the synthesis and augmentation of TiO2 for the degradation of methylene blue (MB). In this work TiO2 was synthesized by biogenic route using the extract of Citrus paradisi and the synthesized metal oxide (TiO2) was doped with Ag to escalate the photocatalytic degradation of MB. The synthesized biogenic photocatalyst was characterized by employing XRD and FTIR techniques, which confirms the purity of TiO2. The stability of Ag-doped TiO2 photocatalyst was investigated by performing Zeta-potential and the surface morphology was studied thorough FE- SEM. The photocatalytic efficiency of the photocatalysts were evaluated using UV-vis-Spectroscopy. The XRD analysis confirmed the phase purity of synthesized TiO2 and Ag-doped TiO2. The presence of functional groups associated with the TiO2 and Ag-doped TiO2 were also observed through FTIR. The developed photocatalysts via biogenic route were tested for the degradation of MB that exhibited 56.38% for TiO2 and 85.55% Ag-TiO2 in 120mins respectively.

Tackling Post-COVID-19 Rehabilitation Challenges: A Pilot Clinical Trial Investigating the Role of Robotic-Assisted Hand Rehabilitation.

Background: Prolonged hospitalization in severe COVID-19 cases can lead to substantial muscle loss and functional deterioration. While rehabilitation is essential, conventional approaches face capacity challenges. Therefore, evaluating the effectiveness of robotic-assisted rehabilitation for patients with post-COVID-19 fatigue syndrome to enhance both motor function and overall recovery holds paramount significance. Our objective is to assess the effectiveness of rehabilitation in post-COVID-19 patients with upper extremity impairment through the utilization of a hand exoskeleton-based robotic system. Methods: A total of 13 participants experiencing acute or limited functional or strength impairment in an upper extremity due to COVID-19 were enrolled in the study. A structured intervention consisted of 45 min therapy sessions, conducted four times per week over a six-week period, utilizing a hand exoskeleton. The research employed standardized health assessments, motion analysis, and semi-structured interviews for pre-intervention and follow-up evaluations. Paired sample t-tests were employed to statistically analyze the outcomes. Results: The outcomes showed a reduction in overall dependence levels across participants, positive changes in various quality of life-related measurements, and an average increase of 60.4 ± 25.7% and 28.7 ± 11.2% for passive and active flexion, respectively. Conclusions: Our data suggest that hand exoskeleton-based robotic systems hold promise to optimize the rehabilitation outcomes following severe COVID-19. Trial registration: ID NCT06137716 at ClinicalTrials.gov.

Nutritional, Textural, and Sensory Attributes of Protein Bars Formulated with Mycoproteins.

Research accumulated over the past decades has shown that mycoprotein could serve as a healthy and safe alternative protein source, offering a viable substitute for animal- and plant-derived proteins. This study evaluated the impact of substituting whey protein with fungal-derived mycoprotein at different levels (10%, 20%, and 30%) on the quality of high-protein nutrition bars (HPNBs). It focused on nutritional content, textural changes over storage, and sensory properties. Initially, all bars displayed similar hardness, but storage time significantly affected textural properties. In the early storage period (0-5 days), hardness increased at a modest rate of 0.206 N/day to 0.403 N/day. This rate dramatically escalated from 1.13 N/day to 1.36 N/day after 5 days, indicating a substantial textural deterioration over time. Bars with lower mycoprotein levels (10%) exhibited slower hardening rates compared with those with higher substitution levels (20% and 30%), pointing to a correlation between mycoprotein content and increased bar hardness during storage. Protein digestibility was assessed through in vitro gastric and intestinal phases. Bars with no or low-to-medium levels of mycoprotein substitution (PB00, PB10, and PB20) showed significantly higher digestibility (40.3~43.8%) compared with those with the highest mycoprotein content (PB30, 32.9%). However, digestibility rates for all mycoprotein-enriched bars were lower than those observed for whey-protein-only bars (PB00, 84.5%), especially by the end of the intestinal digestion phase. The introduction of mycoprotein enriched the bars' dietary fiber content and improved their odor, attributing a fresh mushroom-like smell. These findings suggest that modest levels of mycoprotein can enhance nutritional value and maintain sensory quality, although higher substitution levels adversely affect texture and protein digestibility. This study underscores the potential of mycoprotein as a functional ingredient in HPNBs, balancing nutritional enhancement with sensory acceptability, while also highlighting the challenges of textural deterioration and reduced protein digestibility at higher substitution levels.

Sintering temperature optimization for enhanced magnetic performance in La–Ca–Co doped strontium ferrite

The effectiveness of employing La-Ca-Co co-doping has been demonstrated as the optimal approach for enhancing the magnetic performance of strontium ferrite. However, limited studies have explored the evolution of the magnetoplumbite phase and its correlation with the sintering temperature. In our research, La-Ca-Co doped strontium ferrite permanent magnets were fabricated using a conventional ceramic process and a two-step sintering technique. After sintering at different temperatures, all the samples possess proper c-axis orientation. When the sintering temperature was raised from 1175 °C to 1205 °C, there was an upward trend observed in the remanence Br, increasing from 430 mT to 439 mT. The coercivity Hcj exhibited an increase from 380 kA/m and reached its peak at 397 kA/m at 1185 °C. Although the Br value remained favorable, the coercivity experienced substantial deterioration, reaching its lowest point at 303 kA/m at 1205 °C. Under a sintering temperature of 1195 oC, magnetic performance with optimal energy product was achieved, with Br of 439 mT, Hcj of 379 kA/m, Hcb of 318 kA/m, and (BH)max of 35.5 kJm-3.

An investigation into the stability and degradation of plastics in aquatic environments using a large-scale field-deployment study

The fragmentation of plastic debris is a key pathway to the formation of microplastic pollution. These disintegration processes depend on the materials' physical and chemical characteristics, but insight into these interrelationships is still limited, especially under natural conditions. Five plastics of known polymer/additive compositions and processing histories were deployed in aquatic environments and recovered after six and twelve months. The polymer types used were linear low density polyethylene (LLDPE), oxo-degradable LLDPE (oxoLLDPE), poly(ethylene terephthalate) (PET), polyamide-6 (PA6), and poly(lactic acid) (PLA). Four geographically distinct locations across Aotearoa/New Zealand were chosen: three marine sites and a wastewater treatment plant (WWTP). Accelerated UV-weathering under controlled laboratory conditions was also carried out to evaluate artificial ageing as a model for plastic degradation in the natural environment. The samples' physical characteristics and surface microstructures were studied for each deployment location and exposure time. The strongest effects were found for oxoLLDPE upon artificial ageing, with increased crystallinity, intense surface cracking, and substantial deterioration of its mechanical properties. However, no changes to the same extent were found after recovery of the deployed material. In the deployment environments, the chemical nature of the plastics was the most relevant factor determining their behaviours. Few significant differences between the four aquatic locations were identified, except for PA6, where indications for biological surface degradation were found only in seawater, not the WWTP. In some cases, artificial ageing reasonably mimicked the changes which some plastic properties underwent in aquatic environments, but generally, it was no reliable model for natural degradation processes. The findings from this study have implications for the understanding of the initial phases of plastic degradation in aquatic environments, eventually leading to microplastics formation. They can also guide the interpretation of accelerated laboratory ageing for the fate of aquatic plastic pollution, and for the testing of aged plastic samples.

Comparative evaluation of quality of life in oral cancer patients undergoing 3-dimensional conformal radiation therapy with or without concomitant chemotherapy - A longitudinal study.

To assess and compare the quality of life (QOL) in Oral Cancer patients undergoing 3-DCRT with or without concomitant Chemotherapy at three different time intervals. This unicentric longitudinal study included 50 patients of oral cancer undergoing 3-DCRT with or without concomitant chemotherapy. QOL was recorded using the EORTC H and N 35 Questionnaire at baseline, end of treatment (EOT), and 3 months after treatment. Maximum deterioration of most QOL domains were noted at End of treatment (EOT) in all the patients. A highly statistically significant difference was noted between different time intervals with the highest scores noted at the EOT ( P < 0.01). There was a statistically significant difference in patients undergoing 3DCRT with chemotherapy when compared to those with 3DCRT without chemotherapy ( P < 0.05). There is substantial deterioration in QOL at the EOT after head-neck irradiation by 3-DCRT with or without concomitant Chemotherapy although it gradually improves over time. However, 3DCRT results in clinically meaningful and statistically better QOL scores at 3 months after treatment compared to baseline and EOT.

Association of RAP Compensatory Reserve Index with Continuous Multimodal Monitoring Cerebral Physiology, Neuroimaging, and Patient Outcome in Adult Acute Traumatic Neural Injury: A Scoping Review.

Acute traumatic neural injury, known as traumatic brain injury (TBI), stands as a significant contributor to global mortality and disability. Ideally, continuously monitoring cerebral compliance/cerebral compensatory reserve would enable timely interventions and avert further substantial deterioration in TBI cases. RAP, defined as the moving Pearson's correlation between intracranial pressure (ICP) pulse amplitude waveform and ICP, has been proposed as a continuously updating index in this context. However, the literature remains scattered and difficult to navigate. Thus, the goal of this scoping review was to comprehensively characterize the literature regarding RAP and its association with (1) other multimodal cerebral physiological monitoring, (2) neuroimaging features, and (3) long-term patient outcomes. We subsequently conducted a systematic scoping review of the human literature to highlight the association of RAP with continuous multimodal monitoring of cerebral physiology, neuroimaging, and patient outcomes in the context of adult TBI patients. Our review encompassed 21 studies focusing on these topics. The primary findings involve meticulous analysis of studies, categorizing findings into three states of RAP to clearly understand its relation to cerebral physiology and clinical outcomes. State 1 signifies a healthy condition with a small positive value near zero (RAP <0.5). Conversely, state 2, a predominant characterization of TBI patients, indicates compromised compensatory reserve, featuring a large positive RAP value (RAP > 0.4). State 3 emerges in worsened conditions, showcasing further compromised compensatory reserve, exhausted cerebrovascular reactivity, and disturbed cerebral autoregulation. A substantial number of patients with fatal outcomes was found in state 3, marked by a notable occurrence of decreasing and, in some instances, negative RAP. The significance of this review lies in establishing a platform for future research directions to enhance the precision and clinical implications of RAP in TBI care, ultimately aiming to prevent the transition from state 2 to state 3 and mitigate fatal outcomes.

A Case of Liver Cirrhosis with Inflammatory Autoimmune Liver Disease Associated with Portal Hypertension and Hepatic Haemangioma

Autoimmune Hepatitis (AIH) is a rare autoimmune disease that damages the liver over time and, if left untreated, can progress to liver cirrhosis. Clinical manifestations range from asymptomatic patients to those with acute hepatitis or chronic liver failure. Chronic autoimmune liver disease causes persistent liver injury, which results in unresolved inflammation, proliferation of cells, and the formation of extracellular matrix proteins by stellate cells of the liver and portal myofibroblasts. Cirrhosis of the liver and the resulting loss of normal liver function are unavoidable. Cirrhotic patients have a higher risk of morbidity and mortality, and problems of portal hypertension and/or liver dysfunction result in substantial deterioration in the decompensated phase. The theory suggests that among idiopathic or cryptogenic chronic hepatitis, most of them are autoimmune in origin. It is considered one of the rare liver diseases, especially in the Indian population. Portal hypertension is a dangerous complication caused by an obstruction in portal blood flow, such as cirrhosis or portal vein thrombosis. Hepatic Haemangiomas (HH) are benign liver tumours that are made up of groups of blood-filled cavities lined by endothelial cells and fed by the hepatic artery. The vast majority of HH are asymptomatic and are discovered by chance during imaging studies for unrelated pathologies. Hereby, the authors present a case of 53-year-old female with chronic liver disease with ascites, fatty change, and nodular hepatocellular hyperplasia, which was later found to be cirrhosis of autoimmune origin.