Aging Treatment Research Articles

Real-life effects of pharmacological osteoporosis treatments on bone mineral density by quantitative computed tomography.

Monitoring of bone mineral density (BMD) is used to assess pharmacological osteoporosis therapy. This study examined the real-life effects of antiresorptive and osteoanabolic treatments on volumetric BMD (vBMD) of the spine by quantitative computed tomography (QCT). Patients aged ≥ 50years with a vBMD < 120mg/ml had ≥ 2 QCT. For analysis of therapy effects, the pharmacological treatment and the duration of each therapy were considered. Identical vertebrae were evaluated in all vBMD measurements for each patient. A linear mixed model with random intercepts was used to estimate the effects of pharmacological treatments on vBMD. A total of 1145 vBMD measurements from 402 patients were analyzed. Considering potential confounders such as sex, age, and prior treatment, a reduction in trabecular vBMD was estimated for oral bisphosphonates (-1.01mg/ml per year; p < 0.001), intravenous bisphosphonates (-0.93mg/ml per year; p = 0.015) and drug holiday (-1.58mg/ml per year; p < 0.001). Teriparatide was estimated to increase trabecular vBMD by 4.27mg/ml per year (p = 0.018). Patients receiving denosumab showed a statistically non-significant decrease in trabecular vBMD (-0.44mg/ml per year; p = 0.099). Compared to non-treated patients, pharmacological therapy had positive effects on trabecular vBMD (1.35mg/ml; p = 0.001, 1.43mg/ml; p = 0.004, 1.91mg/ml; p < 0.001, and 6.63mg/ml; p < 0.001 per year for oral bisphosphonates, intravenous bisphosphonates, denosumab, and teriparatide, respectively). An increase in trabecular vBMD by QCT was not detected with antiresorptive agents. Patients treated with teriparatide showed increasing trabecular vBMD. Non-treatment led to a larger decrease in trabecular vBMD than pharmacological therapy.

Microstructural Evolution and Mechanical Properties of Nb‐Containing Medium‐Mn Low‐Density Steels

Microalloying of Nb has been commonly utilized to enhance the structure and mechanical properties of advanced high‐strength steel (AHSS), but its application in medium‐Mn low‐density steel has been relatively understudied. This study aims to investigate the evolution of nano‐scale precipitates and mechanical properties of Fe‐12Mn‐9Al‐3Cr‐1.4C‐0.02/0.04Nb low‐density steels. The findings reveal that the austenite grain size of 0.04Nb steels is approximately half that of 0.02Nb steels due to the precipitation of NbC particles. Moreover, the addition of Nb is found to elevate the formation energy of κ‐carbide, thereby impeding its growth and coarsening. Consequently, the intragranular κ‐carbides in 0.04Nb steels are consistently smaller than those in 0.02Nb steels, with no coarsened intergranular κ‐carbides detected in either steel variant after aging treatment at 723–823 K. Despite a slight reduction on precipitation strengthening of κ‐carbides with higher Nb content, the yield strength of 0.04Nb steels exceeds that of 0.02Nb steels by ≈71 MPa, mainly due to additional fine grain strengthening and dislocation strengthening. The strengthening mechanisms in the Nb‐containing low‐density steels are analyzed quantitatively. The role of Nb in regulating the microstructure and mechanical properties of medium‐Mn low‐density steels is comprehensively discussed, offering valuable insights for the alloy design of low‐density steel.

Microstructure and Shape Memory Properties of Gas Tungsten Arc Welded Fe-17Mn-5Si-10Cr-4Ni-(V, C) Shape Memory Alloy.

In this study, microstructure, mechanical, and shape memory properties of the welded Fe-based shape memory alloy (Fe-SMA) plates with a nominal composition of Fe-17Mn-5Si-10Cr-4Ni-(V, C) (wt.%) by gas tungsten arc welding were investigated. The optimal heat input to ensure full penetration of the Fe-SMA plate with a thickness of 2 mm was found to be 0.12 kJ. The solidified grain morphology adjacent to the partially melted zone was columnar, whereas the equiaxed morphology emerged as solidification proceeded. The ultimate tensile decreased after welding owing to the much larger grain size of the fusion zone (FZ) and heat-affected zone (HAZ) than that of the base material (BM). Weldment showed lower pseudoelastic (PE) recovery strain and higher shape memory effect (SME) than those of the plate, which could be ascribed to the large grain size of the FZ and HAZ. Recovery stress (RS) slightly decreased after welding owing to lower mechanical properties of weldment. On the other hand, aging treatment significantly improved all PE recovery, SME, and RS via carbide precipitation. Digital image correlation analysis revealed that HAZ showed the lowest SME after heating and cooling, implying that the improved SME of FZ compensated for the low SME of the HAZ.

The effect of direct aging treatment on microstructure and mechanical properties of the GH4099 superalloys produced by selective laser melting

The effect of direct aging (DA) treatment on microstructure and mechanical properties of the GH4099 superalloys produced by selective laser melting (SLM) was investigated by the microhardness tests, room- (RT) and high-temperature (HT) tensile tests, field emission scanning electron microscopy (FE-SEM), and electron backscattered diffraction (EBSD) in this study. Both microhardness and RT tensile results show that DA treatment improves mechanical properties more than solution-aging (SA) treatment. By analyzing the effect of the microstructural features on the yield strength, we found that the dominant strengthening mechanisms responsible for higher yield strength of the DA specimens are the grain size hardening of fine γ matrix, high-density dislocation strengthening, Orowan dislocation bypass strengthening of smaller but dense M23C6-type carbides, and chemical strengthening of smaller but dense γ΄ nanoprecipitates. Furthermore, a transgranular fracture is a dominant fracture type for RT tensile specimens produced by DA treatment. Conversely, the failure type of SA tensile specimens is a typical intergranular fracture mechanism. The underlying mechanism for the above phenomenon is attributed to the effects of transgranular and intergranular M23C6-type carbides.

Effect of aging treatment on the microstructure, cracking type and crystallographic texture of IN939 fabricated by powder bed fusion-laser beam

This study aimed to provide a comprehensive understanding of how aging treatments (namely, HT1 and HT2) affect the microstructure, cracking behavior, and crystallographic texture of IN939 fabricated by powder bed fusion-laser beam (PBF-LB) method. Although both aged samples demonstrated similar grain structure and recrystallization behavior according to the electron backscatter diffraction (EBSD) analysis, as well as the precipitation of bimodal γ′ phase and MC- and M23C6-type carbides, notable differences were observed in the size and morphology, particularly the γ′ phase. The HT1 sample displayed coarsened primary γ′ phase, with sizes reaching up to 2 μm and exhibiting varied morphologies, including irregular and cuboidal shapes. Additionally, this treatment led to the formation of some γ′-γ eutectic regions and plate-like η phase, along with the decomposition of MC-type carbides into M23C6-type carbides. In contrast, the HT2 sample displayed uniformly distributed spherical primary γ′ phase with sizes ranging from 70 to 120 nm, accompanied by very fine secondary γ′ phase. Furthermore, it was found that changes in both aged sample microstructures could result in the formation of strain-age cracks due to the γ′ phase formation and liquation cracks due to the partial remelting of lower melting point phases. The findings also revealed that with the application of aging treatments, the hardness of the as-fabricated sample (339.8 ± 3.4 HV) increased to 440.2 ± 5.6 HV and 508.1 ± 4.8 HV for the heat treatment of HT1 and HT2, respectively.

Dynamic plastic deformation at liquid nitrogen temperature and aging effects on microstructure and properties of Cu-0.3Zr-0.15Cr alloys

The 9R phase is rarely formed in copper alloys because of its high stacking fault energy. In this study, we generated a large amount of 9R phase in Cu-0.3Zr-0.15Cr alloys by dynamic plastic deformation (DPD) at liquid nitrogen temperature for the first time, and revealed the transformation mechanism of 9R to nanotwins. The process of DPD + aging treatment enables the alloy to obtain excellent comprehensive properties (strength of 657 MPa, electrical conductivity of 75.2 % IACS, and elongation of 14.6 %), which are derived from the heterogeneous microstructure composed of ultrafine structures, coarse grains, and nano precipitated phases. In addition, we have evaluated the phase transformation kinetics after DPD at liquid nitrogen temperature. This work provides a new way to better understanding the microstructure transition and precipitation kinetics under dynamic plastic deformation with aging treatment at liquid nitrogen temperature.

Synergy of γ′ phase, MC carbide and grain boundary phase on creep behavior for nickel-based superalloy K439B

The synergy of γ′ phase, MC carbide and grain boundary phase on 815 °C/379 MPa creep behavior for nickel-based superalloy K439B was investigated by adjusting the time and temperature of the first-stage aging treatment. Increasing aging time from 4 h to 6 h, the total creep life is reduced by 35.8% due to the increased bimodal γ′ phase size. The bimodal γ′ phase transforms into small unimodal γ′ phase when increasing aging temperature from 1000 °C to 1080 °C. In addition, the content of M23C6 carbide increases, and the total creep life is increased by about 1.3 times. Small-size γ′ phase with bimodal distribution redissolves into γ matrix during creep deformation. Dislocations pile up at the γ/γ′ interface, and partial dislocations enter into large-size γ′ phase, mainly forming isolated parallel stacking faults. By comparison, the crossed stacking faults within small unimodal γʹ phase form Lomer-Cottrell locks, APB coupled dislocation pairs shear into γʹ phase, and more granular M23C6 carbide precipitates at the grain boundary, which further decreases the minimum steady creep rate and improves the creep life. At the beginning of creep deformation, MC carbide prevents the movement of dislocations. MC carbide formed at grain boundaries can delay crack propagation to a certain extent. MC carbide debonds from γ matrix subsequently due to the dislocation accumulation and higher interface energy, which provides a pathway for crack initiation and propagation. Moreover, the fragmentation and degeneration inside MC carbide promote crack initiation.

Evolution process of T1 precipitate in Al–Cu–Li–TiC/TiB2 alloy during aging treatment

In this study, particle-reinforced aluminium matrix composites (PRAMCs) of an Al–Cu–Li alloy were prepared using nano-sized TiB₂+TiC particles. The relationship between TiB₂+TiC nanoparticles and T1 precipitates during the ageing process, as well as the influence of TiC + TiB₂ particles on the growth process of T1 precipitates during the ageing process, were investigated. The grain sizes of the A0 and A1 samples were found to be 249.89 μm and 86.42 μm, respectively. The dislocation density is greater in the deformed A1 sample. The coefficient of thermal expansion (CTE) effect generated by TiC and TiB₂ particles stimulates the precipitation process of T1 precipitates. The A1 alloy reached the peak ageing state in a shorter time and yielded a greater number of T1 precipitates. The precipitation process of T1 precipitate is: SSSS→T1P→T1. The transition from T1P (face-centered cubic, FCC) to T1 (hexagonal close packing, HCP) entails a modification in the order of packing. The recently formed T1P precipitate is attached to the established T1 precipitate and extends along the c-axis through the shared copper-rich layer that has formed on both sides of the mature T1 precipitate. The mechanical properties of sample A1 are optimal at T = 22h, with a yield strength, tensile strength, and elongation of 520 MPa, 553 MPa, and 8.2%, respectively. In comparison to the A0 sample, the yield strength and tensile strength exhibited an increase of 5.05% and 5.13%, respectively.

Effect of Mo addition on microstructure and mechanical properties of Cu-12.5Ni-5Sn alloy

Cu-12.5Ni-5Sn-xMo (x=0, 0.5, 1.0, 1.5 wt%) alloys were prepared using Spark Plasma Sintering (SPS) technology. The effect of Mo addition on the microstructure and mechanical properties of Cu-12.5Ni-5Sn alloy was investigated. The results indicate that adding trace amounts of Mo significantly refines the grain structure of Cu-12.5Ni-5Sn alloy, attributed to the formation of Mo-rich phases. Mo addition also inhibited the growth of discontinuous precipitation (DP) after aging treatment, reducing the DP volume fraction from approximately 25 % to 6 %. This effect is attributed to the precipitation of micron-sized Mo-rich phases at grain boundaries, which inhibit DP nucleation and growth by occupying γ-phase nucleation sites and pinning grain boundaries, thus impeding grain boundary diffusion. In addition, the interlamellar spacing of the discontinuous precipitation increases and the growth rate of lamellae decreases with increasing Mo content. Furthermore, an optimized combination of hardness (310 HB) and yield strength (586 MPa) was achieved in the Cu-12.5Ni-5Sn-1.0Mo alloy after aging treatment.

The electrochemical corrosion behavior and antibacterial properties of Cu-xFe alloy

Copper-based alloys have garnered significant attention for their potential in antimicrobial applications aimed at mitigating medical-related infections. Nonetheless, the alloying elements in conventional copper alloys frequently exhibit biotoxicity. This study explored the corrosion behavior, antimicrobial activity, and ion release of Cu–Fe alloys with varying iron contents and aging treatment. The results indicate that increasing the iron content in Cu–Fe alloys and applying appropriate aging treatment can enhance both the antibacterial efficiency and corrosion rate. Transmission electron microscopy (TEM) observations revealed a corrosion mechanism in which dispersed iron phases act as nucleation sites. These nanoscale precipitates increase the Cu/Fe interfacial area, thereby promoting ion release at the interface. Furthermore, in-situ scanning electron microscopy (SEM) revealed that corrosion products are more likely to detach in iron-rich segregated areas, which effectively promotes the sustained release of copper ions.

Role of Phytochemicals in Treatment of Aging and Cancer: Focus on Mechanism of FOXO3 Activation.

There have been many studies reporting that the regular consumption of fruits and vegetables is associated with reduced risks of cancer and age-related chronic diseases. Recent studies have demonstrated that reducing reactive oxygen species and inflammation by phytochemicals derived from natural sources can extend lifespans in a range of model organisms. Phytochemicals derived from fruits and vegetables have been known to display both preventative and suppressive activities against various types of cancer via in vitro and in vivo research by interfering with cellular processes critical for tumor development. The current challenge lies in creating tailored supplements containing specific phytochemicals for individual needs. Achieving this goal requires a deeper understanding of the molecular mechanisms through which phytochemicals affect human health. In this review, we examine recently (from 2010 to 2024) reported plant extracts and phytochemicals with established anti-aging and anti-cancer effects via the activation of FOXO3 transcriptional factor. Additionally, we provide an overview of the cellular and molecular mechanisms by which these molecules exert their anti-aging and anti-cancer effects in specific model systems. Lastly, we discuss the limitations of the current research approach and outline for potential future directions in this field.

Identification of a new human senescent skin cell marker ribonucleoside-diphosphate reductase subunit M2 B.

In skin aging, it has been hypothesized that aging fibroblasts accumulate within the epidermal basal layer, dermis, and subcutaneous fat, causing abnormal tissue remodeling and extracellular matrix dysfunction, thereby inducing an aging-related secretory phenotype (SASP). A new treatment for skin aging involves the specific elimination of senescent skin cells, especially fibroblasts within the dermis and keratinocytes in the basal layer. This requires the identification of specific protein markers of senescent cells, such as ribonucleoside-diphosphate reductase subunit M2 B (RRM2B), which is upregulated in various malignancies in response to DNA stress damage. However, the behavior and role of RRM2B in skin aging remain unclear. Therefore, we examined whether RRM2B functions as a senescence marker using a human dermal fibroblast model of aging. In a model of cellular senescence induced by replicative aging and exposure to ionizing radiation or UVB, RRM2B was upregulated at the gene and protein levels. This was correlated with decreased uptake of the senescence-associated β-galactosidase activity and proliferation marker bromodeoxyuridine. RRM2B upregulation was concurrent with the increased expression of SASP factor genes. Furthermore, using fluorescence flow cytometry, RRM2B-positive cells were recovered more frequently in the aging cell population. In aging human skin, RRM2B was also found to be more abundant in the dermis and epidermal basal layer than other proteins. Therefore, RRM2B may serve as a clinical marker to identify senescent skin cells.

Influence of aging temperature on the microstructure and mechanical properties of a Cu-2Be alloy

As a contribution to existing knowledge, this work studied the evolution of the hardness, elastic modulus and microstructure of an age-hardenable Cu-2Be alloy when subjected to aging treatments at different times, in order to obtain the hardness curves at all stages, and for different aging temperatures in the range of 320–400 °C. In addition, the effect of performing a prior heat treatment consisting of 2 h at 225 °C on the mechanical behavior of the material was analyzed. The elastic modulus and hardness were measured using IET technique and Vickers hardness, respectively. The best mechanical properties (higher hardness values and high elastic modulus) were obtained for treatments at aging temperatures of 320 and 350 °C, with aging times of 40 and 5 h, respectively. The maximum hardness decreases with temperature and increases by about 25 HV by performing a prior thermal treatment at 225 °C. At the maximum hardness peaks, the elastic modulus exhibits similar values, while the asymptotic value increases slightly with temperature. SAXS measurements were used to study the size and shape of the nanoprecipitates formed after aging treatments at different temperatures and times. At the hardness peaks, precipitates have ellipsoid shapes and their size increases with the temperature from 18 to 30 nm. After the hardness peak at 400 °C, the hardness and modulus decrease slightly, while the precipitate size increases to 58 nm.

Effects of plastic aging on biodegradation of polystyrene by Tenebrio molitor larvae: Insights into gut microbiome and bacterial metabolism

Plastics aging reduces resistance to microbial degradation. Plastivore Tenebrio molitor rapidly biodegrades polystyrene (PS, size: < 80 μm), but the effects of aging on PS biodegradation by T. molitor remain uncharacterized. This study examined PS biodegradation over 24 days following three pre-treatments: freezing with UV exposure (PS1), UV exposure (PS2), and freezing (PS3), compared to pristine PS (PSv) microplastic. The pretreatments deteriorated PS polymers, resulting in slightly higher specific PS consumption (602.8, 586.1, 566.7, and 563.9 mg PS·100 larvae−1·d−1, respectively) and mass reduction rates (49.6 %, 49.5 %, 49.2 %, and 48.7 %, respectively) in PS1, PS2, and PS3 compared to PSv. Improved biodegradation correlated with reduced molecular weights and the formation of oxidized functional groups. Larvae fed more aged PS exhibited greater gut microbial diversity, with microbial community and metabolic pathways shaped by PS aging, as supported by co-occurrence network analysis. These findings indicated that the aging treatments enhanced PS biodegradation by only limited extent but impacted greater on gut microbiome and bacterial metabolic genes, indicating that the T. molitor host have highly predominant capability to digest PS plastics and alters gut microbiome to adapt the PS polymers fed to them.

Chemosensory assessment and impact on quality of life in neurosensorial cluster of the post COVID 19 syndrome

COVID-19 pandemic brought chemosensory impairment to the forefront of medicine, revealing gaps in the knowledge of pathophysiological mechanisms, true prevalence and preventive/therapeutic alternatives. This is a sub-study of the ORCHESTRA cohort focusing on post-COVID-19 chemosensory symptoms. Risk factors for neurosensorial cluster of post-COVID-19 syndrome (NSc-PCS) were assessed through multivariable analysis. Psychophysical validated tests were applied on a sub-population of 50 patients. Qualitative chemosensory symptoms as well as nasal and oral chemesthesis were evaluated through anamnestic interview and the quality of life through the SF-36 questionnaire. Chemosensory symptoms evolution and olfactory training’s outcome were assessed through phone-call interviews. Out of 1187 patients (female, N = 630), 550 (47%) presented NSc-PCS, with a lower risk for older age and monoclonal antibodies treatment, and a higher risk in females (p < 0.001). Out of the 50 patients evaluated with psychophysical tests, 66% showed smell reduction with a qualitative alteration in 50% of hyposmic and 35% of normosmic patients. Hypogeusia was present in 14 (28%) of the patients assessed, with 56% showing a qualitative alteration; 53% of normogeusic patients presented qualitative disorders. NSc-PCS has a complex, fluctuating, multifaceted presentation. Quantifying and characterizing COVID-19-related chemosensory impairment is key to understand underlying mechanisms and to develop preventive and therapeutic treatment.

Efficacy and safety of rituximab in patients with PLA2R associated membranous nephropathy and resolved HCV infection

Rituximab occasionally induces reactivation of hepatitis C virus (HCV) in patients with resolved HCV infection, sometimes with fatal consequences. As rituximab has become one of the first-line therapies for the treatment of phospholipase A2 receptor (PLA2R)-associated membranous nephropathy (MN) and is more widely used, there is a lack of studies reporting the effectiveness and safety of rituximab in patients with PLA2R-associated MN and resolved HCV infection. A single-center retrospective study was conducted on PLA2R-associated membranous nephropathy (MN) patients who were HCVAb positive but HCV-RNA negative and treated with rituximab. A total of 598 adult patients with PLA2R-associated MN who underwent rituximab therapy were screened. General clinical information, including gender, age, pathological data, and previous treatment plans, was collected from medical records. Routine blood tests, liver and kidney function assessments, blood lipid profiles, 24-h urine protein levels, anti-PLA2R antibody titers, circulating B-cell counts, and HCV viral loads were measured at the time of rituximab infusion and repeated at intervals of 1–3 months post-rituximab administration. A total of 8 patients were enrolled, with a median follow-up period of 19.00 (range: 16.00–25.25) months. Among the 8 patients, 5 were male, and the mean age was 50.13 ± 4.29 years. Histological findings indicated that tubuloreticular inclusions, mesangial deposits, intramembranous deposits, and subendothelial deposits were not observed in any of the 8 patients. The overall 1-year remission rate for these patients was 75%, accompanied by a significant reduction in proteinuria. Additionally, blood albumin levels increased significantly, and renal function remained stable. No increase in HCV viral load and stable liver function tests were observed throughout the entire follow-up period. This study suggested that on the basis of successful eradication of HCV virus with antiviral drugs, rituximab can effectively induce clinical remission of patients with PLA2R associated MN and resolved HCV infection, and does not lead to a significant increase in HCV virus load. However, this finding is based on a very small sample size and should be confirmed in larger clinical trials.

Advanced understanding of the natural forces accelerating aging and release of black microplastics (tire wear particles) based on mechanism and toxicity analysis

Currently, tire wear particles (TWPs), a typical type of black microplastics (MPs), are frequently overlooked as the major source of MPs in aquatic environments. TWPs are widely distributed and exhibit complex environmental behaviors. However, how natural forces affect the aging and release behavior of TWPs at the nano(micro)scale remains inadequately explored. This study systematically investigated the aging behavior and mechanism of TWPs under the action of simulated natural light and high-temperature in both dry and wet environments, as well as the effect of aging treatment on the released leachate. The findings demonstrated that aging treatment significantly altered the physicochemical properties of TWPs, including chain scission and surface oxidation, and facilitated the release of heavy metals and organic additives in the meantime. In particular, the leaching concentration of Zn exhibited a positive linear relationship with exposure time. In the thermal-aging process, the oxidation of TWPs was primarily caused by superoxide anion (O2•−). During the photo-aging exposure, TWPs exhibited heightened electron-donating capacity, resulting in the formation of more O2•− and singlet oxygen (1O2) to attack TWPs. Moreover, the analysis of leachate produced under light and high-temperature conditions suggested that heavy metals exerted low ecological risks in water. Nonetheless, the photo-aging process enhanced the toxicity of released leachate to L929 cells, which could be attributed to highly toxic additive transformation products (such as HMMM-411 and 6PPD-Q) and more heavy metals. These findings shed light on the fate of TWPs and the ecological risks posed by aged TWPs in aquatic environments.

Regulation of microstructure, phase transformation behavior, and enhanced high superelastic cycling stability in laser direct energy deposition NiTi shape memory alloys via aging treatment

The remarkable mechanical properties, fatigue resistance, wear and corrosion resistance, biocompatibility, shape memory effect, and superelasticity of NiTi shape memory alloys make them applied in diverse engineering areas, including satellite antennas, oil pipelines, and vascular stents. This paper focuses on the preparation of Ni50.8Ti49.2 alloy via laser directed energy deposition (LDED) utilizing pre-alloyed powder and the heat treatment of solid solution at 950 °C for 8 h followed by subsequent aging at 350 °C, 450 °C and 550 °C for 2 h. The influence of varying aging temperature on the microstructures, phase transformation behavior and superelastic cyclic stability of them was comprehensively summarized and discussed. The martensitic transformation temperatures of NiTi alloys after aging decrease as the aging temperature increases. Specifically, NiTi alloys aged at 450 °C for 2 h exhibit excellent superelasticity and high cyclic stability. After an initial loading-unloading cycle with an 8.079 % pre-strain, the alloy achieves 100 % complete recovery. Even after 10 cycles, the recoverable strain remains at approximately 7.374 %, with a recovery rate exceeding 90 %. These outstanding properties of high superelasticity and superior cyclic stability are significantly better than most other LDED NiTi alloys. This exceptional performance is primarily attributed to the synergistic effects of the R-phase and Ti3Ni4 precipitates on the shape memory alloy.

Simultaneous Measurement of Two-Trace Two-Dimensional (2T2D) Near-Infrared (NIR) Asynchronous Correlation Spectra and Small-Angle X-ray Scattering (SAXS) to Characterize Thermally Aged Polypropylene (PP).

In this study, a new system was developed to carry out simultaneous near-infrared (NIR) and small-angle X-ray scattering (SAXS) measurements. Aged polypropylene (PP) was examined with the NIR-SAXS system to demonstrate how it can be utilized to derive pertinent information about the polymer structure. Pairs of SAXS profiles and NIR spectra of PP in its initial state and after aging were measured to derive an in-depth understanding of the aging phenomenon. The SAXS profiles of the PP samples showed a clear shift of the SAXS peak to the lower q direction induced by the thermal aging, indicating an increase in the length of the long-period structure. Two-trace two-dimensional (2T2D) asynchronous correlation spectra derived from NIR spectra clearly revealed that the aging treatment leads to a substantial increase in the spectral intensity of the regularity bands representing the longer helix present in a folded lamellar structure. In other words, it suggests that the long helix structure is more abundantly present than the short helix structure in the aged PP than in the initial PP. By combining the information derived from the SAXS profiles and NIR spectra, the details of the aging-induced variation were clearly determined. Namely, aging causes additional crystallization of the PP by developing more helical structures, which involves an increase in the lamellar thickness as well as a decrease in the amorphous region. The growth of the rigid crystalline phase restricts the elastic deformation in the amorphous structure, which eventually induces the deterioration of PP by making the polymer hard but brittle. Such observation, in turn, implies that retarding or accelerating the crystallized structure of PP substantially works to control the progress of aging.

Discontinuity of psychiatric care among patients with bipolar disorder in the Netherlands.

Patients with bipolar disorder benefit from guidelines recommended continuous community-oriented psychiatric and somatic healthcare, but often discontinue psychiatric care. The first objective was to identify predictive factors of discontinuity of psychiatric care among patients who had received psychiatric care. The second objective was to examine if practice variation in discontinuity of psychiatric care existed between providers of psychiatric care. Registry healthcare data were used in a retrospective cohort study design using logistic regression models to examine potential predictive factors of discontinuity of care. Patient-related predictive factors were: age, sex, urbanization, and previous treatment (type and amount of psychiatric care, alcohol, and opioid treatment). Patients already diagnosed with bipolar disorder were selected if they received psychiatric care in December 2014 to January 2015. Discontinuity of psychiatric care was measured over 2016. A total of 2,355 patients with bipolar disorder were included. In 12.1% discontinuity of care occurred in 2016. Discontinuity was associated with younger age and less outpatient care over 2013 to 2014. Discontinuity of patients who received all eight quarters outpatient care including BD medication was very low at 4%. The final model contained: age, type of psychiatric care, and amount of outpatient care in 2013 to 2014. Practice variation among providers appeared negligible. The (mental) health service in the Netherlands has few financial or other barriers toward continuity of care for patients with severe mental disorders, such as bipolar disorder. An active network of providers, aim to standardize care. This seems successful. However, 12% discontinuity per year remains problematic and more detailed data on those most at risk to drop out of treatment are necessary.