Search Results (127)

Background: There is little information about the effectiveness of oral nutritional supplements (ONS) in combatting nutrient inadequacies in primary care, where most malnutrition exists. Aim: To examine the extent to which readymade ONS add or displace the nutrients consumed in the diet and their impact on combatting dietary inadequacies. Methods: 308 free-living people >50 years with medium + high risk of malnutrition (Malnutrition Universal Screening Tool) were randomised to receive readymade low volume (2.4 kcal/mL), liquid ONS plus dietary advice (ONS + DA) or dietary advice alone (DA). Intake was assessed at baseline (24 h recall) and 4-weekly for 12 weeks (3-day diet record). Total nutrient intake was benchmarked against UK and European dietary reference values (DRVs). The proportion of energy and nutrients from the ONS that added or displaced those from the diet (net addition/displacement) was calculated. Results: ONS + DA led to significantly greater total energy and nutritional intakes, with 25/29 nutrient intakes significantly higher than with DA alone. There were no significant differences in dietary energy and nutrient intakes from food between the groups. There was little or no displacement of nutrients from the diet, with over 90% of the energy and nutrients consumed in the ONS additive to the diet. ONS + DA more than halved the number of people with nutrient intakes that failed to meet DRVs and the number of nutrients per person that did not meet DRVs compared to DA alone. Conclusions: Supplementation with readymade, low volume (2.4 kcal/mL) liquid ONS overcomes most nutrient intake inadequacies in malnourished older people in primary care without significantly reducing intake from the diet. This makes ONS an effective way to improve nutritional intakes above dietary advice alone to improve the outcomes for the management of older people at risk of malnutrition. Full article

Background: The introduction of cystic fibrosis transmembrane conductance regulator modulators, especially the triple therapy elexacaftor, tezacaftor, ivacaftor (ETI), has improved outcomes in people with cystic fibrosis (pwCF), reducing underweight but increasing overweight rates. Objectives: This study investigates the effect of ETI on appetite control, body composition, and energy balance during a 3-week inpatient rehabilitation programme with regular exercise. Methods: In 54 pwCF (38 on ETI, 16 without ETI), changes in body composition (fat mass index, FMI; fat-free mass index, FFMI) and energy balance (calculated from body composition changes) were assessed. Appetite control was evaluated via plasma peptide YY (PYY) levels and post-exercise meal energy intake. Results: The programme significantly increased BMI (+0.3 ± 0.1 kg/m²; CI 0.1–0.4) and energy balance (+4317 ± 1976 kcal/3 weeks), primarily through FFMI gains (+0.3 ± 0.1 kg/m²; CI 0.1–0.4). Despite higher post-exercise meal energy intake and a tendency towards lower PYY levels in the ETI group, changes in body composition and energy balance did not differ between groups. This is explained by a higher prevalence of exocrine pancreatic insufficiency in the ETI group (92% vs. 50%, p < 0.001). Small sample sizes limit the interpretation of data on appetite control and energy intake. Conclusions: A 3-week inpatient rehabilitation programme improved body composition in pwCF, without resulting in a more positive energy balance with ETI therapy. This is due to a higher prevalence of pancreatic insufficiency in this group. Full article

In the Direct Energy Deposition (DED) process, the deposited material experiences intricate thermo-mechanical processes. Subsequent thermal cycling can trigger Dynamic Recrystallization (DRX) under suitable conditions, with specific strain and temperature parameters facilitating grain refinement and homogenization. While prior research has examined the impact of thermal cycling in continuous wave (CW) lasers on DRX in 316 L stainless steel deposits, this study delves into the effects of pulsed wave (PW) laser thermal cycling on DRX. Here, the thermo-mechanical response to PW cyclic thermal loading is empirically assessed, and the evolution of microstructure, grain morphology, geometric dislocation density (GND), and misorientation map during PW DED of 316 L stainless steel is scrutinized. Findings reveal that DRX is activated between the 8th and 44th thermal cycles, with temperatures fluctuating in the range of 680 K–750 K–640 K and grains evolving within a 5.6%–6.2%–5.2% strain range. After 90 thermal cycles, the grain microstructure undergoes significant alteration. Throughout the thermal cycling, dynamic recovery (DRV) occurs, marked by sub-grain formation and low-angle grain boundaries (LAGBs). Continuous dynamic recrystallization (CDRX) accompanies discontinuous dynamic recrystallization (DDRX), with LAGBs progressively converting into high-angle grain boundaries (HAGBs). Elevated temperatures and accumulated strain drive dislocation movement and entanglement, augmenting GND. The study also probes the influence of frequency and duty cycle on grain microstructure, finding that low pulse frequency spurs CDRX, high pulse frequency favors DRV, and the duty cycle has minimal impact on grain microstructure under PW cyclic thermal load. Full article

Resource depletion and environmental degradation have resulted from the substantial increase in the use of natural aggregates and construction materials brought on by the growing demand for infrastructure development. Road building using mining waste has become a viable substitute that reduces the buildup of industrial waste while providing ecological and economic advantages. In order to assess the appropriateness of several mining waste materials for use in road building, this study investigates their engineering characteristics. These materials include slag, fly ash, tailings, waste rock, and overburden. To ensure long-term performance in pavement applications, this study evaluates their tensile and compressive strength, resistance to abrasion, durability under freeze–thaw cycles, and chemical stability. This review highlights the potential of mining waste materials as sustainable alternatives in road construction. Waste rock and slag exhibit excellent mechanical strength and durability, making them suitable for high-traffic pavements. Although fly ash and tailings require stabilization, their pozzolanic properties enhance subgrade reinforcement and soil stabilization. Properly processed overburden materials are viable for subbase and embankment applications. By promoting the reuse of mining waste, this study supports landfill reduction, carbon emission mitigation, and circular economy principles. Overall, mining byproducts present a cost-effective and environmentally responsible alternative to conventional construction materials. To support broader implementation, further efforts are needed to improve stabilization techniques, monitor long-term field performance, and establish effective policy frameworks. Full article

In a global context marked by food insecurity and the increasing prevalence of non-communicable diseases, this study proposes a healthy food basket (HFB) model tailored to the demographic, cultural, and economic specificities of the Republic of Moldova which is aligned with international standards. The research employed a comprehensive methodology, including estimations of daily energy requirements using revised Harris–Benedict equations, food selection based on nutritional value, economic availability, and cultural relevance, and nutritional validation through the mean adequacy ratio (MAR), which was derived from nutrient adequacy ratios (NARs) and dietary reference values (DRVs) established by the EFSA. Nutrient intake calculations were based on food composition data and not population-level dietary surveys. Fat-soluble vitamins were excluded due to insufficient available data. The results indicate adequate intake levels of vitamins (B₁, B₂, B₃, and C) and minerals (iron, magnesium, phosphorus, and potassium) while highlighting deficiencies in calcium and sodium that require dietary adjustments. The inclusion of traditional foods, such as kefir and salted or raw pork fat, underscores the model’s cultural acceptability and economic relevance, strengthening the integration of global nutritional principles with regional dietary habits. This study’s limitations, including the use of secondary data and the lack of empirical validation, highlight the need for longitudinal studies. The HFB model offers a replicable solution for other regions facing similar challenges, contributing to global efforts to reduce malnutrition and promote sustainable diets. Full article

In order to accurately obtain the deformation characteristics and suitable thermal deformation conditions of TA15N titanium alloy and guide the design of deformation process parameters, a Gleeble 1500D was used to conduct hot compression tests on the thermal deformation behavior of a deformed TA15N titanium alloy under the condition of a strain rate of 0.01–10 s⁻¹ and a deformation temperature of 850–1090 °C. The constitutive equations for the deformed TA15N titanium alloy based on the Arrhenius formula were developed, and the reliability of the constitutive equations was verified. A thermal processing map of the deformed TA15N titanium alloy was established by using the dynamic materials model (DMM). The research results show that the flow stress of the TA15N alloy decreased with an increase in deformation temperature and a decrease in strain rate. By utilizing electron backscattered diffraction (EBSD), the microstructural evolution and deformation process were analyzed. As the value of η decreased, dynamic recovery (DRV) gradually replaced dynamic recrystallization (DRX). This study supplies a relatively reliable processing interval for the new TA15N titanium alloy. Full article

In this study, the high-temperature thermal deformation behavior of the TA4 alloy was investigated by thermal compression experiments. The effects of deformation temperature and strain rate on the rheological stress are described by analyzing the variation of stress–strain curves with different parameters and establishing the constitutive equation based on the dynamic material theory model. Thermal processing diagrams were established and plotted to analyze the optimal processing zone and the destabilization zone under different strains. From the thermal machining diagram, it can be concluded that the optimum machining zone at a strain of 0.9 is 1040~1133 K/0.01~0.7 s⁻¹. The optimum machining zone at a strain of 0.6 is 940~1000 K/0.01~0.04 s⁻¹. The optimum machining zone at a strain of 0.3 is 940~1000 K/0.01~0.08 s⁻¹. The effects of different deformation conditions on the thermal deformation mechanism were analyzed in conjunction with EBSD characterization. The results showed that dynamic recrystallization (DRX) was the main deformation softening mechanism when at low strain rate (≤0.1 s⁻¹). At higher strain rates (>0.1 s⁻¹) and lower temperatures (<1083 K and ≥933 K), the main deformation softening mechanism was DRV; at higher temperatures (≥1083 K and ≤1133 K), the main deformation softening mechanism was DRX. Full article

Background: Epidemiological evidence suggests a link between the risk of IBD and diet. Macro- and micro- nutrient intake, diet quality and dietary patterns may play a pivotal role in disease pathogenesis. We aimed to study the dietary intake of newly diagnosed IBD patients compared to non-IBD controls. Methods: A cohort of newly diagnosed IBD patients were invited to complete the Scottish Collaborative Group Food Frequency Questionnaire (SCGFFQ) at their first clinic visit. Controls were recruited from non-IBD ambulatory patients, university students, and healthcare workers. The SCGFFQ estimates habitual diet over a 3-month period. Component nutrient data were calculated based on previous validation studies, deriving nutrient data by comparison of the SCGFFQ to actual weighted food records. Data on age, gender, ethnicity, and disease phenotype were collected. The intake of macro- and micro-nutrients was expressed as mean and standard deviation and compared using the Kruskal–Wallis test. Dietary patterns were derived using principal component analysis. Differences in the dietary patterns for age, gender, and ethnicity were analysed by logistic regression analysis. The diet quality was compared to the dietary recommendation values (DRVs) and measured using the diet quality index. Results: We enrolled 160 IBD cases (114 UC and 46 CD) and 126 non-IBD controls, and in the study, with a median age across the groups of 40 years (IQR = 24) for UC, 34 years (IQR = 29) for CD, and 36 years (IQR = 24) for non-IBD controls. The diet quality indexes for both UC and CD were low compared to controls: 59.0% (SD 18.0) for UC, 46.0% (SD 17.7) for CD, and 63.2% (SD 17.1) controls. UC patients had excessive total energy consumption (>2500 kcal/day) compared to the DRVs. UC patients reported higher retinol, vitamin D, riboflavin, niacin, vitamin B6, vitamin B12, and panthanoic acid intake, consistent with a diet rich in animal products and low in fruit/vegetable intake. This is likely driven by higher consumption of dietary patterns 2 (rich in carbohydrates, refined sugar and low fibre) and 5 (refined sugar and saturated fat) in the UC cohort. Dietary pattern 1 (variety of food items and oily fish) was less likely to be consumed by the CD population. CD patients tended to have a lower overall intake of both macro- and micro-nutrients. Conclusions: The dietary patterns identified here are a proof of concept, and the next phase of the study would be to ideally monitor these patterns in a case–control cohort prospectively, and to further understand the mechanisms behind which dietary patterns influence IBD. Patients with newly diagnosed CD have low dietary quality and lower overall intake of macro- and micro-nutrients. This finding supports the role for dietetic attention early in newly diagnosed CD. Full article

Background/Objectives: Limited evidence links maternal macronutrient intake to gestational diabetes mellitus (GDM) risk. Therefore, we evaluated these intakes both before and during pregnancy, comparing macronutrient data against the European Food and Safety Authorities’ (EFSA) Dietary Reference Values (DRVs). Methods: Data were prospectively collected from the Greek BORN2020 epidemiologic pregnant cohort, which included 797 pregnant women, of whom 14.7% were diagnosed with GDM. A multinomial logistic regression model assessed the association between macronutrient intake and GDM, adjusting for maternal, lifestyle, and pregnancy-related factors. Results: Women with GDM had higher maternal age (34.15 ± 4.48 vs. 32.1 ± 4.89 years), higher pre-pregnancy BMI (median 23.7 vs. 22.7 kg/m²), and were more likely to smoke during mid-gestation (17.95% vs. 8.82%). Pre-pregnancy energy intake exceeding EFSA recommendations was associated with increased GDM risk (aOR = 1.99, 95%CI: 1.37–2.86). During mid-gestation, higher dietary fiber intake (aOR = 1.05, 95%CI: 1.00–1.10), higher protein intake (aOR = 1.02, 95% CI: 1.00–1.04), and higher protein percentage of energy intake (aOR = 1.08, 95%CI: 1.01–1.17) were all significantly associated with increased GDM risk. Changes from pre-pregnancy to pregnancy showed significant increases in dietary fiber intake (aOR = 1.07, 95%CI: 1.04–1.10), protein (aOR = 1.00, 95%CI: 1.00–1.01), fat (aOR = 1.00, 95%CI: 1.00–1.01), vegetable protein (aOR = 1.01, 95%CI: 1.00–1.03), animal protein (aOR = 1.00, 95%CI: 1.00–1.01), and monounsaturated fatty acid (MUFA) intake (aOR = 1.01, 95%CI: 1.00–1.02), all of which were associated with increased GDM risk. Conclusions: Energy intake above upper levels set by EFSA, as well as increased protein, MUFA, and fiber intake, although beneficial in balanced intakes, may negatively affect gestation by increasing GDM likelihood when consumed beyond requirements. Full article

As the global concern over greenhouse gas emissions grows, CO₂ storage in deep saline aquifers and depleted reservoirs has become crucial for climate change mitigation. This study evaluates the feasibility of Lithuanian deep saline aquifers, specifically, Syderiai and Vaskai, for effective CO₂ storage. Unlike previous theoretical analyses, it provides experimental data on static and dynamic reservoir parameters that impact CO₂ injection and retention. Using micro X-ray computed tomography (MXCT) and multi-resolution scanning at 8 µm and 22 µm, digital rock volumes (DRVs) from core samples were created to determine porosity and permeability. The method, validated against analogous samples, identified a representative element volume (REV) within sub-volumes, showing a homogeneous distribution of petrophysical properties in the Lithuanian samples. The results show that DRVs can accurately reflect pore-scale properties, achieving 90–95% agreement with lab measurements, and offer a rapid, efficient means for analyzing storage potentials. These insights confirm that Lithuanian aquifers are promising for CO₂ sequestration, with recommendations for further long-term monitoring and applications of this technique across the region. Full article

The present study prepared 7075Al composites reinforced with vapor-phase-grown carbon nanofibers (VGCNFs) using the spark plasma sintering (SPS) method. Constitutive equations of the composites were calculated, and thermal processing maps were constructed by performing thermal compression tests on the VGCNF/7075Al composites at deformation temperatures ranging from 300 to 450 °C and strain rates from 0.01 to 1 s⁻¹. This study analyzed the microstructural evolution of the VGCNF/7075Al composites during the thermomechanical processing. The experimental results demonstrated that dynamic recrystallization (DRX) primarily governed the softening mechanism of VGCNF/7075Al composites during thermomechanical processing. At high strain rates, a combination of dynamic recovery (DRV) and DRX contributed to the softening behavior. The incorporation of VGCNFs results in higher dislocation density and a larger orientation deviation within the 7075Al matrix during the thermomechanical deformation process, providing stored energy that facilitated DRX. The activation energy for deformation of VGCNF/7075Al composites was 175.98 kJ/mol. The constitutive equation of the flow stress showed that a hyperbolic sinusoidal form could effectively describe the relationship between flow stress, strain, strain rate, and temperature of VGCNF/7075Al composites. The optimal thermomechanical deformation parameters for VGCNF/7075Al composites were 400–450 °C and 0.01–0.1 s⁻¹ when the strain ranged from 0.05 to 0.15. For strains between 0.25 and 0.35, the optimal thermomechanical parameters were 380–430 °C and 0.01–1 s⁻¹. Full article

Next-generation sequencing (NGS) for HIV drug resistance (DR) testing has an increasing number of applications for the detection of low-abundance drug-resistant variants (LA-DRVs) in regard to its features as a quasi-species. However, there is less information on its detection performance in DR detection with NGS. To determine the feasibility of using NGS technology in LA-DRV detection for HIV-1 pretreatment drug resistance, 80 HIV-infected individuals who had never undergone antiretroviral therapy were subjected to both NGS and Sanger sequencing (SS) in HIV-1 drug resistance testing. The results reported in this study show that NGS exhibits higher sensitivity for drug resistance identification than SS at a 5% detection threshold. NGS showed a better consistency compared with that of SS for both protease inhibitors (PIs) and integrase inhibitors (INSTIs), with a figure amounting to more than 90%, but worse consistency in nucleotide reverse transcriptase inhibitors (NRTIs), with a consistency ranging from only 61.25% to 87.50%. The consistency of non-nucleotide reverse transcriptase inhibitors (NNRTIs) between NGS and SS was around 85%. NGS showed the highest sensitivity of 87.0% at a 5% threshold. The application of NGS technology in HIV-1 genotype resistance detection in different populations infected with HIV requires further documentation and validation. Full article

For materials with high stacking fault energy (SFE), such as aluminum alloys, dynamic recovery (DRV) and dynamic recrystallization (DRX) are essential softening mechanisms during plastic deformation, which lead to the continuous generation and refinement of newborn subgrains (2° ˂ misorientation angle ˂ 15°). The present work investigates the influence of compression parameters on the evolution of the substructures for a 1050 aluminum alloy at elevated temperatures. The alloy microstructure was investigated under deformation temperatures ranging from 300 °C to 500 °C and strain rates from 0.01 to 0.1 s⁻¹, respectively. A well-defined substructure and subsequent subgrain refinement provided indication of the evolution laws of the substructure under high-temperature compression. Corresponding experimental data on the average subgrain size under various compression conditions were obtained. Two different independent average subgrain size evolution models (empirical and substructure-based) were used and applied with several internal state variables. The substructure model employed physical variables to simulate subgrain refinement and thermal coarsening during deformation, incorporating a corresponding dislocation density evolution model. The correlation coefficient (R) and root mean square error (RMSE) of the substructure-based model were calculated to be 0.98 and 5.7%, respectively. These models can provide good estimates of the average subgrain size, with both predictions and experiments reproducing the expected subgrain size evolution using physically meaningful variables during continuous deformation. Full article

For this article, hot compression tests were carried out on homogenized 2050 Al-Cu-Li alloys under different deformation temperatures and strain rates, and an Arrhenius-type constitutive model with strain compensation was established to accurately describe the alloy flow behavior. Furthermore, thermal processing maps were created and the deformation mechanisms in different working regions were revealed by microstructural characterization. The results showed that most of the deformed grains orientated toward <101>//CD (CD: compression direction) during the hot compression process, and, together with some dynamic recovery (DRV), dynamic recrystallization (DRX) occurred. The appearance of large-scale DRX grains at low temperatures rather than in high-temperature conditions is related to the particle-stimulated nucleation mechanism, due to the dynamic precipitation that occurs during the deformation process. The hot-working diagrams with a true strain of 0.8 indicated that the high strain-rate regions C (300 °C–400 °C, 0.1–1 s⁻¹) and D (440 °C–500 °C, 0.1–1 s⁻¹) are unfavorable for the processing of 2050 Al-Li alloys, owing to the flow instability caused by local deformation banding, microcracks, and micro-voids. The optimum processing region was considered to be 430 °C–500 °C and 0.1 s⁻¹–0.001 s⁻¹, with a dissipation efficiency of more than 30%, dominated by DRV and DRX; the DRX mechanisms are DDRX and CDRX. Full article

Continuous dynamic recrystallization (CDRX) is widely acknowledged to occur during hot forming and plays a significant role in microstructure development in alloys with moderate to high stacking fault energy. In this work, the flow stress and CDRX behaviors of the TC18 alloy subjected to hot deformation across a wide range of processing conditions are studied. It is observed that deformation leads to the formation of new low-angle grain boundaries (LAGBs). Subgrains rotate by absorbing dislocations, resulting in an increase in LAGB misorientation and the transition of some LAGBs into high-angle grain boundaries (HAGBs). The HAGBs migrate within the material, assimilating the (sub)grain boundaries. Subsequently, an internal state variable (ISV)-based CDRX model is developed, incorporating parameters such as the dislocation density, adiabatic temperature rise, subgrain rotation, LAGB area, HAGB area, and LAGB misorientation angle distribution. The values of the correlation coefficient (R), relative average absolute error (RAAE), and root-mean-square error (RMSE) between the anticipated true stress and measured stress are 0.989, 6.69%, and 4.78 MPa, respectively. The predicted outcomes demonstrate good agreement with experimental findings. The evolving trends of the subgrain boundary area under various conditions are quantitatively analyzed by assessing the changes in dynamic recovery (DRV)-eliminated dislocations and misorientation angles. Moreover, the ISV-based model accurately predicts the decreases in grain and crystallite sizes with higher strain rates and lower temperatures. The projected outcomes also indicate a transition from a stable and coarse-grained microstructure to a continuously recrystallized substructure. Full article