Search Results (97)

To address the global plastic crisis, recycled plastics from food packaging were used as road materials by the dry method for practical application research. First, the main components of the recycled plastics were identified based on FTIR, and their thermal stability was evaluated through DSC, TG, and microscopic analysis. Then, the workability of the plastic–asphalt mixture was evaluated using the gyratory compaction indicator, void content, and compaction energy index (CEI). Finally, the effect of reused plastics on the cracking resistance of bituminous mixtures was examined with the Superpave IDT test. The results indicate that recycled plastics from food packaging are polyolefin composite materials, primarily consisting of Low-Density Polyethylene (LDPE), Linear Low-Density Polyethylene (LLDPE), High-Density Polyethylene (HDPE), and Polypropylene (PP), and that their thermal stability meets production requirements. Good compaction performance was observed with plastic content below 2% of the aggregate weight, while higher contents reduced void content due to the space occupied by plastics. When the plastic content increased from 0.5% to 2.0%, creep compliance decreased from 68.4% to 77.87%, while the m-value, tensile strength, and elastic energy maximum decreased by 30.77%, 5.6%, and 7%, respectively. In contrast, the failure strain, fracture energy, and maximum DSCE increased by 25.86%, 87.43%, and 133.05%, respectively. The recycled plastic enhanced the toughness of the asphalt mixture, increasing the dissipated energy during crack propagation and improving its resistance to permanent deformation. Moreover, the plastics hindered crack propagation through a bridging effect, leading to fewer cracks within plastic zones compared with surrounding areas. This study provides actionable guidance for the application of composite plastics in asphalt pavements and supports their sustainable development. Full article

This study investigates the ballistic performance of epoxy matrix composites reinforced with raffia fabric, aiming to evaluate their potential as the second layer in multilayered armor systems (MAS), replacing conventional synthetic aramid (Kevlar™) laminates. Composite plates with different volumetric fractions of raffia fabric (10, 20, and 30%) were manufactured and integrated with a ceramic front layer (Al₂O₃/Nb₂O₅) in MAS structures, which were then subjected to ballistic impact tests using high-energy 7.62 mm caliber ammunition. The backface signature (indentation depth) measured in ballistic clay, used as a human body simulant, showed that only the 10% raffia-reinforced composite (ER10) met the National Institute of Justice (NIJ 0101.06) safety threshold of 44 mm. Higher raffia contents (20% and 30%) led to increased indentation, compromising ballistic integrity. Scanning electron microscopy (SEM) of the fractured surfaces revealed typical energy dissipation mechanisms, such as fiber rupture, fiber pull-out, and interfacial delamination. The results indicate that raffia fabric composites with 10% fiber content can serve as a cost-effective and sustainable alternative to Kevlar™ in personal armor applications, while maintaining compliance with ballistic protection standards. Full article

Telerehabilitation is an effective, accessible addition or alternative to conventional rehabilitation for fracture management, especially in older adults after hip fractures, leveraging video visits, mHealth apps, virtual reality (VR), and wearable sensors to deliver exercise, education, and monitoring at home with high satisfaction and adherence. Across non-surgical and surgical contexts, telemedicine shows feasibility and cost benefits, with mixed superiority but consistent non-inferiority for functional outcomes versus in-person care. In hip fracture populations, randomized and non-randomized studies indicate improvements in functional independence measure (FIM), Timed Up and Go test (TUG), Activities of Daily Living/Instrumental Activities of Daily Living (ADLs/IADLs), and quality of life, with some evidence for reduced anxiety and depression, while effects on mobility, pain, and adverse events remain uncertain overall. In patients with upper-limb fractures, telerehabilitation appears to improve function and pain, though strength gains may lag compared with in-person therapy in some trials; adjuncts like motor imagery and virtual reality may enhance outcomes and motivation. Application is facilitated by user-friendly platforms, caregiver involvement, and simple modalities such as structured phone follow-up. Limitations include small samples, heterogeneous protocols, scarce long-term data, and a predominance of non-inferiority or complementary designs, warranting larger, definitive trials. This technology can lead to improved patient management at home, effortlessly verifying treatment compliance, efficacy, and safety, while simultaneously reducing the need for hospitalization, promoting a more peaceful recovery. Here, we have undertaken a narrative review of the medical–scientific literature in this field. Full article

In this study, specimens cured with an epoxy adhesive were subjected to fatigue tests, which were conducted under air and water atmospheres at room temperature, because few studies have been conducted on the deformation behavior versus time (number of cycles) of the combined degradation due to moisture and cyclic stress. The epoxy adhesive was cured into plates and then cut into dumbbell-shaped specimens. Micro surface cracks were introduced into the specimen surfaces. The fatigue limit of smooth specimens without cracks in water improved compared to that in air. However, when a pre-crack was introduced at the specimen surface, all specimens fractured from the crack in water and showed the same strength as in air. Fracture toughness showed no significant difference in values between the fatigue tests in air and water. The loss factor, compliance, and creep deformation increased significantly in the fatigue tests in water compared to those for the tests in air. The specimens after testing showed that the C=O peak intensity was the same for immersion in water, fatigue in water, and fatigue in air. Therefore, no change in the chemical structure occurred during any of the loading tests. Full article

Alcohol Use Disorder (AUD) is common among patients with maxillofacial trauma. Conventional perioperative care recommends complete abstinence. However, abrupt cessation can lead to Alcohol Withdrawal Syndrome (AWS), negatively impacting psychological well-being and compliance. This randomized controlled pilot study evaluated the effectiveness of Monitored Therapeutic Alcohol Administration (MTAA) in reducing perioperative stress and enhancing quality of life without impairing fracture healing. Twenty-four adult male patients with AUD and isolated facial fractures requiring surgery were enrolled. They were assigned to either an intervention group (n = 12) receiving MTAA—oral alcohol at 0.5 g/kg/day for two weeks—or a control group (n = 12) undergoing complete abstinence. Outcomes were assessed over six weeks, including stress (Zung Self-Rating Depression Scale), quality of life (Oral Health Impact Profile-14), soft tissue healing (Landry’s Index), and hard tissue healing (Moed’s Scale, serum osteocalcin). The MTAA group showed significantly reduced stress and improved quality of life (p < 0.001). Healing outcomes were comparable between groups, with no significant differences in soft tissue indices, osteocalcin levels, or radiographic scores. MTAA appears to be a safe and effective strategy to manage AWS-related distress and improve postoperative recovery, offering a practical alternative to strict abstinence in the surgical management of patients with AUD. Full article

Background/Objectives: Early evaluation and treatment of osteoporosis following a hip fracture is of paramount importance for secondary fracture prevention. Nevertheless, the extent to which osteoporosis management is documented in studies reporting on operatively treated hip fractures in elderly patients is unclear. This study is the first systematic review aiming to investigate and summarize the reporting of osteoporosis management in studies with operatively treated hip fractures in elderly patients. Methods: This systematic review was conducted in compliance with PRISMA guidelines. A comprehensive search within the last decade of PubMed, Embase, Cochrane Library, Web of Science, and Ovid was performed. Studies reporting on operatively treated hip fractures in patients older than 65 years of age were included. Two reviewers independently screened the studies and performed data extraction. A subsequent descriptive synthesis was performed. Results: Eighty-six (86) articles were included in this study. Osteoporosis management was reported in only twelve (12) studies. Only six (6) of them were conducted in institutions with established orthogeriatric care. Conclusions: Osteoporosis management is underreported in studies involving operatively treated hip fracture patients. This reflects a significant gap in the overall reporting of secondary fracture prevention actions. Consequently, we advocate for both (a) clinical vigilance for adherence to best practice related to osteoporosis management after the first hip fracture and reporting of the results and (b) the research focusing on the outcomes of secondary fracture prevention efforts. Full article

Background/Objectives: The calcaneus is the most commonly injured tarsal bone, potentially resulting in long-term functional deficiencies and disability. The type of treatment mainly depends on fracture type and morphology. Treatment of these fractures can be challenging due to a limited soft tissue envelope and is frequently associated with complications. The aim of this study was to classify fracture types and identify factors associated with in-hospital complications. Methods: Patients with calcaneal fractures treated at our level I trauma center between 1997 and 2017 were included. Demographic data, comorbidities, fracture characteristics, type of treatment, complications and revisions, compliance and accompanying injuries were evaluated. Results: A total of 238 patients (m = 163, f = 75) at a mean age of 40 years sustaining either uni- or bilateral calcaneal fracture resulting in a total of 288 calcaneal fractures. Concomitant injuries were present in 103 patients (35.9%). Traumatic spine lesions were present in 21.9%. Complications were recorded in 59 fractures (20.5%). Open fractures were more likely to develop complications (76.0% vs. 15.2%, p < 0.001). Significant complication (33% vs. 14%, p < 0.001) and wound complication rates (29% vs. 10%, p < 0.001) were found in multiple-injured patients. All open fractures were surgically treated on the day of admission. In calcaneal fractures with a Böhler angle below 0 degrees, more complications were seen (33% vs. 17%, p < 0.05). Conclusions: High complication rates following calcaneal fractures were detected, with an increased likelihood in open fractures and in patients with multiple injuries. A negative Böhler angle was associated with worse outcomes. Full article

Background/Objectives: Acetabular fractures in older adults pose significant challenges due to bone fragility, complex fracture patterns, and increased comorbidities. Surgical management, including isolated open reduction and internal fixation (ORIF) and ORIF combined with acute total hip arthroplasty (THA) (combined hip procedure—CHP), have advanced considerably. Nevertheless, optimal postoperative rehabilitation and particularly weight-bearing (WB) recommendations remain controversial and inconsistent. This review aims to assess rehabilitation protocols, focusing on WB strategies following the surgical treatment of acetabular fractures in older adults. It also examines differences in WB restrictions by surgical technique (ORIF vs. CHP) and their impact on recovery, complications, reoperations, and mortality. Methods: A systematic review of PubMed, Embase, and the Cochrane Library (2006–2024) included studies involving patients aged ≥65 years treated surgically for displaced acetabular fractures. Data included WB protocols (full, partial, toe-touch), length of stay (LOS), healing, functional outcomes (mobility, Harris and Oxford Hip Scores), complications, reoperations, delayed THA, compliance, readmission, and mortality. Due to heterogeneity, findings were narratively synthesized. Risk of bias was assessed using ROBINS-I and RoB2. Results: Twenty studies involving 929 patients (530 isolated ORIF, 399 CHP) were analyzed. The overall mean follow-up was 3.5 years (range: 1–5.25 years). Postoperative WB protocols were reported in 19 studies (95%). Immediate full WB was permitted in 0% of isolated ORIF studies (0/13), with partial WB recommended by 62% (8/13) for durations typically between 6 and 12 weeks. On the other hand, immediate full WB was allowed in 53% (9/17) of CHP studies. Functional outcomes were moderate following isolated ORIF (mean HHS: 63–82 points), with delayed THA conversion rates ranging from 16.5% to 45%. CHP demonstrated superior functional outcomes (mean HHS: 70–92 points), earlier independent ambulation, and higher patient satisfaction (74–90%), yet increased orthopedic complications, including dislocations (8–11%) and implant loosening (up to 18%). LOS varied from 12 to 21 days (mean 16 days) for isolated ORIF and from 8 to 25 days (mean 17 days) for CHP. Readmission within 30 days was not explicitly reported in any study. Mortality at 1 year varied significantly (ORIF: 0–25%; CHP: 0–14%), increasing markedly at long-term follow-up (up to 42% ORIF, up to 70% CHP at five years). Compliance with WB restrictions was monitored in only two studies (11%). Conclusions: Postoperative rehabilitation after acetabular fracture surgery in older adults remains inconsistent and lacks standardization. Combining ORIF with acute THA may enable earlier weight-bearing and improved short-term function but carries risks such as dislocation and implant loosening. In contrast, isolated ORIF avoids these implant-related complications but often requires prolonged weight-bearing restrictions. Robust evidence is still missing. Future trials are essential to establish standardized protocols that balance mechanical protection and functional recovery. Full article

The increasing incidence of osteoporotic fractures determines ongoing research on new methods and strategies for improving the difficult healing process of this type of fracture. Osteoporotic patients suffer from the intense side effects of accustomed drug treatment and its systemic distribution in the body. To overcome these drawbacks, besides searching for new drugs, 3D-printed scaffolds and drug delivery systems have started to be increasingly seen as the main strategy employed against osteoporosis. Three-dimensionally printed scaffolds can be tailored in intricate designs and make use of nanoscale topographical and biochemical cues able to enhance bone tissue regeneration. Research regarding drug delivery systems is exploring bold new ways of targeting bone tissue, making use of designs involving nanoparticles and intricate encapsulation and support methods. The local administration of treatment with the help of a scaffold-based drug delivery system looks like the best option through its use of the advantages of both structures. Biomimetic systems are considered the future norm in the field, while stimuli-responsiveness opens the door for the next level of efficiency, patient compliance, and a drastic reduction in side effects. The successful approval of these products still requires numerous challenges throughout the development and regulatory processes, but the interest and effort in this direction are high. This review explored various strategies for managing osteoporosis, emphasizing the use of scaffolds for targeted drug delivery to bone tissue. Instead of covering the whole subject, we focused on the most important aspects, with the intention to provide an up-to-date and useful introduction to the management of osteoporosis. Full article

Parameters of EPFM are used as relevant parameters in structural integrity assessments. In this research, the fracture toughness of armoured steel was determined. The resulting resistance curves and K_JIC obtained according to the ASTM E1820 standard with normalization, compliance and multi-specimen methods were compared. Also, the K_IC was verified according to the ASTM E399 standard as the most precise method for obtaining the K_IC, which also requires a lot of knowledge. For the experiment, the multi-specimen method was used, which is the most expensive and most accurate method, where the least assumption and crack size is measured on the specimen. A fractographic analysis was also presented, and this heat-treated high-strength steel, which is used for anti-ballistic protection, was fully characterized. Full article

Carrot pomace is a valuable, underutilized by-product suitable for obtaining novel foods. The durum wheat dough and pasta network structure is affected by fiber-rich ingredients like carrot pomace, leading to changes in rheological and texture parameters. In this context, this paper aimed to evaluate the rheological, textural, and color properties of durum wheat dough and pasta as affected by different varieties and addition levels of carrot pomace. For this purpose, oscillatory dynamic rheological tests, compression mechanical texture evaluation, cooking behavior observation, and reflectance color measurements were made. The results indicated that carrot pomace has a strengthening effect on the durum wheat dough protein–starch matrix, while the maximum creep compliance decreased with the addition level increase. A delay in starch gelatinization was suggested by the evolution of visco-elastic moduli during heating. Dough hardness and gumminess increased (from 2849.74 for the control to 5080.67 g for 12% Baltimore, and from 1073.73 for the control to 1863.02 g for 12% Niagara, respectively), while springiness and resilience exhibited a reduction trend (from 100.11% for the control to 99.50% for 12% Sirkana, and from 1.23 for the 3% Niagara to 0.87 for 12% Belgrado respectively) as the amount of carrot pomace raised. An increasing tendency of pasta solids loss during cooking and fracturability was observed with carrot pomace addition level increase. Color properties changed significantly depending on carrot pomace variety and addition level, indicating a reduction in lightness from 71.71 for the control to 63.12 for 12% Niagara and intensification of red nuance (0.05 for the control vs. 2.85 for 12% Sirkana). Cooked pasta elasticity, chewiness, gumminess, hardness, and resilience increased, while adhesiveness and stickiness decreased as the level of carrot pomace was higher. These results can represent a starting point for further industrial development of pasta enriched with fiber-rich ingredients like carrot pomace. The study highlights the possibility of using a fiber-rich waste stream (carrot pomace) in a staple product like pasta, providing a basis for clean-label pasta formulations. In addition, the novelty of the study consists in highlighting how compositional differences of different carrot pomace varieties lead to distinct effects on dough rheology, texture, color, and cooking behavior. Full article

Background and Objectives: Our study aimed to retrospectively examine the routine radiographs on the first postoperative day of osteosynthesis applications performed in the supine position with the help of a traction table, in the lateral decubitus position, and in the supine position in patients with intertrochanteric fractures of the femur who had a proximal femoral nail applied. It also aimed to compare them in terms of radiology. This study investigated the effects of three different patient positions on fracture reduction, a topic rarely encountered in the literature. Materials and Methods: Patients who underwent proximal femoral nailing in three different positions—the supine, traction table, and lateral decubitus positions—due to femoral intertrochanteric fractures in two different centers were analyzed. A total of 157 patients with complete early radiographs were included in this study to evaluate the quality of postoperative reduction and fixation. Results: There was a significant difference between the traction table-assisted supine position group (mean: 25.31 mm) and both the lateral decubitus position (mean: 31.91 mm) and supine position (mean: 31.79 mm) groups in terms of the TAD (p = 0.000). Regarding the collodiaphyseal angle, the traction table-assisted supine position (mean: 130.720°) and lateral decubitus position (mean: 130.290°) groups showed significantly higher values than the supine position group (mean: 124.190°) (p = 0.000). The average lengths of the lag and compression screws were lower in the lateral decubitus position group compared with the other groups (p = 0.000). Patients in the supine position group had smaller nail diameters and lengths (p = 0.000). When examining the Cleveland–Bosworth lag screw placements, the most frequent position was center–center, including 22 patients (31%) in the traction table-assisted supine position group, 15 patients (30.6%) in the lateral decubitus position group, and 9 patients (24.3%) in the supine position group, though the difference was not statistically significant (p = 0.203). Among the reduction criteria we investigated, the TAD on the traction table was statistically significantly closer to the targeted measurement, with an average of 25.31 mm, compared with the other two positions (p = 0.000). The collodiaphyseal angle was significantly within the target range in the traction table-assisted supine group, averaging 130.720°, compared with the supine position (p = 0.000). In the traction table group, according to the modified Baumgaertner classification, 59.2% achieved a good reduction; according to the Ikuta classification, subtype N accounted for 69.4%; and according to the Cleveland–Bosworth classification, a center–center placement was present in 31% of patients. Conclusions: All three types of operation can be preferred according to the habits of the surgeon operating and the variables during the operation (the fracture type, history of orthopedic surgery, and the material components of the application phase). Accompanied by these data, we recommend the traction table operation as a priority and the lateral decubitus position operation as a second preference in compliance with the technical requirements. Full article

Accurately modeling fractures in wave-propagation simulations is challenging due to their small scale relative to other features. While equivalent-media models can approximate fracture-induced anisotropy, they fail to capture their discrete influence on wave propagation. To address this limitation, the Interior-Penalty Discontinuous Galerkin Method (IP-DGM) can be adapted to incorporate the Linear-Slip Model (LSM) to represent fractures explicitly. In this study, we apply IP-DGM to elastic wave propagation in fractured cylindrical domains using realistic fracture compliances obtained from laboratory experiments (using ultrasonic-pulse transmission) to simulate the effects of fluid-filled fractures. We analyze how fracture spacing and fluid type influence P- and S-wave behavior, focusing on amplitude attenuation and wave-front delays. Our numerical results align with experimental and theoretical predictions, demonstrating that higher-density fluids enhance wave transmission, reducing the impedance contrast and improving coupling across fracture surfaces. These findings highlight the capability of IP-DGM to accurately model wave propagation in realistic fractured and saturated media, providing a valuable tool for seismic monitoring in fractured reservoirs and other applications where fluid-filled fractures are prevalent. Full article

New assembly methods for aircraft structural parts, such as skins and stringers, are being investigated to address issues like galvanic corrosion, stress concentration, and weight. For this, many researchers are examining the mechanical and fracture properties of adhesively bonded parts through experimental testing and numerical modelling methods, including Cohesive Zone Modelling (CZM), Compliance-Based Beam Method (CBBM), Double Cantilever Beam (DCB), and End Notched Flexural (ENF) tests. In this study, similarly, DCB and ENF tests were conducted on skin and beam parts bonded with AF163-2K adhesive using CBBM and then modelled and analysed in ABAQUS CAE 2018 software. Four different skin–stringer connection models were analysed, respectively, using only adhesive, only rivets, both adhesive and rivets, and also a reduced number of rivets in the adhesively bonded joint. This study found that adhesive increased initial strength, while rivets improved strength after the adhesive began to crack. Using a hybrid connection that combines both rivets and adhesive has been observed to enhance the overall strength and durability of the assembly. Then, experimental results were compared, and four numerical models for skin–stringer connections (adhesive only, rivets only, adhesive and rivets, and adhesive with reduced rivets) were analysed and discussed. In this context, the results were supported and reported with graphs, tables, and analysis images. Full article

Background: The number of senior chronic kidney disease (CKD) patients is steadily increasing worldwide. Falls are more frequent in this group than in the general population, and they are associated with a variety of complications ranging from minor (bruises) to severe (fracture, brain injury, or death). The significant burden of comorbidities, particularly cardiovascular disorders, impacts coordination. The aim of the study was to assess coordination disorders in CKD patients in the context of cardiovascular complications and vascular status. Methods: In this prospective study, 132 patients with CKD 2–5, including 40 (30%) hemodialysis patients, were enrolled. The short form physiological profile assessment (S-PPA) was used to assess coordination. Results: During a 2-year follow-up period, 49 individuals experienced 84 falls. The median S-PPA score (Z score) was 3.36. Based on this, we divided our cohort into two groups: a Z score of <3.36 and a Z score of ≥3.36. The groups with high scores (≥3.36) characterized by higher parameters of vessel stiffness, including AIx@75, augmentation pressure, and PWV, experienced considerably greater numbers of falls (41 vs. 8, p < 0.001), CV events (10 vs. 2, p < 0.05), and deaths (14 vs. 0, p < 0.001). Conclusions: Coordination impairments and the associated risk of falls in CKD patients are directly related to cardiovascular diseases and vascular conditions. Lower arterial compliance has been linked with the largest coordination disorder. Visual impairments, especially contrast sensitivity, are an independent risk factor for falls. Full article