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579 Results Found

  • Article
  • Open Access
1 Citations
1,357 Views
11 Pages

Robustness Assessment of Oncology Dose-Finding Trials Using the Modified Fragility Index

  • Amy X. Shi,
  • Heng Zhou,
  • Lei Nie,
  • Lifeng Lin,
  • Hongjian Li and
  • Haitao Chu

17 October 2024

Objectives: The sample sizes of phase I trials are typically small; some designs may lead to inaccurate estimation of the maximum tolerated dose (MTD). The objective of this study was to propose a metric assessing whether the MTD decision is sensitiv...

  • Review
  • Open Access
10 Citations
5,404 Views
11 Pages

Fragility Index and Fragility Quotient in Randomized Controlled Trials on Corticosteroids in ARDS Due to COVID-19 and Non-COVID-19 Etiology

  • Maria Vargas,
  • Annachiara Marra,
  • Pasquale Buonanno,
  • Antonio Coviello,
  • Carmine Iacovazzo and
  • Giuseppe Servillo

14 November 2021

Background: The effectiveness of corticosteroids in acute respiratory distress syndrome (ARDS) and COVID-19 still remains uncertain. Since ARDS is due to a hyperinflammatory response to a direct injury, we decided to perform a meta-analysis and an ev...

  • Article
  • Open Access
4 Citations
2,595 Views
18 Pages

Aftershock Fragility Assessment of Continuous RC Girder Bridges Using a Modified Damage Index

  • Zhengnan Wang,
  • Xiaowei Deng,
  • Xiheng Luo,
  • Xinzhi Dang and
  • Junjun Guo

12 October 2022

Aftershock fragility is usually calculated conditioned on a range of potential post-mainshock damage states. The post-mainshock damage can be identified using damage indices, the latter being frequently associated with displacement-based parameters s...

  • Article
  • Open Access
3 Citations
9,221 Views
16 Pages

26 October 2021

In regions exposed to floods followed by cold weather, brick masonry as a structural basis of the building envelope can be damaged due to the accompanying phenomenon of freezing and thawing. The main purpose of the article is the development of a mat...

  • Article
  • Open Access
2 Citations
3,421 Views
15 Pages

Earthquake Damage Index and Fragility Analysis of Steel Damper for Seismic Isolation Bridge

  • Meng Liu,
  • Hao Gao,
  • Junjie Wang,
  • Zhengfang Dong and
  • Haiquan Yan

13 June 2023

As an important component in seismic isolation bridges, steel dampers should have excellent low-cycle fatigue performance. This paper performs destructive tests of two types of steel dampers to accurately evaluate the fatigue damage of steel dampers...

  • Article
  • Open Access
382 Views
14 Pages

20 November 2025

Background: Risk factors, including Joint Index Vector (JIV), a new disease activity indicator based on three-axis coordinates, and a pain score using a visual analog scale (PS-VAS), were evaluated for incident bone fragility fractures (inc-BFF) in p...

  • Systematic Review
  • Open Access
2 Citations
3,123 Views
11 Pages

20 October 2022

Inhibition of the renin-angiotensin-aldosterone system (RAAS) is broadly recommended in many nephrological guidelines to prevent chronic kidney disease (CKD) progression. This work aimed to analyze the robustness of randomized controlled trials (RCTs...

  • Article
  • Open Access
49 Citations
5,591 Views
8 Pages

The Fragility Index in a Cohort of Pediatric Randomized Controlled Trials

  • Travis J. Matics,
  • Nadia Khan,
  • Priti Jani and
  • Jason M. Kane

14 August 2017

Data suggest inadequacy of common statistical techniques for reporting outcomes in clinical trials. The Fragility Index can measure how many events the statistical significance hinges on, and may facilitate better interpretation of trial results. Thi...

  • Article
  • Open Access
2 Citations
1,961 Views
24 Pages

25 June 2023

This study analyzes the applicability of different damage indexes for bearings, focusing on the time-dependent deterioration of materials and the time-dependent bond-slip behavior between steel and concrete caused by chloride erosion. First, the meth...

  • Perspective
  • Open Access
2,465 Views
12 Pages

17 June 2024

The p-value has long been the standard for statistical significance in scientific research, but this binary approach often fails to consider the nuances of statistical power and the potential for large sample sizes to show statistical significance de...

  • Systematic Review
  • Open Access
6 Citations
3,455 Views
14 Pages

Endovascular Treatment for Acute Basilar Artery Occlusion: A Fragility Index Meta-Analysis

  • Lina Palaiodimou,
  • Andreas Eleftheriou,
  • Aristeidis H. Katsanos,
  • Apostolos Safouris,
  • Georgios Magoufis,
  • Stavros Spiliopoulos,
  • Georgios Velonakis,
  • Sofia Vassilopoulou,
  • Diana Aguiar de Sousa and
  • Georgios Tsivgoulis
  • + 2 authors

30 March 2023

Introduction: High-quality evidence regarding the use of endovascular treatment (EVT) in patients with acute basilar artery occlusion (BAO) has been provided by recently completed randomized controlled clinical trials (RCTs). Methods: We conducted a...

  • Review
  • Open Access
40 Citations
9,192 Views
17 Pages

25 September 2017

With the popularity of network and the continuous development of multimedia technology, saving of network bandwidth and copyright protection of multimedia content have gradually attracted people’s attention. The fragile watermark for integrity authen...

  • Article
  • Open Access
6 Citations
4,898 Views
29 Pages

Fragile States Metric System: An Assessment Model Considering Climate Change

  • Yijian Liu,
  • Chaoqun Zhou,
  • Lin Li,
  • Liang Su and
  • Yuanbiao Zhang

28 May 2018

As a measure of the sustainability of a country, a state’s fragility is attributed to numerous elements. Meanwhile, climate change is a potential global threat in the 21st century, which may further aggravate the fragility of countries. Concern...

  • Article
  • Open Access
8 Citations
2,800 Views
10 Pages

The Phenotype of Bone Turnover in Patients with Fragility Hip Fracture: Experience in a Fracture Liaison Service Population

  • Carla Caffarelli,
  • Nicola Mondanelli,
  • Eduardo Crainz,
  • Stefano Giannotti,
  • Bruno Frediani and
  • Stefano Gonnelli

Background: Hip fragility fractures are becoming one of the main health care problems in countries with an aging population. This study aimed to evaluate the clinical characteristics and the usefulness of bone turnover markers in patients with a hip...

  • Review
  • Open Access
6 Citations
4,597 Views
22 Pages

9 August 2024

This paper summarises the evolution of the Water Poverty Index (WPI) application at different scales since its emergence. The review captures the main milestones and remarkable developments around the world. It sets the foundation for identifying the...

  • Article
  • Open Access
12 Citations
6,501 Views
24 Pages

1 September 2021

In this paper, the seismic response of a five-story reinforced concrete (RC) frame system building is analysed through fragility analysis. The structure is designed in accordance with structural Eurocodes EN1990, EN1991, EN1992 and EN1998, as a high-...

  • Article
  • Open Access
5 Citations
2,710 Views
17 Pages

14 October 2021

This paper presents a copula technique for developing seismic fragility curves for an RC (reinforced concrete) isolated continuous girder bridge, by considering earthquake damage indicators such as bridge piers, isolated bearing components, and the m...

  • Article
  • Open Access
290 Views
27 Pages

16 January 2026

Recent studies in the Romanian Western Carpathians have revealed increasing socio-demographic fragility in rural areas and small towns, driven by depopulation, population aging, and declining living standards. These trends stem from the legacy of for...

  • Article
  • Open Access
1,015 Views
28 Pages

Systemic Risk Modeling with Expectile Regression Neural Network and Modified LASSO

  • Wisnowan Hendy Saputra,
  • Dedy Dwi Prastyo and
  • Kartika Fithriasari

Traditional risk models often fail to capture extreme losses in interconnected global stock markets. This study introduces a novel approach, Expectile Regression Neural Network with Modified LASSO regularization (ERNN-mLASSO), to model nonlinear syst...

  • Article
  • Open Access
9 Citations
2,702 Views
32 Pages

Drivers of Green Growth: Roles of Innovation and Fragility

  • Emad Kazemzadeh,
  • Narges Salehnia,
  • Yang Yu and
  • Magdalena Radulescu

17 January 2025

In recent years, policymakers have increasingly focused on environmental quality and economic growth. While various factors influence green growth, two important factors that have been overlooked in research are the global innovation index and the fr...

  • Article
  • Open Access
22 Citations
9,788 Views
13 Pages

Attenuation of Red Blood Cell Storage Lesions with Vitamin C

  • Kimberly Sanford,
  • Bernard J. Fisher,
  • Evan Fowler,
  • Alpha A. Fowler and
  • Ramesh Natarajan

Stored red blood cells (RBCs) undergo oxidative stress that induces deleterious metabolic, structural, biochemical, and molecular changes collectively referred to as “storage lesions”. We hypothesized that vitamin C (VitC, reduced or oxidized) would...

  • Review
  • Open Access
58 Citations
9,525 Views
31 Pages

Seismic Vulnerability Assessment Methodologies for Roadway Assets and Networks: A State-of-the-Art Review

  • Ahmad Mohamad El-Maissi,
  • Sotirios A. Argyroudis and
  • Fadzli Mohamed Nazri

23 December 2020

Road networks are considered as one of the most important transport infrastructure systems, since they attain the economic and social prosperity of modern societies. For this reason, it is vital to improve the resiliency of road networks in order to...

  • Article
  • Open Access
10 Citations
3,677 Views
21 Pages

13 October 2022

The mainshock (MS) is often accompanied by a number of aftershocks (AS). The existence of AS may cause the seismic demand to be greater than the MS. In order to better evaluate the impact of AS, this paper takes RC columns as the research object and...

  • Article
  • Open Access
1 Citations
1,109 Views
14 Pages

Ageing and BMI in Focus: Rethinking Risk Assessment for Vertebral Fragility and Pedicle Screw Loosening in Older Adults

  • Jun Li,
  • André Strahl,
  • Beate Kunze,
  • Stefan Krebs,
  • Martin Stangenberg,
  • Lennart Viezens,
  • Patrick Strube and
  • Marc Dreimann

27 July 2025

Background/Objectives: Pathological vertebral fragility (path-VF) increases the risk of osteoporotic fractures and pedicle screw loosening (PSL) after posterior instrumented spinal fusion (PISF). While WHO body mass index (BMI) categories broadly ide...

  • Article
  • Open Access
1 Citations
2,871 Views
30 Pages

19 June 2023

Considering the development of urban transportation systems and the importance of highway bridges in a city’s resilience against earthquakes, it is critical to pay special attention to the seismic risk evaluation of highway bridges. The most si...

  • Article
  • Open Access
10 Citations
2,833 Views
20 Pages

26 July 2022

Many scholars are skeptical about the poverty reduction effect and the ecological effect of poverty alleviation resettlement (PAR). This study evaluates the spatial and temporal evolution of the ecological environment quality (EEQ) to analyze the eff...

  • Article
  • Open Access
405 Views
26 Pages

Semi-Fragile Watermarking Scheme for High-Resolution Color Images: Tamper Identification, Ownership Authentication, and Self-Recovery

  • Manuel Cedillo-Hernandez,
  • Antonio Cedillo-Hernandez,
  • Francisco Javier Garcia-Ugalde and
  • Juan Carlos Sanchez-Garcia

26 December 2025

The advancements in communication and information technologies have substantially enabled the extensive distribution and modification of high-resolution color images. Although this accessibility provides many advantages, it also presents risks relate...

  • Article
  • Open Access
19 Citations
2,720 Views
19 Pages

Quantifying the Ecological Effectiveness of Poverty Alleviation Relocation in Karst Areas

  • Qing Feng,
  • Zhongfa Zhou,
  • Changli Zhu,
  • Wanlin Luo and
  • Lu Zhang

23 November 2022

During the 13th Five-Year Plan period (2015–2020), the Poverty alleviation relocation (PAR), led by the Chinese government in the karst regions of southwest China, aimed to cope with poverty and ameliorate the ecological environment. Neverthele...

  • Article
  • Open Access
2,205 Views
27 Pages

Global Shocks and Local Fragilities: A Financial Stress Index Approach to Pakistan’s Monetary and Asset Market Dynamics

  • Kinza Yousfani,
  • Hasnain Iftikhar,
  • Paulo Canas Rodrigues,
  • Elías A. Torres Armas and
  • Javier Linkolk López-Gonzales

19 August 2025

Economic stability in emerging market economies is increasingly shaped by the interplay between global financial integration, domestic monetary dynamics, and asset price fluctuations. Yet, early detection of financial market disruptions remains a per...

  • Article
  • Open Access
2 Citations
3,130 Views
12 Pages

Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis

  • Moritz F. Lodde,
  • Thies M. Fischer,
  • Oliver Riesenbeck,
  • Steffen Roßlenbroich,
  • J. Christoph Katthagen,
  • Daria Rometsch,
  • Dennis Günes,
  • Marc Schneider,
  • Michael J. Raschke and
  • Ulf Liljenqvist

2 July 2023

Background: We investigated the spinopelvic parameters of lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS) in patients with fragility fractures of the pelvis (FFPs). We hypothesized that these parameters differ from...

  • Feature Paper
  • Article
  • Open Access
105 Citations
9,672 Views
68 Pages

Stochastic Vulnerability Assessment of Masonry Structures: Concepts, Modeling and Restoration Aspects

  • Panagiotis G. Asteris,
  • Antonia Moropoulou,
  • Athanasia D. Skentou,
  • Maria Apostolopoulou,
  • Amin Mohebkhah,
  • Liborio Cavaleri,
  • Hugo Rodrigues and
  • Humberto Varum

10 January 2019

A methodology aiming to predict the vulnerability of masonry structures under seismic action is presented herein. Masonry structures, among which many are cultural heritage assets, present high vulnerability under earthquake. Reliable simulations of...

  • Article
  • Open Access
10 Citations
4,152 Views
16 Pages

Effect of Metal-Ligand Coordination Complexes on Molecular Dynamics and Structure of Cross-Linked Poly(dimethylosiloxane)

  • Angelika Wrzesińska,
  • Izabela Bobowska,
  • Paulina Maczugowska,
  • Joanna Małolepsza,
  • Katarzyna M. Błażewska and
  • Aleksandra Wypych-Puszkarz

28 July 2020

Poly(dimethylosiloxane) (PDMS) cross-linked by metal-ligand coordination has a potential functionality for electronic devices applications. In this work, the molecular dynamics of bipyridine (bpy)–PDMS-MeCl2 (Me: Mn2+, Fe2+, Ni2+, and Zn2+) are...

  • Article
  • Open Access
3 Citations
2,540 Views
23 Pages

A time-domain wind-induced damage evaluation for the risk- and resilience-targeted design of building structures requires nonlinear dynamic analysis (NDA) solvers to handle long duration input loads. Moreover, post-construction damage identification...

  • Article
  • Open Access
641 Views
18 Pages

Development of Seismic Fragility Curve for Railway Tunnel Crossing Fracture Zone

  • Woo Seung Song,
  • Sunnie Haam,
  • Sang Ki Lee,
  • Jinsoo Kim,
  • Hyunmin Song,
  • Mintaek Yoo and
  • Seokjung Kim

12 September 2025

This study investigates the seismic fragility of railway tunnels intersecting fractured geological zones using a nonlinear numerical approach. A series of dynamic analyses was performed on tunnel models subjected to multiple ground motions with varyi...

  • Article
  • Open Access
17 Citations
4,014 Views
17 Pages

14 October 2022

The Qinghai-Tibet Plateau serves as an important ecological security shelter in China and across Asia. During the past two decades, the patterns of land development and conservation on the Qinghai-Tibet Plateau have undergone significant changes unde...

  • Article
  • Open Access
4 Citations
2,549 Views
9 Pages

8 February 2024

Background: The cortical thickness index (CTI) is a measure of bone quality and it correlates with the risk of proximal femoral fractures. The purpose of this study was to investigate the CTI in femoral neck, trochanteric fractures and non-fractured...

  • Article
  • Open Access
1 Citations
2,898 Views
19 Pages

Holistic Environmental Risk Index for Oil and Gas Industry in Colombia

  • Miguel A. De Luque-Villa,
  • Daniel Armando Robledo-Buitrago and
  • Claudia Patricia Gómez-Rendón

13 March 2024

Risk management for technological hazards mainly focuses on the consequences for human lives. Although technological risk analysis evaluates environmental vulnerability, it does not reflect the consequences of environmentally exposed elements. This p...

  • Article
  • Open Access
9 Citations
2,225 Views
16 Pages

Development of Seismic Fragility Function for Underground Railway Station Structures in Korea

  • Sun Yong Kwon,
  • Jongkwan Kim,
  • Dongyoup Kwak,
  • Seunghoon Yang and
  • Mintaek Yoo

24 April 2024

This study describes the methodology employed to construct a seismic fragility function based on a pre-existing numerical model tailored for underground stations. Employing a dynamic numerical model, a comprehensive analysis encompassing 110 distinct...

  • Article
  • Open Access
3 Citations
1,529 Views
21 Pages

18 September 2024

Assessing the fragility of intake towers using a single damage index does not allow for accurate evaluation of the potential for structural damage under seismic conditions. In this study, based on the probabilistic seismic demand analysis method, the...

  • Article
  • Open Access
12 Citations
2,869 Views
11 Pages

Fragility Fractures and Imminent Fracture Risk in the Spanish Population: A Retrospective Observational Cohort Study

  • Maria-José Montoya-García,
  • Mercè Giner,
  • Rodrigo Marcos,
  • David García-Romero,
  • Francisco-Jesús Olmo-Montes,
  • Mª José Miranda,
  • Blanca Hernández-Cruz,
  • Miguel-Angel Colmenero and
  • Mª Angeles Vázquez-Gámez

5 March 2021

Fragility fractures constitute a major public health problem worldwide, causing important high morbidity and mortality rates. The aim was to present the epidemiology of fragility fractures and to assess the imminent risk of a subsequent fracture and...

  • Article
  • Open Access
816 Views
24 Pages

Longitudinal Calculation of Water Poverty Index in the Middle East: Potential to Expedite Progress

  • Ashraf Isayed,
  • Juan M. Menendez-Aguado,
  • Hatem Jemmali and
  • Nidal Mahmoud

1 October 2025

This study examines the longitudinal relationship and interactions among comprehensive water management, human development, and fragility. The seventeen Middle Eastern countries were examined for the period from 1996 to 2023. The Human Development In...

  • Systematic Review
  • Open Access
3 Citations
1,786 Views
14 Pages

24 October 2024

Background/Objectives: Comparative studies often use the p value to convey statistical significance, but fragility indices (FI) and fragility quotients (FQ) may better signify statistical strength. The use of aspirin as venous thromboembolism (VTE) c...

  • Article
  • Open Access
861 Views
22 Pages

23 March 2025

This paper validates the effectiveness of the modeling approach based on the finite element analysis of shaking table tests, establishing finite element models for both a base-isolated structure and a hybrid base-isolated structure designed to addres...

  • Review
  • Open Access
30 Citations
4,613 Views
13 Pages

20 April 2022

Bone strain Index (BSI) is an innovative index of bone strength that provides information about skeletal resistance to loads not considered by existing indexes (Bone Mineral Density, BMD. Trabecular Bone Score, TBS. Hip Structural Analysis, HSA. Hip...

  • Article
  • Open Access
965 Views
18 Pages

As an important industry in ecologically fragile areas, the synergy of agricultural pollution control and carbon reduction is vital for the balanced development of industries and regional synergy. This paper aims to explore the synergistic result of...

  • Article
  • Open Access
5 Citations
5,197 Views
17 Pages

In this article we present three instruments: (1) a social vulnerability to extreme heat index to identify the areas of a city (and populations thereof) more vulnerable to extreme heat due to climate change (heat islands); (2) a new overall fragility...

  • Article
  • Open Access
1,320 Views
19 Pages

The Financial Lobster Bias

  • Óscar De los Reyes Marín,
  • Iria Paz Gil,
  • Jose Torres-Pruñonosa and
  • Raúl Gómez-Martínez

The Financial Lobster Bias describes how SMEs, driven by distorted liquidity perceptions, engage in aggressive expansion until financial breakdown occurs. Using data from 10,412 Spanish SMEs (2000–2024), this study shows that liquidity misperce...

  • Article
  • Open Access
47 Citations
4,033 Views
15 Pages

23 November 2019

The vulnerability of ecological environment threatens social and economic development. Recent studies failed to reveal the driving mechanism behind it, and there is little analysis on the spatial clustering characteristics of the vulnerability of urb...

  • Feature Paper
  • Article
  • Open Access
13 Citations
2,840 Views
15 Pages

Probabilistic Seismic Safety Assessment of Railway Embankments

  • Mohammadreza Mohammadi,
  • Araliya Mosleh,
  • Mehran S. Razzaghi,
  • Pedro Alves Costa and
  • Rui Calçada

1 January 2023

The purpose of this research is to study the seismic performance of railway embankments through a probabilistic approach. Nonlinear response history analyses were conducted utilizing PLAXIS software. Three categories of railway embankments were selec...

  • Article
  • Open Access
3 Citations
2,854 Views
19 Pages

8 August 2023

A quantitative evaluation model is proposed to assess the seismic resilience of water supply systems. The water supply system is divided into three parts: water sources, aboveground infrastructures, and underground pipeline network, and importance fa...

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