Search Results (268)

Background: The 4CMenB vaccine (Bexsero^®) contains surface proteins from Neisseria meningitidis serogroup B and is recommended from 2 months of age. The most frequently reported adverse events are fever, injection site pain, and fatigue. Thus, this study aimed to estimate the incidence of local and systemic adverse events associated with the administration of the 4CMenB (Bexsero^®) vaccine. Methods: A systematic review and meta-analysis of clinical trials published up to 28 February 2025 were conducted using PubMed, ScienceDirect, and Web of Science. Human studies available in English, Spanish, French, German, or Italian were exclusively included. Adverse events following the first dose of the vaccine were analyzed. Pooled proportions with 95% confidence intervals were calculated, and heterogeneity across studies was assessed using the I² statistics. Results: Ten clinical trials comprising 13,345 participants were included. The most common adverse event was local pain (occurring in up to 94% of cases), followed by induration, erythema, and edema, with frequencies ranging from 25% to 45%. The most frequently reported systemic events were irritability (up to 75%), fatigue (51–59%), fever (up to 60%), headache (42–49%), and persistent crying (50–65%). Most adverse events were mild and self-limiting. Conclusions: The 4CMenB (Bexsero) vaccine exhibits a favorable safety profile, characterized by a predominance of mild and transient local adverse events. Although several systemic events were reported, their overall frequency was generally low. These findings support the continued inclusion of Bexsero^® in routine childhood immunization programs. Full article

Background/Objectives: Previous research has demonstrated that the perception of self-motion, as signaled by cervical proprioception, is significantly altered during neck muscle fatigue, while no similar effects are observed when self-motion is signaled by the vestibular system. Given that in typical natural movements, both proprioceptive and vestibular signals are activated simultaneously, this study sought to investigate whether the misperception of motion persists during neck muscle fatigue when both proprioceptive and vestibular stimulation are present. Methods: The study evaluated the gain of the perceptual responses to symmetric yaw sinusoidal head rotations on a stationary trunk during visual target localization tasks across different rotational frequencies. In addition, the final localization error of the visual target was assessed following asymmetric sinusoidal head rotations with differing half-cycle velocities. Results: The findings indicated that even with combined proprioceptive and vestibular stimulation, self-motion perceptual responses under neck muscle fatigue showed a pronounced reduction in the gain at low-frequency stimuli and a notable increase in localization error following asymmetric rotations. Notably, spatial localization error was observed to persist after asymmetric stimulation conditioning in the light. Additionally, even moderate levels of muscle fatigue were found to result in increased self-motion misperception. Conclusions: This study suggests that neck muscle fatigue can disrupt spatial orientation, even when the vestibular system is activated, so that slow movements are inaccurately perceived. This highlights the potential risks associated with neck muscle fatigue in daily activities that demand precise spatial perception. Full article

This study investigated the physiological effects of seat vibration during prolonged sitting in a simulated autonomous driving environment. Eleven healthy participants (3 young adults and 8 older adults) viewed a 120-min highway driving video under two conditions: rhythmic seat vibration (2 Hz, mimicking natural respiration) and no vibration. Physiological and behavioral metrics—including Psychomotor Vigilance Task (PVT), seat pressure distribution, heart rate variability (HRV), body acceleration, and skin temperature—were assessed across three phases. Results demonstrated that seat vibration significantly enhanced parasympathetic activity, as evidenced by increased HF power and decreased LF/HF ratio (p < 0.05), suggesting reduced autonomic stress. Additionally, seated posture remained more stable under vibration, with reduced asymmetry and sway, while the no-vibration condition showed time-dependent postural degradation. Interestingly, skin surface temperature was lower in the vibration condition (p < 0.001), indicating a possible thermoregulatory mechanism. In contrast, PVT performance revealed more false starts in the vibration condition, particularly among older adults, suggesting that vibration may not enhance—and could slightly impair—cognitive alertness. These findings suggest that low-frequency seat vibration can support physiological stability and postural control during prolonged sedentary conditions, such as in autonomous vehicles. However, its effects on vigilance appear limited and age-dependent. Overall, rhythmic vibration may contribute to enhancing passenger comfort and reducing fatigue-related risks, particularly in older individuals. Future work should explore adaptive vibration strategies to balance physiological relaxation and cognitive alertness in mobility environments. Full article

Long-span cable-supported bridges, such as cable-stayed and suspension bridges, are highly sensitive to wind-induced effects due to their flexibility, low damping, and relatively light weight. Aerodynamic analysis is therefore essential in their design and safety assessment. This study examines the aeroelastic stability of the Oued Dib cable-stayed bridge in Mila, Algeria, with emphasis on vortex shedding, galloping, torsional divergence, and classical flutter. A finite element modal analysis was carried out on a three-dimensional model to identify natural frequencies and mode shapes. A two-dimensional deck section was then analyzed using Computational Fluid Dynamics (CFD) under a steady wind flow of U = 20 m/s and varying angles of attack (AoA) from −10° to +10°. The simulations employed a RANS k-ω SST turbulence model with a wall function of Y+ = 30. The results provided detailed airflow patterns around the deck and enabled the evaluation of static aerodynamic coefficients—drag (C_D), lift (C_L), and moment (C_M)—as functions of AoA. Finally, the bridge’s aeroelastic performance was assessed against the four instabilities. The findings indicate that the Oued Dib Bridge remains stable under the design wind conditions, although fatigue due to vortex shedding requires further consideration. Full article

Deep coal seams have low permeability and poor wettability, making gas extraction difficult. This study presents a zero-energy consumption pulsating water hammer fracturing technique that uses the gravitational potential energy of high-elevation water and the pulsating pressure waves from the water hammer effect to induce fatigue damage in coal, creating an interconnected network of cracks. The research included experiments on water hammer pressure waves, multi-physics field coupling simulations at different flow rates, and discrete element simulations to analyze the fracture behavior of underwater hammer pressure. Results showed that initial flow velocity impacts the water hammer pressure’s intensity, range, and duration. Pressure shock waves propagate as expansion and compression waves, with peaks rising from 4.99 to 19.91 MPa within a 2–12 m/s flow rate range. Water hammer pressure reduced fracture initiation pressure by 23% compared to static pressure loading and increased fracture numbers by 13.4%. With pressure amplitudes between 2–18 MPa, fractures tripled, and the damaged area grew from 2.2 to 11%. A variable frequency combination loading strategy, starting with low frequency and then high frequency, was more effective for fracture propagation. This study offers a theoretical foundation for applying this technology to enhance coal seam permeability and gas pumping efficiency. Full article

During the service life of steel bridges, the structural stress histories display combined cyclic characteristics due to the superposition of low-frequency thermal loading and high-frequency vehicle loading. To investigate the fatigue performance under such loading patterns, a series of constant-amplitude and high-low frequency superimposed loading fatigue (HLSF) tests were conducted on notched specimens fabricated from Q355D bridge steel. The influence of HLSF waveform parameters on fatigue life was systematically investigated. Based on the fracture evolution mechanism, a concept of low-frequency periodic damage acceleration factor was proposed to effectively model the block nonlinear damage effects, and the applicability of existing fatigue life prediction models was discussed. The results show that the effect of average stress on the fatigue life under HLSF can be effectively considered by Walker’s formula. Low-amplitude ratios and low-frequency ratios indicate unfavorable loading conditions that may accelerate the Q355D fatigue damage accumulation, and these conditions are not adequately accounted for in current life prediction models. Compared to constant amplitude loading, HLSF can lead to a 66% and 46% reduction in high-frequency life when the amplitude ratio reaches 0.12 and the frequency ratio reaches 100. Compared to Miner’s rule, the proposed damage correction method reduces the life prediction error for HLSF by 11%. These findings provide valuable references for the fatigue assessment of bridge steel structures under the coupled effects of temperature and vehicle loading. Full article

Background: Persistent fatigue is among the most commonly reported symptoms in patients suffering from post-acute sequelae of SARS-CoV-2 infection (long COVID). Autonomic dysfunction, measurable via heart rate variability, has been implicated as a contributing factor. Osteopathic manipulative treatment is a manual therapeutic approach that targets autonomic balance and may offer a novel intervention for long COVID-related fatigue. Methods: In this single-blind, randomized controlled trial, 42 participants (mean age 51 ± 11 years; fatigue severity score: 31 ± 5 points) with long COVID and persistent fatigue ≥12 weeks post-infection were allocated to either a 45 min standardized osteopathic treatment (n = 21) or a sham-treatment group (n = 21). Heart rate variability was assessed using a 10 min resting electrocardiogram before intervention, immediately after, and again 48 h later. The analysis of heart rate variability encompassed time-domain indices, including the root mean square of successive differences, the standard deviation of normal-to-normal intervals, mean heart rate, and mean RR interval. Additionally, frequency-domain measures such as low-frequency, high-frequency, total power, and the LF/HF ratio were considered. Results: The osteopathy group showed a statistically significant increase in root mean square of successive differences post-treatment (p < 0.01), accompanied by a decrease in the stress index (p < 0.05) and an increase in the mean of the standard deviations of RR intervals (p < 0.05). Significant between-group differences were observed for mean heart rate and mean of RR intervals (p < 0.05). Frequency-domain measures also improved significantly from baseline in the intervention group. Outlier patterns suggest potential subgroup effects, possibly due to underlying dysautonomia. Conclusions: A single session of osteopathic treatment significantly enhanced short-term heart rate variability in long COVID patients with fatigue. These findings highlight the potential role of manual autonomic modulation as a supportive therapy in long COVID management. Further research is needed to assess the long-term effects and optimal treatment frequency of osteopathic manipulative treatment in this population. Full article

The combined reducer consisting of spiral bevel gear pair and planetary gear train is widely used in the aerospace field, and its dynamic performance seriously affects the fatigue life of the gears. However, there has been little research on the dynamic performance analysis of the combined gear reducer. In this paper, the coupling multibody dynamic models of spiral bevel gear pair and planetary gear train with and without bearing modules are established based on ADAMS software, respectively, and the influence of bearings on the dynamic performance of the coupling system is studied, and the analysis results are verified by experiments. The results demonstrate that the flexible bearings in the coupled system will induce a pronounced shaft swing that amplifies the combined reducer vibration. Because of the displacement of the sun gear, the meshing force of the planetary gear train fluctuates periodically at low frequency, which increases the maximum dynamic meshing force and is not conducive to its fatigue life. This low-frequency fluctuation can be greatly reduced by introducing additional bearings. In addition, dynamic testing confirms vibration spectral components include obvious shaft rotation frequencies except gear meshing frequencies, verifying the modeling accuracy and analytical methodology. Full article

Damaged material invariably exhibits a lower resonance frequency than undamaged material due to its reduced stiffness. Under fatigue loading, damage accumulates until failure, so changes in resonance frequency can be utilised as a variable to predict fatigue life. Conventional fatigue life prediction methods have a low success rate, prompting the exploration of alternative approaches. We have presented a novel method for predicting the fatigue life of spruce wood based on changes in resonance frequency during fatigue, using a representative specimen (i.e., one out of five specimens tested, with four used for static strength reference). We conducted a low-cycle fatigue test and monitored the resonance frequency alongside the dynamic and static modulus of elasticity. All three types of data were employed to predict fatigue life using between 40% and 100% of the measurement data. Of the two fatigue life prediction methods investigated, the Weibull cycle density distribution using resonance frequency measurements proved most appropriate. The error decreases monotonically with the amount of resonance frequency measurement data used for fatigue life prediction, reaching its lowest value of 1% when the full resonance frequency dataset is used. The proposed fatigue life prediction method should be further validated with a larger sample size, as fatigue is inherently a statistical phenomenon. Full article

Objectives: The health of the adult population is the result of many interacting variables, with health behaviors and lifestyle playing a key role. This study aimed to identify associations among health-related behaviors and health and hydration status in Polish adults. Methods: The completion of a beverage frequency questionnaire (FFQ) was undertaken by a total of 337 participants. Blood pressure (BP), anthropometric parameters, and body composition were measured. Urine samples were analyzed for specific gravity (USG), osmolality (Uosm), and potential hydrogen value (pH). Health-related behaviors were assessed using the Health Index Score (HIS), classifying participants into two groups: unhealthy habits (0–2 HIS group) and healthy habits (3–5 HIS group). Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: Approximately 30% of participants (n = 115) exhibited unhealthy habits. Individuals in the 0–2 HIS group were more likely to be male, smoke, have low physical activity, be overweight or obese, sleep < 6 h, and/or consume alcohol ≥ 2 times/week. In contrast, higher HIS (3–5) was associated with female gender, non-smoking, moderate-to-high physical activity, normal body mass index (BMI), adequate sleep, and consuming alcohol < 2 times/week. Fatigue during the day (OR: 1.45), waist circumference (WC) (OR: 1.35), and Uosm (OR: 1.87) increased un-healthy habits. Conversely, greater consumption of non-carbonated mineral water (OR: 0.54) was linked to lower unhealthy habits. Conclusions: The HIS and hydration-related parameters can complement the assessment of the health status of the adult population and the identification of groups requiring special support in health promotion interventions. Full article

Objective: This study aimed to evaluate physical training protocols for alleviating long COVID symptoms, especially dyspnea and fatigue, through a systematic review with meta-analysis. Method: Data were collected from EMBASE, LILACS, PubMed, Scopus, CINAHL, Web of Science, and grey literature (Google Scholar, medRxiv). Studies evaluating dyspnea and/or fatigue before and after physical rehabilitation, using validated questionnaires, were included. Studies lacking pre- and post-assessments or physical training were excluded. Two reviewers independently extracted data on intervention type, duration, frequency, intensity, and assessment methods for dyspnea and fatigue. Bias risk was evaluated using the Cochrane tool. Results: Combined methods, such as respiratory muscle training with strength and aerobic exercise, were common for long COVID symptoms. Aerobic exercise notably improved dyspnea and/or fatigue. Among 25 studies, four had a low risk of bias. Meta-analysis of two studies found no significant reduction in fatigue. Conclusion: Combined training methods, particularly aerobic exercise, alleviate dyspnea and fatigue in long COVID. More high-quality studies are needed to confirm these findings. Full article

Steady-state visual evoked potential (SSVEP) paradigms are widely used in brain–computer interface (BCI) systems due to their reliability and fast response. However, traditional static stimuli may reduce user comfort and engagement during prolonged use. This study proposes a dynamic stimulation paradigm combining periodic motion trajectories with speed control. Using four frequencies (6, 8.57, 10, 12 Hz) and three waveform patterns (sinusoidal, square, sawtooth), speed was modulated at 1/5, 1/10, and 1/20 of each frequency’s base rate. An offline experiment with 17 subjects showed that the low-speed sinusoidal and sawtooth trajectories matched the static accuracy (85.84% and 83.82%) while reducing cognitive workload by 22%. An online experiment with 12 subjects participating in a fruit-slicing game confirmed its practicality, achieving recognition accuracies above 82% and a System Usability Scale score of 75.96. These results indicate that coordinated trajectory and speed modulation preserves SSVEP signal quality and enhances user experience, offering a promising approach for fatigue-resistant, user-friendly BCI application. Full article

Modern aerospace engineering places increasing emphasis on materials that combine low weight with high mechanical performance. Fiber metal laminates (FMLs), which merge metal layers with fiber-reinforced composites, meet this demand by delivering improved fatigue resistance, impact tolerance, and environmental durability, often surpassing the performance of their constituents in demanding applications. Despite these advantages, inspecting such thin, layered structures remains a significant challenge, particularly when they are difficult or impossible to access. As with any new invention, they always come with challenges. This study examines the effectiveness of the fundamental anti-symmetric Lamb wave mode (A0) in detecting weak interfacial defects within Carall laminates, a type of hybrid fiber metal laminate (FML). Delamination detectability is analyzed in terms of strong wave dispersion observed downstream of the delaminated sublayer, within a region characterized by acoustic distortion. A three-dimensional finite element (FE) model is developed to simulate mode trapping and full-wavefield local displacement. The approach is validated by reproducing experimental results reported in prior studies, including the author’s own work. Results demonstrate that the A0 mode is sensitive to delamination; however, its lateral resolution depends on local position, ply orientation, and dispersion characteristics. Accurately resolving the depth and extent of delamination remains challenging due to the redistribution of peak amplitude in the frequency domain, likely caused by interference effects in the acoustically sensitive delaminated zone. Additionally, angular scattering analysis reveals a complex wave behavior, with most of the energy concentrated along the centerline, despite transmission losses at the metal-composite interfaces in the Carall laminate. The wave interaction with the leading and trailing edges of the delaminations is strongly influenced by the complex wave interference phenomenon and acoustic mismatched regions, leading to an increase in dispersion at the sublayers. Analytical dispersion calculations clarify how wave behavior influences the detectability and resolution of delaminations, though this resolution is constrained, being most effective for weak interfaces located closer to the surface. This study offers critical insights into how the fundamental anti-symmetric Lamb wave mode (A0) interacts with delaminations in highly attenuative, multilayered environments. It also highlights the challenges in resolving the spatial extent of damage in the long-wavelength limit. The findings support the practical application of A0 Lamb waves for structural health assessment of hybrid composites, enabling defect detection at inaccessible depths. Full article

As high-speed electric multiple units (EMUs) advance in speed and complexity, quasi-static design methods may underestimate the fatigue risks associated with high-frequency dynamic excitations. This study quantifies the contribution of gear meshing-induced vibrations (2512 Hz) to fatigue damage in EMU gearbox housings, revealing resonance amplification of local stresses up to 1.8 MPa at 300 km/h operation. Through integrated field monitoring and bench testing, we demonstrated that gear meshing excites structural modes, generating sustained, very high-cycle stresses (>10⁸ cycles). Crucially, fatigue specimens were directly extracted from in-service gearbox housings—overcoming the limitations of standardized coupons—passing the very high-cycle fatigue (VHCF) test to derive S-N characteristics beyond 10⁸ cycles. Results show a continuous decline in fatigue strength (with no traditional fatigue limit) from 10⁸ to 10⁹ cycles. This work bridges the gap between static design standards (e.g., FKM) and actual dynamic environments, proving that accumulated damage from low-amplitude gear-meshing stresses (3.62 × 10¹¹ cycles over a 12 million km lifespan) contributes to a 16% material utilization ratio. The findings emphasize that even low-magnitude gear-meshing stresses can significantly influence gearbox fatigue life due to their ultra-high frequency, warranting design consideration beyond current standards. Full article

With the continuous development of high-speed electric multiple units (EMUs), vibration issues of vehicles have become increasingly prominent. During operation, the underfloor equipment installed on the carbody is subjected to random multi-point vibrations transmitted from the carbody, inducing significant fatigue damage. This paper presents a comprehensive analysis of multi-channel vibration environment data for various underfloor equipment across different operating speeds obtained through on-site measurements. A spectral synthetic method grounded in statistical principles is then proposed to generate vibration environment spectra for diverse underfloor equipment. Finally, utilizing fatigue analysis in the frequency domain, the fatigue damage to underfloor equipment is assessed under different operational environments. The research results show that the vibration environment spectrum of the underfloor equipment in high-speed EMU trains differs significantly from the vibration spectrum specified in the IEC 61373 standard, especially at high frequencies. Despite this difference in spectral characteristics, the overall vibration energy values of the two spectra are comparable. Additionally, the vibration spectra of different underfloor equipment exhibit variations that can be attributed to their installation positions. As operational speed increases, the fatigue damage to the underfloor equipment exhibits exponential growth. However, the total accumulated fatigue damage remains relatively low, consistently staying below a value of 1. Full article