Dynamic response of sandwich functionally graded nanoplate under thermal environments and elastic foundations using dynamic stiffness method.

The present paper introduces the development of dynamic stiffness method for analyzing small-scale sandwich functionally graded nanoplates resting on elastic foundation in thermal environments. The mathematical formulation is based on classical plate theory in conjunction with nonlocal elasticity theory. The governing equation is derived using Hamilton's principle. The dynamic stiffness matrix is obtained through the application of the Levy displacement approach and assembled to form the global stiffness matrix. The final matrix is solved for natural frequency of the plates using the Wittrick-Williams algorithm. The proposed methodology is validated against existing literature, demonstrating a strong agreement. Various parametric studies explore the effects of thermal environments, volume fraction index, sandwich configurations, elastic foundation characteristics, nonlocal parameter and boundary conditions. The results show the versatility of the proposed approach in addressing small scaled complex engineering structures. This research significantly contributes to the understanding and analysis of sandwich functionally graded nanoplates, providing valuable insights for applications in aerospace, structural systems, sensors, actuators, and energy harvesting devices.

Nearly instantaneous stem diameter response to fluctuations in the atmospheric water demand.

Changes in vapour pressure deficit (VPD) can lead to the depletion and replenishment of stem water pools to buffer water potential variations in the xylem. Yet, the precise velocity at which stem water pools track environmental cues remains poorly explored. Nine eucalyptus seedlings grown in a glasshouse experienced high-frequency environmental oscillations, and their stem radial variations (ΔR) were monitored at a 30-second temporal resolution in upper and lower stem locations and on the bark and xylem. The stem ΔR response to VPD changes was nearly instantaneous (< 1 minute), while temperature lagged behind stem ΔR. No temporal differences in the stem ΔR response were observed between locations. Punctual gravimetric measurements confirmed the synchrony between transpiration and stem ΔR dynamics. These results indicate (i) that stem-stored water can respond to the atmospheric evaporative demand much faster than commonly assumed and (ii) that the origin of the water released to the transpiration stream seems critical in determining time lags in stem water pool dynamics. Near-zero time lags may be explained by the high elasticity of eucalyptus woody tissues and the predominant water use from the xylem, circumventing the hydraulic radial barriers to water flow from/to the outer tissues.

Soft tissue elasticity in total knee arthroplasty: An in vivo quantitative analysis.

BACKGROUND: Soft tissue balance is essential for total knee arthroplasty success. The elastic properties of soft tissues affect knee-joint stability and flexibility. This study proposed a novel methodology for in vivo quantitative analysis of soft tissue elasticity during total knee arthroplasty. In this study, we aimed to (1) establish a mathematical model to depict medial and lateral soft tissue elasticity, (2) report the individual differences and interindividual commonalities in soft tissue elasticity. METHODS: A specifically designed knee tensor was used to evaluate soft tissue elasticity by dynamically applying sequential tensions to medial and lateral compartments while measuring knee joint gaps in both compartments. Measurements were performed on ten knees of six cadavers. Bivariate polynomial regression was used for analysis, and the equivalent elastic coefficient (N/mm) was calculated. FINDINGS: Soft-tissue elasticity showed high individual differences. The equivalent elastic coefficient was larger in the medial compartment than in the lateral compartment, and the equivalent elastic coefficient of the lateral compartment gradually decreased while the medial equivalent elastic coefficient remained constant when the knee was flexed. The lateral gaps increased from 0.1 to 3.9 mm, and the medial gaps increased from 0 to 1.5 mm when the tension increased from 60 to 90 N. The shapes and distributions of the silkworm-like lattices in elasticity and balance evaluations are clinically relevant to knee balance. INTERPRETATION: Soft-tissue balance in total knee arthroplasty is significantly affected by soft-tissue elasticity. An intraoperative quantitative analysis of elasticity helps to tail an individualized balancing target for total knee arthroplasty.

Foundational Engineering of Artificial Blood Vessels' Biomechanics: The Impact of Wavy Geometric Designs.

The design of wavy structures and their mechanical implications on artificial blood vessels (ABVs) have been insufficiently studied in the existing literature. This research aims to explore the influence of various wavy geometric designs on the mechanical properties of ABVs and to establish a foundational framework for advancing and applying these designs. Computer-aided design (CAD) and finite element method (FEM) simulations, in conjunction with physical sample testing, were utilized. A geometric model incorporating concave and convex curves was developed and analyzed with a symbolic mathematical tool. Subsequently, a total of ten CAD models were subjected to increasing internal pressures using a FEM simulation to evaluate the expansion of internal areas. Additionally, physical experiments were conducted further to investigate the expansion of ABV samples under pressure. The results demonstrated that increased wave numbers significantly enhance the flexibility of ABVs. Samples with 22 waves exhibited a 45% larger area under 24 kPa pressure than those with simple circles. However, the increased number of waves also led to undesirable high-pressure gradients at elevated pressures. Furthermore, a strong correlation was observed between the experimental outcomes and the simulation results, with a notably low error margin, ranging from 19.88% to 3.84%. Incorporating wavy designs into ABVs can effectively increase both vessel flexibility and the internal area under pressure. Finally, it was found that expansion depending on the wave number can be efficiently modeled with a simple linear equation, which could be utilized in future designs.

Nonlinear Economic State Equilibria via van der Waals Modeling.

The renowned van der Waals (VDW) state equation quantifies the equilibrium relationship between the pressure P, volume V, and temperature kBT of a real gas. We assign new variable interpretations adapted to the economic context: P→Y, representing price; V→X, representing demand; and kBT→κ, representing income, to describe an economic state equilibrium. With this reinterpretation, the price elasticity of demand (PED) and the income elasticity of demand (YED) are non-constant factors and may exhibit a singularity of the cusp-catastrophe type. Within this economic framework, the counterpart of VDW liquid-gas phase transition illustrates a substitution mechanism where one product or service is replaced by an alternative substitute. The conceptual relevance of this reinterpretation is discussed qualitatively and quantitatively via several illustrations ranging from transport (carpooling), medical context (generic versus original medication), and empirical data drawn from the electricity market in Germany.

Temperature-Regulated Synthesis of Hyaluronic Acid-Interpenetrated Polyacrylamide/Poly(Acrylic Acid Sodium Salt) Semi-Interpenetrated Polymer Network Gel for the Removal of Methyl Violet.

An alternative synthetic pathway was proposed for the optimization of synthesis to find a better correlation between the swelling and elasticity of hyaluronic acid-interpenetrated gels via temperature regulation. An experimental design methodology was presented for the synthesis of polyacrylamide/poly(acrylic acid sodium salt)/hyaluronic acid, PAAm/PSA/HyA, gels by modifying the one-pot procedure using free radical crosslinking copolymerization of AAm with the addition of anionic linear PSA chains in the presence of various amount of HyA, ranging between 0.05% and 0.20% (w/v). Semi-interpenetrated polymer network (IPN)-structured gels were designed with tunable elasticity, in which the extent of covalent crosslinking interactions is controlled by polymerization temperature ranging between -18 and 45 °C. Depending on the HyA content added in the synthesis and the polymerization temperature, the swelling ratio could be controlled. The addition of 0.05% (w/v) HyA increased the swelling of semi-IPNs, while the elastic modulus increased with increasing HyA content and decreased with the polymerization temperature. PAAm/PSA/HyA semi-IPNs showed the typical pH-sensitive swelling of anionic gels, and the swelling reached a maximum at a pH of 11.2. PAAm/PSA/HyA gels were tested for the removal of methyl violet from wastewater. Adsorption kinetics were shown to be well-fitted with the pseudo-second-order model using linear and nonlinear regression analysis. With the clear relationship between increased modulus and composition, this study enabled the fine-tuning of semi-IPN interactions by varying the polymerization temperature.

Evaluation of carotid artery elasticity and its influencing factors in non-obese PCOS patients using a technique for quantitative vascular elasticity measurement.

Objectives: To evaluate the intima-media thickness (IMT) and elasticity of the carotid artery in non-obese polycystic ovary syndrome (PCOS) patients using a quantitative technique for vascular elasticity measurement and to explore the influencing factors. Methods: Sixty non-obese patients without metabolic and cardiovascular diseases who were diagnosed with PCOS in the Women and Children's Hospital of Chongqing Medical University from January to December 2022 were prospectively selected (case group), and 60 healthy volunteers matched for body mass index were included as the control group. Body weight, height, heart rate, blood pressure, and waist-to-hip ratio were recorded. Fasting blood samples were drawn from the elbow vein to measure hormone levels including total testosterone (TT), sex hormone-binding globulin (SHBG), fasting plasma glucose (FPG), fasting insulin (FINS), lipids, and homocysteine (Hcy). The insulin resistance index (HOMA-IR) and free androgen index (FAI) were calculated. Ultrasound elastography was used to measure the IMT and elastic function parameters of the right carotid artery, including vessel diameter, wall displacement, stiffness coefficient, and pulse wave velocity. Differences in various parameters between the two groups were analyzed, and correlations between the carotid stiffness coefficient and other serological indicators were assessed using Spearman correlation analysis. Results: No significant differences in age, body mass index, heart rate, systolic blood pressure, and diastolic blood pressure were observed between the two groups (all P>0.05), while the waist-to-hip ratio (WHR) was higher in the case group than in the control group (P<0.05).The hormone level serological indicators TT and FAI were higher in the case group than in the control group, and SHBG was lower in the case group than in the control group (all P<0.05). The metabolism-related serum indicators LDL-C, HDL-C, FPG, triglycerides, and total cholesterol levels were not statistically different between the two groups (all P>0.05), and serum FINS, HOMA-IR, and Hcy levels were significantly higher in the case group than in the control group (all P<0.05).No significant difference in carotid artery diameter was observed between the case group and control group (P>0.05). The carotid artery displacement in the case group was significantly smaller than that in the control group (P<0.05), and carotid IMT, hardness coefficient, and pulse wave propagation velocity were greater in the case group than in the control group (all P<0.05). The carotid elastic stiffness coefficient was positively correlated with WHR, TT, SHBG, FAI, FINS, HOMA-IR and Hcy to varying extents and negatively correlated with SHBG. Conclusion: In non-obese PCOS patients with no metabolic or cardiovascular disease, the carotid stiffness coefficient was increased and correlated with indicators of hyperandrogenism, insulin resistance, and hyperhomocysteinemia.

Anisotropic swelling due to hydration constrains anisotropic elasticity in biomaterial fibers.

Naturally occurring protein fibers often undergo anisotropic swelling when hydrated. Within a tendon, a hydrated collagen fibril's radius expands by 40% but its length only increases by 5%. The same effect, with a similar relative magnitude, is observed for single hair shafts. Fiber hydration is known to affect elastic properties. Here we show that anisotropic swelling constrains the anisotropic linear elastic properties of fibers. First we show, using data from disparate previously reported studies, that anisotropic swelling can be described as an approximately linear function of water content. Then, under the observation that the elastic energy of swelling can be minimized by the anisotropic shape, we relate swelling anisotropy to elastic anisotropy - assuming radial (transverse) symmetry within a cylindrical geometry. We find an upper bound for the commonly measured axial Poisson ratio νzx<1/2. This is significantly below recently estimated values for collagen fibrils extracted from tissue-level measurements, but is consistent with both single hair shaft and single collagen fibril mechanical and hydration studies. Using νzx, we can then constrain the product γ≡(1-νxy)Ez/Ex - where νxy is the seldom measured transverse Poisson ratio and Ez/Ex is the ratio of axial to radial Young's moduli.

A Viscoelastic Constitutive Framework for Aging Muscular and Elastic Arteries.

The evolution of arterial biomechanics and microstructure with age and disease plays a critical role in understanding the health and function of the cardiovascular system. Accurately capturing these adaptative processes and their effects on the mechanical environment is critical for predicting arterial responses. This challenge is exacerbated by the significant differences between elastic and muscular arteries, which have different structural organizations and functional demands. In this study, we aim to shed light to these adaptive processes by comparing the viscoelastic mechanics of autologous thoracic aortas (TA) and femoropopliteal arteries (FPA) in different age groups. We have extended our fractional viscoelastic framework, originally developed for FPA, to both types of arteries. To evaluate this framework, we analyzed experimental mechanical data from TA and FPA specimens from 21 individuals aged 13 to 73 years. Each specimen was subjected to a multi-ratio biaxial mechanical extension and relaxation test complemented by bidirectional histology to quantify the structural density and microstructural orientations. Our new constitutive model accurately captured the mechanical responses and microstructural differences of the tissues and closely matched the experimentally measured densities. It was found that the viscoelastic properties of collagen and smooth muscle cells (SMCs) in both the FPA and TA remained consistent with age, but the viscoelasticity of the SMCs in the FPA was twice that of the TA. Additionally, changes in collagen nonlinearity with age were similar in both TA and FPA. This model provides valuable insights into arterial mechanophysiology and the effects of pathological conditions on vascular biomechanics. STATEMENT OF SIGNIFICANCE: Developing durable treatments for arterial diseases necessitates a deeper understanding of how mechanical properties evolve with age in response to mechanical environments. In this work, we developed a generalized viscoelastic constitutive model for both elastic and muscular arteries and analyzed both the thoracic aorta (TA) and the femoropopliteal artery (FPA) from 21 donors aged 13 to 73. The derived parameters correlate well with histology, allowing further examination of how viscoelasticity evolves with age. Correlation between the TA and FPA of the same donors suggest that the viscoelasticity of the FPA may be influenced by the TA, necessitating more detailed analysis. In summary, our new model proves to be a valuable tool for studying arterial mechanophysiology and exploring pathological impacts.

Chemochromism and Tunable Acoustic Phonons in Intercalated MoO3: Ag-, Bi-, In-, Mo-, Os-, Pd-, Pt-, Rh-, Ru-, Sb-, and W-MoO3.

Intercalation of several elements (Ag, Bi, In, Mo, Os, Pd, Pt, Rh, Ru, Sb, and W) is used to chemically alter a wide range of properties of two-dimensional layered α-MoO3. Intercalation modifies acoustic phonons and elastic constants, as measured with Brillouin scattering. Intercalation alters electronic bandgaps, color, structure, Raman shifts, and electron binding energies. Optical chemochromism is demonstrated with intercalants changing the color of MoO3 from transparent to brilliant blue (In, Mo, Os, and Ru) and orange (Ag). Correlations are investigated among material properties. There is evidence that in-plane longitudinal stiffness c11 correlates with changes in the bandgap, while various Raman modes appear to be connected to a variety of properties, including shear modulus c55, Mo binding energies, lattice constants, and the preferred crystal structure of the intercalant. The results indicate a surprising degree of complexity, suggesting competition among multiple distinct mechanisms and interactions involving specific intercalant species.

Dual optical elastography detects TGF - ß -induced alterations in the biomechanical properties of skin scaffolds.

Significance: The skin's mechanical properties are tightly regulated. Various pathologies can affect skin stiffness, and understanding these changes is a focus in tissue engineering. Ex vivo skin scaffolds are a robust platform for evaluating the effects of various genetic and molecular interactions on the skin. Transforming growth factor-beta ( TGF - ß ) is a critical signaling molecule in the skin that can regulate the amount of collagen and elastin in the skin and, consequently, its mechanical properties. Aim: This study investigates the biomechanical properties of bio-engineered skin scaffolds, focusing on the influence of TGF - ß , a signaling molecule with diverse cellular functions. Approach: The TGF - ß receptor I inhibitor, galunisertib, was employed to assess the mechanical changes resulting from dysregulation of TGF - ß . Skin scaffold samples, grouped into three categories (control, TGF - ß -treated, and TGF - ß + galunisertib-treated), were prepared in two distinct culture media-one with aprotinin (AP) and another without. Two optical elastography techniques, namely wave-based optical coherence elastography (OCE) and Brillouin microscopy, were utilized to quantify the biomechanical properties of the tissues. Results: Results showed significantly higher wave speed (with AP, p < 0.001 ; without AP, p < 0.001 ) and Brillouin frequency shift (with AP, p < 0.001 ; without AP, p = 0.01 ) in TGF - ß -treated group compared with the control group. The difference in wave speed between the control and TGF - ß + galunisertib with ( p = 0.10 ) and without AP ( p = 0.36 ) was not significant. Moreover, the TGF - ß + galunisertib-treated group exhibited lower wave speed without and with AP and reduced Brillouin frequency shift than the TGF - ß -treated group without AP, further strengthening the potential role of TGF - ß in regulating the mechanical properties of the samples. Conclusions: These findings offer valuable insights into TGF - ß -induced biomechanical alterations in bio-engineered skin scaffolds, highlighting the potential of OCE and Brillouin microscopy in the development of targeted therapies in conditions involving abnormal tissue remodeling and fibrosis.

B-mode ultrasound-based CAD by learning using privileged information with dual-level missing modality completion.

Learning using privileged information (LUPI) has shown its effectiveness to improve the B-mode ultrasound (BUS) based computer-aided diagnosis (CAD) by transferring knowledge from the elasticity ultrasound (EUS). However, LUPI only performs transfer learning between the paired data with shared labels, and cannot handle the scenario of modality imbalance. In order to conduct the supervised transfer learning between the paired ultrasound data together with the additional single-modal BUS images, a novel multi-view LUPI algorithm with Dual-Level Modality Completion, named DLMC-LUPI, is proposed to improve the performance of BUS-based CAD. The DLMC-LUPI implements both image-level and feature-level (dual-level) completions of missing EUS modality, and then performs multi-view LUPI for knowledge transfer. Specifically, in the dual-level modality completion stage, a variational autoencoder (VAE) model for feature generation and a novel generative adversarial network (VAE-based GAN) model for image generation are sequentially trained. The proposed VAE-based GAN can improve the synthesis quality of EUS images by adopting the features generated by VAE from the BUS images as the model constrain to make the features generated from the synthesized EUS images more similar to them. In the multi-view LUPI stage, two feature vectors are generated from the real or pseudo images as two source domains, and then fed them to the multi-view support vector machine plus classifier for model training. The experiments on two ultrasound datasets indicate that the DLMC-LUPI outperforms all the compared algorithms, and it can effectively improve the performance of single-modal BUS-based CAD.

Determining the characteristics of representative volume elements in severely deformed aluminum-matrix composite.

The accurate evaluation of the effective mechanical properties of composites mainly depends on the characteristics of representative volume elements (RVEs). This paper mainly investigates the RVE size. Additionally, the effect of volume fraction of reinforcement, the edge effect, and RVE types on the critical size are discussed. First, the Al/Ni multilayered composites were processed by nine cycles of the cross-accumulative roll bonding (CARB) method. Then, one type of RVEs was created based on cross-sectional micrographs of composites to consider their inhomogeneities. Another type was generated by using the random sequential adsorption (RSA) procedure. Thereafter, the homogenized effective elastic properties of both types of microstructure-based RVEs and RSA-based RVEs were computed and compared as a function of the volume fraction of Ni and RVE size. The results showed that by increasing the Ni fragments, the RVEs indicated stiffer elastic behavior. By increasing the volume fraction of Ni from 0.2 Vf to 0.8 Vf, the Poisson ratio decreased by 7 % and the elastic modulus increased by 83 % for RSA-based RVE. Regarding the size of microstructure-based RVE of Al/Ni (0.8 Vf), from the largest size (size 1) with a length of 575 µm and a width of 575 µm to the smallest size (size 5) with a length of 287.5 µm and a width of 287.5 µm, the elastic modulus and the Poisson ratio showed 16 % and 0.8 % decrease, respectively.

An Environmentally Stable, Biocompatible, and Multilayered Wound Dressing Film with Reversible and Strong Adhesion.

Reversible adhesives for wound care improve patient experiences by permitting reuse and minimizing further tissue injury. Existing reversible bandages are vulnerable to water and can undergo unwanted deformation during removal and readdressing procedures. Here, a biocompatible, multilayered, reversible wound dressing film that conforms to skin and is waterproof is designed. The inner layer is capable of instant adhesion to various substrates upon activation of the dynamic boronic ester bonds by water; intermediate hydrogel layer and outer silicone backing layer can enhance the dressing's elasticity and load distribution for adhesion, and the silicone outer layer protects the dressing from exposure to water. The adhesive layer is found to be biocompatible with mouse skin. Skin injuries on the mouse skin heal more rapidly with the film compared to no dressing controls. Evaluations of the film on skin of freshly euthanized minipigs corroborate the findings in the mouse model. The film remains attached to skins without delamination despite subjecting to various degrees of deformation. Exposure to water softens the film to allow removal from the skin without pulling any hair off. The multilayered design considers soft mechanics in each layer and will offer new insights to improve wound dressing performance and patient comfort.

Reliability of MyotonPro in measuring the biomechanical properties of the quadriceps femoris muscle in people with different levels and types of motor preparation.

The aim of this research was to evaluate the reliability of the measurements of biomechanical parameters of the muscles of athletes representing different disciplines as well as untrained people. Ninety-four young, healthy male individuals participated in the study and were divided into five subgroups: footballers (n = 25), volleyballers (n = 14), handballers (n = 19), MMA fighters (n = 16), and undrained group (n = 20). All of the participants underwent measurements of stiffness (S), muscle tone (T) and elasticity (E) by two independent measurers using MyotonPro equipment. Analysis was conducted on two different parts of the quadriceps femoris: rectus femoris (RF) and vastus medialis (VM. Consequently, the comprehensive analysis comprised 564 measurements (94 participants * 3 parameters = 282 * 2 measurers = 564). The results proves high reliability of the myotonometry (Pearson's CC over 0.8208-0.8871 for different parameters, ICC from to 0.74 to 0.99 for different muscles and parameters) excluding only stiffness for the VM which was characterized withlow ICC of 0.08 and relatively highest between the examined parameters MAE% of 8.7% which still remains low value. The most significant differences between the parameters in examined groups were observed between MMA fighters and volleyballers in terms of muscle tone and elasticity of the VM (correlation of 0.14842 and 0.15083 respecitively). These results confirm the usability of myotonometry in measuring the biomechanical properties of the muscles in different sports groups and confirm the independence of the results obtained from the person performing the measurement.

On elastic deformations of cylindrical bodies under the influence of the gravitational field.

Background: Large elastic deformations of gravitating cylindrical bodies play a significant role in everyday life. On the other hand, tiny such deformations are relevant for state-of-the art experiments, as they affect the physical properties of materials under consideration, impacting wave propagation. This is of key importance for a recently planned experiment to explore the influence of the gravitational field on entangled photons propagating in waveguides. The purpose of this work is to determine this influence. Methods: We use the methods of linear elasticity, including thermoelasticity, to determine the stresses and strains of the medium. For this, the symmetry of the cylinder allows us to solve the problem by using Mitchell's solutions of the equations satisfied by the Airy functions. The boundary conditions are implemented by an approximation of the Hertz contact method. Results: We calculate the displacements, the stresses and strains for several classes of boundary conditions, and give explicit solutions for a number of physically motivated configurations. The influence of the resulting deformations on the planned GRAVITES experiment is determined. Conclusions: The results are relevant for fiber interferometry experiments sensitive to the effects of the gravitational field on photon propagation. Our calculations give stringent bounds on the environmental variables, which need to be controlled in such experiments.

A thermal cross-linking approach to developing a reinforced elastic chitosan cryogel for hemostatic management of heavy bleeding.

Uncontrolled hemorrhage stands as the primary cause of potentially preventable deaths following traumatic injuries in both civilian and military populations. Addressing this critical medical need requires the development of a hemostatic material with rapid hemostatic performance and biosafety. This work describes the engineering of a chitosan-based cryogel construct using thermo-assisted cross-linking with α-ketoglutaric acid after freeze-drying. The resulting cryogel exhibited a highly interconnected macro-porous structure with low thermal conductivity, exceptional mechanical properties, and great fluid absorption capacity. Notably, assessments using rabbit whole blood in vitro, as well as rat liver volume defect and femoral artery injury models simulating severe bleeding, showed the remarkable hemostatic performance of the chitosan cryogel. Among the cryogel variants with different chitosan molecular weights, the 150 kDa one demonstrated superior hemostatic efficacy, reducing blood loss and hemostasis time by approximately 73 % and 63 % in the hepatic model, and by around 60 % and 68 %, in the femoral artery model. Additionally, comprehensive in vitro and in vivo evaluations underscored the good biocompatibility of the chitosan cryogel. Taken together, these results strongly indicate that the designed chitosan cryogel configuration holds significant potential as a safe and rapid hemostatic material for managing severe hemorrhage.

Multiparametric liver assessment in patients successfully treated for hepatitis C: a 4-year follow-up.

BACKGROUND: Hepatitis C virus (HCV) is a major cause of chronic liver disease, in which liver stiffness increases. Liver stiffness measurements (LSM) are therefore essential in diagnosing liver diseases and predicting disease development. The study objective was to perform a comprehensive prospective assessment of the liver before, after and 4 years after treatment for HCV, including an assessment of the long-term outcome of fibrosis, steatosis and inflammation. METHODS AND FINDINGS: Patients eligible for HCV treatment were included prospectively in 2018 (n = 47). Liver stiffness was measured using transient elastography and 2D shear-wave elastography (SWE). Blood tests, B-mode ultrasound (US) and SWE, were performed before, after (end of treatment [EOT]), 3 months after (EOT3) and 4 years after treatment (4Y). At the final visit, we added attenuation imaging and shear-wave dispersion slope (SWDS) measurements to assess steatosis and inflammation. Three months after treatment, the sustained virologic response rate was 93%. The median liver stiffness for baseline, EOT, EOT3 and 4Y was 8.1, 5.9, 5.6 and 6.3 kPa, respectively. There was a significant reduction in liver stiffness from baseline to EOT, and from EOT to EOT3. After 4 years, the mean attenuation coefficient (AC) was 0.58 dB/cm/MHz, and the mean SWDS value was 14.3 (m/s)/kHz. CONCLUSION: The treatment for HCV was highly effective. Measurements of liver stiffness decreased significantly after treatment and remained low after 4 years. AC measurements indicated low levels of liver steatosis. Shear-wave dispersion values indicated inflammation of the liver, but the clinical implication is undetermined and should be explored in larger studies.Clinicaltrials.gov: NCT03434470. ABBREVIATIONS: AC: attenuation coefficient; APRI: aspartate aminotransferase to platelet ratio index; ATI: attenuation imaging; cACLD: compensated advanced chronic liver disease; CAP: controlled attenuation parameter; FIB-4: Fibrosis-4 Index for liver fibrosis; HCC: hepatocellular carcinoma; LSM: liver stiffness measurement; NAFLD: non-alcoholic fatty liver disease; NASH: non-alcoholic steatohepatitis; SWDS: shear-wave dispersion slope; SWE: shear-wave elastography; US: ultrasound.

Evaluation of the Mechanical Behavior of the Patellar and Semitendinosus Tendons Using Supersonic Shear-wave Imaging (SSI) Elastography and Tensile Tests.

Objective To analyze the mechanical properties of the patellar (PT) and semitendinosus (ST) tendons from fresh-frozen human cadavers from a tissue bank using supersonic shear-wave imaging (SSI) elastography and tensile tests. Methods We tested seven PT and five ST samples on a traction machine and performed their simultaneous assessment through SSI. The measurements enabled the comparison of the mechanical behavior of the tendons using the stress x strain curve and shear modulus (µ) at rest. In addition, we analyzed the stress x µ relationship under tension and tested the relationship between these parameters. The statistical analysis of the results used unpaired t -tests with Welch correction, the Pearson correlation, and linear regression for the Young modulus (E) estimation. Results The µ values for the PT and ST at rest were of 58.86 ± 5.226 kPa and 124.3 ± 7.231 kPa respectively, and this difference was statistically significant. The correlation coefficient between stress and µ for the PT and ST was very strong. The calculated E for the PT and ST was of 19.97 kPa and 124.8 kPa respectively, with a statistically significant difference. Conclusion The ST was stiffer than the PT in the traction tests and SSI evaluations. The µ value was directly related to the stress imposed on the tendon. Clinical relevance The present is an evaluation of the mechanical properties of the tendons most used as grafts in knee ligament reconstruction surgeries.

Characterization of the Vertical Stiffness Gradient in Cadaveric Human and Excised Canine Larynges.

The elastic properties of the folds govern the characteristics of vocal fold vibrations. This study addresses existing gaps by investigating the Young's modulus along the anterior-posterior direction in excised canine and cadaveric human vocal folds. Micro-indentation testing was conducted on six excised canines and three cadaveric human larynges. Multiple points along the medial glottal wall were indented to determine force-displacement, stress-strain relationships, and Young's modulus as a function of Green's strain. A vertical stiffness gradient was consistently observed in both canine and human samples, with higher stiffness in the inferior aspect compared with the superior aspect. The stiffness increased toward both the anterior and posterior directions from the mid-coronal plane, with a more pronounced increase at the posterior edge. Human vocal folds generally exhibited lower stiffness at low strains but were comparable to canine vocal folds at higher strains. These findings suggest that the canine larynx model is a reasonable representation of the human laryngeal tissues' elastic property trends. This analysis of the vertical stiffness gradient in canine and human vocal folds provides valuable data for improving experimental and numerical models of phonation.