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An experimental study is conducted to determine the influence of secondary reinforcement on the behaviour of corbels fabricated with three different types of high-performance fiber-reinforced cementitious composites, including engineered cementitious concrete (ECC); high-performance steel fiber-reinforced composite (HPSFRC); and hybrid fiber-reinforced composite (HyFRC). Two shear span-to-depth ratios (a/d = 0.75 and 1.0) are explored. The mechanical properties of the composites in terms of tensile, compressive, and flexural strengths are investigated. Next, the structural behaviour of the high-performance cementitious composite corbels in terms of ultimate load capacity, ductility, and failure modes under the three-point bending test are investigated. The secondary reinforcement is proven to significantly affect stiffness and ultimately load capacity of all three high-performance composite corbels with an aspect ratio of 0.75. However, the secondary reinforcement was more impactful for the HPSFRC corbels, with 51% increase of ultimate strength. Moreover, in terms of damage, fewer cracks occurred in ECC corbels. HPSFRC corbels displayed the highest level of ductility and deformation capacity compared to the other specimens. The results were comparatively analyzed against the predicted results using truss and plastic truss models which provided relatively reliable shear strength.
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http://dx.doi.org/10.3390/ma12244159 | DOI Listing |
Evid Based Dent
September 2025
Dental Core Trainee, Restorative Dentistry, Newcastle Dental Hospital, Cairo, Egypt.
A Commentary On: Mohamed M H, Abouauf E A, Mosallam R S. Clinical performance of class II MOD fiber reinforced resin composite restorations: an 18-month randomized controlled clinical trial. BMC Oral Health 2025;25: 159.
View Article and Find Full Text PDFEvol Med Public Health
July 2025
Department of Anthropology, Department of Public Health, Wayne State University, Detroit, MI, USA.
Caesarean birth has multiple, interrelated, and often mutually reinforcing bio-social etiologies. Evolutionary consequences of caesarean are uncertain. The goal of this study is to determine if caesarean births are more likely within family lineages by connecting and comparing lifetime birth experience (caesarean, vaginal) of individual women and generations of their families.
View Article and Find Full Text PDFMedication reconciliation was adopted as a National Patient Safety Goal by the Joint Commission in 2005 and is now standard practice across care settings. More recently, the concept of medication optimization has gained attention, recognizing that safe medication use requires more than reconciliation alone. Home healthcare (HHC) is one setting with a critical need for medication optimization.
View Article and Find Full Text PDFJ Med Internet Res
September 2025
Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Background: Emerging adults living with type 1 diabetes (T1D) need targeted support to equip them with the knowledge and motivation required for self-management, particularly as they transition from pediatric to adult care. While multicomponent digital health interventions have shown promise in addressing their multifaceted needs, traditional effectiveness studies provide little, if any, insights into which components work effectively, how they function, and for whom.
Objective: This study aims to explore the implementation of a multicomponent, text message-based digital intervention (Keeping in Touch; KiT) to provide early insights into which components may shape participants' transition experiences and how.
Aims: Professional practice in paramedicine is evolving rapidly, and with this evolution comes a growing ability - and responsibility - for paramedics to contribute to public health. Palliative and end-of-life care (PEOLC) public health is one such area where paramedicine has begun to contribute substantially and might still have significant untapped potential.This article explores developments in PEOLC paramedicine in the Scottish Highlands, an area classified as remote and rural, characterised by low population density, widely spaced communities and susceptibility to health inequalities created by access to healthcare, especially to specialist services.
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