This study investigates the influence of five nanomaterials nano-alumina (NA), nano-silica (NS), nano-titanium (NT), nano-zinc oxide (NZ), and carbon nanotubes (CNT)on enhancing the fatigue resistance of asphalt binders. NA, NS, and NT were incorporated at dosages of 2%, 4%, 6%, 8%, and 10%, while NZ and CNT were added at 1%, 2%, 3%, 4%, and 5%. A series of physical, rheological, and performance-based tests were conducted, including penetration, softening point, ductility, and rotational viscosity. Based on the outcomes of the overall desirability evaluation, the first three dosages of each nanomaterial were selected for further testing due to their superior workability and binder flexibility. Subsequent investigations included the high-temperature performance grade, fatigue parameter (G*.sin δ), Linear Amplitude Sweep (LAS), and IDEAL-CT test integrated with Digital Image Correlation (DIC). The results confirmed that nanomaterial modification significantly enhanced asphalt binder performance, though the effectiveness varied with type and dosage. Physical tests demonstrated improved stiffness, softening point, and reduced temperature susceptibility, with slight ductility losses at higher dosages. Rotational viscosity analysis indicated that low-to-moderate contents ensured workability excluding high CNT dosages which exceeded Superpave limits. High-temperature PG improved notably with NS, NZ, and CNT, while NA and NT showed limited gains. Fatigue parameter results (G*.sin δ) identified NA and NT as the most consistent in reducing cracking susceptibility. LAS testing confirmed superior fatigue lives at optimal dosages of 6% NA, 6% NT, 2% NS, 2% CNT, and 1% NZ, while higher concentrations often caused agglomeration and performance decline. IDEAL-CT and DIC analyses validated these findings by demonstrating increased fracture energy, CT index, and more uniform strain distributions in nano-modified mixtures compared to neat asphalt. FTIR spectra confirmed reduced oxidative aging most prominently with NT and NA while SEM revealed enhanced microstructural cohesion and reduced surface defects. The integration of the Overall Desirability (OD) framework confirmed NT-6 as the most effective dosage, followed by NZ-1 and NS-2, while higher dosages often led to poor compatibility and performance decline. Complementary cost–effectiveness analysis further demonstrated that lower dosages of NZ, NT, and NS achieved the best balance between technical performance and economic viability, whereas excessive CNT and NT contents were not recommended due to unfavorable cost-to-performance ratios. These findings highlight that dosage optimization is critical for translating nanomaterial benefits into practical pavement engineering applications, ensuring enhanced durability with rational investment of resources.
Adherence to cardiac medications makes a significant contribution to avoidance of morbidity and premature mortality in patients with cardiovascular disease. This quantitative study used cross‐sectional survey design to evaluate medication adherence and contributing factors among patients with cardiovascular disease, comparing patients who were admitted to a cardiac ward (
Background. Aneurysms of the distal anterior cerebral artery (DACA) are uncommon; they often form near the pericallosal-callosomarginal junction and are typically small. To our knowledge, giant DACA aneurysms developing from the more distant parts of the anterior cerebral artery (ACA), A4-5, have been described only once in the literature. Case description. A 66-year-old gentleman reported with a brief loss of consciousness followed by weakness in his right lower leg. The patient was admitted with a Glasgow Coma Score (GCS) of 15. A computed tomography (CT) scan of the head revealed a left hyperdense mass in the frontal parasagittal supracallosal region. Contrast MRI revealed a heterogeneously enhancing mass measuring 35x30x25 mm. C
... Show MoreBackground: Client satisfaction with the immunization service is used to evaluate the quality of the admitted service and at the same time it affects the goodness of the health care outcome.
Objectives: This study assessed the satisfaction with immunization services offered to children and factors affecting this satisfaction.
Methods: Exit interviews for clients were conducted in Baghdad, Al-Karkh in a representative sample of primary health care centers to assess clients’ satisfaction with immunization services. Clients are companions of children encountered at study settings.
Results: Among the 253 respondent clients, 183 (72.3%) reflected satisfaction with the immunization
... Show MoreObjective To evaluate recently developed acidic calcium-phosphate (CaP) pastes as conservative enamel-conditioning systems for bracket bonding and investigate their effects on the shear bond strength, adhesive residues, and enamel damage in comparison to a conventional 37 % phosphoric acid (PA) gel. Materials and methods Two experimental etchant pastes consisting of hydroxyapatite and monocalcium phosphate monohydrate were prepared by mixing them with 37 % and 10 % PA solutions, respectively. These were characterized using X-ray diffraction. Metal brackets were bonded to 90 freshly extracted human premolars and assigned to three groups, depending on etchant type: 37 % PA-gel (control) and the two experimental (HPA and MPA) pastes. Shear bon
... Show MoreThe study using Nonparametric methods for roubust to estimate a location and scatter it is depending minimum covariance determinant of multivariate regression model , due to the presence of outliear values and increase the sample size and presence of more than after the model regression multivariate therefore be difficult to find a median location .
It has been the use of genetic algorithm Fast – MCD – Nested Extension and compared with neural Network Back Propagation of multilayer in terms of accuracy of the results and speed in finding median location ,while the best sample to be determined by relying on less distance (Mahalanobis distance)has the stu
... Show MoreIn this research, the semiparametric Bayesian method is compared with the classical method to estimate reliability function of three systems : k-out of-n system, series system, and parallel system. Each system consists of three components, the first one represents the composite parametric in which failure times distributed as exponential, whereas the second and the third components are nonparametric ones in which reliability estimations depend on Kernel method using two methods to estimate bandwidth parameter h method and Kaplan-Meier method. To indicate a better method for system reliability function estimation, it has be
... Show MoreBackground: Measuring the concentration of hepatitis B surface antigen (HbsAg) in HBV patients can be determined with immunoassay techniques. This study aimed to measure the HbsAg titers in chronic HBV patients and to assess its correlation with patients' ages, gender, and with the levels of liver enzymes and total serum bilirubin. Materials and Method: Fifty-eight chronic hepatitis B infected patients were enrolled in this study. Age and gender of the patients were recorded. HbsAg concentration was tested with automated Immunoanalyzer. The patients were also tested for ALT, AST, ALP, and TSB by automated chemistry analyzer. Results: All the chronic HBV patients have positive HBsAg titers above the negative cutoff (0.05U/L) with mea
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