Alignment Angle Research Articles

Research on the Effect of Fracture Angle on Neutron Logging Results of Shale Gas Reservoirs

Fracture structures are important natural gas transport spaces in shale gas reservoirs, and their storage state in shale gas reservoirs seriously affects gas production and extraction efficiency. This work uses numerical modeling techniques to investigate the logging response law of the thermal and epithermal neutrons in the gas-containing fracture environment at various angles, applying neutron logging as a technical method. To increase the precision of the evaluation of the natural gas storage condition in shale gas reservoirs, the angle of the fractures’ neutron logging data is analyzed. It is found that even in an environment with the same porosity of the fractures, there are significant differences in the logging results due to the different angles of the fracture alignment: 1. the neutron counts in the high-angle (70–90°) fracture environment are 2.25 times higher than in the low-angle (0–20°), but the diffusion area of the neutrons is only 10.58% of that in the low-angle (0–20°); 2. in the neutron energy spectrum, neutron counts are spreading to the high-energy region (7–13 MeV) along with the increase in the angle of the fracture, and the feature is especially prominent in the approximately vertical (60–90°) fracture environment, which is an increase of 528.12% in comparison with the counts in the approximately horizontal angle (0–30°) environment. The main reason for these differences is the variation in the volume of the fracture within the source radiation. This volumetric difference results from the variation in fracture angles (even though the fracture porosity is the same). In view of the above phenomenon, this paper proposes the concept of “effective fracture volume”, which can intuitively reflect the degree of influence of fracture angle on neutron logging results. Further, based on the unique characteristics of shale gas reservoirs and neutrons, this paper provides important theoretical support for the modification of the porosity of the field operation, the evaluation of the physical characteristics of the gas endowment space, and the assessment.

A Practical Analysis of Wire Drawing Operation Effects on the Die and Product Behaviors

This study analyse the effects of different wire drawing experimental tests on the die and product properties. Drawing load, temperature, and wear rate are main die factors, that concerned with the interaction effects of drawing speed variation, wire angle alignment and lubrication. For the product, two factors; tensile strength and hardness are taken. A copper wire is drawing from (4.3 mm) into (3.5 mm) diameter with an area reduction of 1.65, 34% ratio.Six dies were employed in various alignments at three different angles (0°, 1°, and 2°), each has two different drawing speeds of (20 mm/min and 40 mm/min). Results show, the highest drawing load and temperature values in die no.5. The effect of using grease on the die wear rate found that the die wear decreases compared to without. But, when using mixed gradients under the same working conditions, the wear rate changed into coating layer on the die surface. The interaction effect of wire alignment on the product strength showing very small when dealing with low or higher speed, but elongation and ductility are significantly reduced with increasing the angle. The wire produced from die no.1, gives the highest micro hardness.

Innovative machine learning based approach for reliable and accurate measurement of guide roll alignment in continuous casting plants

Continuous casting (strand casting) is the leading-edge technology in modern steel production. Even slight improvements of the casting process offer a range of benefits, such as improved quality, higher productivity, energy savings and a reduced environmental impact. The precise alignment of a plants guiding rolls is a crucial factor for its performance. Strand condition monitoring systems usually incorporate modules to gauge the alignment of the guiding rolls. These modules measure the angle formed by two successive rolls by using metal rulers fitted with inclination sensors. However, the angle of the ruler only represents a valid measurement where it maintains firm contact with two successive rolls. Most of these systems rely on inductive switches that trigger a measurement at these locations. Yet this approach provides unreliable results due to the trigger’s insufficient accuracy. Furthermore, this method stores only one data point per roll, which is problematic due to significant measurement noise. Apparently, a reliable and accurate alignment measurement remains a significant challenge. As part of an ongoing research project, this paper presents the development of a novel alignment measurement module. The module will provide continuous readings from the inclination sensors without the need for a trigger. In addition, an innovative machine learning based approach to distinguish between valid and invalid measurements is developed. This method enables the averaging of multiple measurements per roll, drastically reducing the impact of measurement noise while providing reliable alignment angles. To overcome the limited availability of real-world data, which is insufficient for model training, the measurement module is simulated to generate artificial training data. Our machine learning model achieves excellent performance on this artificially generated dataset. The paper concludes by outlining how the new approach will be applied to real-world data generated by the new module

Artificial intelligence in musculoskeletal imaging: realistic clinical applications in the next decade.

This article will provide a perspective review of the most extensively investigated deep learning (DL) applications for musculoskeletal disease detection that have the best potential to translate into routine clinical practice over the next decade. Deep learning methods for detecting fractures, estimating pediatric bone age, calculating bone measurements such as lower extremity alignment and Cobb angle, and grading osteoarthritis on radiographs have been shown to have high diagnostic performance with many of these applications now commercially available for use in clinical practice. Many studies have also documented the feasibility of using DL methods for detecting joint pathology and characterizing bone tumors on magnetic resonance imaging (MRI). However, musculoskeletal disease detection on MRI is difficult as it requires multi-task, multi-class detection of complex abnormalities on multiple image slices with different tissue contrasts. The generalizability of DL methods for musculoskeletal disease detection on MRI is also challenging due to fluctuations in image quality caused by the wide variety of scanners and pulse sequences used in routine MRI protocols. The diagnostic performance of current DL methods for musculoskeletal disease detection must be further evaluated in well-designed prospective studies using large image datasets acquired at different institutions with different imaging parameters and imaging hardware before they can be fully implemented in clinical practice. Future studies must also investigate the true clinical benefits of current DL methods and determine whether they could enhance quality, reduce error rates, improve workflow, and decrease radiologist fatigue and burnout with all of this weighed against the costs.

The SNR of idealized radial velocity signals

ABSTRACT One of the most basic quantities relevant to planning observations and assessing detection bias is the signal-to-noise ratio (SNR). Remarkably, the SNR of an idealized radial velocity (RV) signal has not been previously derived beyond scaling behaviours and ignoring orbital eccentricity. In this work, we derive the RV SNR for three relevant cases to observers. First, we consider a single mass orbiting a star, revealing the expected result that $\mathrm{SNR}\propto K \sqrt{T}$, where T is the observing window, but an additional dependence on eccentricity and argument of periastron. We show that the RV method is biased towards companions with their semimajor axes aligned to the observer, which is physically intuitive, but also less obviously that the marginalized bias to eccentricity is negligible until one reaches very high eccentricities. Secondly, we derive the SNR necessary to discriminate eccentric companions from 2:1 resonance circular orbits, although our result is only valid for eccentricities $e\lesssim 0.3$. We find that the discriminatory SNR is $\tfrac{9}{8} e^2 (1-e^2)^{-1/2}$ times that of the eccentric planet solution’s SNR, and is thus typically an order of magnitude less. Finally, we have obtained a semi-empirical expression for the SNR of the idealized Rossiter–McLaughlin (RM) effect, revealing the bias with respect to spin–orbit alignment angle. Our formula is valid to within 10 per cent accuracy in 95.45 per cent of the training samples used (for $b\le 0.8$), but larger deviations occur when comparing to different RM models.

Fabrication and mechanical characterization of near field electrospun bioresorbable vascular grafts with fibrous architecture mimicking the arterial extracellular matrix

Cardiovascular disease, arteriosclerosis, is characterized by the thickening of blood vessel (arteries) walls restricting blood flow and is a global health problem. One treatment option is a surgical procedure utilizing an autologous or synthetic vascular graft to bypass or replace the diseased arterial segment. The goal of this study was to fabricate and mechanically characterize near field electrospun bioresorbable vascular grafts with a fibrous architecture that mimics the arterial extracellular matrix. Polydioxanone vascular constructs with circumferential fiber alignment angles of 15°/75° and 30°/60° (0° representing circumferential fiber alignment) were fabricated using a custom built near-field electrospinning (NFES) system. The vascular construct mechanical properties were compared to the saphenous vein (SV) and internal mammary artery (IMA) through longitudinal and circumferential uniaxial mechanical testing, suture retention, and burst pressure evaluations. The results demonstrated that the 15°/75° templates were closest to mimicking the native vessel target properties as compared to the 30°/60°; however, neither of the vascular template designs achieved or exceeded all the target values. For the ultimate tensile strength, both the constructs met the SV value on the circumferential axis (2.61 MPa) and the IMA value on the longitudinal axis (4.3 MPa). In terms of suture retention, the 15°/75° template was the only construct that was in the IMA and SV targeted range of 138–200 gf. Finally, the burst pressure testing results indicated that neither of the vascular constructs achieved the level of the SV or IMA (1600–3196 mmHg), however, the 15° constructs were within the lower error of the SV. In conclusion, with further design modifications, NFES constructs have demonstrated promise as small-diameter vascular grafts by mimicking native arterial architecture and mechanical properties.

Disc Height and Angle Changes on Radiographs and Magnetic Resonance Imaging after Anterior or Posterior Percutaneous Endoscopic Cervical Discectomy.

Objectives: Cervical disc herniation (CDH) leads to pain, numbness, and potential disability. Percutaneous endoscopic cervical discectomy (PECD) offers an anterior or posterior approach. This study aims to compare postoperative disc height and angle changes one year after PECD, considering both approaches. Methods: We retrospectively reviewed the data from patients with CDH who underwent PECD from October 2017 to July 2022. Cervical disc height was measured using the preoperative and one-year postoperative magnetic resonance imaging (MRI) examinations. Lordotic angle (LA), global alignment angle (GAA), segmental alignment angle (SAA), and slippage distance (SD) at the surgical level were measured on radiographs in the neutral, flexion, and extension positions. Results: Thirty-eight patients who underwent posterior PECD (PPECD) and five patients who underwent anterior PECD (APECD) were included in the evaluation. The mean age of the patients was 47.4 years (range: 29-69 years). There was a significant difference in the preoperative and one-year postoperative GAA and SAA in extension in the PPECD group (p = 0.003 and 0.031, respectively). The mean decreased disc height one-year postoperative was 1.30 mm in the APECD group and 0.3 mm in the PPECD group by MRI. A significant disc height decrease was observed in the APECD group (p < 0.001). Conclusions: Treating CDH with PPECD or APECD is feasible, as it can relieve symptoms and reduce disability. Stability remained unaffected during the first year after surgery, even though there was an increase in angulation during extension. Despite a significant decrease in disc space following APECD, patients reported significant symptom improvement and no new symptoms.

Cervical Alignment and Range of Motion Change after Anterior 3-Level Hybrid Surgery Compared with Cervical Laminoplasty: A Matched Cohort Study.

Cervical alignment and range of motion (ROM) changes after cervical spine surgery are related to cervical biomechanical and functions. Few studies compared these parameters between posterior laminoplasty and anterior 3-level hybrid surgery incorporating anterior cervical discectomy and fusion (ACDF) with cervical disc replacement (CDR). This study is aimed to detect the differences of cervical alignment and ROM changes of the two surgeries in a matched-cohort study. From January 2018 and May 2020, 51 patients who underwent 3-level hybrid surgery incorporating ACDF with ACDR were included. A 1:1 match of the patients who underwent cervical laminoplasty based on age, gender, duration of symptoms, body mass index, and cervical alignment type was utilized as control group. General data (operative time, blood loss, etc.), Japanese Orthopaedic Association (JOA) score, VAS (Visual Analog Score), NDI (The Neck Disability Index), cervical sagittal alignment, and cervical range of motion (ROM) were recorded and compared. Both groups gained significant improvement in JOA, VAS, NDI scores postoperatively (p < 0.05). Cervical alignment significantly increased in hybrid group and decreased in control group after surgeries (p < 0.001). ROM decrease was similar in two groups. For cervical lordosis, though cervical alignment angle in control group decreased, the final follow-up cervical alignment and cervical alignment changes were not significantly different between hybrid and control groups. For cervical non-lordosis, cervical alignment decreased in control group while increased in hybrid group. At final follow-up, cervical alignment and the changes between the two groups were significantly different. Both control group and hybrid group had similar ROM decrease after the surgery no matter whether there was cervical lordosis or non-lordosis. Hybrid surgery showed cervical alignments significantly improved and similar ROM preservation compared with control group at final follow-up both for 1-level and 2-level disc replacement subgroups. The hybrid surgery demonstrated advantages of preserving cervical alignment and gaining similar cervical ROM preservation compared with cervical laminoplasty, especially for cervical non-lordosis. Given the importance of restoring lordotic cervical alignment, hybrid surgery may be preferred over laminoplasty to treat multilevel cervical disc herniation.

Artificial intelligence to automatically measure glenoid inclination, humeral alignment, and the lateralization and distalization shoulder angles on postoperative radiographs after reverse shoulder arthroplasty

BackgroundRadiographic evaluation of the implant configuration after reverse shoulder arthroplasty (RSA) is time-consuming and subject to interobserver disagreement. The final configuration is a combination of implant features and surgical execution. Artificial intelligence (AI) algorithms have been shown to perform accurate and efficient analysis of images. The purpose of this study was to develop an AI algorithm to automatically measure glenosphere inclination, humeral component inclination, and the lateralization and distalization shoulder angles (DSAs) on postoperative anteroposterior radiographs after RSA. MethodsThe Digital Imaging and Communications in Medicine files corresponding to postoperative anteroposterior radiographs obtained after implantation of 143 RSAs were retrieved and used in this study. Four angles were analyzed: (1) glenoid inclination angle (GIA, between the central fixation feature of the glenoid and the floor of the supraspinatus fossa), (2) humeral alignment angle (HAA, between the long axis of the humeral shaft and a perpendicular to the metallic bearing of the prosthesis), (3) DSA, and (4) lateralization shoulder angle (LSA). A UNet segmentation model was trained to segment bony and implant elements using manually segmented training (n = 89) and validation (n = 22) images. Then, an image-processing–based pipeline was developed to measure all 4 angles using AI-segmented images. Measures performed by 3 physician observers and the AI algorithm were then completed in 32 additional images. The agreements among human observers and between observers and the AI algorithm were evaluated using intraclass correlation coefficients (ICCs) and absolute differences in degree. ResultsThe ICCs (95% confidence interval) for manual measurements of LSA, DSA, GIA, and HAA were 0.79 (0.55, 0.90), 0.90 (0.80, 0.95), 0.96 (0.93, 0.98), and 0.99 (0.97, 0.99), respectively. The AI algorithm measured the 32 images in the test set in less than 2 minutes. The agreement between observers and the AI algorithm was lowest when measuring the LSA for observer 2, with an ICC of 0.77 (0.52, 0.89), and an absolute difference in degrees (median [interquartile range]) of 5 (4). Better agreements were found between the AI measurements and the average manual measurements: absolute differences in degree for LSA, DSA, GIA, and HAA were 3 (5), 2 (3), 2 (2), and 2 (1), respectively; ICCs for LSA, DSA, GIA, and HAA were 0.89 (0.79, 0.95), 0.96 (0.93, 0.98), 0.85 (0.68, 0.93), and 0.98 (0.95, 0.99), respectively. ConclusionThe AI algorithm developed in this study can automatically measure the GIA, HAA, LSA, and DSA on postoperative anteroposterior radiographs obtained after implantation on RSA.

LOFAR Deep Fields: Probing the sub-mJy regime of polarized extragalactic sources in ELAIS-N1. I. The catalog

Quantifying the number density and physical characteristics of extragalactic polarized sources is important for the successful planning of future studies based on Faraday rotation measure (RM) grids of polarized sources to probe foreground Galactic and intergalactic magnetic fields. However, it is proving very hard to detect polarized signal from the population of very faint (sub-mJy) polarized sources at low radio frequencies, and their properties are mostly unknown. LOFAR can play an important role in such studies thanks to its sensitivity and angular resolution, combined with the precision on the inferred RM values that can be achieved through low-frequency broad-band polarimetry. The aim of this study is to probe the sub-mJy polarized source population with LOFAR. In this first paper, we present the method used to stack LOFAR polarization datasets, the resulting catalog of polarized sources, and the derived polarized source counts. The European Large Area ISO Survey-North 1 (ELAIS-N1) field, one of the deepest of the LOFAR Two-Metre Sky Survey (LoTSS) Deep Fields so far, was selected for a polarimetric study at 114.9–177.4 MHz. A total area of 25 deg$^2$ was imaged at 6"-resolution in the Stokes $Q$ and $U$ parameters. Alignment of polarization angles was done both in frequency and in Faraday space before stacking datasets from 19 eight-hour-long epochs taken in two different LOFAR observing cycles. A search for polarized sources was carried out in the final, stacked dataset, and the properties of the detected sources were examined. The depolarization level of sources known to be polarized at 1.4 GHz was quantified. A one-sigma noise level, $ QU $, of 19 mu Jy/beam was reached in the central part of the field after stacking. Twenty-five polarized sources were detected above 8$ QU $, five of which had not been detected in polarization at any other radio frequencies before. Seven additional polarized components were found by lowering the threshold to 6$ QU $ at positions corresponding to sources known to be polarized at 1.4 GHz. In two radio galaxies, polarization was detected from both radio lobes, so the final number of associated radio continuum sources is 31. The detected sources are weakly polarized, with a median degree of polarization of 1.75&lt;!PCT!&gt; for the sample of sources detected in polarized emission. For the 10 polarized sources previously identified in a pilot LOFAR study of the ELAIS-N1 field at 20"-resolution, the RM values are consistent but the degrees of polarization are higher in the 6"-resolution data. The sources previously detected in polarization at 1.4 GHz are significantly depolarized at 150 MHz. The catalog is used to derive the polarized source counts at 150 MHz. This is the deepest and highest-resolution polarization study at 150 MHz to date. A full characterization of the sources and an analysis of the catalog will be presented in Paper II.

Alignment measurement of immersed tunnels based on laser differential imaging

The precision of underwater alignment for tunnel elements directly impacts the closure state of immersed tunnels. The current global navigation satellite system measurement tower method provides centimeter-level precision; however, this is insufficient due to the tower deformation at great water depths, which fails to meet alignment requirements. In this study, a novel immersed tunnel alignment measurement method using laser differential imaging is developed. A unique sensor layout is designed to measure the axial angle and distance between tunnel elements. The system design is implemented, and its laser data processing scheme is optimized to improve performance base on this sensor layout. The experimental results demonstrate that the accuracy of underwater laser spot extraction is better than 1.16 pixels, and the precision of axial angle and axial distance alignment measurements is better than 25″ and 1.6 mm, with repeatability precision exceeding 10.55″ and 0.53 mm. The laser-based alignment measurement method is not affected by the depth of water, satisfying the required precision of immersed tunnel alignment. These results can be applied to future immersed tunnel installations without measuring towers, providing a novel method for achieving automated and unmanned intelligent construction of immersed tunnels.

Multiscale insights into electric field orientation effects on piezoelectric strain and crystallography in P(VDF–TrFE) and P(VDF–TrFE–CTFE) fibers

This research primarily focuses on the effect of changing electric field directions on the crystal structure of piezoelectric fibers, notably, P(VDF–TrFE) and P(VDF–TrFE–CTFE). The study also explores the deformation mechanisms of fibers at micro- and nanoscales. A significant aspect of the research involves the application of parallel and perpendicular electric fields and observation of their impact on fiber properties. In situ wide-angle X-ray diffraction (WAXD) studies are crucial for determining the nanoscale properties when the electric field orientations change. The results show that the direction of the electric field significantly affects the sign (positive or negative) of the dipole vector within the β-crystal lattice structure of the fibers. This can be attributed to the rotation of dipole vectors in response to the electric field–fiber alignment angle. Furthermore, the research identifies the crystal plane (201,111)β as exhibiting the highest magnitude of piezoelectric response strain in the β phase. The study also employs scanning electron microscopy and digital image correlation (DIC) to reveal the material's morphology and to assess fiber strain distribution at the micrometer scale under different voltages. DIC results particularly highlight that stress concentration leads to the deformation of fibers into voids, which are spaces between fibers created by electrospinning. This work comprehensively elucidates how deformation works in piezoelectric polymers by connecting large-scale changes observed in fibers through DIC and small-scale changes observed in WAXD studies presenting the piezoelectric strain responses at the crystal plane.

True Confessions of Neutral Mechanical Disciple-How I Learned to Love a Patient-Specific Target.

Classical neutral mechanical alignment in total knee arthroplasty (TKA) has been a standard paradigm, while more recently, other alignment schemas, such as kinematic, individualized, and functional, have been explored. This study aimed to investigate the effect of three-dimensional (3D) computed tomography (CT)-based surgical robotics inputs on a classically trained surgeon's TKA component positions and alignment targets over time. Data from 1,394 consecutive robotically-assisted TKAs by a single surgeon from 2016 to 2020 were analyzed. Metrics collected included pre-balance planned implant component positions, final planned implant component positions after soft tissue balancing, and constitutional alignment from CT scans. Joint line obliquity was plotted against the arithmetic hip-knee angle (aHKA) using coronal plane alignment of the knee (CPAK). Three categories of alignment strategy were defined: true mechanical alignment (tMA), adjusted mechanical alignment (aMA), and no mechanical alignment (noMA). A shift to overall varus component positioning was observed over the years. Joint line obliquity according to CPAK showed a wider spread in later years, and the distribution of tibial and femoral coronal alignment angles expanded over time. The study revealed a change in alignment targets and final positioning of components away from neutral biomechanical axes in a large volume of TKAs by a single, classically trained surgeon over five years of using a robotic arm-assisted TKA system with CT-based planning. The most dominant factor for this change was the use of 3D CT planning, allowing the surgeon to assess patient-specific anatomy and plan accordingly. Outcome data is needed to determine if this change in behavior and surgical technique was beneficial. In summary, using a CT scan-based robotically assisted technique led to a gradual and complete shift from tMA to predominantly a non-mechanically aligned philosophy in TKA.

Phenotype-considered kinematically aligned total knee arthroplasty for windswept-deformity-associated osteoarthritis: surgical strategy and clinical outcomes

BackgroundWindswept deformity (WSD) in relation to advanced osteoarthritis (OA) presents a significant surgical challenge in total knee arthroplasty (TKA). The primary goal of this study is to investigate the Prevalance of WSD associated osteoarthritis who have undergone total knee arthroplasty. The secondary goal is to explore the causes of WSD and its association with spinal deformity or leg length discrepancy in these patients. Finally, we evaluate the surgical outcomes of phenotype-considered kinematically aligned TKA (KA-TKA) in treating patients with WSD.MethodsA review was conducted on data from 40 knees of 33 WSD patients who underwent phenotype-considered KA-TKA from August 2016 to December 2020. Patient demographics, associated diseases, preoperative and postoperative knee alignment angles, range of motion (ROM), Oxford Knee Score (OKS), and Knee Society Score (KSS) were collected and analyzed. Subgroup analysis for comparing the results between valgus and varus knees were also performed.ResultsWithin the studied cohort of WSD patients, a substantial 64% displayed concomitant coronal spinal imbalance and 21% evidenced leg length discrepancy. Postoperative improvements were notable in knee alignments, ROM, OKS, and KSS following the application of the phenotype-considered KA-TKA approach. There were significant differences in the knee alignment angles, including mHKA, LDFA, and MPTA, between the valgus and varus side of knees (P = 0.018). However, no statistically significant difference were observed in the functional scores, comprising ROM, OKS, and KSS, between valgus and varus knees.ConclusionsA high percentage of patients with WSD exhibited coronal spinal imbalance and leg length discrepancy. Phenotype-considered KA-TKA effectively provided alignment targets for the treatment of both varus and valgus knees in patients with WSD, achieving excellent short-term outcomes and acceptable knee alignment.

Experimental Demostration of a MIMO-OFDM Underwater Optical Communication System for Reducing Alignment Angle Requirements

Experimental Demostration of a MIMO-OFDM Underwater Optical Communication System for Reducing Alignment Angle Requirements

Clubfoot Correction with Ponseti Technique: Three-Dimensional Alignment Analysis and Residual Adult Deformity Effects on Patient-Reported Outcomes

Introduction/Purpose: Few studies have assessed the long-term outcomes of the Ponseti technique and none have utilized 3- dimensional weightbearing analysis. The goal of this study was to understand how potential residual 3D deformities and abnormalities influence patient reported outcomes (PROs). This was accomplished by assessing anatomical foot and ankle alignment in adult clubfoot patients treated with the Ponseti method using 3D weightbearing CT (WBCT) imaging and then correlating residual foot and ankle malalignment with PROs. Methods: There were 37 consecutive patients (57 feet) included and 14 volunteers healthy controls (28 feet) included in this study. Every participant was evaluated using a WBCT (HiRise©) in a bipedal standing position. From these scans Cavus, Adductus, and Varus components were evaluated using multiple 3D measurements calculated using the semi-automatic segmentation software Bonelogic®. Specific Cavus related measurements included sagittal talus-first metatarsal angle and the calcaneal inclination angle. Varus related measurements included talocalcaneal angle in both the sagittal and axial planes as well as the hindfoot moment arm and the hindfoot alignment angle. Adductus deformity was evaluated using talonavicular coverage angle. These measurements were then correlated with patient reported outcome surveys, which included Visual Acuity Scale for pain, PROMIS general health, PROMIS physical function, PROMIS pain interference, pain catastrophic scale, and European foot and ankle society score. Results: There was no significant overall residual 3D-deformity observed in clubfoot patients when compared to controls, with similar FAO measurements observed between the groups, clubfoot=2.63% (95%CI=1.41%-3.85%) and control=3.2% (CI=1.6%- 4.8%,P=0.58). The sagittal talus-first-metatarsal in the clubfoot-patients had a mean-value of -0.12° compared to the controls, −5.2°. Clubfoot patients also had a decreased calcaneal-inclination-angle relative to the controls, 13.01° and 21.5° respectively. Talocalcaneal-angle for clubfoot patients in both the sagittal-plane,44.28°, and axial-plane, 17.74°, were reduced compared to the controls, 57.51° and 25.78°. Talonavicular-coverage-angle in the clubfoot-group (18.63°) was less than the controls (29.19°). Talus- first-metatarsal-angle in the sagittal-plane was significantly correlated with VAS-scores (RSquare=0.19,P=0.0118) and the EFAS- Score (RSquare=0.27,P=0.0025). Talocalcaneal-angle in the sagittal plane was also significantly correlated with the PROMIS-Pain- Interference-score (P=0.038) and PROMIS-Physical-Function-score (RSquare=0.32,P=0.0007). Conclusion: The Ponseti technique is an effective nonsurgical treatment for the overall three-dimensional foot and ankle alignment of Clubfoot. While mild, but statistically significant residual Varus and Adductus deformities were observed in adult clubfoot patients, the overall 3D alignment (FAO) was found to be similar between clubfoot patients and controls. These findings highlight the efficacy of the Ponseti technique and potentially explain the overall good PROs. The results of this study could potentially provide insight into treatment targets that may be applied to help optimize patient outcomes when treating children with Clubfoot in the future. The Ponseti technique is an effective nonsurgical treatment for Clubfoot's overall three-dimensional foot and ankle alignment. While mild, but statistically significant residual Varus and Adductus deformities were observed in adult clubfoot patients, the overall 3D alignment (FAO) was found to be similar between clubfoot patients and controls. These findings highlight the efficacy of the Ponseti technique and potentially explain the overall good PROs. The results of this study could potentially provide insight into treatment targets that may be applied to help optimize patient outcomes when treating children with Clubfoot in the future.

Carbon fiber reinforced liquid crystalline elastomer composites: a dual exploration in strength augmentation and transformation flexibility through 4D printing

ABSTRACT Liquid Crystal Elastomers (LCEs) are renowned for their reversible deformation capabilities. Yet, enhancing their mechanical strength while retaining such flexibility has posed a considerable challenge. To overcome this, we utilized 4D printing to develop an innovative composite of LCE with carbon fiber fabric (LCEC). This approach has notably increased the tensile strength of LCE by eightfold, all the while maintaining its exceptional capacity for reversible deformation. By adjusting the alignment angle between carbon fiber and the LCE printing direction from 0° to 90°, the LCEC demonstrates an array of new deformation patterns, including bending, twisting, wrapping, and S-shaped transformations, which are distinct from pure LCE materials. Our study unveils that LCE composites exhibit deformation processes markedly different from their pure material counterparts, with the ability of pure LCE to sustain tensile strains exceeding 1900%. These findings, previously undocumented and unexplored, represent a substantial contribution to the field of smart materials. Employing finite element analysis, we explored the carbon fiber and LCE matrix dynamics, revealing bending mechanics in LCECs. This combined experimental and simulation approach yields crucial insights for crafting durable, high-strength LCECs with diverse deformational properties, advancing smart material technology.

Moiré Pattern Controlled Phonon Polarizer Based on Twisted Graphene.

Twisted van der Waals materials featuring Moiré patterns present new design possibilities and demonstrate unconventional behaviors in electrical, optical, spintronic, and superconducting properties. However, experimental exploration of thermal transport across Moiré patterns has not been as extensive, despite its critical role in nanoelectronics, thermal management, and energy technologies. Here, thefirst experimental study is conducted on thermal transport across twisted graphene, demonstrating a phonon polarizer concept from the rotational misalignment between stacked layers. The direct thermal and acoustic measurements,structural characterizations, and atomistic modeling, reveal a modulation up to 631% in thermal conductance with various Moiré angles, while maintaining a high acoustic transmission. By comparing experiments with density functional theory and molecular dynamics simulations, mode-dependent phonon transmissions are quantified based on the angle alignment of graphene band structures and attributed to the coupling among flexural phonon modes. The agreement confirms the dominant tuning mechanisms in adjusting phonon transmission from high-frequency thermal modes while having negligible effects on low-frequency acoustic modes near Brillouin zone center. This study offers crucial insights into the fundamental thermal transport in Moiré structures, opening avenues for the invention of quantum thermal devices and new design methodologies based on manipulations of vibrational band structures and phonon spectra.

Change of joint line convergence angle and other coronal alignments after total hip arthroplasty

BackgroundThe purpose of this study was to determine the unloading effect of total hip arthroplasty (THA) on the ipsilateral knee joint through the joint line convergence angle (JLCA) change and determine the changes in other coronal radiographic parameters after THA, and evaluate the sensitivity of JLCA. Patients and methodsWe retrospectively assessed 70 patients who underwent unilateral THA. Hip parameters such as neck shaft angle (NSA), neck length, and femoral offset and coronal alignment parameters of the lower extremity such as hip–knee–ankle angle (HKA), femur length, mechanical lateral distal femoral angle (mLDFA), JLCA, medial proximal tibial angle (MPTA), lateral distal tibial angle (LDTA), and plafond talus angle (PTA) were measured in the operative and non-operative sides. We compared all hip and coronal alignment parameters between before and 1 year after THA, and the amount of standardized changes (Δ) between all hip and coronal alignment parameters on the operative side, respectively. ResultsAll mean hip and coronal alignment parameters on the operative side changed significantly 1-year after THA; however, those on the non-operative side did not. On the operative side, mean JLCA and PTA changed in the direction of closing the joint lateral space, from 1.81° and 0.47° to 1.22° and 0.11°, respectively (p<0.001 and 0.046, respectively). Mean NSA, HKA, and mLDFA changed in the valgus direction, from 129.39°, 2.62°, and 86.69° to 133.54°, 1.53°, and 85.91°, respectively (p<0.001). Mean femoral offset, neck length, and femur length increased from 36.45mm, 47.83mm, and 429.20mm to 39.85mm, 55.06mm, and 436.33mm, respectively (p<0.001). Mean MPTA and LDTA increased from 85.43° and 87.50° to 86.73° and 90.38, respectively (p<0.001). JLCA was more vulnerable to change than HKA, femur length, mLDFA, MPTA, and PTA (p<0.05). DiscussionJLCA change on the operative side was more sensitive than changes of other coronal alignments after THA. According to the cohort, THA might have an unloading effect on the medial compartment of the knee joint. Level of evidenceIV; retrospective case-control and cohort studies.

3D Analysis of Joint-Sparing Charcot-Marie-Tooth Surgery Effect on Initial Standing Foot Alignment.

The complex deformities in cavovarus feet of Charcot-Marie-Tooth (CMT) disease are difficult to evaluate. The aim of this study was to quantify the initial standing alignment correction achieved after joint-sparing CMT cavovarus reconstruction using pre- and postoperative weightbearing computed tomography (WBCT). Twenty-nine CMT cavovarus reconstructions were retrospectively analyzed. Three-dimensional measurements were performed using semiautomated software (Bonelogic 2.1) to investigate changes in sagittal, axial, and coronal parameters. Pre- and postoperative data were compared, along with normative data. Correlation among the preoperative measurements and the amount of correction in sagittal, axial, and coronal parameters were analyzed. The sagittal, axial, and coronal malalignment of the hindfoot, and the sagittal and axial malalignment of the forefoot, was significantly improved after corrective surgery (P < .05). Sagittal Meary angle (from 14.8 to 0.1 degrees), axial talonavicular angle (TNA, from 3.6 to 19.2 degrees), and coronal hindfoot alignment (from 11.0 to -11.1 degrees) showed significant changes postoperatively (P < .001). Hindfoot, forefoot sagittal, and forefoot axial parameters reached comparable outcomes compared with normative value (P > .05). Regarding amount of correction, Spearman correlation demonstrated that axial Meary angle and TNA were most strongly related to improvement in sagittal Meary angle and coronal hindfoot alignment. Preoperative and postoperative WBCT measurements demonstrated that joint sparing CMT cavovarus reconstruction significantly improved sagittal, axial, and coronal deformities of CMT, and sagittal Meary angle was restored toward normative values. Apparent axial plane correction, the majority of which occurred at the talonavicular joint, had the strongest correlation with deformity correction in multiple planes. This suggests that soft tissue releases and correction of the talonavicular joint may be a key component of a cavovarus foot correction. Level IV, retrospective case series.