Anatomical Parameters Research Articles

Anatomical Characteristics of Cervicomedullary Compression on MRI Scans in Children with Achondroplasia

This retrospective study assessed anatomical characteristics of cervicomedullary compression in children with achondroplasia. Twelve anatomical parameters were analyzed (foramen magnum diameter and area; myelon area; clivus length; tentorium and occipital angles; brainstem volume outside the posterior fossa; and posterior fossa, cerebellum, supratentorial ventricular system, intracranial cerebrospinal fluid, and fourth ventricle volumes) from sagittal and transversal T1- and T2-weighted magnetic resonance imaging (MRI) scans from 37 children with achondroplasia aged ≤ 4 years (median [range] 0.8 [0.1–3.6] years) and compared with scans from 37 children without achondroplasia (median age 1.5 [0–3.9] years). Mann–Whitney U testing was used for between-group comparisons. Foramen magnum diameter and area were significantly smaller in children with achondroplasia compared with the reference group (mean 10.0 vs. 16.1 mm [p < 0.001] and 109.0 vs. 160.8 mm2 [p = 0.005], respectively). The tentorial angle was also steeper in children with achondroplasia (mean 47.6 vs. 38.1 degrees; p < 0.001), while the clivus was significantly shorter (mean 23.5 vs. 30.3 mm; p < 0.001). Significant differences were also observed in myelon area, occipital angle, fourth ventricle, intracranial cerebrospinal fluid and supratentorial ventricular volumes, and the volume of brainstem protruding beyond the posterior fossa (all p < 0.05). MRI analysis of brain structures may provide a standardized value to indicate decompression surgery in children with achondroplasia.

BN SO63 - A systematic review of Hiatus Hernia classifications

Abstract Background Hiatus hernias (HH) are common, an important cause of symptoms, and a strong risk factor for complications and oesophageal dysplasia and adenocarcinoma. However, there is a lack of consensus as to how they should be classified. This has significant implications for benchmarking and standardising practice, as well as generating and answering research questions. The aim of this review was to systematically identify and appraise what classification systems have been described, and to identify any novel approaches to HH classifications and their association with treatment outcomes. Method We undertook a systematic review of the PubMed and EMBASE databases on the 17th January 2023. Inclusion criteria were any studies containing a HH classification described within adults. Exclusion criteria were studies not in English, animal studies and case reports. Results 847 articles were identified. 245 were included, with a further 9 studies identified that tested a novel approach to classifying HH against surgical outcomes. Most classification systems (64.9%) were anatomical, but with significant variation as regards stratification of size of the hernia, and its contents (primarily the proportion of herniated stomach). A small number of classifications described endoscopic, manometry, symptomatic and intra-operative classifications. There was considerable heterogeneity in the definitions used for larger HH. The quality of studies comparing classifications with outcomes was limited; however, some possible associations were reported based on anatomical and physiological parameters. Conclusion We found a wide range of HH classification systems. These were mainly anatomical and based on the traditional type I-IV system. Whilst the evidence is limited, it seems likely that other components (anatomical and physiological) may have utility in better classifying HH and guiding treatment, standardisation and research.

THE IMPORTANCE OF REMOVING THE INNER BOUNDARY MEMBRANE IN THE TREATMENT OF DIABETIC MACULAR EDEMA: A SERIES OF CLINICAL CASES

Vitreoretinal surgery (VRH) is recognized as the preferred method of treating diabetic macular edema (DMO), concomitant with additional pathology of the vitreomacular interface (VMI). Empirical data obtained as a result of numerous studies give contradictory results, therefore, the need for peeling of the internal limiting membrane (VPM) remains unresolved.Purpose. To find out the results of surgical intervention in patients with DMO as a result of epimacular fibrosis (EMF) by comparing cases with and without HPV peeling.Materials and methods. This manuscript presents a comparative assessment of three clinical cases. The patients had similar clinical manifestations and historical medical data. In all cases, patients underwent HRH for DMO combined with EMF. In two cases, the VPM was peeled, and in the third case, the VPM was preserved.Results. An analysis of the observational data and an assessment of anatomical and functional parameters revealed complications in the first and second patients at the late postoperative stage, while in the third patient the condition stabilized. Conclusion. The presented clinical cases show that anatomical and functional results are not always correlated. The increased risk of complications associated with a violation of the architecture and functionality of the retina during peeling requires a critical assessment of the clinical justification of this method.

Comparing DCE-MRI and DSA: Understanding the embolization of hypervascular spinal metastases.

This study aims to examine and compare the effectiveness of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and Digital Subtraction Angiography (DSA) in evaluating hypervascular spinal metastases. A comprehensive literature review was conducted, utilizing top-tier databases such as PubMed, Scopus and Google Scholar, to compile an authoritative and up-to-date overview of the current advancements in the field. We synthesized key studies focusing on the advantages, limitations and efficacy of both imaging techniques. DCE-MRI provides a non-invasive method for evaluating tissue morphology, perfusion and vascularity, offering valuable information for cancer diagnosis and treatment monitoring. In contrast, DSA is an invasive procedure primarily used for embolization and diagnosing cerebrovascular events. Both modalities have distinct features regarding image acquisition, contrast agents, resolution and accessibility. DCE-MRI shows promise for cancer-related applications, offering advantages over conventional MRI by incorporating anatomical and hemodynamic parameters. While DSA remains important for cases requiring critical vascular information, further research is necessary to explore its potential therapeutic benefits in assessing vessel patency. Continued investigations are crucial to uncover additional insights and therapeutic applications for both DCE-MRI and DSA in medical imaging.

Chronic inhalation exposure to the herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) alters cardiac collagen in Wistar rats.

2,4-dichlorophenoxyacetic acid (2,4-D) is one of the most used in the world and exposure to herbicides can affect animals and humans, causing toxic effects that include cardiotoxicity. This is the first study to evaluate cardiac remodeling after experimental simulation of environmental exposure by chronic inhalation (6months) to the herbicide 2,4-D. Thirty male Wistar rats were exposed to two different concentrations of the 2,4-D formulation (low - 187.17mg/m3; and high - 467.93mg/m3) and the control group exposed to nebulization of chloride solution 0.9% sodium. Inhalation exposure lasted 6months. Mice hearts were collected for histology. There was a difference between exposure concentrations in relation to the increase in cardiac collagen (P<0.0001). In mice exposed to a low dose of 2,4-D and a decrease in the fractal dimension of cardiac collagen in the high dose of 2, 4-D (P=0.010). This study shows that chronic inhalation exposure to 2,4-D induces cardiotoxicity in rats, characterized by extracellular matrix reorganization and changes in collagen levels, highlighting the impact of the exposure route on cardiac outcomes. There was no difference in relation to anatomical parameters, cardiomyocyte area, collagen types I and III and analysis of arteriole thickness. Chronic exposure at different doses to the 2,4D herbicide had the potential to cause damage to cardiac remodeling by altering cardiac collagen in rats.

Congruent Weber-B ankle fractures do not alter tibiotalar contact mechanics.

Current treatment strategy for managing Weber B ankle fractures is mainly governed by mortise congruency, malleolar alignment, deltoid ligament competence and fracture stability. While nonoperative treatment has yielded good functional outcomes in satisfactorily aligned stable injuries, a biomechanical rationale is not firmly established. Furthermore, current radiographic analysis is obscured by observer inaccuracy and beam rotation. This study aimed to utilize weightbearing CT and computational biomechanics to analyse 3D mortise displacement and contact mechanics in Weber-B ankle fractures and compare them with the uninjured contralateral side. 32 patients were included who sustained a Weber-B ankle fracture and underwent bilateral weightbearing CT imaging at injury. Segmentation into 3D models of bone was performed semi-automatically, and individualized cartilage layers were modeled based on a previously validated methodology. The 3D mortise congruency was evaluated by use of following parameters: alpha angle, fibular length, talocrural angle, medial gutter- and tibiofibular clear space- distance mapping. Contact mechanics were evaluated by the mean and maximum contact stress of the tibiotalar articulation. Statistical analysis revealed that there were no significant differences for all anatomical parameters. There was also no significant difference between the mean contact stress of the injured (2.10 ± 0.42 MPa) and uninjured side (2.10 ± 0.41 MPa), nor the maximum contact stress of the injured (7.67 ± 1.55 MPa) and uninjured (7.47 ± 1.67), respectively. Contact mechanics were unaffected in congruent Weber-B fractures. These findings support consideration of nonoperative management in such cases, given their presumably low risk for posttraumatic arthritic development in the long term. Level of Evidence: Level III; retrospective case-control study.

Susceptibility of Different Aesculus Species to the Horse Chestnut Leaf Miner Moth: Chemical Composition and Morphological Features of Leaves

The susceptibility of seven species of chestnuts to the horse chestnut leaf miner was studied in the arboretum of the Main Botanical Garden of the Russian Academy of Sciences (MBG RAS), taking into account their interspecific characteristics. Using pheromone delta traps, the highest number of Cameraria ohridella moths was shown for Aesculus hippocastanum and the lowest for Aesculus chinensis. A number of anatomical parameters of leaves were investigated, such as the thickness of the epidermal cell wall and the thickness of the palisade and spongy parenchyma layers. As a result, it was shown that the most infected chestnut species had a greater thickness of the nutritious parenchyma tissue. No dependence was found between the degree of susceptibility to the horse chestnut leaf miner and such indicators as the content of chlorophyll a + b and carotenoids in the leaves of seven species of chestnuts. Nevertheless, resistance of different species of the genus Aesculus to Cameraria ohridella under increased tannin content in leaves has been shown. Evaluation of phenolic compounds and flavonoids has not established their reliable role as repellents. The high levels of carbohydrates found during the study contributed to increased susceptibility to the horse chestnut leaf miner.

Anatomy of Lister's Tubercle: Implications for Volar Locked Plating of the Distal Radius.

Determining accurate intraoperative screw length in complex distal radius fractures may pose difficulties. With volar plate fixation, excessive screw length may result in extensor pollicis longus injury and this can be challenging to determine via intraoperative imaging. This study aims to identify the precise anatomic location and parameters of Lister's tubercle on the dorsal aspect of the radius. The anatomy and location of Lister's tubercle was evaluated in 26 cadaveric arms, of which 27% were female, with a mean age of 73.6 years. Additionally, Lister's tubercle was evaluated on 198 computed tomography (CT) scans using a quantitative distal radius surface map. Median age was 28 years, and 28% of the patients were female. As measured in cadaveric arms, the mean Lister's tubercle length was 12.6 mm, and width was 5.4 mm. The distance from the radial styloid to the distal and proximal border of Lister's tubercle averaged 23.0 and 10.4 mm, respectively. Of the total distal radial width, Lister's tubercle begins 43% from the radial border and spans to 42% of the ulnar border, encompassing 16% of the entire width of the dorsal distal radius. On CT mapping, the distance between the peak of Lister's tubercle and the ulnar and radial border of the radius was 46% and 54%, respectively. Female sex was associated with a smaller distal radius width, but not with a smaller Lister's tubercle. Knowledge of Lister's tubercle anatomy may assist in more precise screw placement in volar locked plating of distal radius fractures. IV-Therapeutic.

Sex-based differences in anatomical and hemodynamic parameters and outcomes in patients with hypertrophic cardiomyopathy undergoing alcohol septal ablation

Abstract Background This study aimed to assess sex differences in anatomical and hemodynamic parameters, and in procedure related outcomes, in patients with hypertrophic obstructive cardiomyopathy (HOCM) undergoing alcohol septal ablation (ASA). Methods 154 patients that underwent ASA in at our university hospital, between 2009 and 2021, were retrospectively included. Anatomical and hemodynamic parameters were collected from invasive catheterization before and during ASA, and from echocardiography (ECHO) examinations at maximum one week before ASA. Follow-up was conducted one year after ASA. The parameters analyzed were left ventricular (LV) volume, basal septal wall thickness (BSWT), anterior (AML) and posterior mitral leaflet (PML) length, minimal left ventricle outflow tract (LVOT) diameter, and LVOT pressure gradient at rest, prior to ASA, and prevalence of atrioventricular block after ASA. Linear and logistic regression models were used to assess the sex differences between the parameters. Results 50% of the patients were women. At the time of ASA, women were significantly older, had lower LV volume indexed for BSA in end-diastole (44 vs. 54 ml, p&amp;lt;0.001) and end-systole (18 vs. 23 ml, p=0.021), longer AML length indexed for BSA (13.7 vs. 11.6 mm, p&amp;lt;0.001) and PML length indexed for BSA (8.8 vs. 8.1 mm, p=0.018), smaller minimal LVOT diameter (4.6 vs. 4.9 mm, p=0.042), and higher LVOT pressure gradient at rest (49.3 vs. 32.5 mmHg, p=0.014), compared with men. The median follow-up was 364 days. Atrioventricular block (II or III) was more common among women (n=20, 26%) compared with men (n=10, 13%, p=0.045). Conclusions ECHO and invasive catheterization prior to ASA showed that women with HOCM presented with less favorable anatomical and hemodynamic pre-conditions, compared with men. At follow-up, women had a greater incidence of atrioventricular block after ASA. This strongly emphasizes the need for a sex-specific approach to optimize care and improve outcomes in patients with HOCM.

Anatomical characteristics of the phrenic nerve and the spontaneous conduction block between the right atrium and the superior vena cava

Abstract Introduction Although the superior vena cava isolation (SVCI) with minimal radiofrequency application using a spontaneous right atrium – superior vena cava (RA-SVC) conduction block has been reported, the anatomical characteristics of the spontaneous RA-SVC conduction block is not clear. Purpose The aim of this study to evaluate the anatomical relationship between the spontaneous RA-SVC conduction block and the phrenic nerve (PN). Methods This study consisted of 73 patients who attempted to undergo SVCI using a RA-SVC conduction block. The RA-SVC conduction block was visualized using the extended early meets late tool with the CARTO3 system. We set the first lower threshold at 1800/total local activation time to optimize the visualization of spontaneous RA-SVC conduction block. If the SVC was not isolated by ablation to the gap of the visualized conduction block line, the lower threshold was increased by 5%, and the new gap was ablated each time. The course of the right PN was detected by pacing with 20 mA /2 ms. The RA-SVC conduction block and the course of the PN were measured with reference to the height of the left atrial roof. The extend of the RA-SVC conduction block and PN were measured in angles with respect to the ventral side (Figure 1). These anatomical parameters were compared between the RA-SVC block line and the PN. Results Sixty-one patients (83.6%) had spontaneous RA-SVC conduction block, and the remaining 12 patients (16.4%) did not. Anatomical characteristics were evaluated in 61 patients with spontaneous RA-SVC conduction block. Compared with the course of the PN, RA-SVC conduction block extended more posteriorly (110 degrees vs 128 degrees, P = 0.013) and more caudally (9.5 mm vs 16.1 mm, P&amp;lt;0.0001) (Figure 2). In the patients who underwent SVCI using a RA-SVC conduction block, any patients did not undergo radiofrequency application on the course of the PN. Conclusion Since the caudal end of the RA-SVC conduction block is posterior to the caudal end of the phrenic nerve, SVCI using the RA-SVC conduction block may be able to avoid ablation near the PN.Figure1Figure2

Clinical benchmark dataset for AI accuracy analysis: quantifying radiographic annotation of pelvic tilt

Radiographic landmark annotation determines patients’ anatomical parameters and influences diagnoses. However, challenges arise from ambiguous region-based definitions, human error, and image quality variations, potentially compromising patient care. Additionally, AI landmark localization often presents its predictions in a probability-based heatmap format, which lacks a corresponding clinical standard for accuracy validation. This Data Descriptor presents a clinical benchmark dataset for pelvic tilt landmarks, gathered through a probabilistic approach to measure annotation accuracy within clinical environments. A retrospective analysis of 115 pelvic sagittal radiographs was conducted for annotating pelvic tilt parameters by five annotators, revealing landmark cloud sizes of 6.04 mm-17.90 mm at a 95% dataset threshold, corresponding to 9.51°–16.55° maximum angular disagreement in clinical settings. The outcome provides a quantified point cloud dataset for each landmark corresponding to different probabilities, which enables assessment of directional annotation distribution and parameter-wise impact, providing clinical benchmarks. The data is readily reusable for AI studies analyzing the same landmarks, and the method can be easily replicated for establishing clinical accuracy benchmarks of other landmarks.

Influence of scleral thickness on photodynamic therapy outcomes in central serous chorioretinopathy.

To test the prognostic role of anterior scleral substantia propria (ASSP) thickness in predicting the 3-month response after half-dose photodynamic therapy (PDT) in central serous chorioretinopathy (CSCR) and to assess its clinical relevance of ASSP in different CSCR phenotypes. A prospective, exploratory, multi-centre cohort study conducted at IRCCS San Martino Hospital (Genoa, Italy) and Jules-Gonin Eye Hospital (Lausanne, Switzerland). Demographic and clinical data, and optical coherence tomography (OCT) were collected at baseline and 3 months after PDT. Based on OCT images, we categorized CSCR phenotypes and collected clinically relevant imaging metrics. ASSP thickness was obtained from four different measurements using anterior segment (AS) OCT. Multivariable regression models were performed to evaluate the distribution of ASSP thicknesses among different CSCR phenotypes and to test the prognostic role of ASSP thickness in discriminating between PDT responders (complete subretinal fluid reabsorption) and partial responders. The study cohort comprised 109 Caucasian patients (82 males, 75.2%) with a total of 142 eyes: 84 eyes simple (59.1%) versus 58 eyes complex (40.9%) CSCR. A linear normal model confirmed a positive association between complex CSCR and higher ASSP thickness (β = 26.1, 95% CL = 12.1/40.1, p < 0.001), with a low prevalence of ciliochoroidal effusion loculations in AS-OCT (1/142 eyes, 0.7%). ASSP thickening was positively linked to the presence of posterior cystoid retinal degeneration (PCRD; p = 0.002), indicating a potential role in the pathogenesis of severe CSCR phenotypes. In the subgroup of treated patients (61 eyes), 63.9% had a complete response after PDT. In these patients a logistic binary model highlighted a significantly higher risk of PDT non-responsiveness (OR = 9.62, 95% CL = 2.44/37.9, p = 0.001) associated with a 60-unit increase in ASSP thickness levels. By contrast, other anatomical parameters (i.e., body surface area, age, gender, axial length) showed no remarkable prognostic roles. This research highlighted the association of ASSP thickening with complex CSCR phenotype in Caucasian patients and its role in predicting PDT efficacy. These findings enhance our comprehension of the anatomical risk factors in patients affected with CSCR and potentially guide a better understanding of non-responsive cases to PDT treatment.

Влияние экологических условий на анатомо-морфологические показатели листьев Weigela

Abstract. The anatomical features of the leaves are susceptible to environmental factors and, therefore, are very plastic in their development. However, how these indicators differ depending on the influence of environmental factors remains unclear, especially with regard to plants growing in agrocenoses. The purpose of our research is to study the variability of anatomical and morphological parameters of Weigela leaves depending on the growing conditions. We have studied the anatomical structure of Weigela leaves in various ecological growing conditions: in the botanical garden "Tree of Friendship" of the Russian Academy of Sciences and the Subtropical Botanical Garden of Kuban (SBGK), according to a set of anatomical and morphological parameters (leaf blade thickness, development of the palisade and spongy parenchyma, upper and lower epidermis). To do this, the leaves of different ecotypes were studied: those growing in a well-lit (average illumination of 53,000 lux) area of the botanical garden "Tree of Friendship" and under the canopy of trees (illumination of 28,000 lux) in the Subtropical Botanical Garden of Kuban (SBGK, Sochi). Our results showed that the anatomical features of weigela leaves vary in varieties depending on their growing places. It is shown that the highest values (thickness: leaf, palisade and spongy parenchyma, lower and upper epidermis) in various environmental conditions were noted in the variety 'Mont Blanc', and the lowest in 'Eva Ratke'. It is noted that the palisade parenchyma is most developed in the 'Mont Blanc' variety, both in conditions of full illumination (84.7±2.9 microns) and in shading (62.2±2.6 microns). The lowest values were obtained for the ‘Eva Ratke’ variety, while a decrease in the thickness of the front garden fabric was noted in full light conditions (33.7±2.4 microns) and an increase in shade (36.3±3.1 microns). Key words: Weigela, anatomical parameters, leaves, illumination, mesophyll cells, palisade parenchyma, stomata

Machine learning-enhanced stochastic uncertainty and sensitivity analysis of the ICRP human respiratory tract model for an inhaled radionuclide

The International Commission on Radiological Protection (ICRP) has developed the reference Human Respiratory Tract Model (HRTM), detailed in ICRP Publications 66 and 130, to estimate the deposition and clearance of inhaled radionuclides. These models utilize reference anatomical and physiological parameters for particle deposition (PD). Biokinetic models further estimate retention and excretion of internalized particulates, aiding the derivation of inhalation dose coefficients (DC). This study aimed to assess variability in deterministic131I biokinetic and dosimetry models through stochastic analysis using the updated HRTM from ICRP Publication 130. The complexities of the ICRP PD model were reconstructed into a new, independent computational model. Comparison with reference data for total PD fractions for reference worker, solely a nose breather, covering activity median aerodynamic diameters from 0.3μm to 20μm, showed a 1.04% relative and 0.7% absolute difference, demonstrating good agreement with ICRP deposition fractions. The deterministic DC module was reconstructed in Python and expanded for stochastic analysis, systematically expanding deposition components from HRTM and assigning probability distribution functions to uncertain parameters. These were integrated into an in-house stochastic radiological exposure dose calculator, utilizing latin hypercube sampling. A case of an occupational radionuclide intake was explored, in which biodistribution and committed effective DC (CEDC) were computed for131I type F, considering a lognormal particle size distribution with a median of 5μm. Results showed the published ICRP reference CEDC marginally exceeds the 75th percentile of observed samples, with log-gamma distribution as the best-fit probability distribution. A Random Forest regression model with SHapley Additive exPlanations was employed for sensitivity analysis to predict feature importance. The analysis identified the HRTM particle transport rates scaling factor, followed by the aerodynamic deposition efficiency in the alveolar interstitial region as the most impactful parameters. This study offers a unique stochastic approach on inhaled particulate metabolism, enhancing radiation consequence management, medical countermeasures, and dose reconstruction for epidemiological studies.

Multifocal electroretinogram changes after panretinal photocoagulation in early proliferative diabetic retinopathy.

Panretinal photocoagulation (PRP) impacts macular function in eyes with early proliferative diabetic retinopathy (PDR). Herein, we used the multifocal electroretinogram (mfERG) to objectively investigate this concept. In this prospective interventional case series, we enrolled patients with treatment-naive early PDR, absence of clinically significant macular edema, and requirement for PRP. All participants underwent detailed ocular examinations. We measured the best-corrected distance visual acuity (BCDVA), conducted optical coherence tomography imaging to measure central macular thickness (CMT), and performed mfERG at baseline and 3 months post-PRP. Amplitude and latency of the mfERG response were evaluated within the innermost four of the five concentric rings. We enrolled 29 eyes of 23 patients with a mean (standard deviation) age of 54.3 (8.8) years and male-to-female ratio of 1:1.3. The mean BCDVA was unchanged post-treatment (P > 0.05), and the BCDVA in 26 eyes (89.7%) was either improved or unchanged, whereas in three eyes (10.3%) it decreased. The mean CMT was unchanged post-PRP (P > 0.05). Concerning the mfERG, the mean P1 amplitudes decreased significantly in all four concentric rings from the foveola at 3 months post-PRP compared with baseline values (all P < 0.05); however, the latencies were unchanged (all P > 0.05). At baseline, BCDVA correlated significantly with both the amplitude (r = + 0.55; P < 0.05) and latency (r = - 0.38; P < 0.05) of the mfERG in the central ring, whereas a significant correlation was detected with only the amplitude at 3 months post-PRP (r = + 0.52; P < 0.05). Macular function was decreased 3 months post-PRP in patients with early PDR, as indicated by decreased amplitude of the mfERG, whereas the functional and anatomical parameters were stable. The mfERG served as an objective tool for measuring retinal function and predicting visual outcomes post-PRP in eyes with early PDR. A higher amplitude in the mfERG correlated substantially with a better visual outcome post-PRP. Further multi-center longitudinal studies with robust designs including different PDR severity levels may reveal additional objective after-effects of PRP.

The Effect of Radionuclide and Chemical Contamination on Morphological and Anatomical Parameters of Plants

This article presents the results of a study of the influence of radionuclide and chemical pollution on the morphological and anatomical parameters of Calamagróstis epigéjos plants growing in the territory of “Degelen” at the Semipalatinsk Test Site (STS). Quantitative data of morphological and anatomical parameters are given, and the content of radionuclides and toxic elements in samples of plants obtained. Statistical processing of the obtained data was conducted. The results revealed that elevated concentrations of radionuclides 137Cs and 90Sr, and the calculated absorbed dose, do not have effects on plants. Changes in the anatomical parameters of leaves and stems were observed at elevated concentrations of the elements: for leaves—Al, Pb, Sr, U, Ni, Rb, Sm; for stems—Al, Cr, Cd, U, Cu, Be, Ni, Sm, Fe. The mesophyll of the leaves and the epidermis of the stems were the most exposed to toxic elements. The data of the anatomical parameters are recommended to be used as indicative parameters of plants grown in chemically contaminated areas.

Biologically Oriented Preparation Technique Through a Digital Workflow, a Case Report.

In every prosthetic treatment, the final purpose of the restoration is to restore function and esthetics for the patient, respecting biology and anatomical parameters. Regarding full coverage restorations, there are some factors to take into consideration: like the finish line (chamfer, shoulder, featheredge, etc.), the management of the provisional restoration and tissue healing, the material for the final restoration, and the impression technique. All these aspects will determine the treatment process and its possible results. In recent years, vertical preparation and more specifically biologically oriented preparation technique has generated great interest since its introduction in prosthodontics, changing the periodontal tissues, and providing long-term stability. With this technique, the objective is to change the position of the gingival margin, moving it more apically or coronally, depending on the modifications of the provisional. The relining of the provisional is a fundamental step of this technique: the intrasulcular part of the provisional is modified giving a new emergence profile and providing an augmentation of the tissue in the healing process. In vertical preparation, there is no predetermined margin. The dental technician should position the finish line more apically or coronally, depending on the depth of the sulcus and on the esthetic needs. Ceramic restorations should not invade the epithelial attachment, otherwise it may cause biological and mechanical problems, repetition of the impression, and of the crown restoration, which lead to increased clinical and laboratory time usage as well as expenses. One challenge is communicating the shape and contour of the temporary restoration to the dental lab to ensure accurate information for the final restoration. Finally, the objective of this article is to describe a technique for transferring all necessary information of the provisional and obtaining a predictable result for the final restoration by using an intraoral scanner system and the fabrication of two 3D printed prototypes. One for the final volume of the crowns and the other for the finish line position. The fabrication of 3D printed prototypes allows for a more predictable final restoration, reducing possible communication errors between clinician and technician when restoring with biologically oriented preparation technique. In any esthetic treatment where the restoration does not have a predetermined margin, it is possible with this additional clinical step to provide a more esthetic outcome.

Alteration in certain growth, biochemical, and anatomical indices of grapevine (Vitis vinifera) in response to the foliar application of auxin under water deficit.

Drought-induced stress represents one of the most economically detrimental natural phenomena impacting grapevine (Vitis vinifera ) development, yield, and fruit characteristics. Also, auxin is one of the most important plant growth regulators that can reduce damage caused by stress in plants. In this study, the impact of exogenously sprayed auxin (0, 50, and 200mgL-1 ) on growth, biochemical, and anatomical parameters was investigated in two grapevine varieties (cvs. 'Rashe' and 'Fakhri') under water deficit. According to our findings, water deficit led to a notable decrease in growth, protein content, and anatomical parameters; but significantly enhanced electrolyte leakage. Grapevines exposed to water deficit exhibited substantial increases in total phenolic compounds and antioxidant activity. Applying 50mgL-1 napthalene acetic acid (NAA) reduced the effects of water deficit in both grapevine cultivars by decreasing electrolyte leakage (15% in 'Rashe' and 20% in 'Fakhri'), and accumulating protein content (22% 'Rashe' and 32% 'Fakhri'), total phenolic compounds (33%'Rashe' and 40% 'Fakhri'), and antioxidant capacity (11% 'Rashe' and 39% 'Fakhri'); anantomical parameters were also improved. However, application of 200mgL-1 NAA had adverse effects on growth and biochemical traits of grapevines, with a more pronounced impact on root growth and anatomical parameters compared to other NAA concentrations. In conclusion, the application of 50mgL-1 NAA enhanced grapevine growth, enabling them to better thrive under water deficit.

Identification of Essential Features in Developing a Novel Femoral Stem Reflecting Anatomical Features of East Asian Population: A Morphological Study.

Background: Recent advancements in hip arthroplasty aim to enhance the stability, longevity, and functionality of femoral implants. However, the distal fitting of femoral stems, often caused by metaphyseal-diaphyseal mismatch, remains a significant issue, particularly in patients with Dorr type A femora. Such mismatches can result in suboptimal implant performance, leading to potential complications. This study focuses on evaluating the anatomical compatibility of five representative single-tapered wedge mid-short stems with the mediolateral (ML) anatomy of the proximal femur in an East Asian population, where these mismatches are often more pronounced. Methods: A total of 742 patients from two hospitals, all of whom underwent unilateral primary total hip arthroplasty, were included in the study. The contralateral proximal femur was confirmed to have normal anatomy in each patient. Hip anteroposterior radiographs were used for measurements, which were standardized in conjunction with CT images. Key anatomical parameters were measured, including proximal and distal medial-lateral canal dimensions, vertical offset, and medial offset. Five femoral stem designs-Tri-lock®, Taperloc®, Anthology®, Accolade II®, and Fit®-were evaluated. R programming was employed for a detailed fit analysis to match stem sizes with patient anatomy, categorizing the fit as proximal, simultaneous proximal-distal, or distal engagement. Results: Among the femoral stems analyzed, the Fit® stem demonstrated the closest alignment with the regression line for ML widths in the study population (slope = 0.69; population ML slope = 0.38). This was followed by Accolade II®, which had a slope of 0.83. In terms of offset options, the Accolade II® offered the largest offset coverage, making it particularly suitable for this population. The fit analysis revealed that the Fit® stem had the highest suitable fit rate (90.56%), followed by Accolade II® (73.04%). Taperloc®, Anthology®, and Tri-lock® had similar fit rates of approximately 59%. Overall, optimal results were obtained for 92.05% of the population in the automated fitting trial, regardless of the product type. Conclusions: When designing modern cementless femoral stems intended for press-fit fixation, it is crucial to account for the anatomical variations specific to the target population. In this study, Fit® and Accolade II® femoral components demonstrated superior compatibility with the femoral anatomy of the East Asian population, particularly in those with a higher incidence of Dorr type A femora. These stems, characterized by slimmer distal dimensions and high-offset options, appear to minimize metaphyseal-diaphyseal mismatch and associated complications.

Prevention and management of intra-operative complications in maxillary sinus augmentation: A review.

Maxillary sinus floor elevation is usually performed in two different ways: the lateral approach involves the creation of a bony window on the maxillary sinus lateral wall, providing direct access to the sinus cavity for membrane elevation and subsequent graft placement, and the transcrestal approach is considered less invasive. The aim of this article is to describe, based on the literature, how to anticipate, avoid, and manage the intraoperative complications that can occur with both approaches. For both approaches, the most common complication is the sinus membrane perforation. For the lateral approach, an average frequency ranging from 15.7% to 23.1% is reported, but because of the better visibility, their management will be easier compared to the transcrestal approach. Mean perforation rate reported for the transcrestal approach is lower (3.1%-6.4%), but it should be noted that a significant number of perforations cannot be detected and managed given the blind nature of this technique. Anatomical parameters such as sinus width and buccal wall thickness may be a risk factor for one approach and not the other. As it is impossible to assess the resistance of the Schneiderian membrane, the transcrestal approach is more likely to lead to infectious complications in the event of perforation. Others, such as the risk of vascular damage, are encountered only with the lateral approach, which can be prevented easily by dissecting the alveolo-antral artery. For both approaches, prevention is essential and consists in analyzing the anatomy, mastering the surgical technique, and collaborating with the ENT to manage the essentially infectious consequences of intraoperative complications.