Asymmetry Values Research Articles

Symmetry of upper eyelid after unilateral blepharoptosis repair with minimally invasive conjoint fascial sheath suspension technique.

To investigate the symmetry of upper eyelid in patients with unilateral mild and moderate blepharoptosis who underwent unilateral minimally invasive combined fascia sheath (CFS) suspension. A retrospective study of patients who underwent unilateral minimally invasive CFS suspension surgery between January 2018 and December 2021. Inclusion criteria included unilateral mild and moderate ptosis, good levator muscle function (>9 mm) and follow-up of at least 6mo. Pre- and post-operative symmetry was graded subjectively for marginal reflex distance 1 (MRD1), tarsal platform show (TPS) and eyebrow fat span (BFS). A t-test was used to evaluate MRD1, TPS and BFS asymmetry by calculating delta values. The Bézier curve tool of the Image J software was used to extract the upper eyelid contours, where the symmetry was measured by the percentage of overlapping curvatures (POC). Totally 105 patients (105 eyelids) were included (mild group, n=84; moderate group, n=21). Postoperatively, all patients increased MRD1 and decreased TPS in the ptotic eye while maintaining unchanged BFS. The asymmetric delta value for MRD1 was measured to be 1.48±0.86 preoperatively, and it decreased to 0.58±0.67 postoperatively in all cases (P=0.0004). In patients with mild ptosis, the asymmetry value of TPS fell significantly from 1.15±0.62 to 0.68±0.38 (P=0.0187). The symmetry of the upper eyelid contour increased in all subgroups of patients, with a POC of 59.39%±13.45% preoperatively and POC of 78.29%±13.80% postoperatively. Minimally invasive CFS suspension is proved to be an effective means of improving the symmetry of unilateral ptosis in terms of MRD1 (all subgroups), POC (all subgroups) and TPS (only mild group), whereas BFS is unaffected.

Morphological symmetry of Rhipidomys mastacalis (Mammalia, Rodentia, Cricetidae) in fragmented habitats of the Atlantic Forest in Northeastern Brazil: a study on the influence of the environment on an endemic species

Abstract The Brazilian Atlantic Forest has undergone significant transformation, resulting in habitat loss and the endangerment of many species of mammals and other vertebrates. In this study, the presence of fluctuating asymmetry of four anatomical structures of the arboreal rodent Rhipidomys mastacalis was evaluated using geometric morphometrics. The study focused on adult specimens collected in a mosaic of vegetation composed of forested vegetation, occupancy mosaics in forested areas, and cocoa plantations. The results showed significant values of fluctuating asymmetries in all structures and in all areas. The skulls and scapulae showed the highest values of asymmetry in forested vegetation and cocoa plantations, while the mandibles showed the greatest values in forested vegetation, and the pelvis in occupancy mosaics and cocoa plantations. These findings are consistent with previous studies that have evaluated developmental stability in mammals and suggest that high asymmetry values indicate an effect on different phases of ontogeny, which can harm the survival of a species in future generations. Overall, this study provides important insights into the impacts of habitat fragmentation on Rhipidomys mastacalis and highlights the need for conservation efforts to preserve the integrity of the Brazilian Atlantic Forest and its diverse range of wildlife.

Beam spin asymmetry measurements of deeply virtual π0 production with CLAS12

The new experimental measurements of beam spin asymmetry were performed for the deeply virtual exclusive π0 production in a wide kinematic region with the photon virtualities Q2 up to 6.6 GeV2 and the Bjorken scaling variable xB in the valence regime. The data were collected by the CEBAF Large Acceptance Spectrometer (CLAS12) at Jefferson Lab with longitudinally polarized 10.6 GeV electrons scattered on an unpolarized liquid-hydrogen target. Sizable asymmetry values indicate a substantial contribution from transverse virtual photon amplitudes to the polarized structure functions. The interpretation of these measurements in terms of the Generalized Parton Distributions (GPDs) demonstrates their sensitivity to the chiral-odd GPD E¯T, which contains information on quark transverse spin densities in unpolarized and polarized nucleons and provides access to the nucleon's transverse anomalous magnetic moment. Additionally, the data were compared to a theoretical model based on a Regge formalism that was extended to the high photon virtualities.

Effects of valproic acid and levetiracetam monotherapy on balance functions in patients with generalized epilepsy

BackgroundIt is reported that antiepileptic drugs have an effect on balance functions. The aim of the study was to evaluate and compare the effects of valproic acid and levetiracetam monotherapy on balance functions in patients with generalized epilepsy using objective test methods. MethodsThe study included 43 generalized epilepsy patients aged 18–60 years, including 20 patients receiving valproic acid monotherapy, 23 patients receiving levetiracetam monotherapy, and 25 healthy individuals as controls, in the Neurology Clinic of a university hospital in eastern Turkey. The demographic data form was filled out and the Video Head Impulse Test and Vestibular Evoked Myogenic Potentials test were performed. ResultsStatistically significant differences were obtained between the groups in lateral, posterior, and anterior semicircular canal gains and RALP and LARP asymmetry values in the V-HIT test (p < 0.05). Statistically significant differences were obtained between the groups in P1, N1 latency and asymmetry values in the C-VEMP test and in N1, P1 latency, amplitude, and asymmetry values in the o-VEMP test (p < 0.05). ConclusionValproic acid and levetiracetam may affect the vestibulocular and vestibulocolic reflex pathways negatively. In this cohort, valproic acid had more pronounced adverse effects on balance functions as compared to levetiracetam.

Ground Reaction Forces, Asymmetries and Performance of Change of Direction Tasks in Youth Elite Female Basketball Players.

The magnitude and direction of inter-limb asymmetries in a change of direction (COD) have increased interest in scientific research in recent years. This present study aimed to investigate the magnitude of asymmetries in an elite youth female basketball sample (n = 18, age = 17.79 ± 0.67 y) and determine its directionality using force platform technology. Participants performed 70° and 180° COD tests analyzing the following variables: time, ground contact time (GCT) and ground reaction forces (GRF) along the anterior-posterior, mediolateral, and vertical axes. Inter-limb asymmetries were evident in both COD tests, with substantial differences observed between limbs (p < 0.01). The asymmetry values ranged from 3.02% to 24.31% in COD 180° and from 1.99% to 21.70% in COD 70°, with anterior-posterior GRF consistently exhibiting the highest asymmetry magnitude. Additionally, the directionality exhibited variability between the tests, indicating poor agreement and suggesting the independent directionality of asymmetries across tasks. Moreover, players required more time to complete the COD 180°, the GCT was noticeably longer for the COD 180° than for the COD 70°, and GRF varied across the axis, suggesting that players adapt uniquely to the specific demands of each task. The utilization of force platforms presents a comprehensive approach to assess asymmetries and COD variables performance variables which are "angle-dependent", which could have important implications for COD screening and effective training interventions.

The mechanism of static postural control in the impact of lower limb muscle strength asymmetry on gait performance in the elderly.

Abnormal gait is prevalent among the elderly population, leading to reduced physical activity, increased risk of falls, and the potential development of dementia and disabilities, thus degrading the quality of life in later years. Numerous studies have highlighted the crucial roles of lower limb muscle strength asymmetry and static postural control in gait, and the reciprocal influence of lower limb muscle strength asymmetry on static postural control. However, research exploring the interrelationship between lower limb muscle strength asymmetry, static postural control, and gait performance has been limited. A total of 55 elderly participants aged 60 to 75 years were recruited. Isokinetic muscle strength testing was used to assess bilateral knee extension strength, and asymmetry values were calculated. Participants with asymmetry greater than 15% were categorized as the Asymmetry Group (AG), while those with asymmetry less than 15% were classified in the Symmetry Group (SG). Gait parameters were measured using a plantar pressure gait analysis system to evaluate gait performance, and static postural control was assessed through comfortable and narrow stance tests. First, participants in the AG demonstrated inferior gait performance, characterized by slower gait speed, longer stance time and percentage of stance time in gait, and smaller swing time and percentage of swing time in gait. Spatial-temporal gait parameters of the weaker limb tended to be abnormal. Second, static postural control indices were higher in AG compared to SG in all aspects except for the area of ellipse during the comfortable stance with eyes open test. Third, abnormal gait parameters were associated with static postural control. Firstly, elderly individuals with lower limb muscle strength asymmetry are prone to abnormal gait, with the weaker limb exhibiting poorer gait performance. Secondly, lower limb muscle strength asymmetry contributes to diminished static postural control in the elderly. Thirdly, the mechanism underlying abnormal gait in the elderly due to lower limb muscle strength asymmetry may be linked to a decline in static postural control.

Analysis of Major Lobe Volume and Asymmetry of the Brain by Gender: A vol2Brain Study

Objective: In recent years, with the use of three-dimensional (3D) software tools, volumetric measurements of brain morphometry have gained importance. In this study, we aim to investigate the ratio of the volumes of the major structures of the brain (frontal, parietal, temporal, and occipital lobes) to the volume of the intracranial cavity (ICC) and the change of asymmetry according to gender, using web-based vol2Brain, which is one of the current and automatic software tools. Materials and Methods: 3D-T1-weighted magnetic resonance images of 80 healthy individuals (43 females and 37 males) of both genders were included in our study. The volumes of major brain lobes were calculated with the vol2Brain pipeline software tool and their ratio to ICC was compared by gender. Results: Males ICC volume, frontal, parietal, temporal, and occipital lobe total volume values were statistically higher than females (P &lt; 0.05). Similarly, the right and left volume values of male were higher than those of female in all measurements. However, when the frontal, parietal, temporal, and occipital lobe volumes of male and female were proportion to the ICC volume, there was no statistically significant difference (P &gt; 0.05). There was no statistically significant difference in the asymmetry results of these cortical structures examined in both genders (P &gt; 0.05). Conclusions: Although the male brain is known to be large, no difference was found between the male and female brains as a result of the ratio. Considering the asymmetry values, frontal, parietal, occipital, and temporal lobe volume asymmetry values did not differ statistically in both genders.

Development and Initial Testing of the “Personality Potential” Questionnaire for Athletes

The study focuses on the development and primary validation of the Personality Potential Questionnaire for Athletes. The study involved 429 members of Russian national teams in various sports aged 17 to 40 years. Psychodiagnostic instruments: questionnaire "Personality Potential" (author's questionnaire), "Self-Actualization Test", "Subjective Control Level", "Hardiness Survey", “Purpose-in-Life Test”, “Test of General Self-Efficacy”, questionnaire "Facilitator — Mediator — Moderator”, method "Express-diagnostics of the tendency to affective behavior". The results showed that the scales of the "Personality Potential" questionnaire have asymmetry and kurtosis values less than unity, which shows normality of the distribution at an acceptable level. The exploratory factor analysis was carried out by a method of factorization of the main axis (PAF), oblique rotation Oblimin; 5 factors were allocated: involvement, meaningfulness, internalizing, independence, positivity. The final model of the author's questionnaire was confirmed by confirmatory factor analysis, priority was given to the higher order model, CFI = .900, SRMR = .047 and RMSEA = .032 fit indices. Retest reliability was assessed using correlation analysis (by Spearman): on the general personality scale p = .850, inclusion p= 0.867, meaningfulness p = .603, internalizing p = 690, positivity p = .728, independence p = .554, significance level of all indicators p &lt; .001. Discriminant validity showed that the scales of the developed questionnaire were not related to other techniques that were not part of the personality construct. Factor validity was obtained by Principal components method using Oblimin's oblique rotation: the scale load of the “Meaningfulness” scale was .809; “Inclusion” scale .592; “Independence” scale .756; “Internality” scale .574; “Positivity” scale .610. The data were statistically processed using SPSS Statistics 23, Jamovi 2.2.5 and RStudio. The developed questionnaire “Personality Potential” is a reliable psychodiagnostic tool and can be recommended for testing the components of personality potential.

Effect of circle, surface type and stride duration on vertical head and pelvis movement in riding horses with pre-existing movement asymmetries in trot.

Head and pelvis vertical movement asymmetries in horses are often evaluated under different conditions yet better understanding is required of how these asymmetries are altered by factors such as surface type or circle size. This study investigated how stride duration, surface and lungeing in circles of different sizes influenced objectively measured head and pelvis movement asymmetries in riding horses in full training. Movement asymmetries were recorded with body mounted accelerometers and were based on the differences between the two vertical displacement minima or maxima of head (HDmin, HDmax) and pelvis (PDmin, PDmax) within a stride cycle. Each horse was evaluated during straight-line trot and during lungeing (d = 10m/15m) on hard and soft surfaces at slow and fast speed (determined by stride duration). All horses (N = 76) had at least one movement asymmetry parameter above a predefined thresholds (|HDmin| or |HDmax| >6mm, |PDmin| or |PDmax| >3mm) during a straight line trot on hard surface (baseline). The horses were assigned to a 'predominant asymmetry' group (HDmin, HDmax, PDmin, PDmax) based on which movement asymmetry parameter was the greatest during the baseline condition; the head movement asymmetry values were divided by two to account for the difference in magnitude of the thresholds. Analysis was carried out for each predominant asymmetry group separately using linear mixed models-outcome variable: predominant asymmetry parameter; random factor: horse; fixed factors: surface, direction with stride duration as covariate (P<0.05, Bonferroni post-hoc correction). The 'direction' conditions were either a straight-line locomotion ('straight') or lungeing with lungeing conditions further classified by circle diameter and by whether the limb which the predominant asymmetry was assigned to ('assigned limb') was on the inside or outside of the circle ('inside10', 'inside15', 'outside10', 'outside15'). Only parameters related to asymmetrical weight-bearing between contralateral limbs (HDmin, PDmin) were affected by changes in stride duration-the most common pattern was an increase in asymmetries as stride duration decreased. Only pelvic movement asymmetries were affected by lungeing. When the assigned hindlimb was on the inside of the circle, the PDmin asymmetries increased and PDmax asymmetries decreased compared to the straight-line condition. With the assigned hindlimb on the outside, PDmin asymmetries decreased but PDmax asymmetries did not change. Trotting on 10 m circle compared to 15 m circle did not increase movement asymmetries. In conclusion, circular motion and changes in stride duration altered movement asymmetries identified in horses in full ridden work but no changes were seen between the soft and hard surfaces. These patterns should be further investigated in clinically lame horses.

Changes in isometric mid-thigh pull peak force and symmetry across anterior cruciate ligament reconstruction rehabilitation phases.

Whether functionally relevant strength assessments, such as the isometric mid-thigh pull (IMTP), can be used either bilaterally or unilaterally to evaluate and guide rehabilitation progress in those with anterior cruciate ligament reconstruction (ACLR) is under-researched. This study assessed changes in peak force (PF) and asymmetry across 3 phases for bilateral and unilateral IMTP assessments in patients with ACLR. Peak isometric force from the IMTP was compared to peak torque from isokinetic dynamometry as well as against a cohort of healthy, uninjured individuals. Participants (ACLR, n = 15) completed bilateral and unilateral IMTP assessments at weeks 12 (baseline), 16 (phase 3), and 20 (phase 4) of rehabilitation to evaluate changes in PF and asymmetry. Asymmetry was evaluated using the asymmetry angle. Isometric data from the IMTP were compared to that from an isokinetic dynamometer as well as against a cohort of healthy, uninjured participants (n = 63) allowing for a detailed analysis of limb-specific force production. The PF during the bilateral IMTP increased for both the injured (0.94 N/kg) and uninjured (0.26 N/kg) limbs from baseline to phase 4, whereas the PF of the injured limb increased by 1.5 N/kg during the unilateral IMTP in the same time frame. Asymmetry values systematically reduced by ∼1% and ∼0.5% for the bilateral and unilateral IMTP tests from baseline to phase 4. Significant differences in PF of the injured limb were evident between those with ACLR and healthy controls across all phases (p = 0.022-0.001). The rate of progression in PF capacity was dependent on test type, amounting to 0.1 and 0.2 body weights per week for the bilateral and unilateral IMTP respectively. Small-to-large correlations (r = 0.12-0.88) were evident between IMTP PF and peak torque from the isokinetic dynamometer as well as between asymmetry metrics from both tests. The findings suggest that IMTP PF has potential for monitoring changes in PF and asymmetry during the ACLR rehabilitation progress. Both injured limb and uninjured limb show improvement in force-generating capacity, implying a positive adaptation to rehabilitation protocols. The findings highlight that ACLR is a unilateral injury that requires bilateral rehabilitation.

Lower Extremity Asymmetry Values Derived From Multiple Strength Testing Modes Are Associated With Perceived Functional Capabilities Among University Athletes.

Background: Muscle strength asymmetry and athlete introspective measures are associated with musculoskeletal (MSK) sport injury and reinjury. However, the interrelationship between mechanical and subjective measures of concentric and eccentric limb function needs further exploration. This includes investigating if an athlete's perception of their overall MSK function influences limb asymmetry across different testing modalities. Objectives: To (i) explore the interrelationship between mechanical and subjective measures of lower limb function in university athletes and (ii) compare the consistency in interlimb strength asymmetries across different strength tests in groups of athletes with good, fair, and poor perceived limb function. Methods: University athletes (n = 175; n = 87 females) from six sports completed four tests of muscle strength, power, and plyometric function along with an assessment of perceived limb function using the Sport Fitness Index (SFI). Participants were categorized into high (GOODSFI), fair (FAIRSFI), and poor (POORSFI) perceived overall MSK function (perceived function) groups. Strength asymmetry indexes evaluated interlimb differences in concentric and eccentric maximal strength, countermovement jump (CMJ) impulse, unilateral CMJ height, and reactive strength index in unilateral repeat hop testing. Cumulative link mixed-effects models assessed the relationship between strength asymmetries and perceived limb function. Results: The POORSFI group showed increased asymmetry in concentric strength testing (p = 0.022), more consistent interlimb asymmetries (p < 0.001), and reduced overall muscle strength compared to the GOODSFI group. Conclusion: Higher interlimb asymmetry in maximal concentric strength measures along with reduced muscle strength was found in the POORSFI group compared to the GOODSFI group. The POORSFI group also showed greater consistency in muscle strength asymmetry derived across different tasks.

Is leaf fluctuating asymmetry related to plant and leaf size in Miconia albicans, a common Melastomataceae species?

Fluctuating asymmetry, defined as random differences between the two sides of a symmetrical structure, has been often related to development stress in both plants and animals. In plants, leaf fluctuating asymmetry has been related to stresses such as pollution and fire and may also be related to leaf growth and herbivory rates. We assessed whether leaf fluctuating asymmetry is related to plant and leaf size in Miconia albicans (Sw.) Triana (Melastomataceae), a common multi-stem Neotropical shrub, in a Brazilian savanna area. We collected 15 leaves from each of 70 individuals, and measured fluctuating asymmetry as the difference in area between the right and left sides of the leaves using the central vein as reference. To avoid spurious results due to measurement error, the division along the central vein was performed independently by three researchers. We also measured the basal area and height of each stem of the plant individuals. We used linear models to assess the relations between leaf fluctuating asymmetry, plant size and leaf size. No consistent relations were observed between leaf fluctuating asymmetry and plant size, as the analyses performed on the fluctuating asymmetry values obtained by the different researchers showed different results. However, relative fluctuating asymmetry values, obtained by dividing the fluctuating asymmetry by the total leaf area, tended to be smaller in larger leaves. It thus appears that, in the study species, fluctuating asymmetry is related to the developmental conditions faced by the individual leaves and not by the plant as a whole.

Big Bang Nucleosynthesis Constraints and Indications for Beyond Standard Model Neutrino Physics

We use Big Bang Nucleosynthesis (BBN) to probe Beyond Standard Model physics in the neutrino sector. Recently, the abundances of primordially produced light elements D and He-4 were determined from observations with better accuracy. The good agreement between the theoretically predicted abundances of primordially produced light elements and those derived from observations allows us to update the BBN constraints on Beyond Standard Model (BSM) physics. We provide numerical analysis of several BSM models of BBN and obtain precise cosmological constraints and indications for new neutrino physics. Namely, we derive more stringent BBN constraints on electron neutrino–sterile neutrino oscillations corresponding to 1% uncertainty of the observational determination of the primordial He-4. The cosmological constraints are obtained both for the zero and non-zero cases of the initial population of the sterile neutrino state. Then, in a degenerate BBN model with neutrino νe↔νs oscillations, we analyze the change in the cosmological constraints in case lepton asymmetry L is big enough to suppress oscillations. We obtain constraints on the lepton asymmetry L. We discuss a possible solution to the dark radiation problem in degenerate BBN models with νe↔νs oscillations in case L is large enough to suppress neutrino oscillations during the BBN epoch. Interestingly, the required value of L for solving the DR problem is close to the value of L indicated by the EMPRESS experiment, and also it is close to the value of lepton asymmetry that is necessary to relax Hubble tension.

Normative Database of the Superior-Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT.

This study aims to establish a reference for the superior-inferior hemisphere asymmetry in thickness values for all macular layers for the posterior pole algorithm (PPA) available for the Spectralis SD-OCT device. We examined 300 eyes of 300 healthy Caucasian volunteers aged 18-84 years using the PPA, composed of a grid of 64 (8 × 8) cells, to analyze the thickness asymmetries of the following automatically segmented macular layers: retinal nerve fiber layer (RNFL); ganglion cell layer (GCL); inner plexiform layer (IPL); inner nuclear layer (INL); outer plexiform layer (OPL); outer nuclear layer (ONL); retinal pigment epithelium (RPE); inner retina; outer retina; complete retina. Mean ± standard deviation and the 2.5th and 97.5th percentiles of the thickness asymmetry values were obtained for all the corresponding cells. All the macular layers had significant superior-inferior thickness asymmetries. GCL, IPL, INL, ONL and RPE showed significantly greater thicknesses in the superior than the inferior hemisphere, whereas RNFL and OPL were thicker in the inferior hemisphere. The largest differences between hemispheres were for RNFL and ONL. This is the first normative database of macular thickness asymmetries for the PPA and should be considered to distinguish normal from pathological values when interpreting superior-inferior macular asymmetries.

DIAGNOSTICS OF GENITAL ENDOMETRIOSIS USING METHODS OF POLYCRYSTALLINE STRUCTURE POLARIZATION-PHASE INTROSCOPY

This article contains the following results of research the diagnosis of genital endometriosis of uterine preparations by the methods of polarization- phase Muller- matrix introscopy.The aim of the study. To estimate the eff ectiveness of diff erential diagnosis of genital endometriosis using polarization- phase Muller- matrix introscopy of histological sections of endometrial biopsy.Material and methods. Two groups of samples were studied:● biopsy of «healthy» uterine tissue obtained during diagnostic hysteroscopy – «control group 1.1» – 68 samples;● biopsy of uterine tissue with genital endometriosis – «experimental group 1.2» – 59 samples.Histological sections were made according to the standard technique on a microtome with rapid freezing. Research results. The analysis of the obtained statistical analysis data revealed the adequacy of the prognostic variant of changes in the polycrystalline structure of histological sections of endometrial biopsy. For patients with genital endometriosis, there is a signifi cant increase in linear birefringence.Diagnostic markers of this pathological process are an increase in the average value and dispersion of linear birefringence. The values of asymmetry and kurtosis, on the contrary, decrease.Statistical confi rmation of this is a statistically signifi cant diff erence (pi=1;2;3;4&lt;0.05) between the values of the set of all central statistical moments of the 1st-4th orders, characterize the distributions of the PLD value of histological sections of endometrial biopsy for cases of conditional norm (control group 1.1) and genital endometriosis (experimental group 1.2).Conclusions. Therefore, the conducted set of studies using polarization- phase Muller- matrix introscopy of histological sections of endometrial biopsy revealed a high (up to 100 %) eff ectiveness of diff erential diagnosis of genital endometriosis. Therefore, it is relevant to study the diagnostic capabilities of this technique for more easily accessible objects – biological fl uids.

Fluctuating Asymmetry in Morphological Characters of the Invasive Round Goby Neogobius melanostomus Populations from Different Habitats of the Sava River Basin, Croatia

Abstract Round goby Neogobius melanostomus is one of the three invasive Ponto-Caspian gobies found in the Sava River basin in Croatia. It has a negative effect on the native ecosystems and is more abundant in highly polluted areas. The objective of this study was to determine the fluctuating asymmetry of four morphometric characters, as well as otolith width and length. Thirty individuals of N. melanostomus were collected and analysed at two sampling sites in the main course of the Sava (Babina Greda, Slavonski Brod) and in a modified habitat (Sava-Odra canal). The squared coefficient of asymmetry variation was used to analyse potential differences between populations. We identified variations in the asymmetry values of the analysed characters, as well as otolith width and length between sampling sites. The highest fluctuating asymmetry was observed in individuals at the Babina Greda sampling site, which could be due to high environmental stress. The results of the study show that the study of fluctuating asymmetry can be used on invasive fish species as a simple approach to identifying habitat quality.

Automated three-dimensional analysis of facial asymmetry in patients with syndromic coronal synostosis: A retrospective study

Craniosynostosis, characterized by premature fusion of one or more cranial sutures, results in a distorted skull shape. Only three studies have assessed facial asymmetry manually in unicoronal synostosis patients. It is therefore important to understand how uni- and bicoronal synostosis affect facial asymmetry with a minimum risk of human bias.An automated algorithm was developed to quantify facial asymmetry from three-dimensional images, generating a mean facial asymmetry (MFA) value in millimeters to reflect the degree of asymmetry. The framework was applied to analyze postoperative 3D images of syndromic patients (N = 35) diagnosed with Muenke syndrome, Saethre-Chotzen syndrome, and TCF12-related craniosynostosis with respect to MFA values from a healthy control group (N = 89).Patients demonstrated substantially higher MFA values than controls: Muenke syndrome (unicoronal 1.74 ± 0.40 mm, bicoronal 0.77 ± 0.21 mm), Saethre-Chotzen syndrome (unicoronal 1.15 ± 0.20 mm, bicoronal 0.69 ± 0.16 mm), and TCF12-related craniosynostosis (unicoronal 1.40 ± 0.51 mm, bicoronal 0.66 ± 0.05 mm), compared with controls (0.49 ± 0.12 mm). Longitudinal analysis identified an increasing MFA trend in unicoronal synostosis patients.Our study revealed higher MFA in syndromic patients with uni- and bicoronal synostosis compared with controls, with the most pronounced MFA in Muenke syndrome patients with unilateral synostosis. Bicoronal synostosis patients demonstrated higher facial asymmetry than expected given the condition’s symmetrical presentation.

Vestibular Evaluation of Children Diagnosed with Specific Learning Disorder.

The aim of this study was to determine the vestibular function of children diagnosed with specific learning disorders (SLD). This study was conducted with 30 children diagnosed with SLD and 30 healthy children matched for age and sex, and vestibular tests were applied. Optokinetic and head shake test values in videonystagmography subtests were found to be pathological in the study group, and the lateral asymmetry value in video head impulse test (v-HIT) was found to be significantly higher in the study group. Also, a significant difference was found in the N1 latency, P1-N1 interlatency, P1-N1 amplitude values in the cervical vestibular evoked myogenic potential test, and asymmetry values in the ocular vestibular evoked myogenic potential test. The current study showed that vestibular functions may differ from normal in SLD patients and that vestibular dysfunction may play a role in symptoms such as postural instability, balance, and gross and fine motor disorders that are frequently observed in these children.

Investigation of single and multicell honeycomb reinforced shape memory polymer composites: Shape optimization and experimental characterization

Honeycomb materials as reinforcements for shape memory polymers have been considered for their commercial availability, ease of geometric tailoring, and high in-plane stiffnesses. The design optimization of these honeycomb cells remains an open field of research, with many approaches taken in formulating the structural optimization problems. This investigation focuses on implementing a shape variable parametrization of the honeycomb to study the possible value of both cell asymmetry and spatially varying cell geometries in multicell networks. A unit cell finite element model framework was developed to predict the in-plane elastic properties of these composites, and two design objectives were selected to be optimized. Pareto fronts were estimated for multiple loading cases and cell wall material models, and experimental results were collected for model validation. The optimization results find that these composites can achieve a large range of performances, with maximum moduli as high as 17.2 GPa. Large asymmetry is found in the optimized cell geometries, and relationships are identified between loading cases and for different wall materials. Furthermore, the experimental results validate the finite element model predictions, with relative errors as low as 20% for the predicted maximum modulus and 2% for the modulus ratio.

The application of corneal biomechanical interocular asymmetry for the diagnosis of keratoconus and subclinical keratoconus.

Purpose: To evaluate the interocular consistency of biomechanical properties in normal, keratoconus (KC) and subclinical keratoconus (SKC) populations and explore the application of interocular asymmetry values in KC and SKC diagnoses. Methods: This was a retrospective chart-review study of 331 ametropic subjects (control group) and 207KC patients (KC group, including 94 SKC patients). Interocular consistency was evaluated using the intraclass correlation coefficient (ICC). Interocular asymmetry was compared between the control and KC groups and its correlation with disease severity was analyzed. Three logistic models were constructed using biomechanical monocular parameters and interocular asymmetry values. The diagnostic ability of interocular asymmetry values and the newly established models were evaluated using receiver operating characteristic curves and calibration curves. Net reclassification improvement (NRI) and integrated discrimination improvement (IDI) were also estimated. Results: The interocular consistency significantly decreased and the interocular asymmetry values increased in KC patients compared with those in control individuals. In addition, the interocular asymmetry values increased with respect to the severity of KC. The binocular assisted biomechanical index (BaBI) had an area under the curve (AUC) of 0.998 (97.8% sensitivity, 99.2% specificity; cutoff 0.401), which was statistically higher than that of the Corvis biomechanical index [CBI; AUC = 0.935, p < 0.001 (DeLong's test), 85.6% sensitivity]. The optimized cutoff of 0.163 provided an AUC of 0.996 for SKC with 97.8% sensitivity, which was higher than that of CBI [AUC = 0.925, p < 0.001 (DeLong's test), 82.8% sensitivity]. Conclusion: Biomechanical interocular asymmetry values can reduce the false-negative rate and improve the performance in KC and SKC diagnoses.