Axial Measurements Research Articles

U-Net applied to retrieve two-dimensional temperature and CO[formula omitted] concentration fields of laminar diffusion flames

Direct absorption spectroscopy measurement of the 4.3μm CO2 using interband cascade laser with a high spectral resolution, provides theoretical feasibility to retrieve the spatial distribution of CO2 temperature and concentration in flames. However, retrieving temperature and concentrations from the line-of-sight spectral measurements involves solving non-linear and ill-posed problems. Traditional reconstruction algorithms for axisymmetric flames require multiple line-of-sight measurements in both axial and radial directions. The complicated experimental system limits the reconstruction efficiency. Here, a novel reconstruction model is proposed and demonstrated based on the U-Net model, a fully convolutional network model composed by a encoder–decoder path forming a symmetric U-shaped architecture, which only requires measurements of the central axis of the flame to simultaneously and efficiently reconstruct the two-dimensional temperature and CO2 concentration fields for axisymmetric flames. The U-Net model is trained using datasets from simulated temperature, CO2 concentration and their corresponding spectral optical thickness. The proposed U-Net model has been applied to reconstruct the two-dimensional temperature and CO2 concentration fields of two previously measured laminar diffusion flames. Comparing with results from the traditional Abel inversion and two-line atomic fluorescence thermometry methods, the U-Net reconstruction model can better preserve the spatial continuity and correlation of flame temperature and CO2 concentration from information hidden in the flame spectral images, which considerably simplifies the measurement system and improves the reconstruction performance.

Comparison of clinical with CT based evaluation for tibial torsion

PurposeTibial torsion is important to be factored in during calculations of angular deformities of the lower extremity. Three methods are commonly used, thigh foot angle, measurement of transmalleolar axis with proximal tibia or knee as a reference, and Computerized tomography. The purpose of the current study was to find out the effectiveness of clinical methods and compare CT based method for tibial torsion. MethodsA total of 68 limbs (34 subjects) were included. Tibial torsion was measured using thigh foot angle, transmalleolar axis in relation to knee forward position (Knee ankle axis) and CT based evaluation using Jend method. ResultsPearson correlation coefficient showed strong correlation between CT values and thigh foot angle (r = 0.848) as well as between CT values and Knee ankle axis (r = 0.889). Scatter plots also showed a linear distribution. ConclusionBoth thigh foot angle and Knee ankle axis provide reliable alternative to ionizing CT in measuring tibial torsion.

The Importance of Evaluating Positive Welfare Characteristics and Temperament in Working Therapy Dogs.

To date, investigations of the welfare of therapy dogs have focused largely on examining physiological and behavioral measures that could indicate if the animal is experiencing stress or distress. However, this approach does not fully address the definition of welfare which is often described as existing on a continuum from negative (or stressful) to positive. With therapy dogs, it would be worth addressing if they experience positive emotional affect while working since the quality and efficacy of animal-assisted interventions for the human recipient is likely to be influenced by the animal's emotional state during the interaction. The purpose of this review is to articulate how objective measurements of the HPA axis and measurements of behavioral observations and standardized questions can be used to evaluate positive welfare in therapy dogs. A potentially relevant indicator of positive welfare is the peripheral concentration of the neurohormone oxytocin, which has been found to increase in systemic circulation within a variety of species during positive social and affiliative contexts, including during human-dog interaction. Oxytocin is also a negative-feedback regulator of the Hypothalamic-Pituitary-Adrenal (HPA) axis, which culminates with the production of the stress hormone cortisol. Cortisol is widely used as a physiological indicator to assess negative welfare states in animals, including therapy dogs. Observable behavior during interactions with humans that may convey enjoyment could provide indicators of positive welfare in dogs such as engagement in play, or human-directed affiliative behaviors including leaning against, nudging, or licking the patient. However, in assessing positive welfare, it is also critical to consider that all animal behavioral displays and physiological responses are dependent on the dog's individual (and breed) temperament. Temperament directly drives how the animal copes and responds to its current physical and social environment, including during stressful situations such as when therapy dogs interact with unfamiliar humans in novel healthcare settings. Coupled with both positive and negative physiological and behavioral welfare indicators, questionnaire data can provide further context to, and enhance interpretations of, therapy dog welfare assessment results. Overall, to date, no studies have measured all of these factors to assess therapy dog welfare.

Tensor coaxial calibration of magnetic sensor array

In order to effectively solve the influence of the magnetic sensor array error caused by axial inconsistency on the measurement accuracy, an array composed of four fluxgate sensors is built by using the Euler rotation matrix, and the consistency correction is carried out. Firstly, aiming at the non orthogonal, scale factor, zero bias and other error factors of the sensor itself, a 9-PARAMETER correction coefficient matrix is constructed to compensate the non orthogonal magnetic field measurement of the sensor, and the ideal orthogonal three component magnetic field measurement value is obtained. On the above-mentioned basis, the reference sensor in the magnetometry array is selected, and the roll, pitch and azimuth of the sensor to be calibrated are transformed to establish the Euler rotation matrix, and the model for 9-PARAMETER consistency correction is constructed. The reference sensor and the sensor to be calibrated are placed on the magnetic gradiometer for experimental verification. The experimental results show that the root mean square error of magnetic field measurement is within 10 nT after the sensor measurement error compensation correction, and the angle error of each axis measurement is within 0.01åfter the consistency correction (4.22 nT). It shows that the magnetic field measurement values of different measuring points in the sensor array can be well projected on the coordinate axis of the reference sensor after correction, and the magnetic field information of the measuring points can be correctly projected, which has high reliability.

Stress Management Intervention for Leaders Increases Nighttime SDANN: Results from a Randomized Controlled Trial.

Stress management interventions aim to reduce the disease risk that is heightened by work stress. Possible pathways of risk reduction include improvements in the autonomous nervous system, which is indexed by the measurement of heart rate variability (HRV). A randomized controlled trial on improving stress management skills at work was conducted to investigate the effects of intervention on HRV. A total of 174 lower management employees were randomized into either the waiting list control group (CG) or the intervention group (IG) receiving a 2-day stress management training program and another half-day booster after four and six months. In the trial, 24 h HRV was measured at baseline and after 12 months. Heart rate (HR), root mean square of successive differences (RMSSD), standard deviation of normal-to-normal intervals (SDNN), and standard deviation of the average of normal-to-normal intervals (SDANN) were calculated for 24 h and nighttime periods. Age-adjusted multilevel mixed effects linear regressions with unstructured covariance, time as a random coefficient, and time × group interaction with the according likelihood-ratio tests were calculated. The linear mixed-effect regression models showed neither group effects between IG and CG at baseline nor time effects between baseline and follow-up for SDANN (24 h), SDNN (24 h and nighttime), RMSSD (24 h and nighttime), and HR (24 h and nighttime). Nighttime SDANN significantly improved in the intervention group (z = 2.04, p = 0.041) compared to the control group. The objective stress axis measures (SDANN) showed successful stress reduction due to the training. Nighttime SDANN was strongly associated with minimum HR. Though the effects were small and only visible at night, it is highly remarkable that 3 days of intervention achieved a measurable effect considering that stress is only one of many factors that can influence HR and HRV.

Enhancing the accuracy of forging measurement using silhouettes in images

In this study, a new passive camera system for heavy cylindrical forging measurement, based on silhouettes in images, is developed. New methods for making such a system more resistant to the negative effects of the industrial environment have been proposed. This includes weighted edge filtering based on complementary information about the edge quality in an image. The recorded measurement median errors were ±0.12 mm and ±0.14 mm. Moreover, the 95% confidence intervals were ±0.5 mm and ±1 mm for the forging axis and diameter measurements, respectively. Both results were achieved in a measurement volume of 6 × 6 × 2 m during the measurement of glowing hot forgings in industrial conditions. The results surpass those of the state-of-the-art method, mainly in the case of axis straightness measurement, by approximately 50%. The measurement is fast, and it provides feedback about the axis straightness for its subsequent correction.

The asymptotic behaviour of cocycles over flows

In 1968, V. I. Oseledets formulated the question of the convergence in Birkhoff’s theorem and in the multiplicative ergodic theorem for measurable cocycles over flows, under the condition of integrability at any fixed time. In 2016, A. M. Stepin and the author of this paper established convergence along subsets of density 1 on the time axis. Here we show that, moreover, convergence takes place modulo subsets of finite measure of the time axis.

Stress-related biomarkers and cognitive functioning in adolescents with ADHD: Effect of childhood maltreatment

Our study aimed to explore whether stress-related hormones (hypothalamic-pituitary-adrenal [HPA] axis hormones and prolactin) are associated with poorer cognitive functioning in adolescents with attention deficit and hyperactivity disorder (ADHD) and to test the potential moderating effect of childhood maltreatment. Seventy-six adolescents with ADHD were studied. The ADHD rating scale (ADHD-RS) and Childhood Trauma Questionnaire (CTQ) were administered. Seven cognitive tasks from the Cambridge Neuropsychological Test Automated Battery (CANTAB) were administered, and two cognitive factors (attention and memory as well as executive functioning) were identified by confirmatory factor analysis. Stress-related hormone levels were assessed at the clinic (plasma prolactin and cortisol levels and salivary cortisol levels) before cognitive testing and at home for two consecutive days (cortisol awakening response [CAR] and diurnal cortisol slope). Multiple linear regression analyses were used to explore the association between hormone levels and ADHD severity or cognitive functioning while adjusting for sex and childhood maltreatment. Regarding hormonal measurements obtained at the clinic, female sex moderated the relationship between salivary cortisol levels and executive functioning, whereas childhood maltreatment moderated the relationship between salivary cortisol levels and inattention symptoms of patients with ADHD. Prolactin levels were not associated with cognitive functioning or the severity of ADHD. Regarding HPA axis measurements performed at home, lower cortisol levels at awakening were associated with poorer executive functioning. Neither CAR nor the cortisol diurnal slope were associated with cognitive functioning or ADHD severity. Our study suggests that HPA axis hormone levels are associated with the severity of cognitive and inattention symptoms of patients with ADHD and that childhood maltreatment and sex exert distinct moderating effects depending on the symptom type.

Potential influence of factors for genu valgus with hereditary multiple exostoses.

Genu valgus is one of the most common limb deformities in hereditary multiple exostoses (HME). However, it is easily concealed and may account for subsequent osteoarthritis of the knee. The knees of 56 patients (33 men and 23 women) with HME were investigated bilaterally. Knee valgus was described by the mechanical axis deviation (MAD), mechanical lateral distal femoral angle (LDFA), and medial proximal tibial angle (MPTA). We investigated sex, age, BMI, total number of palpable osteochondromas, number of radiographic osteochondromas around the knee, forearm deformities, morphology and distribution of lesions, and correlations between these factors and genu valgus. The measurement of LDFA and MPTA was performed to identify the sources of genu valgus deformity. Based on the measurement of the mechanical axis, limbs were classified as genu valgus (n = 22) or normal mechanical axis groups (n = 90). The different severities of the genu valgus patients were classified by MAD. By bivariate logistic regression, genu valgus was significantly associated with more sessile and flared metaphyseal lesions. However, only the number of flared metaphyseal lesions had a significant influence on the severity of genu valgus. By analyzing the LDFA and MPTA, it was found that abnormalities of both proximal tibia and distal femur play important roles in genu valgus. Early detection of sessile and flared metaphyseal knee lesions in patients with HME can contribute to early intervention of genu valgus. Level of relevance: Level 2.

Coriolis effect recorded in Late Pleistocene Marine Isotope Stage 5e Bahamian aeolianites

Abstract The windward islands of the Lucayan Archipelago (Bahamas) form an Atlantic Ocean–facing transect spanning >950 km in length and 6° of latitude. The islands' topography is largely constructed from carbonate wind-blown dunes (i.e., aeolianites) deposited during the interglacial phases of the Late Pleistocene and Holocene. New digital elevation data from satellite radar interferometry (TanDEM-X German Earth observation satellite) enables a step change in the ability to map and quantify Bahamian aeolian landforms across the archipelago. A semi-automated mapping approach that leverages object-based image analysis yields a total aeolianite area of ~1674 km2 across Great Abaco, Eleuthera, Cat, San Salvador, Long, Crooked, Acklins, and Mayaguana islands (Bahamas) and the Turks and Caicos Islands. Longitudinal axis measurements from 747 Pleistocene parabolic dunes record increasing consistency of east-west orientation with decreasing latitude. Three U.S. National Data Buoy Center data buoys provided modern wind direction and velocity measurements (n = 730,933 of each) along this transect. Analysis of wind vectors (>P90 [90th percentile], n = 70,095) demonstrates increasing organization of easterlies at southern latitudes and an offset in directionality compared to formational winds of Pleistocene Marine Isotope Stage (MIS) 5e deposits. Southward trends of increasing wind strength and consistency reflect geostrophic flow driven by atmospheric circulation within the Hadley cell and right-hand deflection of the Coriolis effect in the Northern Hemisphere. We propose that the offset in directionality between dune axes and modern wind vectors is related to changes in latitudinal width of the Hadley cell from the Late Pleistocene (MIS 5e) to today. This data set is robust enough to serve as a benchmark against which future atmospheric circulation models can be compared.

Longer follow-up intervals following endovascular aortic aneurysm repair are safe and appropriate after marked aneurysm sac regression

BackgroundAbdominal aortic aneurysm (AAA) shrinkage after endovascular aortic aneurysm repair (EVAR) is a surrogate marker for successful exclusion. Our study characterized aneurysm sac remodeling after EVAR to identify a pattern that may be associated with benign AAA behavior and would safely allow a less rigorous follow-up regimen after EVAR. MethodsElective infrarenal EVARs performed between 2008 and 2011 at our institution were retrospectively reviewed. AAA sac diameters using the minor axis measurement from ultrasound imaging or computer tomography angiogram imaging were compared with the baseline diameter from the 1-month postoperative computer tomography angiogram. The primary outcome was a composite of freedom from postoperative reintervention or rupture. We compared those with AAA sacs who regressed to predefined minimum diameter thresholds with those who did not. Outcomes were plotted with Kaplan-Meier curves and compared using log-rank testing and Fine-Gray regression using death as a competing risk, clustered on graft type. For patients whose AAA reached the minimum sac diameter, landmark analysis evaluated ongoing size changes including further regression and sac re-expansion. ResultsA total of 540 patients (aged 75.1 ± 8.2 years; 82.0% male) underwent EVAR with an average preoperative AAA size of 55.2 ± 11.5 mm. The median postoperative follow-up was 5.3 years (interquartile range, 1.4-8.7 years) during which 64 patients underwent reintervention and 4 ruptured. AAA sac regression to ≤40 mm in diameter was associated with improved freedom from reintervention or rupture overall (log-rank, P < .01), which was maintained after controlling for the competing risk of death (P < .01). In 376 patients (70%) whose aneurysm sac remained >40 mm, 99 reinterventions were performed on 63 patients. Of 166 (31%) patients whose sac regressed to ≤40 mm, only 1 patient required a reintervention, and no one ruptured. The mean time to a diameter of ≤40 mm was 2.3 ± 1.9 years. Only eight patients (5%) developed sac re-expansion to >45 mm; all but two occurred at least 3 years after initially regressing to ≤40 mm. ConclusionsIn long-term follow-up, patients whose minimum AAA sac diameter regressed ≤40 mm after EVAR experienced a very low rate of reintervention, rupture, or sac re-expansion. Most sac re-expansion occurred at least 3 years after reaching this threshold and did not result in clinical events. Increasing follow-up frequency up to 3-year intervals once the AAA sac regresses to 40 mm would carry minimal risk of aneurysm-related morbidity.

Natural history of simple renal cysts: longitudinal CT-based evaluation.

Simple renal cysts are common benign lesions that arise from the renal parenchyma. Cyst growth can lead to confusion as well as concern from patients and referring providers about the need for imaging follow-up or additional evaluation. The purpose of this study was to evaluate the natural history of simple renal cysts and determine the best metric to characterize cyst evolution. 222 simple renal cysts in 182 adults (age = 58.4 ± 6.0years) were longitudinally evaluated on non-contrast CT examinations over a mean interval of 7.5 ± 2.8years. Axial long axis, surface area, and volume were evaluated at baseline and follow-up CT examinations. Absolute and percent annualized growth rates were computed between CT studies for each parameter. At baseline CT examinations, mean (± SD) axial long axis, surface area, and volume measurements were 2.5 ± 1.7cm, 2.5 ± 4.5 cm2, and 17.6 ± 52.5ml, respectively. On follow-up examinations, measurements were 3.4 ± 2.0cm, 4.2 ± 5.9 cm2, and 34.4 ± 92.3ml, respectively. Significant differences (p < 0.01) were found between baseline and follow-up values for each parameter. The absolute growth rate of each parameter was + 0.1 ± 0.1cm/year, + 2.1 ± 3.4 cm2/year, and + 2.0 ± 5.6ml/year, respectively. The percent annualized growth rate for each parameter was +6.5 ± 7.3%/year, +18 ± 24%/year, and +46 ± 100%/year, respectively. Overall, 86% (190/222) of cysts increased in size over time; most notably 78% (174/222) increased by ≥ 6% in volume per year. None of the simple cysts developed septations or solid components on follow-up examinations. The majority of simple renal cysts increase in size over time, which was not associated with the development of complex features. Surface area and volume are the parameters most indicative of cyst growth or regression over time. In patients with enlarging asymptomatic simple renal cysts, no follow-up imaging is indicated.

A measuring method to identify the effect of geometric deviations at supporter axis on tilting motion of saddle in high precision multi-axis machining centers

In this paper eleven deviations in tilting rotary type tables were identified and newly defined. Then three mathematical models were developed to simulate the effects of these deviations. Among these deviations three deviations which relate to rotary table influence to the work when A-axis, and C-axis in motion. Other eight deviations influence to supporter axis. From simulation results of cumulative effect on supporter axis, it is understood that the supporter axis moves off centred path at Free State. That was verified by the deflection measurements of supporter axis in Y and Z directions. Furthermore, by the measurements of test bar on centre of rotary table, it is understood that the virtual vertical plane through axis of rotation moves on unpredictable path due to stress developed when fixing the supporter. By means of these results, a new measuring method is proposed for manufactures of rotary tables.

Defining Reference Values for the Anatomical Axis of Syndesmosis and Landmark for the Clamp Placement to Minimize Malreduction

Category:Ankle; Sports; TraumaIntroduction/Purpose:Malreduction of the fibula within the incisura is often caused by an eccentric clamp or screw placement and short fibular length. Weightbearing computed tomography (WBCT) has proven to be a reliable method to diagnose syndesmotic instability and can be used as a template to determine the syndesmotic axis and optimal position to place the clamp. We aimed to determine the anatomic axis of the syndesmosis, or the trans-syndesmotic angle (TSA) in healthy individuals on WBCT, and to see if side-to-side and gender based variations exist. We also aimed to determine the clamp's medial tine placement along the trans-syndesmotic axis.Methods:The study group was made up of patient population without ankle injury who underwent bilateral foot and ankle WBCT imaging (n = 100; 200 ankles). Measurements on bilateral WBCT images included: 1) TSA at 1cm, 2cm, and 3cm proximal to tibial plafond, respectively; 2) Medial tine of the clamp positioning at 1cm and 2 cm along the syndesmotic axis. The medial tine clamp position was described in terms of the percentage of anterior to posterior tibial diameter from the anterior cortical boundary. In addition, the aforementioned TSA measurements were compared to historically defined 30 degrees of syndesmotic axis. Paired t-test was used to compare side to side and gender based differences. A p-value < 0.05 was considered statistically significant.Results:In the uninjured healthy population, the mean trans-syndesmotic angles were 17.60, 21.60, and 24.10 at 1cm, 2cm, and 3cm proximal to the tibial plafond respectively. The clamp's medial tine should be positioned 24.7% and 21.3% of the AP tibial cortical distance, posterior to the anterior tibial cortex at 1cm and 2 cm proximal to the tibial plafond. There was no significant side to side or gender based differences for any of the measurements. Additionally, all three weightbearing TSA measurements were significantly larger than the historically defined syndesmotic angle of 30 degrees (p<0.001).Conclusion:Preoperative WBCT imaging provides a reliable template to determine TSA and to plan optimal clamp tine positioning along the syndesmotic axis. Our study has established normal ranges for cross-sectional syndesmotic axis measurements during weight-bearing and established that no differences exist between laterality and gender in patients without syndesmotic injury.

Intra- and inter-fraction relative range verification in heavy-ion therapy using filtered interaction vertex imaging

Heavy-ion therapy, particularly using scanned (active) beam delivery, provides a precise and highly conformal dose distribution, with maximum dose deposition for each pencil beam at its endpoint (Bragg peak), and low entrance and exit dose. To take full advantage of this precision, robust range verification methods are required; these methods ensure that the Bragg peak is positioned correctly in the patient and the dose is delivered as prescribed. Relative range verification allows intra-fraction monitoring of Bragg peak spacing to ensure full coverage with each fraction, as well as inter-fraction monitoring to ensure all fractions are delivered consistently. To validate the proposed filtered interaction vertex imaging (IVI) method for relative range verification, a 16O beam was used to deliver 12 Bragg peak positions in a 40 mm poly-(methyl methacrylate) phantom. Secondary particles produced in the phantom were monitored using position-sensitive silicon detectors. Events recorded on these detectors, along with a measurement of the treatment beam axis, were used to reconstruct the sites of origin of these secondary particles in the phantom. The distal edge of the depth distribution of these reconstructed points was determined with logistic fits, and the translation in depth required to minimize the χ 2 statistic between these fits was used to compute the range shift between any two Bragg peak positions. In all cases, the range shift was determined with sub-millimeter precision, to a standard deviation of the mean of 220(10) μm. This result validates filtered IVI as a reliable relative range verification method, which should be capable of monitoring each energy step in each fraction of a scanned heavy-ion treatment plan.

Differential diagnosis of thymic epithelial neoplasms on computed tomography using the diameter of the thymic vein.

Although differentiating benign and malignant thymic epithelial lesions is important to avoid unnecessary treatment and predict prognosis, it is challenging because of overlaps in the chest computed tomography (CT) findings. In this study, we investigated whether the diameter of the thymic vein and other CT findings could differentiate between benign (thymoma and thymic cysts) and malignant (thymic carcinoma, [TCa]) lesions.We conducted a retrospective study across two tertiary referral hospitals in Japan between November 2009 and June 2018. We included 12 patients with TCa, 34 patients with thymomas, and 17 patients with thymic cysts. We analyzed the receiver operating characteristic (ROC) curve to determine the best cut-off values and performed univariate and multivariate analyses of CT findings to distinguish TCa from other benign lesions. Post-hoc analysis was performed for the maximum short axis of the thymic vein using the Mann–Whitney U test, and the number of the maximum short axis of the thymic vein ≥ the cutoff was determined using the Fisher exact test with a family-wise error-correction using Bonferroni's method.ROC analysis showed that a maximum short axis of the thymic vein ≥2 mm was considerably more frequent in TCa than in the other lesions (P < .001 for both), with 83% sensitivity and 86% specificity. Univariate and multivariate analyses revealed the association with TCa of the number of the maximum short axis of the thymic vein ≥2 mm (P = .005, multivariate generalized linear model analysis), ill-defined margin (P = .001), and mediastinal lymphadenopathy (P < .001). Thymic vein diameter was in descendimg order of TCa > thymoma > thymic cysts with statistically significant differences between the groups (Ps < .05).Thymic vein diameter was significantly longer in TCa than in thymoma and thymic cysts. Measurement of the maximum short axis of the thymic vein could be a powerful diagnostic tool to differentiate TCa from thymoma and thymic cysts.

Defining dual-axis landscape gradients of human influence for studying ecological processes.

Ecological processes are strongly shaped by human landscape modification, and understanding the reciprocal relationship between ecosystems and modified landscapes is critical for informed conservation. Single axis measures of spatial heterogeneity proliferate in the contemporary gradient ecology literature, though they are unlikely to capture the complexity of ecological responses. Here, we develop a standardized approach for defining multi-dimensional gradients of human influence in heterogeneous landscapes and demonstrate this approach to analyze landscape characteristics of ten ecologically distinct US cities. Using occupancy data of a common human-adaptive songbird collected in each of the cities, we then use our dual-axis gradients to evaluate the utility of our approach. Spatial analysis of landscapes surrounding ten US cities revealed two important axes of variation that are intuitively consistent with the characteristics of multi-use landscapes, but are often confounded in single axis gradients. These were, a hard-to-soft gradient, representing transition from developed areas to non-structural soft areas; and brown-to-green, differentiating between two dominant types of soft landscapes: agriculture (brown) and natural areas (green). Analysis of American robin occurrence data demonstrated that occupancy responds to both hard-to-soft (decreasing with development intensity) and brown-to-green gradient (increasing with more natural area). Overall, our results reveal striking consistency in the dominant sources of variation across ten geographically distinct cities and suggests that our approach advances how we relate variation in ecological responses to human influence. Our case study demonstrates this: robins show a remarkably consistent response to a gradient differentiating agricultural and natural areas, but city-specific responses to the more traditional gradient of development intensity, which would be overlooked with a single gradient approach. Managing ecological communities in human dominated landscapes is extremely challenging due to a lack of standardized approaches and a general understanding of how socio-ecological systems function, and our approach offers promising solutions.

Spacer-based gap balancing is useful in total knee arthroplasty: a 3-year follow-up of a retrospective study

BackgroundWhich technique, gap balancing or measured resection, can obtain better femoral component alignment and soft tissue balance in total knee arthroplasty (TKA) is still controversial. This study aimed to determine whether the gap balancing technique using a modified spacer block in TKA can result in better postoperative clinical outcomes than the measured resection technique.MethodsA total of 124 patients who underwent consecutive primary TKA between May 2016 and August 2018 were retrospectively reviewed. The gap balancing technique assisted by a modified spacer block was used in 61 patients, and the measured resection technique was used in 63 patients. The surgical, imaging and knee function outcomes of the two groups were compared.ResultsThe thickness of the posterior medial condyle bone resection using the modified spacer block tool in gap balancing was significantly larger than that of the MR technique (P = 0.001). Compared with the measured resection group, the gap balancing group had a greater external rotation resection angle of the femur (4.06 ± 1.10° vs. 3.19 ± 0.59°, P < 0.001°). Despite these differences, the mean ROM, KSS scores, and WOMAC scores at the 6-week, 1-year, and 2-year follow-ups were not significantly different. Postoperatively, there was no significant difference between the two groups in mechanical axis measurements (P = 0.275), the number of HKA outliers (P = 0.795) or the joint line displacement (P = 0.270).ConclusionThe functional outcomes of the gap balancing technique based on the modified spacer are similar to those of measured resection at 3 years. Compared with the MR technique, the GB technique resulted in a greater external rotation resection angle and thicker posterior medial condylar cuts in TKA with knee varus.

Automated left ventricular dimension assessment using artificial intelligence

Abstract Background and purpose Artificial intelligence (AI) has the potential to greatly improve efficiency and reproducibility of quantification in echocardiography, but to gain widespread use it must both meet expert standards of excellence and have a transparent methodology. We developed an online platform to enable multiple collaborators to annotate medical images for training and validating neural networks. Methods Using our online collaborative platform 9 expert echocardiographers labelled 2056 images that comprised the training dataset. They labelled the four points from where the standard parasternal long axis (PLAX) measurements (interventricular septum, posterior wall, left ventricular dimension) would be made. Using these labelled images we trained a 2d convolutional neural network to replicate these labels. Separately, we curated an external validation dataset of the systolic and diastolic frames of 100 PLAX acquisitions. Each of these images were labelled twice by 13 different experts, and the average of the 26 measurements was taken as the consensus standard. We then compared the individual experts and the AI measurements on the external validation dataset to the consensus standard, and calculated the precision standard deviation (SD) of the signed differences from the consensus standard. Results For diastolic septum thickness, the AI had a precision SD of 1.8 mm (ICC 0.81; 95% CI 0.73 to 0.97), compared with 2.0 mm for the individual experts (ICC 0.64; 95% CI 0.57 to 0.72). For diastolic posterior wall thickness, the AI had a precision SD 1.4 mm (ICC 0.54; 95% CI 0.38 to 0.66), and the individual experts 2.2 mm (ICC 0.37; 95% CI 0.29 to 0.46). The AI's precision SD for left ventricular internal dimension was 3.5 mm (ICC 0.93, 95% CI 0.90 to 0.94), and for individual experts was 4.4mm (ICC 0.82, 95% CI 0.78 to 0.95). Both the experts and AI performed better in diastole than systole (precision SD AI 2.5mm vs 4.3mm, p&amp;lt;0.0001; experts 3.3mm vs 5.3mm, p&amp;lt;0.0001). Conclusions AI trained by a group of echocardiography experts was able to perform PLAX measurements which matched the reference standard more closely than any individual expert's own measurements. This open, collaborative approach may be a model for the development of AI that is explainable to, and trusted by clinicians. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): NIHR Imperil BRC ITMATDr Howard was additionally funded by Wellcome. Online collaborative platformResults of AI and experts

Reliability and validity of the Diagnostic Scales of the Schedule for Nonadaptive and Adaptive Personality-2 (SNAP-2) in Italian community-dwelling adults and psychiatric patients.

To evaluate the psychometric properties of the Italian translation of the Schedule for Nonadaptive and Adaptive Personality-2 (SNAP-2) diagnostic scales, 837 Italian community-dwelling adults and 429 consecutively admitted Italian psychiatric adults were administered the SNAP-2. The 12 SNAP-2 diagnostic scales yielded reliable scores in both community (median ω value = .90) and psychiatric (median ω value = .92) samples. The 6-month temporal stability was adequate for all SNAP-2 diagnostic scales (median test-retest r-value = .84) in a subsample of the community-dwelling adults (n = 97). When we examined the correlations between the SNAP-2 diagnostic scales and the Five-Factor Model Rating Form trait scales among the community-dwelling adults, the double-entry intraclass correlation values (median ICCDE = .94) indicated a marked similarity between our correlation profiles and the correlation profiles that were reported in Samuel and Widiger (2008) meta-analysis. In our psychiatric-adult sample, the SNAP-2 diagnostic scales showed adequate convergent-validity coefficients (median r-value = .61) with criterion measures of DSM-IV axis II/DSM-5 Section II personality disorders (PDs). Finally, relative-weight analysis results showed that selected Personality Inventory for DSM-5 trait-scale scores explained a substantial amount of variance in SNAP-2 antisocial, avoidant, borderline, narcissistic, obsessive-compulsive, and schizotypal PD scale scores (median R 2 value = .55). As a whole, our data suggest that the Italian SNAP-2 diagnostic scales have adequate reliability and construct validity in the Italian culture. (PsycInfo Database Record (c) 2021 APA, all rights reserved).