Changes In Thickness Research Articles

Evaluation of topical bromfenac as an adjunctive treatment with intravitreal ranibizumab in the management of diabetic macular edema

Background and purpose Intravitreal injection of anti- vascular endothelial growth factor medications has transformed the therapy of diabetic macular edema (DME). The purpose of this study was to evaluate the safety and efficacy of topical bromfenac as an adjunctive therapy to intravitreal ranibizumab injections in patients diagnosed with DME. Study design Prospective, randomized, controlled clinical trial. Patients The study included 40 eyes of patients with DME, divided into two groups: group I (20 eyes) received intravitreal ranibizumab injections and adjunctive topical bromfenac twice daily; group II (20 eyes) received only intravitreal ranibizumab injections. Methods All patients underwent assessments for best corrected visual acuity (BCVA), intraocular pressure, anterior segment, and fundus examination. Optical coherence tomography of the macula was repeated at 1, 3, and 6 months after the last injection. Results At 6 months, group I demonstrated significantly worse BCVA compared with group II (P=0.021). In group II, the 6-month change in central macular thickness from baseline was significantly greater in patients aged less than or equal to 60 years compared with those greater than 60 years (median = –170.5 μm vs. −40 μm, respectively; P=0.001) and in females compared with males (median = –75 μm vs. −23.4 μm; P=0.012). No significant differences were observed concerning the duration of diabetes (P=0.238), HbA1c levels (P=0.315), or laterality (P=0.792). Conclusion Topical bromfenac, when combined with intravitreal ranibizumab, showed some efficacy in the management of DME over a 6-month follow-up period, although the results were not statistically significant.

Axial Shortening Effects of Repeated Low-level Red-light Therapy in Children with High Myopia: A Multicenter Randomized Controlled Trial

PurposeTo evaluate the effectiveness and safety of RLRL in delaying the progression of high myopes -6.00 D or worse. DesignMulticenter, randomized, parallel-group, single-blind clinical trial. ParticipantsTwo hundred and two high myopic children aged 7 to 12 years with cycloplegia spherical equivalent refraction (SE) ≤ -6.00 D, astigmatism less than 2.50 D, anisometropia of 1.50 D or less were enrolled from March 2022 to December 2022. Follow-up was completed in December 2023. MethodsEligible participants were randomly allocated to either the intervention (RLRL + single vision spectacle [SVS]) or the control group (SVS). The RLRL treatment was administered every day for 3 minutes, twice a day, with an interval of at least 4 hours. Main Outcomes MeasuresThe primary outcome was the change in axial length (AL) at 12 months compared to baseline. Secondary outcomes included changes in SE, changes of choroidal thickness (ChT) and retinal thickness (RT) in different circle sectors. Outcomes were analyzed by means of intention-to-treat and per-protocol methods. ResultsAfter 12-month treatment, AL and SE changes were -0.11 ± 0.25 mm and 0.18 ± 0.63 D for RLRL group and 0.32 ± 0.09 mm and -0.80 ± 0.42 D for control group. Axial shortening > 0.05 mm was observed to 59% in the RLRL and 0% in the control group at 12 months. ChT and RT from a single center were analyzed. In the RLRL group, ChT were thickened in all sectors at 12 months. RT was increased in parafoveal and perifoveal circles. In the control group, all sectors of ChT and only perifoveal RT were significantly thinner at 12 months. The multivariate linear regression model revealed significant correlations between changes in ChT central foveal circle and RT perifoveal circle at 1 month and AL changes at 12 months. No fundus structure changes, afterimage exceeding 6 minutes nor best corrected visual acuity decreased reported. ConclusionsRLRL could effectively shorten the AL and inhibit the progression of myopia in high myopic patients -6.00 D or worse. AL shortening is sustained over 12 months of treatment. These observed changes appeared to be associated with increases in ChT and RT.

Factors Associated With One-year Changes In Skeletal Muscle Thickness And Echo Intensity In Healthy Young Adults

Factors Associated With One-year Changes In Skeletal Muscle Thickness And Echo Intensity In Healthy Young Adults

High Temperature Oxidation Behavior of ODS Ferritic Stainless Steel Fe-16Cr-4Al-1Ni-0.4Y<sub>2</sub>O<sub>3</sub>

This study investigates the isothermic oxidation behavior of the new ODS alloy Fe-16Cr-4Al-1Ni-0.4Y2O3 (% by weight) at 700, 800 and 900 °C, with exposure times of 5, 20, 50, and 100 h at each temperature. The purpose is to obtain new data on its high-temperature parabolic oxidation constant for assessing oxidation resistance. The methods used include isothermal oxidation testing, XRD, SEM-EDS characterization, and analysis of oxidation kinetics by monitoring changes in oxide thickness using microscopy and SEM-EDS. The oxide products formed on the sample surface are Fe2O3, Fe3O4, AlFe2O4, and (Fe,Cr)2O3. Al and Cr oxides are located under the dominant Fe oxide layer on the surface of the sample. The oxidation test results showed that the most protective sample was obtained at a temperature of 700 °C for 100 h with an oxide thickness of 263.99 μm. The kinetics analysis correlates strongly with the parabolic equation (R2 ≈ 1). The oxidation rate constants at temperatures of 700, 800, and 900 °C were 681.76, 2957.5, and 12300 μm2 h−1, respectively. The activation energy required by the oxidation reaction in this alloy is 136.5 kJ mol−1. This research enhances understanding and potential applications of the Fe-16Cr-4Al-1Ni-0.4Y2O3 alloy in high-temperature environments.

Nanosecond pulsed laser coloring of the CrMnFeCoNi high entropy alloy

High-entropy alloys (HEAs) possess great potential for applications in the aerospace and military fields due to their excellent performance. Surface coloring can endow HEAs diverse functions. However, achieving a multi-color surface with minimal surface damage and cost remains a significant challenge. In this study, surface coloring of the CrMnFeCoNi HEA was attempted by nanosecond pulsed laser irradiation in air, and the multi-color surface was achieved. The evolution of surface color and morphology with laser parameters was analyzed. Then, five typical colors were selected, and the corresponding morphologies and chemical compositions were characterized by various techniques. The results showed that the change in oxide layer thickness as well as the formation of chromium-rich β-spinel and Cr (VI) compounds induced noticeable changes in surface color. Accordingly, complex surface patterns with various stable colors were prepared on the HEA surface, demonstrating the potential application of nanosecond pulsed laser coloring of HEAs.

Correlation between glycemic control and retinal nerve fiber layer parameters in type 2 diabetics without retinopathy: a case control study

Background Retinal neurodegenerative changes were found to develop in patients with diabetes mellitus (DM) before the onset of microvascular changes of diabetic retinopathy (DR). Such changes usually affect inner retinal layers in the form of retinal nerve fiber layer (RNFL) thinning. Aim To correlate the degree of glycemic control [in the form of hemoglobin A1c (HBA1c) levels] with changes in peripapillary RNFL thickness in patients with type 2 DM without DR using optical coherence tomography (OCT). Patients and methods Participants are divided into three groups each including 28 eyes: group 1: uncontrolled type 2 DM without DR (HBA1c≥7%), group 2: controlled type 2 DM without DR (HBA1c<7%), group 3: healthy age and sex-matched controls. Peripapillary RNFL and macular ganglion cell complex (GCC) thickness were evaluated in all participants using RTVue spectral domain OCT device (Optovue, Fremont, USA). Results Peripapillary RNFL and macular GCC were significantly thinner in the uncontrolled type 2 DM group in comparison to both the controlled type 2 DM group and the healthy control group. No significant difference in OCT parameters between the controlled type 2 DM group and the healthy control group. HBA1c shows a statistically significant negative correlation with average, superior and inferior RNFL thickness as well as average, superior, and inferior GCC thickness. Conclusion Early and adequate glycemic control, indicated by HBA1c less than 7%, is of critical importance in delaying and reducing early neurodegenerative changes in the form of RNFL and GCC thinning in patients with type 2 DM without DR.

Effects of probiotics and fibers on markers of nephropathy, inflammation, intestinal barrier dysfunction and endothelial dysfunction in individuals with type 1 diabetes and albuminuria. The ProFOS Study

AimsTo estimate whether a mix of pre- and probiotics would strengthen the gut barrier and protect the kidneys in individuals with type 1 diabetes and albuminuria. MethodsRandomized, placebo-controlled, crossover study. Forty-one participants received synbiotic (pre- and probiotics) mix or placebo for 12 weeks with 6 weeks washout. Primary endpoint was change from baseline to end-of-period in UACR. Secondary endpoints were changes in endothelial glycocalyx thickness, inflammatory and intestinal barrier dysfunction markers, glomerular filtration rate (GFR) and ambulatory systolic blood pressure. ResultsThirty-five participants completed the study. Mean age was 58 (SD 10) years, 73 % (n = 30) were male, median UACR was 134 (IQR 63–293) mg/g, estimated GFR was 75 (30) ml/min/1.73m2. There was no significant difference in UACR with a mean relative change (CI 95 %) from baseline to end-of-treatment of −3.0 (−18.4; 15.5) % in the synbiotic group and −12.0 (−29.6; 9.6) % in the placebo group with no significant difference between treatment periods (9.37 (−25.2; 44.0) percentage points; p = 0.60). No significant beneficial difference in the secondary end points was demonstrated. ConclusionTwelve weeks treatment with synbiotic mix had no effect on UACR or on any of the secondary endpoints in subjects with type 1 diabetes and albuminuria.

Choroidal Thickening Induced by Pioglitazone in Diabetic Patients.

This study aimed to determine the changes in choroidal thickness induced by pioglitazone in diabetic patients. A total of 261 patients diagnosed with type 2 diabetes who had taken oral pioglitazone for more than 6 months were included in the study. After excluding patients who did not undergo regular eye examinations or who had ophthalmic surgery/interventions during the treatment period, a total of 40 eyes were included. The study examined the duration and dosage of pioglitazone, patient age, ocular axial length, refraction, glycated hemoglobin, systolic blood pressure, corrected visual acuity, macular thickness, choroidal thickness, and choroidal vascular index. Patients were categorized into a high-dose group if their pioglitazone dose was 30 mg or more per day, and a low-dose group if it was 15 mg or less. Choroidal thickness was measured below the subfovea and a 500 µm radius nasal and temporal to that location. Choroidal thickness significantly increased after 6 and 12 months of pioglitazone (6.70 and 13.65 µm, respectively) in all subjects. When stratified by pioglitazone dosage, choroidal thickness increased at 6 and 12 months in both high-dose group (4.48 and 0.84 µm, respectively) and low-dose groups (6.85 and 21.45 µm, respectively), with a greater change observed in the low-dose group (p < 0.05). Based on the location of choroidal thickness measurements, a significant increase in choroidal thickness was observed at 6 and 12 months of pioglitazone treatment in the subfoveal (7.00 and 13.15 µm, respectively) and nasal regions (6.43 and 19.24 µm, respectively), while a significant increase was only observed after 6 months of treatment in the temporal region (8.53 µm, p < 0.05). The largest increase in choroidal thickness was observed in the nasal side. This study found that choroidal thickness increased in diabetic patients after taking pioglitazone. Regular eye examinations are recommended for diabetic patients who are on pioglitazone.

Comparison of two techniques to assess muscle mass loss during ICU stay: muscle ultrasound vs bioelectrical impedance analysis

Background and aimsMuscle wasting is a prevalent issue among long-term critically ill patients and is associated with adverse clinical outcomes. Evaluating muscle mass in the ICU presents challenges due to the lack of a consistent methodology and the significant impact of fluid balance range in ICU patients. This prospective study aimed to compare the utility of bioelectrical impedance analysis (BIA) and ultrasound (US) for monitoring muscle wasting in critically ill patients over an initial seven-day period of critical illness. MethodsConducted in a tertiary teaching hospital's mixed ICU, the study included adult patients with ICU stays exceeding seven days. Measurements were taken on Day 1 (within 24 hours of ICU admission), Day 5, and Day 7. ResultsOut of 101 enrolled patients, 74 were male, with a mean age of 55.3 (SD 14.8) years. The mean APACHE II score was 18.2 (SD 7.2), and the Day 1 SOFA score was 7.9 (SD 3.2). The ICU survival rate was 65%, and the mean ICU length of stay was 19.2 (SD 19.2) days. Statistically significant muscle mass loss was detected by US measurement, demonstrating the relative change in general muscle thickness –-2.5% (SD 11.8) by Day 5 and -6.5% (SD 12.4) by Day 7 (p < 0.001). BIA demonstrated no significant change in phase angle, as the relative change by Day 5 was -3.3% (SD 19.9) and by Day 7 it was -1.9% (SD 21.9), with no significant difference (p = 0.374). ConclusionsUltrasound was a more suitable method for assessing and monitoring muscle wasting during ICU stays, while bioelectrical impedance analysis failed to demonstrate a comparable degree of muscle loss at Days 5 and 7. This study highlights the importance of selecting an appropriate assessment method based on the specific clinical context, emphasizing the reliability of US in evaluating muscle wasting among critically ill patients.

Insight into intracontinental deformation and crustal reworking of ancient continents implied by crustal structure imaging of the Yangtze Craton

The crustal imprints from multistage tectonic activities in cratons offer valuable insights into continental evolution. Utilizing seismic data from two densely deployed, nearly perpendicular linear arrays, and a newly developed stepwise joint inversion of depth-domain receiver function and surface wave dispersion, we constructed a detailed crustal layering model for the Yangtze Craton. Our analysis revealed elongated double velocity reversal zones as salient features of the crust, which likely record ancient crustal reworking and juvenile crustal growth associated with Neoproterozoic rift-related magmatic processes. The interlayering of low- and high-velocity structures may contribute to the enduring stability of the Yangtze Craton. Additionally, superimposed layers separated by east-dipping interfaces and abrupt changes in crustal thickness in the boundary belts surrounding the Yangtze Craton document the crust's structural responses to intracontinental deformation during continent assembly.

Change in Tear Layer Thickness under Scleral Contact Lenses in Keratoconus Patients and Normal Cornea Volunteers

Objective: To quantify rate of post-lens tear thickness change under scleral contact lenses in keratoconus patients and normal cornea volunteers. Materials and Methods: We conducted a prospective observational study where semi-scleral lenses were fitted to 20 eyes (5 subjects, 10 eyes in each group). After insertion, post-lens tear thickness was measured at 0, 30 minutes and every hour up to 6 hours using Anterior Segment OCT. To analyze post-lens tear thickness and its rate of change at each time point, both within and between groups, a linear mixed model was used. Results: The initial mean post-lens tear thickness (µm) was 742 ± 50 and 440 ± 50 in keratoconus and normal cornea group, respectively. The mean rate of change (µm/hr) was highest in the first 30 minutes in both groups (80.8 ± 8.7, 132.2 ± 8.8 in keratoconus and normal cornea group). Following the first four hours in keratoconus and the first hour in normal cornea group, the reduction rate in post-lens tear thickness exhibited no statistically significant difference from the rate of change observed during the 5-6 hour period. The mean percentage of total change over 6 hours after lens insertion was higher in normal cornea compared to keratoconus group (36.6% vs 22.5%). Conclusion: The reduction in post-lens tear thickness follows a nonlinear pattern. The mean rate of change was highest after insertion and remained stable after four hours in keratoconus and one hour in normal cornea group. The percent change over the 6-hour period was greater in normal cornea group.

Effect of Pregnyl (HCG) on Histological Structure of Testes in Albino Mice

Pregnyl is a placental hormone, produced mainly during the entire period of pregnancy, making it the vital sign for detecting pregnancy. The current study shed light on effect of Pregnyl on histological structure of testes in Albino mice. The study included 15 mice, and animals are divided into two groups. First group included five mice and second group included ten mice. They were placed in separate cages with continuous monitoring and cleaning throughout the study. First group was injected with Pregnyl at a concentration of 0.1 mg. /kg and the second group at a concentration of 0.2 mg/kg for a period of 30 days. After the end of the experiment, the animals were sacrificed, dissected, and their testicles were removed for the purpose of histological study. The outcome of this study shows that the animals in the two empirical groups which treated by Pregnyl showed changes in thickness of seminiferous tubules of testis wall and their shrinkage, as their manifestation becomes wavy and offbeat. furthermore, atrophy was noted in a few of seminiferous tubules, and the sloughing and exhaustion of some germ cells and their accumulating in lumen of seminiferous tubules. Additionally, degeneration was observed in some Sertolic cells.

Discretization of Thin-Walled Sections with Variable Wall Thickness

At the stage of designing thin-walled aircraft structures, to simplify calculations, their cross sections are idealized. To do this, the section with the skin and the longitudinal elements reinforcing it is replaced (when determining normal stresses) by a discrete one, consisting of concentrated areas at characteristic points. In this case, the equality of the moments of inertia of the initial and discrete sections is preserved. Such idealization is used in the calculation of thin-walled rods for normal and shear stresses (Wagner model). For sections consisting of a system of rectangular strips of constant thickness, discretization allows to set approximate values of normal and shear stresses and accurately find the locations of the singular points of the bending center (in an open contour) and the center of rigidity (in a closed one). The discrete model of a strip consists of three lumped areas: two at the edges and one in the center. The paper proposes to extend the discrete model to sections in which the skin thickness changes according to a linear law. In addition to the rectangular strip, it is possible to use elongated triangles and trapezoids, replaced by three and four concentrated areas, respectively. The possibility of using a discrete model for calculating some thin-walled sections of open and closed contours is considered. The section of an open contour is studied - the problem of transverse bending without torsion of a channel having flanges with a linearly variable thickness. Differences in the flows of tangential forces calculated from the exact and discrete models are shown. The coincidence of the results in determining the position of the bending center according to two models was established. When studying the application of a discrete model to a closed contour, its simplified option is proposed. The problem of transverse bending without torsion and finding the center of rigidity in a section with a contour line in the form of a trapezoid with front and rear walls of constant thickness and upper and lower skins and a similar section with a contour in the form of a rectangle was considered. Differences in the flows of tangential forces calculated by exact and discrete models are established. For a closed section in the form of a rectangle, the decrease in the moment of inertia for torsion due to the redistribution of material in the cross section was studied separately. It has been established that when finding the position of the center of rigidity, the discrepancy between the results of the exact and discrete models in sections with geometric parameters close to real ones was less than 1% for a rectangular contour, and 4% for a trapezoidal contour. The results indicate the possibility of extending the application of the discrete model of thin-walled cross section to the design calculations of thin-walled rods with variable skin thickness, representing practical structures.

Effect of Percutaneous Transvenous Mitral Commissurotomy on Right Ventricular Function: A Quasi-Experimental Study

Objective: This study aimed to evaluate the changes in right ventricular (RV) function among patients undergoing percutaneous transvenous mitral commissurotomy (PTMC) for mitral stenosis (MS). Methodology: A quasi-experimental study was conducted in the Department of Cardiology at Hayatabad Medical Complex, Peshawar, from April 2021 to October 2021. Initially, baseline transthoracic echocardiography (TTE) was performed, followed by PTMC for all patients. Post-procedure, patients were monitored in the Coronary Care Unit (CCU) for 24 hours. A follow-up TTE was conducted 24 hours post-PTMC to assess changes in RV function, specifically evaluating parameters such as RV systolic pressure (RVSP), right ventricular outflow tract fractional shortening (RVOT-FS), right ventricular Tei index (RV Tei index), RV wall thickness, and pulmonary artery systolic pressure. Results: Significant changes were observed in RV parameters before and after 24 hours of PTMC. The mean change in RVSP was 5.70 ± 4.50 mmHg (p &lt; 0.001). The mean change in RVOT-FS was -1.22 ± 3.02% (p = 0.003). The RV Tei index showed a mean change of 0.14 ± 0.015 (p &lt; 0.001). The mean change in RV wall thickness was 0.10 ± 0.03 mm (p &lt; 0.001). Additionally, pulmonary artery systolic pressure demonstrated a mean change of 17.09 ± 4.20 mmHg (p &lt; 0.001). Conclusion: The findings indicate that PTMC significantly improves right ventricular function in patients with mitral stenosis. These results underscore the importance of PTMC in the management of RV dysfunction associated with mitral stenosis.

The impact of collagen membrane fixation protocols on volume stability in horizontal ridge augmentation in the aesthetic area: A retrospective study.

This study aimed to evaluate the impact of different collagen membran fixation protocols on the volume stability in horizontal ridge augmentation in the aesthetic area. A total of 48 patients with 65 augmented sites were included in this study. Implants were placed in the aesthetic region, and simultaneous guided bone regeneration (GBR) surgery was performed for horizontal ridge augmentation. Participants were divided into four groups, each comprising 12 patients, based on different absorbable collagen membrane fixation protocols. Group 1: without fixation; Group 2: fixation with absorbable sutures; Group 3: fixation with titanium pins; Group 4: fixation with titanium pins and absorbable sutures. Cone beam computed tomography (CBCT) was performed immediately after surgery and at 6 months post-surgery, respectively. The horizontal thickness of the augmented region was analyzed for volume stability at the implant shoulder (H0) and 1-5 mm apical to the implant shoulder (H1-H5). Changes in labial thickness during bone healing were calculated as absolute values (mm) and relative values (%). After 6 months of bone healing, horizontal thickness was significantly reduced at all levels (H0-H5) in all groups compared to immediate post-surgery results (p < 0.05). At H1-H5, horizontal bone loss in group 1 was significantly higher than in the other three groups (p < 0.05). Group 4 exhibited significantly less horizontal bone loss compared to group 2 at H0-H2 (p < 0.05) and group 4 compared to group 3 at H0-H1 (p < 0.05). No significant difference in horizontal bone loss between groups 2 and 3 was detected at H0-H5 (p > 0.05). Guided bone regeneration in the aesthetic area with additional membrane fixation demonstrated superior volume stability of the augmented region compared to cases without fixation. There was no significant difference in bone volume stability between membrane fixation with titanium pins and fixation with absorbable sutures. However, the combined use of pins and absorbable sutures yielded superior volume stability.

Cross-reactivity between thiuram disulfides and dithiocarbamates. A study of TETD and ZDEC using mouse models.

Rubber accelerators are used in the vulcanization of rubber. However, rubber accelerators for example tetraethylthiuram disulfide (TETD) and zinc diethyldithiocarbamate (ZDEC) may cause contact allergy. Concomitant reactions between ZDEC and TETD have been observed in patients which could be explained by co- or cross-reactivity. To investigate cross-reactivity between TETD and ZDEC and vice versa. Groups of mice were sensitized with TETD or ZDEC based on reported EC3-values. Proliferation of lymphocytes were measured on day 5. To test cross-reactivity, mice were sensitized and challenged 3 weeks later with TETD or ZDEC. The inflammatory response was measured by changes in ear thickness and the proliferative response in CD4+ and CD8+ T cells in the submandibular and cervical draining lymph nodes. Sensitization of mice with doses of ZDEC 3%, TETD 5.6% or TETD 16.2% induced significant increased ear thickness and proliferation of CD4+ and CD8+ T cells. Challenge with ZDEC or TETD in these groups induced significant increased ear thickness. Challenge with ZDEC in mice sensitized to TETD 5.6% or TETD 16.2% induced significant increased proliferation of CD4+ and CD8+ T cells. We show cross-reactivity between TETD and ZDEC. Patients sensitized to TETD or ZDEC should avoid exposure to both ZDEC and TETD.

Numerical Analysis in Double-Sided Polishing: Mechanism Exploration of Edge Roll-Off

Understanding the mechanism of stress concentration effects on the surface of semiconductor substrate materials—silicon wafers—in Double-Sided Polishing (DSP) is particularly important for improving polishing quality. In this study, a two-dimensional finite element model is established to study the effect of contact state and stress concentration during polishing on edge roll-off (ERO) and polishing rate uniformity. The variation in this contact state is influenced by changes in wafer thickness and the gap between it and the carrier. The model is validated by experiments and helps to further analyze and interpret the experimental results, identifying six stages of contact states during the polishing process. The research indicates that the phenomenon of stress concentration at the edge of a wafer is caused by the pads creating a large amount of compression at the edge of the wafer. Additionally, there appears to be a threshold value during the polishing process, below which the stress concentration on the wafer changes, thereby altering the magnitude of edge roll-off and, ultimately, affecting overall flatness. This study provides a basis for optimizing the process design.

Articular cartilage fatigue causes frequency-dependent softening and crack extension

Soft biological polymers, such as articular cartilage, possess exceptional fracture and fatigue resistance, offering inspiration for the development of novel materials. However, we lack a detailed understanding of changes in cartilage material behavior and of crack propagation following cyclic compressive loading. We investigated the structure and mechanical behavior of cartilage as a function of loading frequency and number of cycles. Microcracks were initiated in cartilage samples using microindentation, then cracks were extended under cyclic compression. Thickness, apparent stiffness, energy dissipation, phase angle, and crack length were measured to determine the effects of cyclic loading at two frequencies (1 Hz and 5 Hz). To capture the fatigue-induced material response (thickness, stiffness, energy dissipation, and phase angle), material properties were compared between pre-and-post diagnostic tests. The findings indicate that irreversible structural damage (reduced thickness), cartilage softening (reduced apparent stiffness), and reduced energy dissipation (including phase angle) increased with an increase in the number of cycles. Higher frequency loading resulted in less reduction in energy dissipation, phase angle, and thickness change. Crack lengths, quantified through brightfield imaging, increased with number of cycles and frequency. This study sheds light on the complex response of cartilage under cyclic loading resulting in softening, structural damage, and altered dynamic behavior. The findings provide better understanding of failure mechanisms in cartilage and thus may help in diagnosis and treatment of osteoarthritis.

Development and Characterization of Gingerol-Assisted Silver Nanoparticle and Chitosan Alginate Membrane for Antibacterial and Wound Healing Activity.

This study synthesized and characterized gingerol-loaded silver nanoparticles (Ag-NPs), which were incorporated into chitosan-alginate (Cs/Alg) films for advanced wound care applications. Gingerol was isolated with a 9.81% yield, forming pale-yellow needle-shaped crystals with a melting point of 32ºC. The purity and structure of gingerol were confirmed through thin-layer chromatography (TLC), UV-visible, fourier-transform infrared spectroscopy (FTIR), and high-performance liquid chromatography (HPLC) analyses. The synthesized Ag-NPs, particularly from the GN3 batch, exhibited a small particle size (36.52 ± 3.52 nm), high stability (zeta potential of -23.20 mV), and notable encapsulation efficiency (76.35%) and yield (74.11%). Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) analyses revealed their spherical and smooth morphology. Stability tests over three months showed no substantial changes in particle size, ZP, or %EE. The Cs/Alg films demonstrated appropriate thickness, weight, water uptake, and pH changes, with GN-CM4 showing the best performance. In-vitro drug release studies indicated increased release rates, especially for GN-CM4, which also exhibited the highest antibacterial activity. In-vivo studies on excision and burn wound models showed that GN-CM4 promoted complete wound closure by day 21, enhanced hydroxyproline levels, reduced myeloperoxidase content, and facilitated superior tissue regeneration. These findings underscore the potential of gingerol-loaded Ag-NPs in enhancing wound healing through their anti-inflammatory and antibacterial properties.

Velocity-Based-Training Frequency Impacts Changes in Muscle Morphology, Neuromuscular Performance, and Functional Capability in Persons With Parkinson's Disease.

Calaway, C, Walls, K, Levitt, H, Caplan, J, Mann, B, Martinez, K, Gastaldo, R, Haq, I, and Signorile, JF. Velocity-based-training frequency impacts changes in muscle morphology, neuromuscular performance, and functional capability in persons with Parkinson's disease. J Strength Cond Res XX(X): 000-000, 2024-Velocity-based training (VBT) positively impacts muscle morphology and performance in persons with Parkinson's disease (PD); however, optimal training frequencies for VBT in patients with PD remain undetermined. Changes in ultrasound-determined muscle thickness (MT) and echo intensity (EI)-derived muscle quality of the rectus femoris (RF) and vastus lateralis (VL), neuromuscular performance, and functional capacity were examined following 2 VBT frequencies (2-3 d·wk -1 ) using 30% velocity loss thresholds for 12 weeks. Neuromuscular performance was assessed using computerized pneumatic resistance machines. For each variable, 2 (time) × 2 (group) repeated-measures analyses of variance (ANOVA) were used to determine significant main effects and interactions. Significant time effects were seen for MT and EI of all muscles ( p < 0.05). Muscle thickness improvements included right VL (RVL) (0.171 ± 0.065 cm; p = 0.019), left VL (LVL) (0.214 ± 0.101 cm; p = 0.049), right RF (RRF) (0.194 ± 0.077 cm; p = 0.023), and left RF (LRF) (0.318 ± 0.109 cm; p = 0.010). For EI, improvements occurred in RVL (-18.688 ± 3.600; p = <0.001), LVL (-10.959 ± 4.894; p = 0.040), RRF (-9.516 ± 3.537; p = 0.016), and LRF (-9.018 ± 3.444; p = 0.019). Time effects were seen for leg-press 1-repetition maximum and peak power ( p < 0.01) and habitual walking speed ( p = 0.022), with a group by time interaction for maximal gait speed favoring the 3 d·wk -1 condition (∆0.15 m·s -1 , p = 0.002). The results indicate that VBT at 2 or 3 d·wk -1 can significantly improve muscle morphology, neuromuscular performance, and functional capability in patients with PD; however, improvements in maximal gait speed require 3 d·wk -1 . These findings provide flexibility when developing exercise prescriptions for patients with PD.