Distal Areas Research Articles

Increased stability of short femoral stem through customized distribution of coefficient of friction in porous coating

Stress shielding and aseptic loosening are complications of short stem total hip arthroplasty, which may lead to hardware failure. Stems with increased porosity toward the distal end were discovered to be effective in reducing stress shielding, however, there is a lack of research on optimized porous distribution in stem’s coating. This study aimed to optimize the distribution of the coefficient of friction of a metaphyseal femoral stem, aiming for reducing stress shielding in the proximal area. A finite element analysis model of an implanted, titanium alloy short-tapered wedge stem featuring a porous coating made of titanium was designed to simulate a static structural analysis of the femoral stem's behavior under axial loading in Analysis System Mechanical Software. For computational feasibility, 500 combinations of coefficients of friction were randomly sampled. Increased strains in proximal femur were found in 8.4% of the models, which had decreased coefficients of friction in middle medial areas of porous coating and increased in lateral proximal and lateral and medial distal areas. This study reported the importance of the interface between bone and middle medial and distal lateral areas of the porous coating in influencing the biomechanical behavior of the proximal femur, and potentially reducing stress shielding.

Graft Suturing Method Affects on Graft Diameter in Hamstring-Based Anterior Cruciate Ligament Reconstruction.

Various benefits of needleless suture loop techniques in anterior cruciate ligament reconstruction graft preparation have been discussed, yet their impact on graft diameter remains unexplored. We hypothesized that the suture loop technique would reduce the graft diameter compared to the conventional locking suture technique. Fifty-seven patients whose grafts were made with the Krackow stitch (group K) and 54 patients with the suture loop (group SL) were analyzed retrospectively. (1) The distal (sutured side) diameter of each anteromedial bundle and posterolateral bundle was compared to the proximal (non-sutured side) diameter, and (2) the average of the proximal and distal graft diameters in each group was calculated. In group K, 78.9% of anteromedial bundles and 40.3% of posterolateral bundles exhibited a larger distal diameter than the proximal, while in group SL, 42.6% of anteromedial bundles and 3.7% of posterolateral bundles showed a larger distal diameter. In both bundles, there were significantly fewer grafts with larger distal diameters in group SL (p < 0.001). The mean distal diameter of anteromedial bundles was smaller in group SL (6.33 ± 0.43 mm vs. 6.07 ± 0.43 mm, p < 0.005). Consequently, the distal cross-sectional area of anteromedial bundles in group SL was 8% smaller than that in group K. The use of the suture loop technique resulted in a significantly smaller distal diameter of the anteromedial bundle. This reduces the size of the tibial tunnel and may contribute to a reduction in potential damage to adjacent structures.

A longer period of epididymal sperm interaction with extender components during cryopreservation improves sperm quality, decreases the size of sperm distal cytoplasmic droplets, and changes the number of nanoparticles in the extender

While cryopreservation of cauda epididymal sperm (SpCau) allows the preservation of post-mortem bulls’ gametes, the process triggers sperm damage. Although improving post-thaw sperm quality, using egg yolk extenders (EY) raises biosafety concerns which forces the use of EY-free extenders (EYFE). Since EYFE are less efficient in preserving post-thaw sperm quality, a strategy for ejaculated sperm (SpEj) frozen with EYFE is to add an Equilibrium Time (ET) step period to the cryopreservation process. However, the ET effect on the quality of SpCau cryopreserved in EYFE remains unknown. Distinct from SpEJ, SpCau physiologically displays cytoplasmic droplets (CDs) in the flagellum that may benefit cell exchange during ET. We hypothesized that using ET in SpCau cryopreserved with EYFE impacts sperm morphofunctional features, CD area, and in vitro fertility ability. Extender nanoparticles were also assessed. Following collection from the cauda epididymis of six Nellore bulls by retrograde flow, SpCau were cryopreserved in EYFE BoviFree® (Minitube, Germany) using three ET protocols: ET0 (no-ET); ET2.5 (2.5 h-ET); and ET5 (5 h-ET). SpCau from ET2.5 and ET5 showed a higher (P ≤ 0.05) percentage of motility and integrity of plasma and acrosome membranes and a smaller (P ≤ 0.05) distal CD area. There are no differences in sperm abnormalities, oxidative stress, capacitation-like events, and in vitro fertility ability. However, a better sperm recovery was found after Percoll® selection for ET2.5 and ET5. Interestingly, the number of nanoparticles in the extender decreased in post-thawed samples. In conclusion, an ET of 2.5 or 5 h is required for an efficient SpCau cryopreservation using an EYFE.

YAP Ultralate Laser-Evoked Responses in Fibromyalgia: A Pilot Study in Patients with Small Fiber Pathology.

Background: The investigation of C-fiber-evoked ultralow-level responses (ULEPs) at somatic sites is difficult in clinical practice but may be useful in patients with small fiber neuropathy. Aim: The aim of the study was to investigate changes in LEPs and ULEPs in patients with fibromyalgia affected or not by abnormal intraepidermal innervation. Methods: We recorded LEPs and ULEPs of the hand, thigh and foot in 13 FM patients with a normal skin biopsy (NFM), 13 patients with a reduced intraepidermal nerve fiber density (IENFD) (AFM) and 13 age-matched controls. We used a YAP laser, changing the energy and spot size at the pain threshold for LEPs and at the heat threshold for ULEPs. Results: ULEPs occurred at a small number of sites in both the NFM and AFM groups compared to control subjects. The absence of ULEPs during foot stimulation was characteristic of AFM patients. The amplitude of LEPs and ULEPs was reduced in patients with AFM at the three stimulation sites, and a slight reduction was also observed in the NFM group. Conclusions: The present preliminary results confirmed the reliability of LEPs in detecting small fiber impairments. The complete absence of ULEPs in the upper and lower limbs, including the distal areas, could confirm the results of LEPs in patients with small fiber impairments. Further prospective studies in larger case series could confirm the present findings on the sensitivity of LEP amplitude and ULEP imaging in detecting small fiber impairments and the development of IENFD in FM patients.

Heterogeneity of glycaemic phenotypes in type 1 diabetes

Aims/hypothesisOur study aims to uncover glycaemic phenotype heterogeneity in type 1 diabetes.MethodsIn the Study of the French-speaking Society of Type 1 Diabetes (SFDT1), we characterised glycaemic heterogeneity thanks to a set of complementary metrics: HbA1c, time in range (TIR), time below range (TBR), CV, Gold score and glycaemia risk index (GRI). Applying the Discriminative Dimensionality Reduction with Trees (DDRTree) algorithm, we created a phenotypic tree, i.e. a 2D visual mapping. We also carried out a clustering analysis for comparison.ResultsWe included 618 participants with type 1 diabetes (52.9% men, mean age 40.6 years [SD 14.1]). Our phenotypic tree identified seven glycaemic phenotypes. The 2D phenotypic tree comprised a main branch in the proximal region and glycaemic phenotypes in the distal areas. Dimension 1, the horizontal dimension, was positively associated with GRI (coefficient [95% CI]) (0.54 [0.52, 0.57]), HbA1c (0.39 [0.35, 0.42]), CV (0.24 [0.19, 0.28]) and TBR (0.11 [0.06, 0.15]), and negatively with TIR (−0.52 [−0.54, −0.49]). The vertical dimension was positively associated with TBR (0.41 [0.38, 0.44]), CV (0.40 [0.37, 0.43]), TIR (0.16 [0.12, 0.20]), Gold score (0.10 [0.06, 0.15]) and GRI (0.06 [0.02, 0.11]), and negatively with HbA1c (−0.21 [−0.25, −0.17]). Notably, socioeconomic factors, cardiovascular risk indicators, retinopathy and treatment strategy were significant determinants of glycaemic phenotype diversity. The phenotypic tree enabled more granularity than traditional clustering in revealing clinically relevant subgroups of people with type 1 diabetes.Conclusions/interpretationOur study advances the current understanding of the complex glycaemic profile in people with type 1 diabetes and suggests that strategies based on isolated glycaemic metrics might not capture the complexity of the glycaemic phenotypes in real life. Relying on these phenotypes could improve patient stratification in type 1 diabetes care and personalise disease management.Graphical

Assessment of Changes in the Outcome of Autogenous Tooth Grafts Over Time: A Clinical Study Evaluating Periodontal Healing in Bone Defects After Lower Third Molar Removal

BackgroundThe removal of impacted lower third molars (ILTM) is associated with bone defects in the distal area of second molars. Different methods have been described to minimize these defects. PurposeThe primary objective was to assess changes in probing depth (PD) over time (up to 36 months) between test (grafted) and control (ungrafted) groups; the graft was obtained from the extracted ILTM. Study design, setting, sampleThis split-mouth randomized clinical trial was conducted at the Postgraduate Course in Oral Surgery of the Faculty of Dentistry of the Complutense University of Madrid. Adult patients requiring bilateral ILTM extraction with adjacent second molars were recruited, excluding pregnant/lactating women, patients in treatment with nonsteroidal anti-inflammatory drugs and patients with periodontal diseases. Predictor/exposure/independent variableThe predictor variable was the graft technique. The bone defect after ILTM removal was treated with autogenous tooth graft (ATG) in the test group, leaving the control group ungrafted. Main outcome variablePD on the distobuccal, distomedial and distolingual surfaces was recorded in both groups and averaged at baseline (T0), 3 (T1), 6 (T2) and 36 months (T3) postoperatively. CovariatesSex, age, surgical time, ILTM situation and position between groups were assessed. AnalysesANOVA repeated measures for comparisons between groups and the Friedman test for comparisons within the groups over time were applied. Statistical significance was established with a confidence interval (CI) of 95% (p<0.05). ResultsThe sample comprised 22 patients (6 males, 16 females) with a mean age of 21.68±2.19 years; 44 ILTM extractions were performed. Statistically significant differences in PD average were found between groups (p<0.001, 95% CI) at 3 (1.63 ± 0.29), 6 (1.76 ± 0.3) and 36 months (1.74 ± 0.36). Reductions from T0 to T3 of 2.74±0.28 (p<0.001) and 0.54 ± 0.3 (p=0.43) were observed in test and control groups, respectively. Conclusions and relevanceATG placed on the distal surface of lower second molars and almost completely filling the extraction socket improved PD 3, 6 and 36 months after ILTM. Furthermore, no significant changes in PD were observed over time; no major complications occurred. ATG appears to be a viable alternative graft material for this procedure.

The effect of a collar on primary stability of standard and undersized cementless hip stems: a biomechanical study

IntroductionAseptic loosening and periprosthetic fractures are main reasons for revision after THA. Quite different from most other stem systems, Corail cementless hip stems show better survival rates than their cemented counterpart, which can possibly be explained by the use of a collar. The study aimed to investigate primary stability with standard and undersized hip stems both collared and collarless.Materials and methodsPrimary stability of cementless, collared and collarless, femoral stems was measured in artificial bones using both undersized and standard size. After preconditioning, 3D micromotion was measured under cyclic loading at the bone-implant interface.ResultsThe use of a collar resulted in higher micromotion within the same stem size but showed no statistically significant difference for both standard and undersized hip stems. The collared and collarless undersized stems showed no significant differences in 3D micromotion at the upper measuring positions compared to the standard stem size. Micromotion was significantly higher in the distal measuring positions, with and without collar, for the undersized stems (vs. standard collarless stem size).ConclusionThe key finding is that the collarless and collared Corail hip stems, within one stem size, showed no significant differences in primary stability. Undersized stems showed significantly higher micromotion in the distal area both with and without collar.

Clinical Impact of Perfusion Balloon for ST-Segment Elevated Myocardial Infarction: RYUSEI Study

Drug-eluting stents have significantly contributed to reducing mortality in patients with ST-segment elevation myocardial infarctions (STEMIs), but slow flow/no-reflow phenomenon (SFNR) and in-stent restenosis are still clinical problems. On the other hand, perfusion balloons (PBs) can compress thrombi and ruptured plaque for long inflation without ischemia and can be used as a delivery device for infusion of nitroprusside to distal risk area during ballooning. We conducted RYUSEI (Reduction of risk bY perfUsion balloon for ST-segment Elevated myocardial Infarction) study to evaluate whether PBs before stenting are more effective than conventional stenting for STEMIs. We divided consecutive patients with STEMIs who underwent optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) into PB group who were treated with PBs (Ryusei®; Kaneka Medix Corporation, Osaka, Japan) before stenting and the conventional PCI (CP) group. We compared clinical results including SFNR, OCT findings, and clinical events between the two groups. We finally analyzed 34 patients in PB group and 90 in CP group. After propensity score matching, PB and CP groups consisted of 23 patients, respectively. In the propensity score-matched cohort, SFNR and maximum protrusion area detected by OCT were significantly lower (P=0.047 and P=0.019) and TIMI flow grade 3 higher (P=0.022) in the PB group than CP group. Kaplan-Meier analysis revealed a significantly better clinical outcome in PB group than CP group (p=0.038). In conclusion, the RYUSEI study revealed a pre-stent lesion modification in addition to nitroprusside infusion using PB is useful to achieve better clinical course in STEMI patients.

A systematic comparative description of extant turtle humeri, with comments on humerus disparity and evolution based on fossil comparisons.

The humerus is central for locomotion in turtles as quadrupedal animals. Osteological variation across testudine clades remains poorly documented. Here, we systematically describe the humerus anatomy for all major extant turtle clades based on 38 species representing the phylogenetic and ecological diversity of crown turtles. Three Late Triassic species of shelled stem turtles (Testudindata) are included to establish the plesiomorphic humerus morphology. Our work is based on 3D models, establishing a publicly available digital database. Previously defined terms for anatomical sides of the humerus (e.g., dorsal, ventral) are often not aligned with the respective body sides in turtles and other quadrupedal animals with sprawling gait. We propose alternative anatomical directional terms to simplify communication: radial and ulnar (the sides articulating with the radius/ulna), capitular (the side bearing the humeral head), and intertubercular (opposite to capitular surface). Turtle humeri show low morphological variation with exceptions concentrated in locomotory specialists. We propose 15 discrete characters to summarize osteological variation for future phylogenetic studies. Disparity analyses comparing non-shelled and shelled turtles indicate that the presence of the shell constrains humerus variation. Flippered aquatic turtles are released from this constraint and significantly increase overall disparity. Ontogenetic changes of turtle humeri are related to increased ossification and pronunciation of the proximal processes, the distal articulation areas, and the closure of the ectepicondylar groove to a foramen. Some turtle species retain juvenile features into adulthood and provide evidence for paedomorphic evolution. We review major changes of turtle humerus morphology throughout the evolution of its stem group.

Immediate Placement and Loading of Maxillary Single-Tooth with Scalloped Shape Implants and Digitalized Customized Restoration: A 5-Year Prospective Study of Marginal Bone Level.

To evaluate, within a period of 5 years, the bone level in mesial, distal, palatal, and buccal areas around scalloped shape implants immediately placed and loaded with temporary crowns fixed on final prefabricated abutments, and also to evaluate the thickness of buccal bone. 18 implants were inserted and loaded immediately using computer-assisted design/computer-assisted manufacturing technology on 18 patients to replace single tooth in the esthetic part of the maxilla. The marginal bone level across the scalloped implant neck was measured mesially and distally using intraoral standardized radiographs after crown fixations and 1, 3, and 5 years later. Cone beam computed tomography para-axial cuts images were used to measure bone level buccally and palatally from the implant neck to the implant-to bone contact after 5 years of loading and to evaluate the thickness of the buccal bone at the implant neck and 4 mm apically, immediately after implant placement and 5 years later. All implants were assessed clinically and radiologically after 5 years. No implant failure was recorded, and the average marginal bone variation on mesial and distal sites was 0.114 ± 0.135 mm at crown cementation, 0.239 ± 0.158 mm 1 year later, 0.233 ± 0.182 mm 3 years later, and 0.180 ± 0.182 mm 5 years later. Our findings indicate that at T0, the average thickness of the buccal bone was 2.27 mm at implant neck M0 (ranging from 1.9 to 2.4) and 2.33 mm at 4 mm apically to the implant neck M1 (ranging from 1.9 mm to 2.9 mm). By T4, the mean had decreased to 1.94 mm at M0 (with a range of 1.7 mm to 2.3 mm) and 2.14 mm at M1 (with a range of 1.8 mm to 2.4 mm). After 5 years the mean changes at buccal and palatal bone for all implants were &#43;0.187 ± 0.52 mm and &#43;0.06 ± 0.38 mm respectively. Minor prosthetic problems were observed over the five years: incisal ceramic chipping occurred in two crowns, and two crowns were replaced for esthetic reasons after one year. No loosening of crowns or abutments was reported. Scalloped neck implants demonstrated a comparable behavior to regular neck implants with similar designs in an immediate implantation and temporization protocol over a five-year period.

Topographic Controls on Pyroclastic Density Current Hazard at Aluto Volcano (Ethiopia) Identified Using a Novel Zero‐Censored Gaussian Process Emulator

AbstractAluto volcano (Central Ethiopia) displays a complex, hybrid topography, combining elements typical of caldera systems (e.g., a central, flat caldera floor) and stratovolcanoes (e.g., relatively high and steep, radial flanks, related to eruptions occurring clustered in space). The most recent known eruptions at Aluto have commonly generated column‐collapse pyroclastic density currents (PDCs), a hazardous phenomenon that can pose a significant risk to inhabited areas on and around the volcano. In order to analyze and quantify the role that Aluto's complex topography has on PDC hazard, we apply a versatile probabilistic strategy, which merges the TITAN2D model for PDCs with a novel zero‐censored Gaussian Process (zGP) emulator, enabling robust uncertainty quantification at tractable computational costs. Results from our analyses indicate a critical role of the eruptive vent location, but also highlight a complex interplay between the topography and PDC volume and mobility. The relative importance of each factor reciprocally depends on the other factors. Thus, large PDCs (≥0.1–0.5 km3) can diminish the influence of topography over proximal regions of flow propagation, but PDCs respond to large‐ and small‐scale topographic features over medial to distal areas, and the zGP captures processes like PDC channelization and overbanking. The novel zGP can be applied to other PDC models and can enable specific investigations of PDC dynamics, topographic interactions, and PDC hazard at many volcanic systems worldwide. Potentially, it could also be used during volcanic crises, when time constraints usually only permit computation of scenario‐based hazard assessments.

Exploring the success of fasciocutaneous flap techniques in treating distal leg injuries, a Sub-Saharan African experience from Sudan

BackgroundSoft tissue and bone injuries in the lower extremities associated with high-energy trauma remain a formidable challenge to treat. The timing of the operation, the most suitable type of tissue, and the decision between local or free flap coverage remain under discussion. MethodThis prospective, cohort, multi-center study was conducted in Khartoum, Sudan, from April 2021–September 2021. The study included 70 patients. Data was collected using a questionnaire filled with patients after getting informed consent. ResultsMales were 53(75.7 %) and females were 17(24.3 %). Male to female ratio was 3.1: 1. The mean age of the patients was 27.2 ± 3.4 years. The indications for the use of fascia-cutaneous flap in the management of traumatic soft tissue injuries of distal legs were distal substance loss areas of the leg 55(78.6 %), bone exposure 60(85.7 %), open fracture 29(41.4 %), and tendon exposure 31(44.3 %). The type of fasciocutaneous flap used for the patients in this study was perineal artery flap in 20(28.6 %), sural flap in 19(27.1 %), anterior tibial artery perforator flap in 18(25.7 %), and posterior tibial perforator flap in 13(18.6 %) of the patients in 42(60 %) of the patients, no complications were reported. The reported complications were infection 16(5.7 %), distal flap necrosis 8(11.4 %) and total loss 4(5.7 %). ConclusionDespite advances in microsurgery and free flap use, a fascia-cutaneous flap is still a valid option for distal leg soft tissue reconstruction in settings where this service is unavailable. fasciocutaneous flaps are an excellent option for distal leg defects to cover soft-tissue defects, exposed bones, and tendons.

Organic geochemical investigation of cretaceous source rocks with varying thermal maturity levels in the East Andes (Boyacá, Colombia)

This study encompasses a geochemical investigation of Cretaceous source rocks from the Eastern Cordillera (Colombia). This basin represents an interesting area for geochemical studies due to its abundance of organic matter-rich levels, some of which exhibit mild to extremely high thermal maturities, enabling discussion on long-term carbon sinks. This research work focuses on the study of organic-rich shaly sediments of Barremian to Campanian age from seven (7) outcrop locations in two areas of the Boyacá Department. A set of seventy (70) rock samples have been analysed using several organic geochemical techniques and have shown to cover thermal maturity ranges from the early oil window to the metagenesis stage (measured reflectance values from 0.6% to 2.1%). The OAE2 event was identified based on a 2.5‰–3‰ carbon isotopic excursion in the distal Guaguaquí Group from the section along the Guaquaquí River. Maturity was not found to correlate with depositional burial depths in the so-called distal study area, suggesting that other tectonic events may have played an important role in the genetic history of hydrocarbons particularly in this part of the Boyacá Department. During the mid-to late Cretaceous times, the two study areas consisted of a marine margin with a terrestrial input from the east, which is reflected in a higher terrestrial character of sediments in the eastern foothills (V/Ni < 0.7) compared to the others. Finally, fluorene- and diamondoid-based components were used for enhancing the characterization of the mid-to late Cretaceous organic matter in terms of source in the study sub-region (three-fluorenes and dimethyl-/trimethyl-adamantanes ratios above or below 0.25 and 0.85).

U‐Pb carbonate dating reveals long‐lived activity of proximal margin extensional faults during the Alpine Tethys rifting

AbstractSyn‐rift extensional faults play a significant role during the early stage of rifting. Constraining the age of faulting, and how and when deformation shifts from the proximal to the distal margin areas, is crucial for the reconstruction of the rifting process. Previous assessments of the structural and temporal evolution of rift‐related faults of the Adria proximal margin have primarily relied on indirect biostratigraphic evidence. Additionally, the majority of rift‐related faults underwent tectonic inversion during the Alpine orogeny. In this study, in‐situ U‐Pb geochronology was applied on syn‐kinematic calcites to unravel the activity of the Amora Fault, a remarkable example of a Jurassic growth fault unaffected by the Alpine orogeny. The obtained ages, spanning from Hettangian to Callovian, extend the AF activity beyond the previously established Early Jurassic time. This chrono‐structural model has significant implications on the role of major extensional faults in focusing deformation throughout the rift system's evolution.

Linked evolution of Paleocene sea floor relief and deep marine currents in the Subbetic Zone, southern Spain

Paleocene deposits of the Subbetic Zone (southern Spain) provide outstanding evidence of the influence of sea mountains on deep marine currents. This part of the Betic Cordillera External Zones corresponds to the distal and deepest area of the original basin, where hemipelagic sedimentation prevailed during most of the Turonian-early Lutetian interval. This sedimentation is recorded by the so-called Capas Rojas and Quipar-Jorquera formations, units up to 250 m and 425 m thick, respectively, predominantly consisting of marls and marl/limestone alternations. These units draped and smoothed an irregular submarine topography of fault-bounded Mesozoic carbonate blocks. Some of these blocks became uplifted and subaerially exposed after a mid-Danian tectonic episode, transforming the Subbetic Zone in an archipelago during the late Danian-early Selandian interval. The emerged blocks were colonized by Microcodium-producing terrestrial plants, Microcodium consisting of aggregates of submilimetric monocrystalline calcite grains. Massive resedimentation of these grains into depressed zones of the archipelago resulted in discrete accumulations up to 100 m thick but of comparatively modest extent (≤150 km2) of calcarenites rich in Microcodium remains. The study of one of these calcarenite units, the Olivares Formation, demonstrates that most of its constituent Microcodium remains were brought to the deep sea by turbidity currents, but were subsequently reworked by oscillatory and unidirectional bottom-currents. The analysis of the Capas Rojas Formation in its type section and surrounding areas, where Microcodium-rich calcarenites are absent, demonstrates that the Danian-Selandian succession is riddled with hiatuses, which resulted in a drastic thickness reduction of the interval. Clearly, the rugged sea floor topography resulting from the mid-Danian tectonic event enhanced the sedimentary transport capacity of bottom-currents that, in addition to piling-up Microcodium-rich calcarenites in restricted zones, disturbed the hemipelagic sedimentation elsewhere in the Subbetic Zone. From late Thanetian times onwards the background hemipelagic sedimentation typical of the Capas Rojas progressively resumed throughout the Subbetic Zone, recording the gradual abatement of the sea floor relief by protracted erosion and/or subsidence.

Understanding paleo-earthquakes in the Kuril Trench based on Late-Holocene tsunami deposits in the distal region from wave sources, northern Hidaka, Hokkaido, Japan.

Geological evidence, such as tsunami deposits, is crucial for studying the largest rupture zone of the Kuril Trench in Hokkaido, Japan, due to its poor historical record. Although 17th-century tsunami deposits are widely distributed across Hokkaido, the presence of multiple wave sources during that period, including the collapse of Mt. Komagatake, complicates the correlation with their wave sources. Understanding the regional distribution of these tsunami deposits can provide valuable data to estimate the magnitude of megathrust earthquakes in the Kuril Trench. The northern part of Hidaka, Hokkaido, where tsunamis from multiple wave sources are expected to overlap, is distant from the Kuril Trench. To clarify the depositional history of tsunami deposits in such distal areas, evaluating the influence of the depositional environments on the event layer preservation becomes even more critical. We conducted field surveys in Kabari, located in the northern Hidaka region, identifying three sand layers from the 10th to the 17th century and two layers dating beyond 2.3 thousand years ago. The depositional ages of most sand layers potentially correlate with tsunami deposits resulting from the Kuril Trench earthquakes. Utilizing reconstructed paleo-sea level data, we estimated that most sand layers reached approximately 2 m in height. However, it is noteworthy that the latest sand layer from the 17th century exhibited an unusual distribution, more than 3 m in height. This suggests a different wave source as the Mt. Komagatake collapse. The discovery of multiple sand layers and their distributions is crucial to constraining the maximum magnitude of giant earthquakes in the Kuril Trench and understanding the volcanic tsunami events related to Mt. Komagatake.

Effects of Short-Term Hand Tractor Operation on Upper Limb Responses of Users

ABSTRACT Objectives Continuous exposure to hand-arm vibration integrated with poor posture and forceful movements are known causes of musculoskeletal disorders (MSD). In most related studies, force and vibration levels in experimental research is controlled. This study aims to determine how actual hand tractor field operation can affect the upper limb of users. It intends to characterize upper limb muscle activation applied during actual hand tractor usage. Lastly, it determines the immediate impacts on hand strength and perceived upper limb discomfort after the operation. Methods We recruited 15 farm operators with a mean working experience of 20.1 ± 12.2 years. They were asked to operate a hand tractor on paddy fields for at most 8 minutes. Handle vibration was measured using a tri-axial accelerometer. The total unweighted vibration acceleration was computed and used to represent the handle vibration magnitude. Muscle activation was measured using surface electromyography (sEMG). Six sEMG sensors were attached to the dominant and non-dominant side of the extensor carpi radialis (ECR), bicep, and deltoid. Pre- and post-task hand strength and subjective discomfort rating were also taken. Results The total unweighted handle vibration acceleration is 17.45 ± 7.53 m/s2. This exceeds the allowable safe value. Meanwhile, the percentage of maximum voluntary contraction (% MVC) of the muscles ranged from 6% to 14% with the ECR having a significantly higher activation (p < .05) than the bicep and deltoid. The post-task grip strength of the dominant hand was lower than its pre-task value (p < .01) while that of the non-dominant side did not vary significantly. There is a modest trend of higher hand discomfort of the non-dominant side on post-task than pre-task rating (p < .10). Although, overall, the perceived discomfort ranged from none to mild discomfort. Conclusion In conclusion, the study showed an indication that the effects of vibration on humans are evident even at mild muscle exertion, with the exertion predominantly concentrated on the distal arm area clearly affecting grip strength and hand discomfort. In such cases, future recommendations can revolve around the improvement of the hand tractor handle grip to impose grip comfort and ease.

In vivo MRI and PET imaging in a translational ILD mouse model expressing non-resolving fibrosis and bronchiectasis-like pathology after repeated systemic exposure to bleomycin.

C57BL/6 mice received bleomycin (i.p. 35iU/kg) or saline as control twice per week for 4 weeks. Mice were monitored until 2 weeks after cessation of bleomycin administration (w4 + 1 and w4 + 2), referred to as the resting period. MRI scans were performed in weeks 3 and 4 and during the resting weeks. [18F]FDG-PET was performed at the last week of dosing (w4) and 2 weeks after the last dosing (w4 + 2). Lung tissue sections were stained with Masson's trichrome and evaluated by modified Ashcroft scoring. Lung volume and lesion volumes were assessed using MRI, as well as 3D mapping of the central airways. Bleomycin-challenged mice showed increased lung weights (p < 0.05), while total lung volume was unchanged (w4 and onward). Histology analysis demonstrated fibrotic lesions emanating from the distal parts of the lung. Fibrosis progression was visualized by MRI with significantly increased high signal in bleomycin-exposed lungs compared to controls (p < 0.05). In addition, a significant increase in central airway diameter (p < 0.01) was displayed in bleomycin-exposed animals compared to controls and further continued to dilate as the disease progressed, comparing the bleomycin groups over time (p < 0.05-0.001). Lung [18F]FDG uptake was significantly elevated in bleomycin-exposed mice compared to controls (p < 0.05). Non-invasive imaging displayed progressing lesions in the lungs of bleomycin-exposed mice, using two distinct MRI sequences and [18F]FDG-PET. With observed fibrosis progression emanating from distal lung areas, dilation of the central airways was evident. Taken together, this chronic bleomycin-exposure model is translationally more relevant for studying lung injury in ILD and particularly in the context of DIILD.

Nail Telocytes: Identification, Potential Physiological Function, and Role in Pathology: A Reappraisal of the So-Called Onychofibroblasts/Onychodermis.

Some authors have suggested that the fibroblasts of the nail mesenchyme (onychofibroblasts) can be distinguished from skin fibroblasts by their high expression of CD10. My 2015 study documented the presence of a relatively sparse CD34 + /CD10 + dendritic subpopulation in the dermis and hypodermis of the matrix. For some time now, my hypothesis has been that these interstitial dendritic mesenchymal cells of the matrix correspond to telocytes. Telocytes have been described as peculiar interstitial dendritic cells present in the mesenchymal tissue of numerous organs, including the skin, but their presence and characteristics in the nail unit have not been explored. This study was undertaken to more comprehensively investigate the existence and characteristics of nail telocytes. A series of 20 normal adult nail units were examined with a combination of morphological and immunohistochemical analyses. The matrix dermis contained a sparse subpopulation of CD34 + /CD10 + elongated telocytes with a higher density in the lunular region and, at this distal level, a change in their immunohistochemical profile, resulting in a progressive loss of CD34 expression. The matrix hypodermis showed CD34 + /CD10 + telocytes in their classical elongated aspect, which acquired, especially in the distal fibromyxoid area of the thumb, an oval to round morphology with multiple intracytoplasmic vacuoles. The characteristic dynamic immunophenotypic profile of the dermal telocytes with a progressive distal loss of the defining molecule CD34 was equally observed in the distal hypodermis. The nail bed dermis was thick with a dense fibrous connective tissue. A reticular network of CD34 - /CD10 + telocytes was present in the superficial dermis of the proximal nail bed. The mesenchymal cells of the deep part of the proximal nail bed dermis and the entire distal nail bed dermis were CD34 - /CD10 - . The adult nail mesenchyme is composed of 3 microanatomically distinct regions. Only the thumb has a distal hypodermis rich in mucinous material. The population of telocytes is relatively sparse compared with the fibroblastic population of the entire nail mesenchyme. The concept of onychodermis/onychofibroblasts is not valid. Nail telocytes have a dynamic immunohistochemical profile depending on whether they are located proximally or distally. The CD34 + /CD10 + profile correlates with the onychogenic epithelial region, while the CD34 - /CD10 + profile correlates with a spatial rearrangement of the nail epidermal bed.

Lahar events in the last 2000 years from Vesuvius eruptions – Part 1: Distribution and impact on densely inhabited territory estimated from field data analysis

Abstract. Lahars represent some of the most dangerous phenomena in volcanic areas for their destructive power, causing dramatic changes in the landscape with no premonitory signs and impacting the population and infrastructure. In this regard, the Campanian Plain turns out to be very prone to the development of these phenomena, since the slopes of the Somma–Vesuvius and Campi Flegrei volcanoes, along with the Apennine reliefs, are mantled by pyroclastic deposits that can be easily remobilized, especially after intense and/or prolonged rainfall. This study focuses on the analysis of pyroclastic fall and flow deposits and of the syn- and post-eruptive lahar deposits related to two sub-Plinian eruptions of Vesuvius in 472 CE (Pollena) and 1631. To begin with, historical and field data from the existing literature and from hundreds of outcrops were collected and organized into a database, which was integrated with several new pieces of data. In particular, stratigraphic, sedimentological (facies analysis and laboratory), and archeological analyses were carried out, in addition to rock magnetic investigations and impact parameter calculations. The new data are also referenced to the finding of ash beds in more distal areas, which were included in new isopach maps for the two sub-Plinian eruptions. The results show that for both eruptions the distribution of the primary deposits is wider than previously known. A consequence of these results is that a wider areal impact should be expected in terms of civil protection, as the sub-Plinian scenario is the reference one for a future large eruption of Vesuvius. Such a distribution of the pyroclastic deposits directly affects the one of the lahar deposits, also because a significant remobilization took place during and after the studied eruptions, which involved distal phreatomagmatic ash. From these integrated analyses, it was possible to constrain the timing of the deposition and the kind of deposits remobilized (pyroclastic fall vs. flow), and it was possible to calculate the velocities and dynamic pressures of the lahars and ultimately infer the lahar transport and emplacement mechanisms. The multidisciplinary approach adopted in this work shows how it is crucial to assess the impact of lahars in densely populated areas even at distances of several to tens of kilometers from active volcanoes. This especially applies to large parts of the densely populated areas around Somma–Vesuvius up to the nearby Apennine valleys.