Change In Distance Research Articles

Abstract 4127909: Smartphone-enabled, home-based exercise in patients with symptomatic peripheral arterial disease: the Smart Step Grady randomized trial

Introduction: About 10% of peripheral artery disease (PAD) patients develop claudication, with African Americans at higher risk and more severe symptoms. While supervised exercise therapy (SET) is a primary treatment, its uptake is low. We assessed the feasibility and effectiveness of smartphone-delivered home-based exercise therapy (HBET) in improving functional capacity and PAD symptoms in low-resource settings lacking SET. Methods: We conducted an interim analysis of Smart Step, a pilot randomized trial (1:1 ratio) comparing smartphone-enabled HBET to usual care (UC) in symptomatic PAD patients at Grady Memorial Hospital, a public safety net hospital in Atlanta, GA, from August 2018 to March 2024. The HBET group received virtual exercise coaching, app-based education, messaging, and reminders for 12 weeks. The primary outcome was the change in 6-minute walking distance (6MWD) at 12 weeks. Secondary outcomes included changes in the Walking Impairment Questionnaire (WIQ) and Short Form 36 (SF-36) scores. Data were analyzed using intention-to-treat, with mixed model repeated measures regression assessing the association between 6MWD and treatment. Results: We screened 102 patients and enrolled 46. To date, 26 (56%) participants have completed the study, 6 (13%) dropped out, and 14 (30%) are pending completion. The mean [SD] age was 63 [12] years, with 50% female and 90% African American. After 12 weeks, the mean 6MWD increased by 15.7 m from a baseline of 336.0 m in the HBET arm (n=13) and decreased by 6.6 from a baseline of 310.2 m in the UC arm (n=13). The between-group difference was 22.4 [95% CI -11.8 – 56.6] m; p=0.19). The WIQ stair climbing score changed by -10.9 in the UC arm vs. 7.1 in the HBET arm (between group difference 17.9 [95% CI 1.1-34.8]; p=0.04), while the other WIQ sub-scores were more similar between groups. The 12-week changes in SF-36 scores were not different by group. Conclusion: In this preliminary analysis, the HBET arm showed within-group improvements in 6MWD and symptoms after 12 weeks, but most changes were not significantly different when comparing them with the UC arm. Future analyses are pending and will provide the necessary statistical power for a more precise measure of the treatment effects.

Abstract 4134456: Hybrid Cardiac Targeting Peptide Ameliorates HFpEF Phenotype in Mice

Introduction: Heart failure with preserved ejection fraction (HFpEF) is a form of heart failure which is rapidly rising in incidence in the US today. Despite this, no therapies with mortality benefit exist for this syndrome. Previous work with our novel hybrid cardiac targeting peptide (hCTP), a cardiomyocyte-specific cell penetrating peptide, has shown multiple beneficial biological effects (improved calcium handling, anti-inflammatory properties) beyond its transduction abilities. Therefore, we hypothesized that treatment with hCTP in a mouse model of HFpEF would ameliorate the pathophysiology of this disease. Methods: To establish a HFpEF model, 6-week-old, C57BL/6NJ mice were placed on a high-fat diet (HFD), 60% kCal from lard, and water with 0.5 g/L of an iNOS inhibitor (N-Nitro-L-arginine methylester) to induce hypertension. After 5 weeks of the diet, HFD mice and their littermate controls underwent baseline exercise testing and echocardiograms. Exercise capacity was measured after 2 days of exercise training with 2 days of rest in between; mice were placed on a treadmill at a 10-degree angle and made to run at increasingly fast speeds (5-30 m/min) until exhaustion. Echocardiograms were performed under 1.5% inhalational isoflurane. After baseline testing, the mice were treated with vehicle, or either 2.5 or 5 mg/Kg hCTP, either 3 or 5 days a week (five groups, n = 3 per group). After four weeks of treatment, the mice were again subjected to the same battery of tests and euthanized. Data was compared using two way ANOVA with Sidak’s test to compare measurements pre- and post-treatment. Results: Treatment with hCTP at either concentration for five days/week led to an increase in running distance from 39.8 m to 116.3 m (p = 0.03, n = 6), compared to changes in control distance from 208.4 m to 157.8 m (p = 0.399). Running distance did not correlate with weight (R 2 < .001). Treatment with 5 mg/Kg hCTP for 5 days/week led to a normalization of the E/e’ ratio, from 43.3 to 26.9 (p = 0.004, n = 3) compared to a change in the control of 34.7 to 26.1 (p = 0.312). Ejection fractions remained consistent (>55%) across all groups. Conclusions: Our data suggests that hCTP appears to be a promising treatment in ameliorating some of the physiological effects in a murine model of HFpEF. Gene and protein expression studies in heart tissue are underway. Further work is warranted with a larger sample size.

Interspecific competition reduces seed dispersal in an annual plant and slows simulated range expansions

Understanding the factors influencing how fast populations can spread across the landscape will be crucial as species ranges shift due to climate change. While the role of abiotic factors in determining expansion speed has been well studied in theory and empirical research, how competition impacts speed has received far less attention. Here, we investigated how seed dispersal distances change in response to competition and how these changes to distributions of dispersed seeds impact expansion speed. We dispersed four genotypes of the annual plant Arabidopsis thaliana with variation in life history traits into greenhouse mesocosms of either empty habitat or habitat containing the annual grass competitor, Lolium multiflorum. We found that competition decreased both mean and maximum dispersal distance. We then built a simulation model of range expansion with experimental data from this and a prior experiment to explore whether competition slows species expansions primarily through decreasing dispersal or fecundity. We found that competition primarily slows expansion speed through decreases in dispersal, but that when competition impacts both dispersal and fecundity, expansions slow more than with dispersal alone. The genotype with traits associated with longer distance dispersal was the most affected by competition in both experimental dispersal and simulations. This research suggests that not only does competition slow range expansions through decreases in both fecundity and dispersal, but that there may be consequences for evolutionary processes at the leading edge.

Association Between Postoperative Medial-Middle Intercuneiform Joint Widening and Recurrence Rates in Hallux Valgus Treated With Modified Lapidus Procedure.

Although an association between intercuneiform (C1-C2) joint instability and the recurrence of hallux valgus (HV) deformity after the modified Lapidus procedure has been suggested, there is currently no radiographic evidence to support it. This study aims to investigate radiographic changes in the C1-C2 joint after the modified Lapidus procedure for HV correction, using weightbearing computed tomography (WBCT). This retrospective cohort study included 52 feet (50 patients) with HV who underwent modified Lapidus procedure and had preoperative and postoperative WBCT. Patients who had an additional transfixation screw between the first and second ray were excluded. The preoperative and average 6.5 months postoperative C1-C2 distance, C1-C2 angle, and C1-ground angle were measured on coronal multiplanar reconstructed WBCT images. Radiographic parameters between the recurrence group (n = 9) and nonrecurrence group (n = 43) were compared. Recurrence of HV deformity was characterized by a postoperative hallux valgus angle (HVA) greater than 20 degrees. Nine of 52 patients (17.3%) had recurrence of their HV deformity. The recurrence group had greater changes in the C1-C2 distance; the median widening in the recurrence group was 0.7 mm (IQR, 0.6-0.8), whereas the nonrecurrence group was 0.3 mm (IQR, 0.1-0.4, P < .001). Regression analysis showed that increase in the C1-C2 distance were significantly associated with recurrence (odds ratio, 1.79; 95% CI, 1.18-3.77; P = .0015). Although no preoperative imaging parameters were associated with a change in the C1-C2 distance, increasing postoperative sesamoid position (r = 0.32, P = .022) and HVA (r = 0.28, P = .046) were correlated with a greater change in the C1-C2 joint gapping. Our study results suggest a possible association between early postoperative widening of the C1-C2 joint and the recurrence of the HV deformity following a modified Lapidus procedure. This raises, but does not answer, the question as to whether the routine stabilization of intercuneiform joint directly or indirectly may help reduce the rate of hallux valgus recurrence when performing the modified Lapidus procedure.

Morphological and Histological Changes Following Triamcinolone Injection Alone or Mixed Injection of Triamcinolone and Botulinum Toxin in Upper Eyelid.

The purpose of this experiment was to evaluate the functional and histologic changes in the upper eyelid muscles after injection of triamcinolone acetonide (TA) alone or TA combined with botulinum toxin A (Botox or BTXA) in the cynomolgus monkey model. Twenty eyes of 10 cynomolgus monkeys were divided into 4 groups: 3 experimental groups (1, 2, and 3) and the control group (group 4) based on the injection type. In group 1, 0.5mL of TA (Kenalog 40mg/mL) was administered subconjunctivally (between the conjunctiva and the Müller muscle) with a 26 G needle to the inverted upper eyelid of one eye. In group 2, the same procedure was done with 0.5mL TA injected into the other upper eyelid. After that, 5UI/0.1mL Botox was injected transcutaneously into the suborbicularis oculi space in the middle third of the upper eyelid 3mm above the center of the superior tarsal border. In group 3, a subconjunctival of 0.5mL TA was administered to the inverted upper eyelid of one eye 3 times: the injection day, 2 weeks, and 6 weeks after the first injection, whereas a normal saline injection of the same volume was administered one time to the other eye at the injection day in group 4 (control group). Follow-up was done to evaluate the clinical changes in eyelid position at 2, 6, and 12 weeks after injection. Hematoxylin-eosin and Masson trichrome were used to assess the levator or Muller muscle histology and measure the fiber diameter. During the clinical follow-up, there were no major complications observed in any monkeys. The macroscopic appearance of the upper lid on the biopsy day did not differ among groups 1, 2, and 4. There were no cases in these groups that had subconjunctival TA deposit 3 months after injection. Conversely, in group 3, there were 3/5 eyes showing the subconjunctival TA deposit at the last examination.No specific changes in the marginal reflex distance 1, marginal reflex distance 2 (MRD2), and lid crease were noted in either TA alone injection groups 1, 3, and 4. In contrast, there was a significant decrease in marginal reflex distance 1 at 2 weeks (P = 0.003) and 6 weeks (P = 0.005) after TA injection in group 2 in comparison to the baseline.In terms of MRD2, while in group 2, there were significant differences between the pre-MRD2 and the post-MRD2 till the 2 weeks after injection (P = 0.006), then it became insignificant from the sixth week afterward. In contrast, at 2 weeks after injection, MRD2 was reduced in both TA-injected groups 1 and 3, but the observed difference was not significant in both groups. At 6 and 12 weeks, MRD2 fluctuation was not remarkable in these 2 groups and there were no significant differences in comparison to the baseline (P > 0.05).Histological evaluation showed that Müller muscle does not attach directly to the superior border of the tarsus, but it changes to the tendon before attaching to the tarsal plate. In addition, there were no statistical differences in levator muscle fiber diameter and Müller muscle fiber diameter between the 4 groups, with P = 0. 621 and P = 0.695, respectively. Triamcinolone acetonide combined with BTXA showed better results in decreasing upper eyelid height than TA alone in normal monkey eyelids due to its predictable effect. In addition, there were no differences between the side effects and the histology results between the 4 groups. Therefore, TA combined with BTXA may become a promising treatment for selective thyroid eyelid retraction and could offer an alternative to surgery and its complications.

Influencing factors of self-aligned imaging in near-field lithography for the Fabry–Perot cavity effect

In near-field lithography, the Fabry–Perot (F-P) cavity enhancement effect can significantly improve image quality and resolution. This paper considers changes in the refractive index and air distance in self-aligned imaging. Simulation results demonstrate that the Fabry–Perot resonator effect achieves effective self-alignment in 3D imaging. The proposed structure builds on traditional near-field imaging structures and F-P resonator research, suggesting a Cu/SiO2 structure as the front layer. Rigorous coupled wave analysis (RCWA), finite element method (FEM), and finite-difference time-domain (FDTD) methods were employed to verify the self-alignment effect on single gratings and rectangular hole arrays. The results indicate that the self-alignment lithography method based on the F-P effect not only enhances lithography contrast and normalized image log-slope (NILS) but also shows robust performance against variations in air distance and complex refractive index. Notably, for the rectangular aperture array structure, with changes in air distance and complex refractive index within a certain range, the NILS remains stable above 2.8, and the contrast stays near 0.70. These simulation results confirm that the F-P resonator-based scheme is viable for plasma imaging lithography with small critical dimensions.

Unraveling the synergistic mechanisms of dual-atom catalysts on BeN4 substrates for enhanced hydrogen evolution reaction: A machine learning-assisted first-principles study

Synergistic effects have been widely studied in both homogeneous and heterogeneous bimetallic catalysis. However, the exact mechanisms underlying the synergistic effects between bimetallic atoms remain elusive. This study, using density functional theory calculations, systematically explores a dual-atom catalyst (DAC) on a BeN4 substrate, where two beryllium atoms are substituted with transition metals. The results demonstrate that the dual-atom catalysis TMTM’@BeN4 exhibits synergistic effects. Notably, five DAC systems, particularly those co-doped with V and Cr, significantly reduce the Gibbs free energy (ΔGH∗) for the hydrogen evolution reaction (HER). We further utilized machine learning to explore how the dual-atom catalysts exhibit synergistic effects. Machine learning analysis indicates that changes in the average interatomic distance and the Fermi level of the catalyst system are the main factors influencing the Gibbs free energy variation in dual-atom catalysts, jointly determining the hydrogen evolution catalytic activity. This work provides profound insights into understanding the synergistic mechanisms of dual-atom catalysts.

A unified LOD model for river network and DEM based on an improved 3D_DP algorithm

The level of detail (LOD) modelling of vector and terrain data is individual, resulting in geometric and topological inconsistencies in simplification processes. The three dimension Douglas Peucker (3D_DP)algorithm can realize gradual discrete point selection through threshold, which is mainly used in DEM synthesis, and its simplified process is very suitable for the dynamic establishment of massive data sets. A new LOD modeling method based on 3D_DP algorithm is proposed to simplify the consistency of river network vector elements and DEM in this paper. The specific steps are as follows: Firstly, the “Bending Adjustment Index (BAI)” is introduced to improve the 3D_DP algorithm, called the improved 3D_DP algorithm; Secondly, the DEM data is extracted into a 3D discrete point dataset, and the river line vector data is also converted into a discrete point dataset, assigned with elevation attributes, and merges with the DEM’s 3D discrete points. The merged point datasets are equenced based on the importance of each point, which are computed by the improved 3D_DP algorithm. The order of deleting points is determined by the sequence and the corresponding model spatial errors are calculated with the deletion of points. Then, the DEM’s 3D discrete points are constructed a Delaunay network with the river line as a mandatory constraint condition. The required triangulation is called in real time with the change of sight distance depending on the simple correspondence between screen projection error and model space error, and the unified LOD model for river line vector and DEM is established. The results show that the river’s overall shape and the terrain’s main features can be reserved under the same simplified factor based on the improved 3D_DP algorithm. The unified LOD model for the river network and DEM is feasible under the importance sequence of merged point datasets by the improved 3D_DP algorithm. Under the proper operation of data blocking, the rendering frame rate can meet practical application requirements.

Tunable Lotus Leaf Effect by Three-Dimensionally Printed Stretchable Objects.

Adjustable wettability is important for various fields, such as droplet manipulation and controlled surface adhesion. Herein, we present high-resolution 3D stretchable structures with tunable superhydrophobicity, fabricated by a stereolithography-based printing process. The printing compositions comprise nonfluorinated monomers based on silicone urethane with dispersed hydrophobic silica particles. 3D lotus-like structures were designed and printed, having microsize pillars located at the external surfaces, with controlled dimensions and interspacing. The design of the pillars and the presence of the hydrophobic silica particles resulted in superhydrophobicity due to the surface structuring and entrapment of air between the pillars. The best structures display a contact angle of 153.3° ± 1.3° and rolling angle of 3.3° ± 0.5°, and their self-cleaning, water repellency, and buoyancy are demonstrated. The durability of the structure over time, water immersion, and heat exposure were tested, confirming the preservation of superhydrophobicity under these conditions. Upon stretching the surfaces, the interpillar distances change, thus enabling tuning the wetting properties and achieving good control over the contact and rolling angles, while the stretching-induced superhydrophobicity is reversible. This approach can expand the potential applications of superhydrophobic soft materials to fields requiring control over the wetting properties, including soft robotics, biomedical devices, and stretchable electronics.

Changes in Acromiohumeral Distance With Clinician-Applied and Self-Applied Inferior Glenohumeral Joint Mobilizations Measured Using Ultrasound Imaging

OBJECTIVE: To measure the change in acromiohumeral distance during clinician-applied and self-applied manual shoulder joint mobilization. We hypothesized that the acromiohumeral distance would be significantly greater with clinician-applied manual joint mobilizations (MJM) than with self-applied joint mobilization. DESIGN: Within-subject, repeated measures design METHODS: Nineteen healthy adults (mean age: 22.9 ± 1.2 years) participated. A traction force of 15% body weight was applied during MJM and self-applied joint mobilization (SJM). Acromiohumeral distance was measured via ultrasound imaging at rest (baseline) and during the two test conditions (2 trials each) to quantify inferior accessory motion. The transducer was placed at the anterolateral border of the acromion and the subacromial space was clearly visualized for acromiohumeral distance measurements. RESULTS: The ICC for acromiohumeral distance measurements ranged from 0.876 to 0.963. Changes in acromiohumeral distance during MJM (3.90 ± 0.51mm) were significantly greater than SJM (1.68 ± 0.49mm, p&lt;0.001). AHD changes between sexes: MJM (female: 3.16 ± 0.58mm, male: 5.15 ± 0.90mm, p=0.060); SJM (female: 0.88 ± 0.51 mm, male 3.05 ± 0.90mm, p=0.029). CONCLUSIONS: Our acromiohumeral distance measurement methodology had excellent test-retest reliability. There was significantly more inferior humeral accessory motion with MJM than SJM. The acromiohumeral distance was 132% greater during MJM and was unchanged or less than resting baseline measurements in almost a third of participants during SJM.

Daily Remote Ischaemic Preconditioning for Intermittent Claudication: A Sham Controlled Randomised Trial

Remote ischaemic preconditioning (RIPC) is a promising non-invasive strategy in which brief episodes of ischaemia and reperfusion can increase skeletal muscle resistance to ischaemia and improve mobility. This study aimed to determine whether 28 consecutive days of RIPC improves intermittent claudication (IC) symptoms compared with sham intervention. This single centre, parallel, randomised, sham controlled, double blind trial was conducted from January 2022 to April 2023 in outpatient settings. Forty two patients with stable IC Fontaine stage IIa or IIb were randomised to RIPC or sham for 28 days. The prespecified primary outcome was a change in the maximal walking distance (MWD) after 28 days measured with a treadmill test. A > 10% change in MWD was considered clinically significant. Change in intermittent claudication distance (ICD), time to relief from claudication (TRC), and health related quality of life (HRQoL) measured with the VascuQoL-6 questionnaire were the secondary outcomes (ClinicalTrials.gov ID: NCT05084066). Forty one men (RIPC = 23, sham = 18) aged 64.9 ± 7.4 years were analysed. A change of > 10% in MWD occurred in 14 patients in the RIPC group vs. eight patients in the sham group (relative risk 1.37, 95% confidence interval 0.74 - 2.25; p = .35). Changes in ICD, TRC, and HRQoL between the groups were not statistically significant. In this trial, RIPC did not significantly improve MWD, ICD, or TRC compared with treatment with a sham device.

Impact of dorsal closing wedge calcaneal osteotomy on hindfoot alignment and biomechanics of patients with insertional achilles tendinopathy; A weightbearing CT-based simulation study

PurposeDorsal closing wedge calcaneal osteotomy (DCWCO) is purported to enhance both the biological and mechanical aspects of insertional Achilles tendinopathy (IAT) by altering its insertional anatomy. The biomechanical impacts of shifting the Achilles insertion, however, are not fully understood. This study aimed to analyze the effect of DCWCO on hindfoot alignment and gastrocnemius-soleus (G-S) power. MethodsSix weightbearing ankle CTs of patients diagnosed with IAT were segmented and standardized planes were used to conduct DCWCOs with six variations, resulting in a total of 42-foot models including the 6 preoperative original model. Two distinct representations of plantar osteotomy starting points were defined. One was 1 cm anterior to plantar calcaneal tubercle (posterior osteotomy) and the other was 2 cm anterior (anterior osteotomy). The osteotomies were extended to 1 cm anterior of posterosuperior calcaneal tuberosity with 6-, 10-, or 14-mm dorsal wedges. Pre-defined Achilles insertion points were used to create computational Achilles tendon models. Multiple automated measurements were performed to calculate the change in foot alignment and biomechanics. ResultsBoth anterior and posterior osteotomy locations resulted in decreased lateral talocalcaneal and calcaneal pitch angles, more substantially so with the anterior osteotomy (p = 0.028). Distance change between Achilles and Haglund was much greater with posterior osteotomy using 6- and 10-mm wedges as compared to the anterior alternative (p = 0.028). Anterior osteotomy caused a significant decrease in the Böhler angle (p < 0.001). The subtalar joint orientation was observed to change up to 3.8° in anterior osteotomy and the decrease in G-S power was found to be a maximum of 2–3 %. ConclusionA posteriorly placed starting point can provide more Achilles decompression while an anteriorly placed starting point can affect foot alignment more significantly. DCWCO can change the subtalar joint orientation predisposing the joint to increased loads. Decrease in G-S power was low and will presumably not have clinical impact.

Role of Interfacial Hydrogen in Ethylene Hydrogenation on Graphite-Supported Ag, Au, and Cu Catalysts.

A combined surface science/microreactor approach was applied to examine interface effects in ethylene hydrogenation on carbon-supported Ag, Au, and Cu nanoparticle catalysts. Turnover frequencies (TOFs) were substantially higher for supported catalysts than for (unsupported) polycrystalline metal foils, especially for Ag. Spark ablation of the corresponding metals on highly oriented pyrolytic graphite (HOPG) and carbon-coated grids yielded nanoparticles of around 3 nm size that were well-suited for characterization by X-ray photoelectron spectroscopy (XPS), high-resolution (scanning) transmission electron microscopy (HRTEM/STEM), and energy dispersive X-ray spectroscopy (EDX). Polycrystalline metal foils characterized by scanning electron microscopy (SEM), EDX, electron backscatter diffraction (EBSD), XPS, and low-energy ion scattering (LEIS) served as unsupported references. Employing a UHV-compatible flow microreactor and gas chromatography (GC) allowed us to determine the catalytic performance of the model catalysts in ethylene hydrogenation up to 200 °C under atmospheric pressure. Compared to the pure metal foils, the HOPG-supported metal nanoparticles exhibited not only strongly increased activity but also higher stability (slower deactivation) and differing reaction orders. For the most active Ag catalysts, DFT calculations were carried out to determine the adsorption energies of the reacting species on single-crystal surfaces as well as on carbon-supported and unsupported Ag nanoparticles. Adsorption of molecular hydrogen was very weak on all unsupported Ag surfaces, resulting in hydrocarbon-"poisoned" surfaces. However, when a carbon support was present, the adsorption strength of H2 on Ag nanoparticles increased on average by -0.5 eV, driven by changes in Ag-Ag distances near the metal-carbon three-phase boundary (whereas subsurface carbon lowers hydrogen bonding). On Cu particles, the interface effect was calculated to be somewhat weaker than for Ag particles. H2/D2 scrambling experiments on Ag catalysts then corroborated a facilitated hydrogen activation for carbon-supported metals. Thus, the carbon support effect is attributed to an improved hydrogen availability at the metal-carbon interface, controlling performance.

A new multiple-arc model of the resonant Kuiper belt objects – Plutinos

ABSTRACT To incorporate the gravitational influence of Kuiper belt objects (KBOs) in planetary ephemerides, uniform-ring models are commonly employed. In this paper, for representing the KBO population residing in Neptune’s 2:3 mean motion resonance (MMR), known as the Plutinos, we introduce a three-arc model by considering their resonant characteristics. Each ‘arc’ refers to a segment of the uniform ring and comprises an appropriate number of point masses. Then the total perturbation of Plutinos is numerically measured by the change in the Sun–Neptune distance ($\Delta d_{\mathrm {SN}}$). We conduct a comprehensive investigation to take into account various azimuthal and radial distributions associated with the resonant amplitudes (A) and eccentricities (e) of Plutinos, respectively. The results show that over a 100-yr period: (1) at the smallest $e=0.05$, the Sun–Neptune distance change $\Delta d_{\mathrm {SN}}$ caused by Plutinos decreases significantly as A reduces. It can deviate from the value of $\Delta d_{\mathrm {SN}}$ obtained in the ring model by approximately 100 km; (2) as e increases in the medium range of 0.1–0.2, the difference in $\Delta d_{\mathrm {SN}}$ between the arc and ring models becomes increasingly significant; (3) at the largest $e\gtrsim 0.25$, $\Delta d_{\mathrm {SN}}$ can approach zero regardless of A, and the arc and ring models exhibit a substantial difference in $\Delta d_{\mathrm {SN}}$, reaching up to 170 km. Then the applicability of our three-arc model is further verified by comparing it to the perturbations induced by observed Plutinos on the positions of both Neptune and Saturn. Moreover, the concept of the multiple-arc model, designed for Plutinos, can be easily extended to other MMRs densely populated by small bodies.

Geodesic-Based Maximal Cliques Search for Non-Rigid Human Point Cloud Registration.

Non-rigid point cloud registration holds significant importance for human body pose analysis in the fields of sports, medicine, gaming, etc. In this paper, we propose a non-rigid point cloud registration algorithm based on geodesic distance measurement, which can improve the accuracy of the registration for matching point pairs during non-rigid deformations. Firstly, a graph is constructed for two sets of point clouds using geodesic distance measurement considering that geodesic distance changes minimally during non-rigid deformation of the human body, which can preserve the point cloud matching information between corresponding points. Furthermore, a maximal clique search is employed to find combinations of matching pairs between point clouds. Finally, by driving the human body model parameters, sparse matching pairs are overlapped as much as possible to achieve non-rigid point cloud registration of the human body. The accuracy of the proposed algorithm is verified with FAUST and CAPE datasets.

Impact of Monocular Retinal Lesions on Blob Size in Adult Human V1.

We studied the attributes of cytochrome c oxidase (CytOx)-rich blobs and ocular dominance columns (OD) in human V1 associated with monocular retinal lesions. Interblob distance, blob cross-sectional area, OD width, and OD arrangement pattern were analyzed in CytOx-reacted tangential sections of flat-mounted V1 preparations. Monocular deprivation induces differential expression of CytOx in the corresponding ODs in V1. We were thereby able to identify the V1 regions associated with the lesioned area in the retina, assign which OD was associated with each eye, and assign the corresponding blob in Layer III as deprived or nondeprived of visual input. We found that nondeprived blobs are more conspicuously stained than blobs outside the lesioned area. Notably, we found a selective expansion of blobs associated with the nonlesioned eye, whereas blobs associated with the deprived eye showed no significant change in size. Blob size in the latter condition was similar to the one observed in normal participants. These effects were present throughout the representation of the lesion in V1, suggesting that the underlying plasticity mechanisms do not depend on eccentricity. Retinal lesion caused no change in interblob distance, which was comparable to the normal brain (i.e., participants with no retinal lesion). This indicates that blob center is a stable hallmark of cortical organization. Finally, the width of ODs associated with the nonlesioned eye tended to be larger compared with ODs of the lesioned eye. However, this effect did not reach statistical significance. The stability of ODs thereby contrasts with blob plasticity, suggesting that the retinal lesion-triggered imbalance in the thalamocortical projection to Layer IVc has a limited impact on OD CytOx reactivity. On the other hand, we argue that ocular imbalance supports intracortical lateral competition that increases CytOx reactivity in the periblob region associated with the nonlesioned eye, accounting for the blob expansion we observe.

Baseline patient reported outcomes in patients with peripheral artery disease and type 2 diabetes from STRIDE: a phase 3, 52-week, randomised, double-blind, placebo-controlled trial

Abstract Introduction Lower extremity peripheral artery disease (PAD) is caused by atherosclerotic steno-occlusive arterial lesions in the lower extremities and can lead to intermittent claudication, severe functional impairment and reduced health-related quality of life (HRQoL). People living with type 2 diabetes (T2D) are at higher risk of developing PAD than those without T2D. The most common clinical manifestation of PAD, functional impairment, can be stratified based on severity using Fontaine classification (stages I-IV). There are a limited number of therapies approved for the management of PAD related functional impairment and no glucose-lowering medication has been shown to improve functional capacity in people with PAD and T2D. STRIDE is a phase 3 clinical trial investigating once-weekly subcutaneous (s.c.) semaglutide treatment in people with PAD (Fontaine IIa claudication) and T2D. Purpose To report the patient-reported outcomes (PROs) at baseline from STRIDE and elucidate the impact that PAD has on the functional capacity and HRQoL in this early-stage symptomatic PAD population with T2D. Methods STRIDE enrolled 792 participants with PAD (Fontaine IIa claudication) and T2D who were randomised to receive either 1 mg once-weekly s.c. semaglutide or placebo for 52 weeks. The primary outcome of STRIDE is the change in maximum walking distance at week 52 on a constant load treadmill. Baseline PRO assessments included two Patient Global Impression of Severity (PGI-S) questions and three patient-reported questionnaires: the six items version of the Vascular Quality of Life questionnaire (VascuQoL-6), the Walking Impairment Questionnaire (WIQ) and the Medical Outcomes Short Form 36 (SF-36). Results Baseline responses to both PGI-S questions showed that two thirds of patients reported a moderate-to-severe limitation in their ability to walk (64.9%) and reported that the impact of poor blood circulation in their legs on their HRQoL was also moderate-to-severe (62.5%) (Figure 1A and B). The baseline VascuQoL-6 median score was 15 (score range: 6-24, with a low score indicating more severe impact) and details of impact on the six domains are presented in Table 1. Baseline responses to the WIQ indicated that 20.1% of participants found the degree of difficulty to walk 200 meters either ‘much difficulty’ or were ‘unable to do so’ and 21.8% reported the same when climbing 2 flights of stairs. The secondary supportive outcome assessed in the SF-36 questionnaire was the domain physical functioning where a median baseline value of 38.09 was observed (score range: 19.03-57.60, with a low score indicating more impact). Conclusion Participants in STRIDE, characterized as having early-stage symptomatic PAD, have reported moderate-to-high impact on their physical functioning and HRQoL at baseline. These findings highlight the need for better therapies that improve the functional capacity and HRQoL in people with PAD and T2D.

Sustainability Assessment of Agricultural Waste Biogas Production System in China Based on Emergy and Carbon Evaluation Methods

Biogas production is widely recognized as an effective solution for addressing agricultural waste treatment in rural areas. However, its development is often hindered by economic and environmental constraints. This study combined emergy evaluation and carbon footprint analysis methods to establish a new environmental radius assessment model for evaluating the ecological performance and optimization direction of an agricultural waste biogas production system, using a biogas production company in China as a case study. Compared with the straw return model and straw power generation model, the results of emergy indicators and carbon accounting showed that the biogas production model had a lower environmental load and higher economic output and level of emergy sustainability. Additionally, the biogas production system was found to reduce 0.47 kg of carbon emissions per 1 kg of agricultural waste utilized. The application of the biogas production model in rural areas had high ecological sustainability and carbon emission reduction benefits. Environmental radius assessment results confirmed that the reasonable changes in resource collection distance could further enhance the ecological sustainability, carbon mitigation ability, and economic benefits of the biogas production system. The environmental radius assessment method offers a new approach to the location planning of agricultural waste biogas utilization companies in rural areas.

A meta-analysis of the efficacy and safety of exercise-based cardiac rehabilitation in patients with left ventricular assist devices

Abstract Background Left Ventricular Assist Devices (LVADs) and heart transplantation stand out as the two well-established and effective therapeutic approaches for managing patients with advanced heart failure. Exercise-based cardiac rehabilitation (EBCR) has been demonstrated to improve functional capacity in patients with LVAD. Purpose We aim to assess the efficacy and safety of EBCR in patients with LVAD. Also, to compare high-intensity (HIT) versus moderate-intensity (MIT) EBCR regimens in patients with LVAD. Methods A systematic review and meta-analysis synthesizing evidence from randomized controlled trials (RCTs) studies obtained from PubMed, Embase Cochrane, Scopus, and WOS until January 2024. We used the fixed-effects model to report dichotomous outcomes using risk ratio (RR) and continuous outcomes using standardized mean difference (SMD) with a 95% confidence interval (CI). Results Six RCTs with 160 patients were included. There was no significant difference between EBCR and standard care regarding peak VO2 change [SMD: 0.24 with 95% CI (-0.14, 0.62), P= 0.21] and six-minute walk distance (6-MWD) change [SMD: 0.28 with 95% CI (-0.11, 0.66), P= 0.16]. Also, there was no significant difference between HIT and MIT exercise regarding peak VO2 change [SMD: 0.20 with 95% CI (-0.41, 0.82), P= 0.52] and 6-MWD change [SMD: 0.07 with 95% CI (-0.54, 0.69), P= 0.81]. Moreover, EBCR was associated with a significant decrease in the incidence of any adverse events when compared to usual care with [RR: 0.80 with 95% CI (0.65, 0.99), P= 0.04], while there was no significant difference between HIT and MIT exercise regarding the incidence of any adverse events [RR: 0.38 with 95% CI (0.02, 9.22), P= 0.55]. Conclusion EBCR did not improve functional capacity in patients with LVAD, with no significant effect on peak VO2 or 6-MWD.

Research on Rate Adaptation of Underwater Optical Communication with Joint Control of Photoelectric Domain

As the communication distance changes, the received signal strength of an underwater optical communication system will change, and the range of its variation may not only exceed the dynamic range of the photoelectric detection device but also cause the reliability of communication to change due to the change in the received signal-to-noise ratio. In order to maintain better communication over a longer distance, this paper proposes a rate-adaptive method for underwater optical communication with joint control in the photoelectric domain. In the optical domain, the incident light’s power is adaptively adjusted by controlling the transmittance of the liquid crystal light valve to reduce saturation distortion. In the electrical domain, the constellation distribution is optimized according to the desired probability mass function, and the modulation order is adjusted in real time by estimating the received signal-to-noise ratio of the link. The simulation results show that under the forward error correction (FEC) threshold, the proposed method increases the dynamic range of the photomultiplier tube (PMT) by about 10 dB and expands the dynamic range of the system’s communication distance.