High Intensity Research Articles

Parametric Study of Rainfall-Induced Instability in Fine-Grained Sandy Soil

This study investigates the stability of fine-grained sandy soil slopes under varying rainfall intensities, durations, and geotechnical properties using a parametric analysis within GeoStudio. A total of 4416 unique parameter combinations were analyzed, incorporating variations in unit weight, cohesion, friction angle, slope inclination, slope height, rainfall intensity, and duration. Results reveal that rainfall intensity is the most influential variable on the factor of safety (FS), with higher intensities (e.g., 360 mm/h) on steeper slopes (e.g., 45°) leading to critical FS values below 1, indicating an imminent risk of failure. Under moderate conditions (e.g., 9 mm/h rainfall on slopes of 26.6°), the FS remains above 2. This dataset provides a valuable foundation for training machine learning models to predict slope stability under diverse environmental conditions, contributing to the development of early warning systems for rainfall-induced landslides.

Association of daily physical activity with pulmonary artery pressure in HFpEF and HFmrEF NYHA class III patients: a pilot trial-feasibility and first results.

Supervised physical exercise has been shown to benefit patients with heart failure with preserved/mildly reduced ejection fraction (HFpEF/HfmrEF) by improving symptoms and diastolic function. This study aimed to investigate the correlation between unsupervised daily physical activity and changes in daily pulmonary artery pressure (PAP) in patients with stable NYHA class III heart failure (HF) and left ventricular ejection fraction (LVEF) of 45% or higher. Daily physical activity was monitored over a 3-month period using a Holter-ECG with an accelerometer that calculated an activity-associated, heart rate-derived metabolic equivalent of task (MET) score. PAP was measured using an implanted sensor in 17 patients. During 3months of PAP monitoring in parallel with Holter ECG in our HF patients (median age 77 [IQR 72-79.5] years, LVEF 55 [49-56] %, mean cardiac index 1.9 ± 0.3), mean, diastolic, and systolic PAP remained unchanged. Patients engaged in unsupervised daily activity with a mean MET score of 5.0 ± 1.2 and a median daily duration of 41 [13-123] minutes. Intensity of daily activity was associated with a higher diastolic PAP on the following day (R2 = 0.017, p = 0.003), particularly in female patients and those with pulmonary hypertension (PH) (female: R2 = 0.044, p = 0.002; PH: R2 = 0.024, p = 0.004). Patients with longer daily activity durations had lower systolic and mean PAP (p = 0.038 and p = 0.048) and a similar diastolic PAP (p = 0.053) after 3months. Tracking changes in daily PAP based on intensity and duration of unsupervised daily activity using implanted sensors and a PocketECG® is feasible. While daily activity duration was not directly linked to diastolic PAP on the first day after daily activity, intensity, especially in female and PH patients, was associated with increased diastolic PAP. In addition, longer daily activity, rather than higher intensity, might be more important for lowering PAP in the long term. Further research in larger trials is warranted to confirm these findings.

Extraction and characteristic properties analyses of sodium alginate derived from the Sargassum oligocystum brown seaweed alga of the Bay of Bengal

Sodium alginate extracted from Sargassum oligocystum brown seaweed alga is an important blue economy development process of the Bay of Bengal. In the present study, sodium alginate was extracted from the brown seaweed alga collected from the Cox’s Bazar coastal area of the Bay of Bengal. The extracted product was characterized with the Ultraviolet-visible (UV–visible) spectrophotometer, Fluorescence spectrophotometer, Fourier transform-infrared radiation (FT-IR) spectrophotometer, X-ray diffractometer (XRD), and Scanning electron microscope (SEM). The product yield was optimized with different pH levels and the maximum yield was obtained at 32.5 % at pH 10.96. The moisture, and ash content of the extracted product was measured and found at 13.25 % and 4.35 %, respectively. The viscosity of the extracted product was obtained at 60.1 mPs. The UV–visible spectrophotometry showed different absorbance peaks found at 234 nm, 240 nm, 250 nm, and 264 nm which assigned the extracted product of sodium alginate, and the maximum absorption peak lies at 276.7 nm which assigned flavonoids, and their derivatives of alginates. The fluorescence spectrophotometry demonstrated a strong emission peak at 460 nm with higher intensity (200), indicating the presence of sodium alginate. The FTIR showed the characteristic peaks that demonstrated different functional groups of sodium alginate. The XRD pattern demonstrated 0.24 crystalline indexes indicating the semi-crystalline product in nature. SEM showed clear fibrils of sodium alginate morphology indicating the absence of impurity materials.

Subsurface Sediment Transport in the Shallow Vadose Zone of Fine‐Textured Soils With Heterogenous Preferential Flows

ABSTRACTSubsurface sediment transport in tile‐drained landscapes occurs through macropores; however, little is known regarding how heterogeneous preferential flows influence fluxes. We performed laboratory rainfall simulations on 10 intact core lysimeters from a tile‐drained field in Indiana, USA to study the impacts of surface and subsurface erosion on sediment leachate in heterogeneous preferential flow paths. Seven rainfall simulations were conducted to assess the impact of rainfall intensity on the leachate of surface eroded sediments (three events), and the impact of antecedent conditions on subsurface eroded sediments (four events). Cumulative sediment yield, linear mixed effects modelling, and hysteresis analyses were performed for all events. Results were presented in a series of four case studies. Results showed that surface sediment leachate concentration and yield were tightly linked to the filtration capacity of lysimeters, with more than 2/3rd of sediment originating from a single lysimeter, despite similar flow leachate volumes from each. Rainfall intensity significantly impacted the transport of surface eroded sediment at the highest intensity. Subsurface sediment erosion from undisturbed macropores was low compared to surface soils, but we found contrasting controls on sediment concentrations at low and high antecedent moistures that were equally important to sediment leachate yields. Disturbed macropores produced comparable sediment yields to surface erosion and behaved similarly to soil pipes in terms of erosion mechanics. Hysteresis results generally highlighted contrasting results for surface and subsurface sources but suggest that the prominence of slow flow, low‐concentration leachate sources can alter the interpretation of results in field‐scale applications. Our findings underscore an array of processes and pathways for sediment transport in the shallow vadose zone, and results will be useful for evaluating new model formulations.

Light–matter interactions driven by lasers at highest intensities

Light–matter interactions driven by lasers at highest intensities

What factors contribute to the proficiency of young EFL learners in primary school? Assessing the role of CLIL intensity, extramural English, non-verbal intelligence and socioeconomic status

Although multiple factors influence language proficiency in instructed settings, the prevalence of content and language integrated learning (CLIL) research in recent decades has placed intensity of exposure (via CLIL lessons) at center stage, sidelining other variables. This study aims to rectify this by examining the impact of CLIL alongside three additional factors: extramural English (EE), socioeconomic status (SES), and non-verbal intelligence (NVI). Specifically, this study analyses the interplay of these variables in the proficiency of 171 young English learners (aged 10–11 years) in Navarre, Spain. The participants were divided into a low-intensity (LI) ( n = 54) group and a high-intensity (HI) ( n = 117) group depending on exposure to English in school. Results indicate that HI learners are superior in reading, and even more clearly in speaking. EE is very frequent in both groups but more abundant among HI learners, and it shows several positive associations with learners’ scores. Higher NVI levels positively correlate with all skills in both groups, except for speaking, which appears to be affected by EE and, to a lesser extent, by SES.

A novel red emitting Eu3+ doped CaSiO3 nanophosphor derived from agro-wastes for advanced forensic applications

The modified sol–gel approach was utilised to synthesise Eu3+ (1–5 mol%) doped CaSiO3 nanophosphors (NPs) using eggshell (ES) and rice husk ash (RHA) as precursors for SiO2 and CaO, respectively. Powder X-ray diffraction (PXRD) peaks confirm the monoclinic structure of the powdered samples. The photoluminescence (PL) emission spectra display distinct emission peaks corresponding to Eu3+ ions. After optimizing the Eu3+ ion concentration, the highest intensity (CaSiO3:3Eu3+) was achieved at 3 mol%. As the concentration increased beyond this point, the emission intensity decreased due to concentration quenching (CQ). Temperature-dependent photoluminescence (TDPL) was investigated in the range of 303 to 443 K. The results demonstrated that emissions at elevated temperatures are significantly stronger than those at ambient temperature. TDPL studies revealed excellent thermal stability, with emission intensity remaining at 87.5 % even at 423 K. Additionally, the phosphor’s absolute sensitivity of 0.003 K−1 and relative sensitivity of 1.44 % K−1 highlight its strong potential for temperature sensing applications. The suitability of the phosphor for the powder dusting method in fingerprint (FP) detection on various surfaces was also assessed. Under 365 nm UV light, the CaSiO3:3Eu3+ phosphor clearly reveals the level 1–3 structure of LFPs.

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.

The effectiveness of various intensity interval training compared to continuous training in patients with heart failure: a systematic review and network meta-analysis

Abstract Background/Introduction Cardiac rehabilitation including exercise therapy is beneficial for improving exercise tolerance, physical function, quality of life (QOL), and life expectancy in patients with heart failure. High-intensity interval training (HIIT) is increasingly reported as a new training modality to improve exercise tolerance more effectively than conventional moderate-intensity continuous aerobic training (MCT). However, the optimal intensity of HIIT for achieving the greatest effects in patients with heart failure remain controversial. Purpose This systematic review and network meta-analysis aimed to examine the effectiveness of HIIT compared to MCT on exercise tolerance in patients with heart failure. Methods We searched for studies published up to 30 January 2024 in Embase, MEDLINE via Ovid SP, PubMed, and the Cochrane Library via Wiley Online Library with no limitations on data, language, or publication status. We included randomised controlled trials comparing the efficacy of HIIT and MCT on peak oxygen uptake (VO2), as a measure of exercise tolerance, aerobic threshold (AT) VO2, ventilatory equivalent of carbon dioxide (VE/VCO2) slope, and QOL. We categorized HIIT into three different intensities [> 80% heart rate max (HRM), 60-80% HRM, < 60% HRM] and compared the outcomes with those of MCT. Results We identified 15 randomised controlled trials with 557 patients from a total of 27,931 records. Our network meta-analysis revealed that the following results of peak VO2 from the comparisons among the three intensities of HIIT and MCT: > 80% HRM (10 studies, mean difference 1.27 ml/min/kg, 95% confidence interval -0.20 to 2.73), 60-80% HRM (3 studies, 1.47, -0.89 to 3.83), < 60% HRM (2 studies, 2.10, -1.22 to 5.43) (Fig. 1). Regarding AT VO2, HIIT at 60-80% HRM demonstrated significant improvements compared to MCT: > 80% HRM (8 studies, 0.18, -0.83 to 1.18), 60-80% HRM (2 studies, 2.50, 0.72 to 4.28), < 60% HRM (2 studies, 1.14, -0.93 to 3.20) (Fig. 2). Regarding VE/VCO2 slope, HIIT at 60-80% HRM also demonstrated significant improvements compared to MCT: > 80% HRM (7 studies, 0.29, -1.89 to 2.47), 60-80% HRM (2 studies, -3.26, -6.18 to -0.35), < 60% HRM (no study). The network meta-analysis did not reveal any significant differences in QOL between the various intensities of HIIT and MCT. Conclusions Our systematic review and network meta-analysis revealed that HIIT prescribed at a sub-maximal intensity, 60-80% heart rate max, is most effective in improving exercise tolerance. Higher intensity does not necessarily yield better outcomes, and future research on interval training should include detailed methodologies that account for the training intensity.Fig.1 Network meta-analysis on peak VO2Fig.2 Network meta-analysis on AT VO2

Proteomic profiling of extracellular vesicles in takotsubo syndrome

Abstract Background/Purpose Takotsubo syndrome (TS) is an acute form of heart failure characterized by transient regional wall motion abnormalities triggered by a stressful event. The mechanisms underlying its development and recovery are poorly understood, resulting in a lack of disease-specific treatments and diagnostic markers. Extracellular vesicles (EVs) play a significant role in cellular communication and have been shown to be important in various diseases. Their involvement in cardiac conditions like TS is an emerging area of research. The primary objective of this study is to isolate and characterize EVs, as well as profile their proteomic profile, from the heart tissue of rats induced with TS. Methods Rats underwent TS induction through the infusion of 1 mg/kg isoprenaline over 15 minutes (TS24h), or were given saline (control). High-resolution echocardiography verified apical ballooning at 6 hours. After 24 hours, heart tissues from apical and basal segments were collected and processed. EV isolation involved tissue slicing, enzymatic digestion, and differential centrifugation steps, including a final iodixanol cushion separation for large and small EVs (Figure 1). Tandem mass tags and mass spectrometry were utilized for global proteomics and any differentially expressed proteins (DEPs) were identified. Analytical techniques such as volcano plots, heatmaps, enrichment analysis, and protein clustering/networks were employed. The strongest clusters (lowest False Discovery Rate and highest intensity) were selected, and their Gene Ontology (GO) terms/pathways were identified. Results Pure, cup-shaped, vesicles ranging from 50-800nm were successfully isolated (figure 1). EVs from apex of control and TS24h hearts had lower protein concentrations compared to their corresponding basal segments. Global proteomic analysis revealed a distinct protein profile in EVs from the apical segment of TS hearts at 24 hours. A total of 256 (TS24h-apex vs control-apex) and 561 proteins (TS24h-apex vs TS24h-base) were differentially expressed. No DEPs were observed when comparing the basal segments of TS24h and control hearts. Functional enrichment analysis of the DEPs showed an abundant change of biological processes related to metabolic lipid processes, inflammatory response, complement activation, reorganization of extracellular matrix. A downregulation was seen for biological processes related to mitochondrial ATP synthesis coupled electron transport and muscle contraction. Conclusion This study demonstrates a distinct EV protein profile in the apical segments of TS hearts, with marked changes in proteins related to metabolic lipid processes, inflammation, and mitochondrial activity. This extensive catalogue of novel proteins sets the stage for future research aimed at identifying potential therapeutic targets and diagnostic biomarkers, and enabling proof-of-concept studies in TS.

The Effects of Competition on Exercise Intensity and the User Experience of Exercise during Virtual Reality Bicycling for Young Adults.

Regular moderate-vigorous intensity exercise is recommended for adults as it can improve longevity and reduce health risks associated with a sedentary lifestyle. However, there are barriers to achieving intense exercise that may be addressed using virtual reality (VR) as a tool to promote exercise intensity and adherence, particularly through visual feedback and competition. The purpose of this work is to compare visual feedback and competition within fully immersive VR to enhance exercise intensity and user experience of exercise for young adults; and to describe and compare visual attention during each of the conditions. Young adults (21-34 years old) bicycled in three 5 min VR conditions (visual feedback, self-competition, and competition against others). Exercise intensity (cycling cadence and % of maximum heart rate) and visual attention (derived from a wearable eye tracking sensor) were measured continuously. User experience was measured by an intrinsic motivation questionnaire, perceived effort, and participant preference. A repeated-measures ANOVA with paired t-test post hoc tests was conducted to detect differences between conditions. Participants exercised at a higher intensity and had higher intrinsic motivation in the two competitive conditions compared to visual feedback. Further, participants preferred the competitive conditions and only reached a vigorous exercise intensity during self-competition. Visual exploration was higher in visual feedback compared to self-competition. For young adults bicycling in VR, competition promoted higher exercise intensity and motivation compared to visual feedback.

The Relationship Between Playing Formations, Team Ranking, and Physical Performance in the Serie A Soccer League

The influence of playing formations and team ranking on the physical performance of professional soccer players is an open question that needs to be explored. The present study aimed to investigate the impact of these factors on the physical exertion of Serie A soccer players. We analyzed match data from 375 players, categorizing teams based on their final ranking and comparing performance across different playing formations. The Kruskal–Wallis test and the Dunn test with Bonferroni adjustment revealed that high-ranking (HR) teams exhibited a higher percentage of high-intensity (HI) accelerations compared to mid-ranking teams, suggesting the critical role of HI efforts in achieving favorable match outcomes. Moreover, the 4-3-3 playing formation was associated with greater acceleration demands than other formations, particularly in HR teams. Our study also established benchmarks for various performance metrics, enabling coaches to assess player performance and identify potential signs of overtraining. These findings contribute to a deeper understanding of the physical demands in soccer and offer practical implications for coaches and players in optimizing training and performance strategies.

Intensity-dependent SA-RSA switching in nickel-chromium transition metal oxide nanoparticles

Semiconductor systems are suitable materials for nonlinear-optical applications because of their large optical nonlinearities and rapid response. In this work, NiCrxFe2-xO4 nanoparticles for x = 0.5, 1, 1.5, 2 are synthesized by the co-precipitation method, and its structural, vibrational, and nonlinear optical properties are characterized. All the prepared samples belong to a cubic spinel structure except the sample x = 2, with a rhombohedral structure, with crystallite sizes ranging from 30 to 40 nm and a bandgap ranging from 3.3 eV to 4eV. The aqueous samples show a saturable absorption on irradiating a 532 nm pulsed laser at low intensities and reverse saturable absorption with saturation effects at higher intensities.

Maintained cognitive gains after 10 weeks of cognitively engaging exercise via reducing body fat in overweight children

ABSTRACT This study aimed to determine whether the exercise-induced cognitive benefits persist after the interventions end and whether the persistence of cognitive gains following the intervention depends on the post-intervention exercise behaviour. Overweight children aged 10–12 years were enrolled in a 16-week afterschool program. During the first 10 weeks, children were randomised to receive the cognitively engaging movement games (CEMG) (N = 27) or the sedentary control (N = 27) interventions. During the subsequent 6-week post-intervention period, children self-selected either CEMG or sedentary activities daily. Perceptual discrimination performance, fitness, and body fat were measured before, immediately after, and 6-week after the intervention. Immediately after the intervention, the CEMG group improved aerobic capacity, muscular endurance, muscle power, body fat, and perceptual discrimination performance compared with the control group, and most of these benefits persisted after 6 weeks following the cessation of intervention. During the 6-week post-intervention period where CEMG and sedentary activities were both available, the CEMG group chose to engage in CEMG more frequently and with higher intensity on those days than the control group. The post-intervention exercise behaviours were positively related to the persistence of cognitive gains, and these associations were mediated through decreased body fat. Collectively, the 10-week CEMG intervention has positive effects not only on physical and cognitive outcomes, but also post-intervention self-selected exercise behaviours that may help maintain intervention-induced cognitive gains in overweight children. Future research controlling for factors impacting children’s behavioural choice and determining the differential effects of CEMG versus traditional exercise regimen is needed. Trial registration: Thai Clinical Trials Registry identifier: TCTR20220913006.

Combining Effective Plastic Strain and Surface Roughness for Predicting Future Propagation Path of Microstructure‐ Sensitive Crack (MSC) in Polycrystalline Nickel

ABSTRACTThis work introduces a damage index (DI) that combines the effective plastic strain and surface roughness changes to predict the future propagation path of a microstructure‐sensitive crack (MSC) in a polycrystalline nickel fatigue sample. The surface topography of a fatigue sample was measured at short fatigue intervals, from which both the effective plastic strain and surface roughness changes were calculated using digital image correlation (DIC). Three DIs based on the effective plastic strain, surface roughness changes, and their combinations were studied using two criteria, that is, the highest intensity and the confidence threshold. Comparing the crack path predicted by these DIs with the actual crack path acquired at later fatigue cycles, we demonstrated that the combined DI is more accurate and has less uncertainty in predicting the future crack path.

Cerebral emboli detection and autonomous neuromonitoring using robotic transcranial Doppler with artificial intelligence for transcatheter aortic valve replacement with and without embolic protection devices: a pilot study

BackgroundPeriprocedural ischemic stroke remains a serious complication in patients undergoing transcatheter aortic valve replacement (TAVR). We used a novel robotic transcranial Doppler (TCD) system equipped with artificial intelligence (AI) for...

Optical properties and energy transfer of Tm3+ single-doped and Tm3+-Tb3+ co-doped transparent glass-ceramics containing NaGd(MoO4)2 single phase

Tm3+ single-doped and Tm3+-Tb3+ co-doped SiO2–B2O3–Na2O–ZnO–MoO3-Gd2O3 glasses were successfully prepared by the melt-quenching process. X-ray diffraction and transmittance measurements were used to determine that the optimal heat treatment regime consisted of crystallization at 620 °C for 5 h and transparent glass-ceramics containing the NaGd(MoO4)2 single phase were obtained. The characterization results by SEM confirmed that the size of the crystals precipitated in the glass matrix was on the nanometer level. The effects of different contents of Tm2O3 on the luminescent properties of glass-ceramics in this system were explored. The results showed that the emission peak at 453 nm (1D2→3F4) had the highest intensity when Tm2O3 was doped with 0.5 mol% under the wavelength at 359 nm excitation. In addition, with the gradual increase of Tb2O3 contents, the luminescence colour of the Tm2O3–Tb2O3 co-doped glass-ceramics gradually shifted from blue to green. This indicates its potential application in blue-green light display technologies and various other areas. The experimental results of the water resistance stability of the samples show that the co-doped glass-ceramic still has good luminescence stability after being immersed in water, which provides further favourable support for its application.

Spectroscopic analysis of Nd3+doped Ba3Bi(PO4)3 phosphor for near-infrared laser application

Near infrared (NIR) emission plays a crucial role in various applications, driving ongoing research to identify new hosts capable of NIR emission. This article explores NIR emission in the Ba3Bi(PO4)3 host. X-ray diffraction (XRD) patterns confirm that the Ba3Bi(PO4)3 belongs to Eulytite family (I4¯3d). Electron micrographs revealed the development of heterogeneous microstructures with noticeable agglomeration. Nd3+ was used as an activator to achieve NIR emission. In the emission spectra characteristic lines were observed. Among them the one at 1062 nm (Nd3+: 4F3/2 → 4I11/2) is the most intense. Results on the effect of increasing activator concentration on luminescence intensity are also presented. The highest intensity is observed for the composition Ba3Bi0.095Nd0.05(PO4)3. A decrease in intensity beyond 5.0 mol% is attributed to concentration quenching. Based on these findings, the critical distance, Rc was evaluated as 22.29 Å. These results indicate that the optimized Nd3+doped Ba3Bi(PO4)3 phosphor has potential as NIR-emitting materials for laser applications and infrared bioimaging.

Physical Therapy Dose After Orthopedic Multilevel Surgery Varies by Ambulatory Status in Children With Cerebral Palsy: A Pilot Study.

To characterize physical therapy (PT) dose for children with cerebral palsy (CP) after multi-level surgery (MLS) and examine variation by ambulatory status and surgical burden. PT dose (Frequency, Intensity, Time, Type) data were extracted from electronic records of children with CP who received outpatient PT the year after MLS. Seventeen children, mean 9 years, female (n=10), ambulatory (n=10), and high surgical burden (n=12) were included. In the year after surgery, 345 visits occurred. Intensity across visits was above average. Time was greatest for pre-functional activities, gait, and transitions/transfers. Types most often delivered were neuromuscular, musculoskeletal, and education/training. Ambulatory children received significantly more visits, higher intensity, and time in pre-functional activities and gait than non-ambulatory children. No differences in type by ambulatory status and PT dose by surgical burden were found. PT dose varied the first year after MLS indicating the need for guidelines by ambulatory status. Supplemental Digital Content available at: http://links.lww.com/PPT/A516.

Exploring Emotional Responses of Design Styles using Electroencephalogram (EEG)

Emotion is a huge factor in creating immersive experience when playing a video game. It can be stimulated by visual design elements. In particular, different levels of realism have an effect over the human feelings. Referred to as the Design Style, it is a spectrum of mimicking the real world ranging from Abstract to Realistic. Between them is known as Stylized Design. While there have been many studies to understand the relationship between Design Styles and emotions, their experimental observations lack quantitative analysis and prone to misinterpretation. Electroencephalogram (EEG) technologies have made the possibilities to explore emotional responses directly from the brain. This research aims to understand the relationship between Design Styles and the emotional responses of the player. To analyse design styles for correlation with emotions, a working framework for machine learning classification using EEG is used. Subjects played video games of similar gameplay but of two different Design Styles – each game represents each end of the Design Styles spectrum. Analysis of the EEG data revealed distinction of emotional activity between Abstract and Realistic games. Higher intensity, larger data distribution, and abruptness of change in emotions are all associated with Abstract Design. Realism, on the other hand, is associated with a more sustained emotional state and therefore a good choice for maintaining a steady mood.