Morphological Factors Research Articles

The Effect of L5 Morphology on Prevention of L5-S1 Degeneration Following Floating Fusion for Degenerative Spine Disorders.

Retrospective Study. The selection of floating fusion or lumbosacral fusion arises when treating patients with instability or stenosis of the lower lumbar spine concomitantly radiographic degeneration of L5-S1. This study aimed to investigate the preoperative anatomical or morphological factors affecting the survivorship of the L5-S1 after floating fusion. This study included 77 patients who had undergone floating fusion surgery through the TLIF approach. Preoperative radiographic parameters were evaluated using anteroposterior and lateral lumbar spine radiographs. The patients were divided into two groups according to the Modified Pfirrmann Grading and total endplate score. Multivariable regression analysis was performed to explore the relationships between the anatomical or morphological characteristics of L5 and the degeneration of L5-S1. The disc degeneration group exhibited a smaller height ratio of the iliac crest (Hi) and a less L5 deep position. Furthermore, the right/left height of L4 (Hr/Hl) and the right/left width of transverse process of L5 (CRt/CLt) were significantly higher in the disc and endplate degeneration groups. Multiple logistic regression analysis revealed that Hi and CRt were independently associated with L5-S1 disc degeneration, whereas Hr was a significant risk factor for L5-S1 endplate degeneration. Anatomical and morphological characteristics of L5, such as smaller Hi, higher CRt and Hr, were associated with an increased risk of L5-S1 degeneration in patients after floating fusion. These findings may indicate the fusion level when addressing lower lumbar degenerative diseases and the concurrent radiographic degeneration of L5-S1.

Cascading hazards in volcanic environments: monitoring, modelling and impact analysis of tsunamigenic flows for risk reduction

Volcanic environments present complex multi-hazard scenarios where primary volcanic activity can trigger cascading hazards or where multiple hazards can occur simultaneously, leading to cascading and compounding impacts on communities and ecosystems. Stromboli, one of the most active volcanoes globally, exemplifies these challenges with its frequent eruptions, pyroclastic density currents, landslides, and tsunamis. In the present study, the mechanisms behind tsunamigenic flows at Stromboli are investigated by using extensive monitoring data from previous studies and numerical modelling. Key findings from simulations and parametric analysis are presented, showing the relationships between mass flow dynamics, morphological factors, and tsunami generation. A more comprehensive context is then considered by drawing the impact chain related to tsunamigenic flows during a volcanic eruption. This includes a broad evaluation of the exposure, vulnerability and possible mitigation measures. Starting from the study of the hazard and then following up with the evaluation of the impacts, this study emphasizes the necessity of a holistic approach in multi-hazards environment, where accurate hazards modelling and monitoring, interdisciplinary collaboration, and community engagement need to be considered to reduce risk.

Diminutivization and expressive lateralization in Tiania

AbstractIn this paper we provide a descriptive account of the interacting morphological, phonological, and lexical factors determining how diminutives are marked in Tiania [etianíá], an understudied variant of the Central Kenya Bantu language Kimeru. As in other languages, diminutivization in Tiania can indicate a decrease in size or quantity or express positive endearment or negative scorn, depending on the noun and the context. We will show that diminutivization is effected by transferring nouns into singular noun class 12 and plural class 13, as in other Bantu languages, but with two interesting variations: First, depending on the lexical class of the input noun, the diminutive prefixes will either replace or precede the noun’s prefix. In the latter case, the diminutive plural prefix may be added to either the singular or plural form of the base noun, again depending on the latter’s noun class. The second interesting variation is that the majority of nouns which have an /r/ in their stem or prefix replace such /r/’s by [l], something we refer to as “expressive lateralization”, e.g. e-rinyá ‘pit, cave (class 5)’ → ka-linyá ‘a small pit (class 12)’, ri-étwa˚ ‘name (class 5)’ → ka-li-étwa˚ ‘a sweet name’. To study the first variation, we systematically survey the diminutivization of nouns from all noun classes, singular and plural. To study the second variation, we track every one of 330 nouns with /r/ with respect to lateralization. In attempting to explain why such lateralization should occur, we consider augmentative and depreciative noun to noun derivations which also undergo /r/ → [l] as well as other derived word classes, e.g. adjectives, which sometimes undergo expressive lateralization, depending on whether they are denominal or deverbal (verbs never show such effects). Being that this is the only reported case we know of expressive lateralization, Tiania is both of typological interest as well as a mystery within Bantu and beyond.

Metarhizium anisopliae seed priming alleviates drought-induced oxidative stress and improves growth of barley (Hordeum vulgare L.)

Increasing crop resilience to drought stress through microorganisms is a sustainable approach. This study evaluated the efficacy of the endophytic fungus Metarhizium anisopliae MetA1 (MA) for improving drought tolerance of barley by analyzing various morphological, physiological, biochemical, and yield factors. Barley grains were treated with MA (1 × 108 spore/ml) and a pot experiment was conducted with three high-yielding barley genotypes: BARI Barley-10, BARI Barley-6, and BARI Barley-9 under three drought conditions: no drought (100% field capacity, FC), moderate drought (50% FC), and severe drought (25% FC). Under drought conditions, MA priming significantly enhanced shoot and root biomass, leaf characteristics, photosynthetic pigment content, and activities of various antioxidant enzymes including superoxide dismutase, catalase, glutathione S-transferase, ascorbate peroxidase, peroxidase, glutathione peroxidase, glutathione reductase, dehydroascorbate reductase, monodehydroascorbate reductase, glyoxalase-I, and glyoxalase-II in all barley genotypes. Furthermore, there was an observed increase in the levels of non-enzymatic antioxidants such as ascorbate and glutathione. MA treatment also led to a significant reduction in stress markers like methylglyoxal, malondialdehyde, lipoxygenase, hydrogen peroxide, and calcium influx along with an increase in proline and potassium content in barley leaves in stressed conditions. Crop growth and yield related attributes in barley were improved, which is evidence of better physiological and biochemical changes under both stress and non-stressed conditions. As such, the study provides evidence suggesting that MA-mediated seed priming is an effective strategy for improving drought tolerance not only in barley but also possibly other crops.

Adductor tubercle appears more posterior on radiographs of knees with trochlear dysplasia

PurposeThe purpose of this study was to compare the radiographic positions of commonly utilized landmarks between symptomatic and normal knees and to assess the influence of morphologic risk factors. Methods3D models were created from knees of patients with patellar instability and compared to control knees. On the 3D models, the adductor tubercle, medial epicondyle and gastrocnemius tubercle were marked. A 2D view was created from these models to simulate radiographs, and the radiographic location of each landmark was described with respect to the anteroposterior relation to the posterior cortical line, and proximal-distal relationship to the posterior condylar line. The position of each landmark was compared between symptomatic and control groups and assessed for variations in position with severity of anatomic risk factors. Results40 patients were included in this study. On the 2D views, the medial epicondyle was found to be more posterior and more distal than in the control group. Association between severity of trochlear dysplasia and posterior position of the adductor tubercle trended toward significance (R=0.43, R2=0.18, p=0.058). In symptomatic knees with trochlear dysplasia, the radiographic landmark for the medial epicondyle was posterior by 3.3mm (p=0.052), adductor tubercle by 2.7mm (p=0.009), and gastrocnemius tubercle by 3.9mm (p=0.010) when compared to symptomatic knees without dysplasia. ConclusionThis study demonstrates that commonly utilized anatomic landmarks are more posterior and distal on radiographs in knees with patellar instability when compared to normal knees. Trochlear dysplasia is associated with the radiographic landmarks of the adductor and gastrocnemius tubercles appearing 3mm posterior to those without dysplasia, and its severity is associated with posterior radiographic appearance of the adductor tubercle. Level of EvidenceIII, Retrospective Case Control

Comparison of different calcium modification strategies for coronary calcified nodules: insights from optical coherence tomography

Abstract Background The optimal treatment strategy for coronary calcified nodules (CN) remains uncertain. Purpose We sought to compare the safety and efficacy of different calcium modification strategies for managing CN using optical coherence tomography (OCT). Methods In this single-center retrospective cohort study, consecutive patients undergoing OCT-guided percutaneous coronary intervention (PCI) for severely calcified lesions using rotational atherectomy (RA), orbital atherectomy (OA), or intravascular lithotripsy (IVL) between January 2017 and December 2022 were included. OCT analysis was performed through our institutional core-laboratory to identify CN, assess plaque characteristics, and evaluate post-stent optimization. Primary outcomes were minimum stent area (MSA) and MSA at CN site post-PCI. One-year target vessel failure (TVF), defined as a composite of cardiac death, target-vessel myocardial infarction, or ischemia-driven target vessel revascularization, was also recorded. Results Among a total of 154 patients with 158 lesions, CN was identified in 54 lesions (34.2%) and managed with RA (39%, n=21), OA (33%, n=18), or IVL (28%, n=15). The IVL group exhibited a larger minimal lumen diameter, maximum calcium arc, and maximum calcium thickness at baseline. Post-PCI OCT demonstrated comparable MSA (RA: 5.91 ± 0.33mm², OA: 5.94 ± 0.38mm², IVL: 6.46 ± 0.45mm²; p=0.61) and MSA at CN site (6.77 ± 0.49mm², 6.71 ± 0.51mm², 7.13 ± 0.59mm², respectively; p=0.87) after adjusting for procedural and morphologic factors among the groups. The incidence of TVF at one year was similar among the groups. Conclusions In patients undergoing PCI for severely calcified lesions with CN, comparable procedural and clinical outcomes can be achieved using RA, OA, or IVL. The equivalence across these techniques underscores a role for individualized decision-making integrating patient- and lesion-specific characteristics, as well as center expertise when selecting a treatment strategy for CN.OCT findings and clinical outcomes

Simultaneous degradation of cyanobacteria and cyanotoxins by catalytic wet peroxide oxidation: Impact of morphology and growth stage

The widespread proliferation of potentially toxic cyanobacteria in source waters for drinking water treatment plants (DWTPs) presents a pressing contemporary challenge. Although catalytic wet peroxide oxidation (CWPO) has been recognized as a highly effective and environmentally friendly technology for removing cyanotoxins from water, the simultaneous degradation of cyanobacteria and cyanotoxins has been scarcely investigated. Considering their great morphological diversity, in this work, the impact of the presence of pure strains of several species of toxic and non-toxic cyanobacteria on the degradation of relevant cyanotoxins has been evaluated considering also the main stages of their life cycle. In each studied scenario, achieving a full eradication of the cyanobacteria also led to the complete elimination of the cyanotoxin, including both intra and extracellular fractions. Morphological factors, including filament and cell sizes, play a crucial role in the efficiency of the process. Small cells and long filaments entail a higher presence of particulate organic matter, which consumes hydroxyl radicals considerably in competence with the cyanotoxin degradation. Moreover, the growth stage emerges as a pivotal factor in understanding the CWPO process performance, with cyanobacteria in their early life stages, exhibiting more pronounced interference compared to later stages, probably due to their higher cell viability and accelerated metabolism. All these understandings are essential for the successful implementation of the technology in treating surface waters affected by toxic cyanobacterial blooms.

Optimization of Steaming Conditions for Bellflower Root (Platycodon grandiflorus) Using K-Means Clustering-Based Morphological Grading System

Bellflower roots were categorized into three clusters (class 0, class 1, and class 2) using K-means clustering based on their morphological factors: length (282.8 ± 29.53, 138.75 ± 26.8, and 209.89 ± 20.49 mm), thickness (16.25 ± 2.82, 16.77 ± 3.35, and 16.52 ± 3.05 mm), and body shape coefficient (5.80 ± 1.15, 12.73 ± 4.82, and 7.95 ± 1.71). Internal void formation, a key quality factor for bellflower root, was analyzed under pre-steaming conditions, identifying temperatures between 20 and 25 °C as optimal for storage. Within the clustered class, steaming for a prolonged duration increased the formation of internal voids and caused a decrease in normal stress values, total dissolved solids (TDS), and pectin content. Class 0, with larger and thicker roots, exhibited higher internal voids (57% void rate) due to uneven heat distribution and incomplete starch gelatinization. Class 2 roots demonstrated better structural integrity, with a void rate of 26% and a stress value of 48 kN/m2. These findings highlight the importance of morphological classification and optimal storage temperatures to improve the quality of steamed bellflower roots.

Rotational, orbital atherectomy and intravascular lithotripsy for coronary calcified nodules: insights from optical coherence tomography.

The optimal treatment strategy for coronary calcified nodules (CN) remains uncertain. We aimed to evaluate the efficacy and safety of different calcium modification strategies, including rotational atherectomy (RA), orbital atherectomy (OA), and intravascular lithotripsy (IVL) for managing CN with optical coherence tomography (OCT) guidance. Consecutive patients undergoing OCT-guided percutaneous coronary intervention (PCI) for severely calcified lesions using RA, OA, or IVL between January 2017 and December 2022 were included. Primary endpoint was minimum stent area (MSA) post-PCI. Secondary endpoints included MSA at CN site and 1-year target vessel failure (TVF), defined as a composite of cardiac death, target-vessel myocardial infarction, or target vessel revascularization. Among 154 patients and 158 lesions, CN was identified in 54 lesions (34.2%) and managed with RA (39%, n = 21), OA (33%, n = 18), or IVL (28%, n = 15). The IVL group exhibited a larger minimal lumen diameter, maximum calcium arc, and maximum calcium thickness. Post-PCI OCT demonstrated comparable MSA (RA: 6.23 ± 0.34 mm², OA: 5.75 ± 0.39 mm², IVL: 6.24 ± 0.46 mm²; p = 0.62) and MSA at CN site (7.17 ± 0.43 mm², 6.46 ± 0.49 mm², 7.86 ± 0.56 mm², respectively; p = 0.55) after adjusting for morphologic factors. The incidence of TVF at 1 year was similar among the group (RA: 19.0%, OA: 22.2%, IVL: 13.3%, p = 0.81). In patients undergoing PCI for CN, similar procedural and clinical outcomes can be achieved using RA, OA, or IVL. These findings warrant further investigation in larger, prospective trials.

Urban Heat Island Differentiation and Influencing Factors: A Local Climate Zone Perspective

With the acceleration of urbanization, the urban heat island (UHI) effect has become a major environmental challenge, severely affecting the quality of life of residents and the ecological environment. Quantitative analysis of the factors influencing urban heat island intensity (UHII) is crucial for precise urban planning. Although extensive research has investigated the causes of UHI effects and their spatial variability, most studies focus on macro-scale analyses, overlooking the spatial heterogeneity of thermal characteristics within local climate zones (LCZs) under rapid urbanization. To address this gap, this study took the central urban area of Chengdu, constructing a LCZ map using multisource remote sensing data. Moran’s Index was employed to analyze the spatial clustering effects of UHI across different LCZs. By constructing Ordinary Least Squares (OLS) and Geographically Weighted Regression (GWR) models, the study further explored the influencing factors within these climate zones. The results showed that: (1) Chengdu’s built and natural environments had comparable proportions, with the scattered building zone comprising the highest proportion at 22.12% in the built environment, and the low vegetation zone accounting for 21.8% in the natural environment. The UHII values in this study ranged from 10.2 °C to −1.58 °C, based on specific measurement conditions. Since UHII varied with meteorological conditions, time, seasons, and the selection of rural reference points, these values represented dynamic results during the study period and were not constant. (2) Chengdu’s urban spatial morphology and UHII exhibited significant spatial heterogeneity, with a global Moran’s I index of 0.734, indicating a high degree of spatial correlation. The highest local Moran’s I value was found in the proportion of impervious surfaces (0.776), while the lowest is in the floor area ratio (0.176). (3) The GWR model demonstrated greater explanatory power compared to the OLS model, with a fit of 0.827. The impact of spatial morphological factors on UHII varied significantly across different environments, with the most substantial difference observed in the sky view factor, which has a standard deviation of 13.639. The findings provide precise recommendations for ecological spatial planning, aiming to mitigate the UHI effect and enhance the quality of life for urban residents.

A Computer Modeling-Based Target Zone for Transposition Osteotomy of the Acetabulum in Patients with Hip Dysplasia.

This study aimed to determine the acetabular position to optimize hip biomechanics after transposition osteotomy of the acetabulum (TOA), a specific form of periacetabular osteotomy, in patients with hip dysplasia. We created patient-specific finite-element models of 46 patients with hip dysplasia to simulate 12 virtual TOA scenarios: lateral rotation to achieve a lateral center-edge angle (LCEA) of 30°, 35°, and 40° combined with anterior rotation of 0°, 5°, 10°, and 15°. Joint contact pressure (CP) on the acetabular cartilage during a single-leg stance and simulated hip range of motion without osseous impingement were calculated. The optimal acetabular position was defined as satisfying both normal joint CP and the required range of motion for activities of daily living. Multivariable logistic regression analysis was used to identify preoperative morphological predictors of osseous impingement after virtual TOA with adequate acetabular correction. The prevalence of hips in the optimal position was highest (65.2%) at an LCEA of 30°, regardless of the amount of anterior rotation. While the acetabular position minimizing peak CP varied among patients, approximately 80% exhibited normalized peak CP at an LCEA of 30° and 35° with 15° of anterior rotation, which were the 2 most favorable configurations among the 12 simulated scenarios. In this context, the preoperative head-neck offset ratio (HNOR) at the 1:30 clock position (p = 0.018) was an independent predictor of postoperative osseous impingement within the required range of motion. Specifically, an HNOR of <0.14 at the 1:30 clock position predicted limitation of required range of motion after virtual TOA (sensitivity, 57%; specificity, 81%; and area under the receiver operating characteristic curve, 0.70). Acetabular reorientation to an LCEA of between 30° and 35° with an additional 15° of anterior rotation may serve as a biomechanics-based target zone for surgeons performing TOA in most patients with hip dysplasia. However, patients with a reduced HNOR at the 1:30 clock position may experience limited range of motion in activities of daily living postoperatively. This study provides a biomechanics-based target for refining acetabular reorientation strategies during TOA while considering morphological factors that may limit the required range of motion.

General scenario of the use of geoclimatic, morphological and physiological factors in the analysis of coffee genotypes with tolerance to the impact of drought: a review

General scenario of the use of geoclimatic, morphological and physiological factors in the analysis of coffee genotypes with tolerance to the impact of drought: a review

Steady morphokinetic progression is an independent predictor of live birth: a descriptive reference for euploid embryos.

Can modelling the longitudinal morphokinetic pattern of euploid embryos during time-lapse monitoring (TLM) be helpful for selecting embryos with the highest live birth potential? Longitudinal reference ranges of morphokinetic development of euploid embryos have been identified, and embryos with steadier progression during TLM are associated with higher chances of live birth. TLM imaging is increasingly adopted by fertility clinics as an attempt to improve the ability of selecting embryos with the highest potential for implantation. Many markers of embryonic morphokinetics have been incorporated into decision algorithms for embryo (de)selection. However, longitudinal changes during this temporal process, and the impact of such changes on embryonic competence remain unknown. Aiming to model the reference ranges of morphokinetic development of euploid embryos and using it as a single longitudinal trajectory might provide an additive value to the blastocyst morphological grade in identifying highly competent embryos. This observational, retrospective cohort study was performed in a single IVF clinic between October 2017 and June 2021 and included only autologous single euploid frozen embryo transfers (seFET). Reference ranges were developed from [hours post-insemination (hpi)] of the standard morphokinetic parameters of euploid embryos assessed as tPB2, tPNa, tPNf, t2-t9, tSC, tM, tSB, and tB. Variance in morphokinetic patterns was measured and reported as morphokinetic variance score (MVS). Nuclear errors (micronucleation, binucleation, and multinucleation) were annotated when present in at least one blastomere at the two- or four-cell stages. The blastocyst grade of expansion, trophectoderm (TE), and inner cell mass (ICM) were assessed immediately before biopsy using Gardner's criteria. Pre-implantation genetic diagnosis for aneuploidy (PGT-A) was performed by next-generation sequencing. All euploid embryos were singly transferred in a frozen transferred cycle and outcomes were assessed as live birth, pregnancy loss, or not pregnant. Association of MVS with live birth was investigated with regression analyses. TLM data from 340 seFET blastocysts were included in the study, of which 189 (55.6%) resulted in a live birth. The median time for euploid embryos to reach blastulation was 109.9 hpi (95% CI: 98.8-121.0 hpi). The MVS was calculated from the variance in time taken for the embryo to reach all morphokinetic points and reflects the total morphokinetic variability it exhibits during its development. Embryos with more erratic kinetics, i.e. higher morphokinetic variance, had higher rates of pregnancy loss (P = 0.004) and no pregnancy (P < 0.001) compared to embryos with steadier morphokinetic patterns. In the multivariable analysis adjusting for ICM, TE grade, presence of nuclear errors, and time of blastulation, MVS was independently associated with live birth (odds ratio [OR]: 0.62, 95% CI: 0.46-0.84, P = 0.002) along with ICM quality. Live birth rate of embryos with the same ICM grading but different morphokinetic variance patterns differed significantly. Live birth rates of embryos exhibiting low MVS with ICM grades A, B, and C were 85%, 76%, and 67%, respectively. However, ICM grades A, B, and C embryos with high MVS had live birth rates of 65%, 48%, and 21% (P < 0.001). The addition of the MVS to embryo morphology score (ICM and TE grading) significantly improved the model's AUC value (0.67 vs 0.62, P = 0.015) and this finding persisted through repeat cross-validation (0.64 ± 0.08 vs 0.60 ± 0.07, P < 0.001). The exclusion of IVF cases limits, for now, the utility of the model to only ICSI-derived embryos. The utility of these reference ranges and the association of MVS with various clinical outcomes should be further investigated. We have developed reference ranges for morphokinetic development of euploid embryos and a marker for measuring total morphokinetic variability exhibited by developed blastocysts. Longitudinal assessment of embryonic morphokinetics rather than static time points may provide more insight about which embryos have higher live birth potential. The developed reference ranges and MVS show an association with live birth that is independent of known morphological factors and could emerge as a valuable tool in prioritizing embryos for transfer. This study received no external funding. The authors declare no conflicting interests. N/A.

Investigations on the leak resistance performance and the difference mechanism of composite materials under several typical curing processes

This study aims to investigate the leak resistance of carbon fiber composite products formed by various typical curing processes. Firstly, the leak rates of specimens produced through different curing methods were measured, and the defect were statistically analyzed. After that, the simulation approach was applied to numerically study the impact of these defect characteristics on leak rates was examined from the three factors of porosity, void distribution and void morphology, specimen with prefabricated defects was prepared, and its leak performance were tested to validate the simulation results. Finally, the differences in leak resistance among specimens under different curing processes were analyzed from the perspective of curing defects, and specific defect characteristics contributing to enhanced leak resistance were identified.

Exploring Urban Heat Distribution via Intra- and Extra-Block Morphologies with Integrated Stacked Models

The spatial variability of land surface temperature (LST) is considerably affected by urban morphology. Previous research has focused separately on the thermal effects of urban morphology and the cooling effects of water bodies and urban parks. However, the combined influence of intra- and extra-block factors on LST has not been thoroughly examined. To bridge this research gap, we conducted an extensive analysis of 17 urban morphology factors in Hangzhou by employing a novel stacked ensemble approach. Results showed that the stacked ensemble models outperformed commonly used techniques, such as random forest and boosted regression trees. Extra-block factors, alongside building density, average building height, and vegetation coverage within blocks, predominantly influenced the LST distribution across all seasons. Building density was positively correlated with LST, with a maximum influence of 1.5 °C in spring, whereas building height was negatively correlated with it, with a maximum influence of 1.8 °C in winter. The cooling distance of the Qiantang River extends up to 2500 m into the urban blocks and has a maximum effect of 2 °C in summer. These insights deepen our comprehension of the interplay between LST and intra- and extra-block urban morphologies, thus offering valuable guidance for urban planners and policymakers.

Settling and rising velocities of microplastics: Laboratory experiments and lattice Boltzmann modeling

Microplastics (MPs) have become pervasive in marine ecosystems, potentially causing environmental degradation, impacting ecological function, and posing a serious public health risk. Despite the widespread distribution of MPs, their vertical transport within a water column has limited understanding, representing a key knowledge gap in the development of water quality models to minimize these risks. In this study, 6152 individual particles of six common types of MPs were observed through water column experiments to examine a range of drivers of the vertical velocity of MPs, including particle density and size, biofilm growth, water temperature, and salinity. The experimental results revealed that the vertical velocity of MPs obeyed Stokes’ law under laminar conditions; increasing salinity decreased the settling tendency of the particles. Moreover, biofilm attachment induced notable alterations in particle characteristics within 60 days, resulting in slower settling velocities (up to a 21.9% change for non-buoyant MPs) and even a reversed vertical direction (up to several times for buoyant particles). Furthermore, a lattice Boltzmann model could predict the vertical velocity of MPs with reasonable accuracy, especially for small particles. This work facilitates the development of sophisticated models/formulas that integrate particle morphology, hydrodynamics, and biological factors to enhance the understanding of MP transport through the river-to-coastal continuum.

Do elastography values correlate with molecular subtype of breast cancer or is morphology the key player?

Objectives We evaluated the association between shear wave elastography (SWE) parameters and the molecular subtypes and other prognostic factors of breast cancer. We also examined the influence of morphological characteristics and other prognostic factors of breast cancers on elastography values. Materials and Methods This is a retrospective observational study on 148 patients with biopsy-proven 152 breast cancers who underwent both B-mode ultrasonography and SWE. The analysis involved calculating the correlation between the five quantitative parameters on SWE (mean, minimum, maximum, standard deviation, and ratio) and the molecular subtyping and other prognostic factors of breast cancer. We analyzed the influence of morphology and other prognostic factors on SWE parameters. Results The mean, minimum, and maximum values in SWE were significantly lower (P&lt;0.05) in cases where the lesion displayed non-mass abnormality, circumscribed margins, posterior acoustic enhancement, and non-ductal histopathology. Hormone positive tumors frequently exhibited spiculated margins and higher (P &lt; 0.05) elastography values, although within this category, circumscribed masses demonstrated lower elastography values compared to the remaining cases. Triple negative breast cancers often displayed circumscribed margins and lower (P &lt; 0.05) elastography values; however, among this subgroup, masses with spiculated margins exhibited higher values compared to the rest. Conclusion Our findings indicate that elastography independently do not correlate with molecular subtypes in breast cancer. Morphological features and histopathological subtypes appear to have strong influence on elastography values.

Characteristics of middle cerebral artery aneurysms treated endovascularly in a clip-favored institution.

The emergence of flow disruptors has brought a dynamic transition in the selection of treatment for middle cerebral artery (MCA) aneurysms, and the number of MCA aneurysms clipped is acceleratingly decreasing. Still, retreatment after endovascular treatment is still a dilemma, which may necessitate surgical clipping. It is all the more important to elucidate characteristics of MCA aneurysms that make clipping unfavorable. Thus, the practical characteristics of MCA aneurysms treated endovascularly in a clip-favored institution before the usage of flow disruption devices were investigated. This is a retrospective, single-center observational study. The clinical and imaging characteristics of treated MCA aneurysms from January 2012 to May 2022 were analyzed. A total of 83 aneurysms were included; 70 aneurysms (84%) were clipped, and 13 (16%) were treated endovascularly. Eighteen aneurysms (22%) were ruptured (clipping, 12; endovascular, 6). The reasons for an endovascular treatment were as follows: distal (3); subacutely ruptured with burdens of spasm (2); multiple aneurysms (6: another clipped in 3, coiled in 1, and conservatively managed in 2); no access to the operating room due to COVID-19 (1); and retreatment after coiling (1). Endovascular group aneurysms were smaller (maximum diameter 5.2 vs 7.3 mm, p < 0.01, as well as dome, neck, and height) without differences in the dome/neck and aspect (height/neck) ratios. In a subgroup analysis of 78 MCA bifurcation aneurysms, the endovascular group was still smaller (dome 4.4 vs 5.8 mm, p = 0.025; neck 2.8 vs 3.9, p = 0.03). In a limited series from a clip-favored institution before the flow disruption era, factors guided to endovascular treatments on MCA aneurysms were rather anatomical and clinical factors such as distal location, subacutely ruptured, multiple, or retreatment after coiling, than morphological factors such as dome/neck and aspect ratios albeit smaller size.

The Evolution of Carotid Surgery

This review traces the evolution of carotid surgery from its ancient roots to modern practice. The first significant appreciation of the carotid arteries’ role in cerebral ischemia was made by Johann Jakob Wepfer in his 1658 book on apoplexy, which described the separate blood supply to each cerebral hemisphere by the carotid arteries. The 16th-19th centuries saw initial attempts at carotid ligation, while the 20th century marked significant advancements. The first carotid endarterectomy (CEA) by DeBakey, Cooley, and Eastcott in the 1950s paved the way for a new technique in carotid surgery and many subsequent refinements in surgical techniques related to CEA. The latter half of the 20th century brought innovations such as patch angioplasty, microsurgical techniques, and intraoperative shunting, significantly improving outcomes. Pivotal clinical trials established CEA as the standard treatment for symptomatic carotid stenosis. The emergence of carotid artery stenting (CAS) in the 1980s introduced a less invasive alternative, sparking ongoing debates about optimal treatment strategies. Recent developments include transcarotid artery revascularization (TCAR) and transfemoral CAS, with studies comparing their efficacy to traditional CEA. Current research focuses on plaque morphology and novel diagnostic factors to further personalize treatment strategies for carotid artery stenosis.

Relationships between morphological factors and heat extraction from the upper arm using liquid cooling garment

Astronauts wear liquid perfused garments inside their outer spacesuits for regulating body temperature. The present study explored relationships between local heat production from the upper arm and body morphology while wearing liquid perfused sleeve. Heat extraction from the upper arm of 19 subjects (8 males and 11 females) during three different exercise modes (running at 6–8 km∙h−1, cycling at 40–55 W, and arm ergometer at 10–20 W) and rest has been investigated. The total body fat (27.5 ± 7.2%), body mass index (24.4 ± 2.7 kg·m−2), arm surface area (589 ± 90 cm2), and arm volume (1300 ± 300 mL) were considered as covariates. Subjects wore a liquid perfused sleeve over the upper arm (left) with the water inlet temperature of 24.0 ± 0.3 °C and the heat extraction was calculated using the water flow rate and temperature differences. Heat extraction from the upper arm showed no significant differences among the three exercises. During cycling, there was a negative relationship between heat extraction and total body fat (r = − 0.527, P < 0.05). Heat extraction was more related to the arm volume (P < 0.05) than the surface area of the upper arm, which was significant only for the male group in the cycling mode. For the female group, heat extraction was related to upper arm temperature in the cycling and arm exercise modes (for both exercises P < 0.05). These results can be applied to improve liquid cooling garments for astronauts, considering their body morphology and sex.