Joint Patterns Research Articles

Late Cretaceous–early Palaeogene inversion-related tectonic structures at the northeastern margin of the Bohemian Massif (southwestern Poland and northern Czechia)

Abstract. A brief, regional-scale review of the Late Cretaceous–early Palaeogene inversion-related tectonic structures affecting the Sudety Mountains and their foreland at the NE margin of the Bohemian Massif is presented and complemented with results of new seismic studies. The Sudetes expose Variscan-deformed basement, partly overlain by post-orogenic Permo-Mesozoic cover, containing a wide spectrum of tectonic structures, both brittle and ductile, in the past in this area referred to as young Saxonian or Laramide. We have used newly reprocessed legacy seismics to study these structures in the two main post-Variscan structural units of the area: the North Sudetic and Intra-Sudetic synclinoria. The results were discussed together with regionally distributed examples of tectonic structures from quarries and underground mines as well as those known from the literature. The Late Cretaceous–early Palaeogene tectonic structures in consecutively reviewed Sudetic tectonic units, from the north to the south, typically include gentle to moderately tight buckle folds, locally of detachment type or fault-related and high-angle reverse and normal faults, as well as low-angle thrusts – often rooted in the crystalline basement. The structures termed grabens in the local literature are at the same time frequently interpreted as bounded by reverse faults (hence we use here the term “reverse grabens”) and typically reveal a strongly synclinal pattern of their sedimentary fill. The top of the crystalline basement, as imaged by seismic data in the North Sudetic Synclinorium below the faulted and folded cover, is synformally down-warped with a wavelength of up to 30 km, whereas on the elevated areas, where the basement top is exposed at the surface, it is tectonically up-warped (i.e. antiformally buckled). The compressional structures typically show an orientation that fits the regionally known Late Cretaceous–early Palaeogene tectonic shortening direction of NE–SW to NNE–SSW. The same applies to the regional jointing pattern, typically comprising an orthogonal system of steep joints of ca. NW–SE and NE–SW strikes. All the reviewed structures are regarded as being due to the Late Cretaceous–early Palaeogene tectonic shortening episode, although some of the discussed faults with a strike-slip component of motion may have been modified, or even produced, by late Cenozoic tectonism.

Quantitative Radiological Characteristics of the Facet Joints in Patients with Lumbar Foraminal Stenosis.

PurposeThis study aimed to evaluate the degeneration patterns of the facet joints (FJs) in patients with lumbar foraminal stenosis (LFS) and investigate the correlation between quantitative parameters and FJ osteoarthritis (FJ OA).Patients and MethodsA total of 171 patients with LFS at the L4/5 level and 146 control patients were enrolled in this study. The severity of FJ OA was graded according to the Weishaupt classification. The FJ orientation, FJ tropism, superior articular process cross-sectional area (SAPA), and FJ area were measured at the L3/4, L4/5, and L5/S1 spinal levels. Associations among the parameters were assessed using Pearson’s correlation coefficients. Independent sample t-tests and Pearson’s chi-square tests were used for univariate analyses. The association between LFS and the quantitative parameters was also analyzed using multivariate logistic regression models adjusted for age, gender, and body mass index.ResultsPatients with LFS had more sagittal FJ orientation (37.9 vs 45.0, p < 0.001), more FJ tropism (5.6 vs 3.8, p < 0.001), larger SAPA (129.0 vs 97.8, p < 0.001), and less FJ area (21.7 vs 23.3, p = 0.016). Logistic regression analysis showed that LFS was significantly associated with FJ tropism (odds ratio [OR]: 1.153; p = 0.003) and SAPA (OR: 1.113; p < 0.001). The SAPA showed the largest area under the curve (0.908, 95% confidence interval: 0.875–0.942) for the diagnosis of LFS. The optimal cutoff value was 114.75 mm2 with 85.4% sensitivity and 87.0% specificity. Additionally, a significant correlation was observed between FJ OA and SAPA and FJ area at each studied spinal level.ConclusionThis study confirmed that LFS is significantly associated with FJ hypertrophy and tropism. FJ hypertrophy and joint space narrowing correlated with the severity of FJ OA. These results are helpful in understanding the morphology and pathology of FJs.

Lower-limb joint-coordination and coordination variability during gait in children with cerebral palsy

BackgroundChildren with cerebral palsy present with poor motor control, altering their ability to perform tasks such as walking. Continuous relative phase analysis is a popular method to quantify motor control impairments via inter-joint coordination and coordination variability; however, it has not been explored in children with cerebral palsy. Methods45 children with cerebral palsy and 45 typically developing children walked while fit with retroreflective markers. Continuous relative phase analysis for knee-hip and ankle-knee joint pairs quantified inter-joint coordination and coordination variability. The Gait Profile Score estimated gait pathology. Group differences were assessed with unpaired t-tests for coordination amplitude and variability (knee-hip, ankle-knee) across gait events. For the cerebral palsy group, correlations assessed the relation between the gait profile score and coordination metrics. FindingsThe cerebral palsy group showed more in-phase patterns for knee-hip coupling compared to the typically developing group (initial contact, loading response, mid-stance, terminal swing) (p ≤ 0.03). The cerebral palsy group showed lower knee-hip coordination variability (mid-stance, mid-swing) (p ≤ 0.037) and lower ankle-knee coordination variability (initial contact, loading response, terminal swing) (p < 0.001). The gait profile score correlated weakly to moderately (r = [0.323–0.472]), and negatively with the knee-hip inter-joint coordination (initial contact, loading response, mid-stance, terminal swing) (p ≤ 0.042). InterpretationChildren with cerebral palsy showed a more in-phase gait strategy during challenging transitional gait cycle phases (beginning and end) and less flexible and adaptable motor behaviors. Moreover, the correlation between in-phase joint patterns and increased gait deviations (gait profile score) reinforces the relevance of coordination analysis to assess motor control impairment.

Joint Pattern Analysis of Forest Fire and Drought Indicators in Southeast Asia Associated with ENSO and IOD

Land and forest fires in Southeast Asia often coincide with severe dry seasons in the specific region caused by the warm phase of an El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD). This research aims to identify and quantify the ENSO–IOD effect on a joint pattern between the dry season and land and forest fires in Southeast Asia. This research provides a quantitative result which represents the ENSO–IOD’s impact in Southeast Asia for hotspots, dry spells, and precipitation anomalies. The methods used in this research are singular value decomposition, probability density skill score, and coherence analysis. Cambodia, Myanmar, and Thailand gave a similar result with less than a 25% increasing severity in the hotspots from normal to either El Niño, positive IOD, or El Niño–positive IOD years. The maximum increase in hotspot severity in North Sumatra was 13.06% and happened during a weak El Niño and positive IOD. Meanwhile, South Sumatra had a maximum accumulation of more than 89% and Kalimantan had more than a 72% increase during the strong El Niño in 2015. Even though the relationship between the ENSO and IOD was inconsistent, the occurrence of both phenomena in the same year can lead to fires and need to be considered.

Varying Joint Patterns and Compensatory Strategies Can Lead to the Same Functional Gait Outcomes: A Case Study.

This paper analyses joint-space walking mechanisms and redundancies in delivering functional gait outcomes. Multiple biomechanical measures are analysed for two healthy male adults who participated in a multi-factorial study and walked during three sessions. Both participants employed varying intra- and inter-personal compensatory strategies (e.g., vaulting, hip hiking) across walking conditions and exhibited notable gait pattern alterations while keeping task-space (functional) gait parameters invariant. They also preferred various levels of asymmetric step length but kept their symmetric step time consistent and cadence-invariant during free walking. The results demonstrate the importance of an individualised approach and the need for a paradigm shift from functional (task-space) to joint-space gait analysis in attending to (a)typical gaits and delivering human-centred human-robot interaction.

Interface modeling in load transfer mechanisms of multi-leaf masonry panels

Masonry heterogeneity and manufacturing imperfections affect structural behaviour of constructions; these unpredictable aspects are amplified in multi-leaf masonry walls by interfaces which play a main role on load transfer mechanisms and on global behaviour. In this paper, the performances of multi-leaf masonry walls subjected to compressive loads are investigated using experimental and numerical approaches. 9 experimental tests were performed on three-leaf specimens constituted by external leaves made of a regular pattern of brick elements and mortar joints, and a disaggregate internal core made of brick potsherds and mortar. FE models were developed to assess the interface interaction among layers through model updating procedure based on dynamic parameters experimentally identified at incremental load conditions, keeping fixed the mechanical parameters of external layers. FE models were updated by 13 parameters: i) unidirectional stiffnesses of 12 springs located between external layers and core; ii) elastic modulus of core. Updated models were tested through non-linear static analysis and results were compared with structural performances of multi-leaf masonry panels. Interface effectiveness regulated by different stiffness hierarchies among layers and between bricks and mortar joints handles the load transfer mechanisms and failure scenario. Compressive load is transferred through out-of-plane mechanisms triggered by maximum tensile stresses by 20% of failure load. In the plane the load is transferred with maximum compressive stresses at the ends (30% of failure load) decreasing centrally. Tangential stresses among layers are maximum near to load application and are linearly distributed in the plane of panels.

Influence of Weak Interlayer Filling State on the Failure Patterns of Natural Rock Joints

Influence of Weak Interlayer Filling State on the Failure Patterns of Natural Rock Joints

Analyzing the multiscale patterns of jobs-housing balance and employment self-containment by different income groups using LEHD data: A case study in Cincinnati metropolitan area

Achieving a balanced jobs-housing relationship has been treated as a solution to relieve traffic congestion and air pollution. Jobs-housing ratio and employment self-containment (ESC) are applied to quantify different levels of jobs-housing balance. Though appropriated methods have been analyzed to explore jobs-housing relationship at multiple fixed scales, scale dependency problem remains unsolved and resulted in discord about jobs-housing relationship. Furthermore, the differences of the jobs-housing balance and ESC by various income groups received little attention. This paper proposed a K-medoids clustering method to explore the aggregate multi-scale patterns of jobs-housing ratio and ESC by higher, medium, and lower-income groups using 2016 longitudinal employment household dynamics (LEHD) data. To alleviate the scale effect, individual workers and jobs were simulated by Monte Carlo approach according to LEHD data provided within each block. Afterwards, we analyzed the jobs-housing relationship within multi-scale units by different aggregated groups. We found jobs-housing balance had a positive effect on ESC, while the effect varied by different income groups. Jobs-housing balance affects ESC more for lower-income group when the searching radius is <4 km, while beyond 4 km, jobs-housing balance has more effect on ESC of higher-income group. ESC of medium-income group is least affected. Employing the K-medoids clustering method, we classified the four patterns of jobs-housing and the two patterns of ESC for each income group. We further identified jobs-housing matched and mismatched areas through eight joint patterns of jobs-housing balance and ESC. Our work contributes to understanding of jobs-housing balance and commuting by scale variations and income.

Failure patterns of solder joints identified through lifetime vibration tests

ABSTRACT A method for non-destructively tracking the integrity of flip chip solder joints through life is investigated in this paper. An industry standard double-sided PCB was designed and manufactured with 14 flip chips to assess the failure patterns of each flip chip and each solder joint in lifetime vibration tests. Two configurations of PCB finish were tested, Electro Nickel Immersion Gold (ENIG) and Hot Air Surface Levelled lead (Pb HASL) using automotive industry manufacturing processes and quality standards. A random vibration test over a frequency range 10 Hz to 1000 Hz was specified by automotive engineers to replicate vibrations typically found on road vehicles. This vibration profile was applied to test circuit board assemblies (CBA) for 4-minute intervals until failure of all chips. At each interval test boards were extensively scanned by an acoustic micro-imaging (AMI) microscope to non-destructively measure parameters of solder joints. This enabled tracking of mechanical joint connection through-life. Methods were developed to process the large number of acoustic images of each solder joint and form metrics to evaluate solder joint integrity. Results from AMI show that the solder joints exhibit three distinct zones as they age: crack initiation, crack propagation and then failure.

Does Midcarpal Joint Structure Affect Development of Arthritis in the Wrist.

Background Degenerative wrist arthritis develops in specific patterns because of forces acting on existing structural configurations. The most common pattern of wrist osteoarthritis is scapholunate advanced collapse (SLAC). Other patterns include isolated scaphotrapezial trapezoid (STT) joint and isolated midcarpal or radiolunate joint arthritis. One predictor of degeneration pattern is the structure of the wrist. Questions/Purposes Our purpose was to evaluate the relationship between midcarpal joint structure and the pattern of degenerative arthritis. We hypothesized that a wrist type 2 will preferentially develop SLAC degeneration. Patients and Methods We retrospectively evaluated 195 degenerative wrist radiographs. Radiographs were reviewed for lunate/wrist type, degeneration pattern, ulnar variance, radial and volar tilt, inclination, carpal height, scapholunate angle, gap, and presence of thumb carpometacarpal (CMC) joint, STT joint, and midcarpal joint arthritis. Results We had 158 radiographs with SLAC degeneration and 37 with atypical patterns, 154 type 2 and 41 type 1 wrists. There was a significant correlation between wrist type and the pattern of wrist degeneration ( p = 0.02). SLAC degeneration developed in wrists with type 2 lunate while isolated midcarpal arthritis was associated with type 1 wrist. Isolated midcarpal joint arthritis was associated with STT arthritis, p < 0.01. Radial height, inclination, volar tilt, and ulnar variance, and scapholunate gap and angle were not associated with wrist type. Ulnar variance was associated with thumb CMC and STT joint arthritis while radial height was associated with isolated midcarpal joint arthritis. Conclusion This study found significant relationships between midcarpal joint structure and pattern of degeneration. This contributes to understanding the development of degeneration and can aid in future prevention of arthritis. Level of Evidence This is a Level IV, diagnostic study.

Joint Spatial-Spectral Pattern Optimization and Hyperspectral Image Reconstruction

Employing multispectral filter array (MSFA) and several spectral sensitivity functions (SSFs) as hardware encoder and spatial demosaicing (SpaDM) and spectral super-resolution (SpeSR) methods as software decoder to capture hyperspectral image (HSI) is a common method of computational spectral snapshot imaging. Previous works treat SpaDM and SpeSR as two separative processes, and the effect of MSFA and SSF patterns are rarely investigated. In this paper, we propose a deep-learning based method for high quality hyperspectral imaging by joint spatial-spectral optimization, including joint MSFA and SSF optimization, joint SpaDM and SpeSR, and joint pattern optimization and HSI reconstruction. To capture optimal mosaic image in hardware encoder, we design several spatial-spectral pattern optimization layers to automatically optimize the MSFA and SSF. To recover HSI with SpaDM and SpeSR in software decoder, we unfold an optimization algorithm into a convolutional neural network to explicitly consider the observation model and improve the interpretability of the network. Moreover, to boost the quality of hyperspectral imaging, we optimize spatial-spectral pattern and reconstruct HSI in a joint manner. Extensive evaluations and comparisons on HSI spatial and spectral reconstruction demonstrate our joint optimization method outperforms state-of-the-art methods, in terms of both restoration accuracy and visual quality.

Flood basalt structures and textures as guides to cooling histories and palaeoclimates: the Deccan Traps of Saurashtra, western India

AbstractThe primary features (morphologies, structures, textures) of volcanic lava flows are determined by parameters such as composition, temperature, crystallinity, viscosity, flow velocity, strain rate and cooling rate. However, lava flows are open systems, and their primary features are strongly influenced by their emplacement environment. Among subaerial lava flows, those that solidify in a wet environment with rainfall develop very different internal structures (e.g. jointing patterns) and textures from those in a dry environment. Thus, the outcrop structures and textures of ancient lava flows, such as those forming continental flood basalt sequences thousands of metres thick, provide clues to their cooling histories and the palaeoclimates. Here we provide field, petrographic and geochemical data on large tholeiitic lava flows (sheet lobes) and associated dykes of the Saurashtra region in the northwestern Deccan Traps continental flood basalt province (India). The sheet lobes are dominantly pāhoehoe and rubbly pāhoehoe, and occasionally ‘a‘ā, with colonnade and entablature tiers. We show that the jointing patterns in the entablatures (irregular, chevron, rosette and skeleton jointing), and the textures of the sheet lobes and even some dykes (abundant glass, and quench crystals of plagioclase and Fe–Ti oxides) reflect convective heat removal, owing to widespread interaction with meteoric waters (rainfall) during solidification. The observations thus provide evidence for a wet climate in western India 65.5 million years ago.

Identifying Associations in Minimum Inhibitory Concentration Values of Escherichia coli Samples Obtained From Weaned Dairy Heifers in California Using Bayesian Network Analysis.

ObjectiveMany antimicrobial resistance (AMR) studies in both human and veterinary medicine use traditional statistical methods that consider one bacteria and one antibiotic match at a time. A more robust analysis of AMR patterns in groups of animals is needed to improve on traditional methods examining antibiotic resistance profiles, the associations between the patterns of resistance or reduced susceptibility for all isolates in an investigation. The use of Bayesian network analysis can identify associations between distributions; this investigation seeks to add to the growing body of AMR pattern research by using Bayesian networks to identify relationships between susceptibility patterns in Escherichia coli (E. coli) isolates obtained from weaned dairy heifers in California.MethodsA retrospective data analysis was performed using data from rectal swab samples collected from 341 weaned dairy heifers on six farms in California and selectively cultured for E. coli. Antibiotic susceptibility tests for 281 isolates against 15 antibiotics were included. Bayesian networks were used to identify joint patterns of reduced susceptibility, defined as an increasing trend in the minimum inhibitory concentration (MIC) values. The analysis involved learning the network structure, identifying the best fitting graphical mode, and learning the parameters in the final model to quantify joint probabilities.ResultsThe graph identified that as susceptibility to one antibiotic decreases, so does susceptibility to other antibiotics in the same or similar class. The following antibiotics were connected in the final graphical model: ampicillin was connected to ceftiofur; spectinomycin was connected with trimethoprim-sulfamethoxazole, and this association was mediated by farm; florfenicol was connected with tetracycline.ConclusionsBayesian network analysis can elucidate complex relationships between MIC patterns. MIC values may be associated within and between drug classes, and some associations may be correlated with farm of sample origin. Treating MICs as discretized variables and testing for joint associations in trends may overcome common research problems surrounding the lack of clinical breakpoints.

Joint trajectories of loneliness, depressive symptoms, and social anxiety from middle childhood to early adolescence: associations with suicidal ideation.

This study examined the joint trajectories of loneliness, depressive symptoms, and social anxiety from middle childhood to early adolescence and their associations with suicidal ideation. A total of 643 Chinese elementary school students (55.2% male; Mage = 9.01; SD = 0.75; range = 7 to 11years at T1) completed measures on six occasions at 6-month intervals. Parallel process latent class growth models revealed five distinct trajectories of loneliness, depressive symptoms, and social anxiety: "congruent-low" (45.1%), "moderately low with predominant loneliness and depressive symptoms" (15.7%), "moderate with predominant loneliness and depressive symptoms" (4.2%), "moderately low with predominant social anxiety" (24.9%), and "congruent-high" (10.1%). The highest suicidal ideation was observed among adolescents who persistently experienced two or three symptoms, followed by those who persistently experienced one predominant symptom, and finally, adolescents who persistently experienced low levels of all three symptoms. The findings highlight the importance of individual differences considerations in understanding the joint patterns of loneliness, depressive symptoms, and social anxiety among youth during the transition into adolescence and the need for more sophisticated intervention programs tailored to the unique characteristics of the relevant trajectories to reduce the risk of suicidal ideation.

Prevalence, Incidence, and Progression of Radiographic and Symptomatic Hand Osteoarthritis: The Osteoarthritis Initiative.

To describe the prevalence, incidence, and progression of radiographic and symptomatic hand osteoarthritis (OA), and to evaluate differences according to age, sex, race, and other risk factors. Participants were assessed for radiographic and symptomatic hand OA at baseline and year 4 to determine incident disease. A modified Poisson regression with a robust variance estimator was used to account for clustering of joints within fingers within persons to estimate the prevalence ratios and relative risk estimates associated with participant characteristics. Among 3,588 participants, the prevalence of radiographic hand OA was 41.4%, and the prevalence of symptomatic hand OA was 12.4%. The incidence over 48 months was 5.6% for radiographic hand OA and 16.9% for symptomatic hand OA. Over 48 months, 27.3% of the participants exhibited OA progression. We found complex differences by age, sex, and race, with increasing rates of prevalent hand OA with older age in both men and women, but with rates of incident disease peaking at ages 55-64 years in women. Women had higher rates of symptomatic hand OA, but only nonsignificantly higher rates of incident radiographic hand OA, than men. Women more frequently had distal interphalangeal joint disease, while men more frequently had metacarpophalangeal joint OA. Black men and women had lower rates of hand OA than White participants, but Black men had higher rates of prevalent hand OA than Black women at younger ages. Hand OA is a heterogeneous disease with complex differences by age, sex, race, hand symptoms, and patterns of specific joints affected. Further research investigating the mechanisms behind these differences, whether mechanical, metabolic, hormonal, or constitutional, is warranted.

Use of BIM technology for optimization and virtual build of TBM tunnels

AbstractThe practical application of accurate design and coordination in Building Information Modeling (BIM) environment for precast rings in Tunnel Boring Machine (TBM)‐bored tunnels is becoming more achievable. These rings, made up of individual segments, are subject to many constraints which include: 1) deviations from theoretical alignment, as modeling the straight centerline of a ring into a curved alignment naturally produces minor deviations in line and grade, 2) avoiding crucifix joints when the joints between segments align in the longitudinal direction, reducing sealing performance, 3) and TBM shield design by minimizing the diameter of the TBM to reduce overcut and required backfill. This article describes the automated procedures for developing our design intent in the BIM environment with consideration for ring length optimization in tunnel curves, geometrical analyses of the staggered pattern of joints, and the minimum diameter and overcut envelope of the TBM shield. This procedure is demonstrated in multiple light‐rail transit lines in Montréal including the Réseau Express Métropolitain (REM) airport link tunnel and the expansion of the Montreal Blue Line Metro. Virtual build of these segmentally lined tunnels negotiating all straight and curved drives of the alignment with BIM modeling is realized and summarized in this article.

A novel approach to structural anisotropy classification for jointed rock masses using theoretical rock quality designation formulation adjusted to joint spacing

Rock quality designation (RQD) has been considered as a one-dimensional jointing degree property since it should be determined by measuring the core lengths obtained from drilling. Anisotropy index of jointing degree (AIjd) was formulated by Zheng et al. (2018) by considering maximum and minimum values of RQD for a jointed rock medium in three-dimensional space. In accordance with spacing terminology by ISRM (1981), defining the jointing degree for the rock masses composed of extremely closely spaced joints as well as for the rock masses including widely to extremely widely spaced joints is practically impossible because of the use of 10 cm as a threshold value in the conventional form of RQD. To overcome this limitation, theoretical RQD (TRQDt) introduced by Priest and Hudson (1976) can be taken into consideration only when the statistical distribution of discontinuity spacing has a negative exponential distribution. Anisotropy index of the jointing degree was improved using TRQDt which was adjusted to wider joint spacing by considering Priest (1993)'s recommendation on the use of variable threshold value (t) in TRQDt formulation. After applications of the improved anisotropy index of a jointing degree (AIjd′) to hypothetical jointed rock mass cases, the effect of persistency of joints on structural anisotropy of rock mass was introduced to the improved AIjd′ formulation by considering the ratings of persistency of joints as proposed by Bieniawski (1989)'s rock mass rating (RMR) classification. Two real cases were assessed in the stratified marl and the columnar basalt using the weighted anisotropy index of jointing degree (W_AIjd′). A structural anisotropy classification was developed using the RQD classification proposed by Deere (1963). The proposed methodology is capable of defining the structural anisotropy of a rock mass including joint pattern from extremely closely to extremely widely spaced joints.

Prevalence, Trends, and Correlates of Joint Patterns of Aerobic and Muscle-Strengthening Activity and Sleep Duration: A Pooled Analysis of 359,019 Adults in the National Health Interview Survey 2004–2018

Physical activity (PA) and sleep duration have established associations with health outcomes individually but tend to co-occur and may be better targeted jointly. This study aimed to describe the cross-sectional prevalence, trends, and population characteristic correlates of activity-sleep patterns in a population-representative sample of US adults from the National Health Interview Survey (2004-2018). Participants (N = 359,019) self-reported aerobic and muscle-strengthening activity and sleep duration. They were categorized as "meeting both"/"meeting PA only"/"meeting sleep only"/"meeting neither" of the 2018 US PA guidelines and age-based sleep duration recommendations. Trends in activity-sleep patterns were analyzed using weighted multinomial logistic regression, and correlates were identified using weighted binary Poisson regressions, with P ≤ .001 considered significant. "Meet sleep only" was most prevalent (46.4%) by 2018, followed by "meet neither" (30.3%), "meet both" (15.6%), and "meet PA only" (7.7%). Many significant sociodemographic, biological, and health-behavior correlates of the activity-sleep groups were identified, and the direction and magnitude of these associations differed between groups. Public health campaigns should emphasize the importance of both sufficient PA and sleep; target women and older adults, current smokers, and those with lower education and poorer physical and mental health; and consider specific barriers experienced by minority ethnic groups.

Requirements for Eliciting a Spastic Response With Passive Joint Movements and the Influence of Velocity on Response Patterns: An Experimental Study of Velocity-Response Relationships in Mild Spasticity With Repeated-Measures Analysis.

BackgroundSpasticity is defined as a velocity-dependent increase in tonic stretch reflexes and is manually assessed in clinical practice. However, the best method for the clinical assessment of spasticity has not been objectively described. This study analyzed the clinical procedure to assess spasticity of the elbow joint using an electrogoniometer and investigated the appropriate velocity required to elicit a spastic response and the influence of velocity on the kinematic response pattern.MethodsThis study included eight healthy individuals and 15 patients with spasticity who scored 1 or 1+ on the modified Ashworth Scale (MAS). Examiners were instructed to manually assess spasticity twice at two different velocities (slow and fast velocity conditions). During the assessment, velocity, deceleration value, and angle [described as the % range of motion (%ROM)] at the moment of resistance were measured using an electrogoniometer. Differences between the slow and fast conditions were evaluated. In addition, variations among the fast condition such as the responses against passive elbow extension at <200, 200–300, 300–400, 400°/s velocities were compared between the MAS 1+, MAS 1, and control groups.ResultsSignificant differences were observed in the angular deceleration value and %ROM in the fast velocity condition (417 ± 80°/s) between patients and healthy individuals, but there was no difference in the slow velocity condition (103 ± 29°/s). In addition, the deceleration values were significantly different between the MAS 1 and MAS 1+ groups in velocity conditions faster than 300°/s. In contrast, the value of %ROM plateaued when the velocity was faster than 200°/s.ConclusionThe velocity of the passive motion had a significant effect on the response pattern of the elbow joint. The velocity-response pattern differed between deceleration and the angle at which the catch occurred; the value of deceleration value for passive motion was highly dependent on the velocity, while the %ROM was relatively stable above a certain velocity threshold. These results provide clues for accurate assessment of spasticity in clinical practice.

Confounders contributing to explain the association between sex and disease impact in patients with recent-onset psoriatic arthritis.

To evaluate the effect of potential confounders on the association between sex and disease impact in recent-onset psoriatic arthritis. We performed a multicentre observational prospective study (2-year follow-up, regular annual visits). The study population comprised patients aged ≥18 years who fulfilled the CASPAR criteria and less than 2 years since the onset of symptoms. The dataset was generated using data for each patient at the 3 visits (baseline, first year, and second year of follow-up) matched with the PsAID values at each of the 3 visits. Once variables associated with both PsAID ≥4 and sex were selected, those that led to a difference of >10% between the adjusted and crude estimations were identified as potential confounders in the association between sex and PsAID. Lastly, the final multivariate logistic regression model estimating the association between sex and PsAID was defined. The dataset contained 418 observations (158 at baseline, 135 at the first follow-up visit, and 125 at the second visit). The confounders identified in the multivariate model were HAQ, global pain, level of physical activity, and joint pattern at diagnosis. After adjustment for these variables, no statistically significant association was observed between female sex and PsAID ≥4. The association between female sex and greater disease impact could be explained by the influence of other variables, specifically higher HAQ score, greater intensity of pain, differences in the level of physical activity and in the joint pattern at diagnosis (lower frequency of the spondylitis pattern in women).