Mean Peak Research Articles

Partial weight-bearing and range of motion limitation significantly reduce the loads at medial meniscus posterior root repair sutures in a cadaveric biomechanical model.

The aim of this study was to investigate the influence of medial meniscus posterior root avulsion (MMPRA) before and after surgical treatment on the biomechanics of the knee joint, including suture repair forces during daily and crutch-assisted gait movements. MMPRA were investigated in eight human cadaver knee joint specimens by a dynamic knee joint simulator with daily (normal gait, gait with additional rotational movement, standing up, sitting down) and rehabilitation-associated movements (crutch-assisted gait with limited flexion range of motion [30°] and 30% [toe-touch weight-bearing, TTWB] and 50% of body weight [partial weight-bearing, PWB]) with simulated physiologic muscle forces. Each specimen was tested in intact, torn and repaired (transtibial suture) state. The biomechanical parameters were: medial mean contact pressure and area, knee joint kinematics, medial displacement of the posterior meniscus horn and loading on the anchoring suture. Significant reduction of the contact area due to the avulsion was observed in all movements except for PWB and sitting down. MMPRA repair significantly increased the contact areas during all movements, bringing them to levels statistically indistinguishable from the initial state. MMPRA resulted in a medial displacement up to 12.8 mm (sitting down) and could be reattached with a residual displacement ranging from 0.7 mm (PWB) to 5.7 mm (standing up), all significantly (p < 0.001) reduced compared to the torn state. The mean peak anchoring suture load increased from TTWB (77 N), PWB (91 N) to normal gait (194 N), gait rotation (207 N), sitting (201 N; p < 0.01) and to standing up (232 N; p = 0.03). Surgical treatment of MMPRA allows restoration of physiological knee joint biomechanics. Crutch-assisted movements reduce the loading of the repair suture, thus likewise the risk for failure. From a biomechanical point of view, crutch-assisted movements are recommended for the early rehabilitation phase after MMPRA repair. Level V.

Comparison of Hemodynamic Performance, Three-Dimensional Flow Fields, and Turbulence Levels for Three Different Heart Valves at Three Different Hemodynamic Conditions.

The hemodynamic performance of different prosthetic heart valves is difficult to compare among studies due to a variety of test conditions and experimental techniques. Existing studies are typically limited to one family of valves (biological or mechanical) and testing conditions of 5l/min and often lack sufficient spatial resolution. To address these limitations, a pulse duplicator with a multi-view imaging system (Tomo-PIV) was employed to investigate the three-dimensional flow field in the aortic root of three different valves: a tri-leaflet mechanical heart valve (TRIFLO, Novostia), a bi-leaflet mechanical heart valve (On-X, Artivion), and a biological heart valve (Perimount, Edwards Lifesciences). The valves were tested at low (3l/min), normal (5l/min), and elevated (7l/min) cardiac output under hypotensive (40/60mmHg), normotensive (80/120mmHg), and moderate hypertensive (105/170mmHg) pressure conditions, respectively. Compared to the Perimount, peak mean velocity was - 33%, - 24%, - 18% for the TRIFLO and - 32%, - 20%, - 11% for the On-X at low, moderate, and elevated , respectively. Corresponding peak values decreased by - 66%, - 57%, - 44% (TRIFLO) and - 60%, - 50%, - 36% (On-X). At low , was lower for Perimount (1.07cm2) than for TRIFLO (1.47cm2) and On-X (1.52cm2), while it increased for elevated to 2.75cm2 (TRIFLO) and 2.16cm2 (Perimount and On-X). For all valves, increasing led to increased flow velocities, higher and higher levels of turbulence, and the spatial influence of the valve on the flow field in the ascending aorta was extended. peaked closer to the STJ than for TRIFLO and Perimount.

Pharmacokinetics and Plasma Protein Binding of Flunixin in Rainbow Trout (Oncorhynchus mykiss).

Flunixin's pharmacokinetics, bioavailability, and plasma protein binding were examined in rainbow trout. The experiment involved 252 rainbow trout (Oncorhynchus mykiss) maintained at 12 ± 0.6°C. Flunixin was administered to rainbow trout via intravascular (IV), intramuscular (IM), and oral routes at a dosage of 2.2 mg/kg. Plasma samples were collected at times 0 (control), 0.25, 0.5, 1, 2, 4, 6, 8, 10, 12, 24, 48, 72, and 96 h. High-pressure liquid chromatography-ultraviolet was employed to quantify flunixin concentrations. The elimination half-life (t1/2ʎz) for flunixin was 8.37 h for IV, 8.68 h for IM, and 8.76 h for oral. The t1/2ʎz was similar between administration groups. The volume of distribution at a steady state and total body clearance were 55.81 mL/kg and 6.83 mL/h/kg, respectively, after IV administration. The mean peak plasma concentration was 6.24 ± 0.41 μg/mL at 4 h for oral administration and 13.98 ± 0.86 μg/mL at 2 h for IM administration. The invitro protein binding ratio of flunixin in rainbow trout plasma was 96.34 ± 2.29%. The bioavailability of flunixin after oral (25.74%) administration was lower than that after IM (66.70%) administration. Thus, developing an oral pharmaceutical formulation that can be administered with feed and has high bioavailability could enhance the therapeutic effect.

Model based fitting of pattern reversal visually evoked potentials provides a reliable characterization of waveform components

ObjectiveTo introduce a novel approach to analyzing pattern reversal visual evoked potentials (prVEPs) using a difference-of-gammas model-based fitting method. MethodsprVEP was recorded from uninjured youth ages 11–19 years during pre- or post-season sports evaluation. A difference-of-gammas model fit was used to extract the amplitude, peak time, and peak width of each of four gamma components. The within session reliability and stability of fits across a 6-month period were determined. To demonstrate an application of this analysis, changes in parameters across age were determined. ResultsA difference-of-gammas model consisting of four gamma functions was fit to the prVEP of 151 youth. Peak times and amplitudes of functions corresponded to standard measures of the N75, P100, and N135 components respectively, and a late gamma peak (mean peak time 219 ms). We extracted the peak width, which increased with each subsequent temporal peak. Parameter fits were reliable within sessions (correlation coefficient > 0.92 for all measured parameters; good agreement on Bland-Altman calculation) and were stable between sessions separated by less than 6 months (correlation coefficient > 0.90). Standard peak analysis metrics extracted from the difference-of-gamma model fits were largely consistent with gold-standard peak analysis measurements. ConclusionsThe difference-of-gammas model provides a stable and reliable within-participant representation of the global temporal variability of prVEP waveforms across a large sample of youth. SignificanceUsing difference-of-gammas model to characterize the global temporal variability of the prVEP waveform offers a promising direction to enhance analysis for identifying and following subtle changes in neurologic conditions.

Effect of Food on the Pharmacokinetics, Safety, and Tolerability of Budesonide Oral Suspension in Healthy Adult Participants: A Randomized Phase 1 Study.

Budesonide oral suspension (BOS) is a swallowed corticosteroid indicated for 12-week therapy in eosinophilic esophagitis with minimal systemic exposure following administration. We aimed to assess the relative bioavailability of a single dose of BOS administered under fasting and fed (high-fat/high-calorie meal) conditions. Healthy adult volunteers (N = 20) were enrolled in an open-label, single-center, crossover study and were randomized (1:1) to receive a single oral dose of BOS 2.0 mg under fasting or fed conditions, with a 48-h washout period before crossover to the alternative conditions. Serial plasma samples were collected before and up to 24 h after dosing. Pharmacokinetic (PK) parameters were calculated from plasma budesonide concentration-time profiles by noncompartmental analysis. The mean peak budesonide concentration (Cmax) was ∼13% lower under fed than under fasting conditions (604.1 vs 692.9 pg/mL). Areas under the concentration-time curves from dosing to the last measurable budesonide concentration and from dosing to infinity were ∼26% higher and ∼27% higher under fed than fasting conditions (3529 vs 2811 pg h/mL and 3892 vs 3075 pg h/mL, respectively). The median time to peak plasma budesonide concentration was significantly longer (∼1 h) under fed than fasting conditions (2.516 vs 1.286 h, P <.001). Safety and tolerability were also assessed throughout the study; all adverse events were mild or moderate in severity. Despite slight differences in budesonide PK parameters between fed and fasting conditions, the effect of food on systemic exposure to budesonide (BOS formulation) is not expected to be clinically meaningful.

Uncovering possible silent acquired long QT syndrome using exercise stress testing in long-term pediatric acute lymphoblastic leukemia survivors.

An example of chemotherapy-induced cardiotoxicity in cancer survivors is acquired long QT syndrome (aLQTS), which may cause serious yet preventable life-threatening consequences. Our objective was to identify and characterize childhood acute lymphoblastic leukemia (ALL) survivors with possible aLQTS using maximal exercise testing. In this cross-sectional study with exploratory analysis, a total of 250 childhood ALL survivors were evaluated for abnormal QT interval prolongation using the McMaster cycle exercise test. A total of 198 survivors (102 males; 96 females), having reached their peak (mean 32.1 ± 8.4 mL/kg/min; range 15.5-57.8 mL/kg/min), were included in our analyses. Two survivors were excluded for possible congenital LQTS. QT intervals were corrected for heart rate using the Bazett, Fridericia, and Rautaharju formulas at rest (supine, sitting, and standing positions), at the end of each stage of the CPET, and at 1, 3, and 5 minutes into the recovery period. The corrected QT (QTc) of borderline (n = 37) and long QT survivors (n = 20) was significantly longer than normal survivors (n = 141) at rest, exercise, and recovery. Out of 57 survivors presenting an abnormal QTc prolongation, 40 survivors (70%) showed no QT interval anomalies at rest but developed various anomalies during exercise. No significant differences were found between the groups for any of the measured clinical characteristics or cardiac parameters. The standardization of exercise testing in the regular follow-up of oncology patients is necessary for appropriate cardiac prevention and surveillance to enhance the health and quality of life of the ever-increasing number of cancer survivors.

Experimental study on mechanical properties and breakage of high temperature carbon fiber-bar reinforced concrete under impact load

To investigate the effects of high temperature and carbon fiber-bar reinforcement on the dynamic mechanical properties of concrete materials, a muffle furnace was used to treat two kinds of specimens, plain and carbon fiber-bar reinforced concrete, at high temperatures of 25, 200, 400 and 600 °C. Impact compression tests were carried out on two specimens after high-temperature exposure using a Hopkinson pressure bar (SHPB) test setup combined with a high-speed camera device to observe the crack extension process of the specimens. The effects of high temperature and carbon fiber-bar reinforcement on the peak stress, energy dissipation density, crack propagation and fractal dimension of the concrete were analyzed. The results showed that the corresponding peak strengths of the plain concrete specimens at 25, 200, 400, and 600 °C were 88.37, 93.21, 68.85, and 54.90 MPa, respectively, and the peak strengths after the high-temperature exposure first increased slightly and then decreased rapidly. The mean peak strengths corresponding to the carbon fiber-bar reinforced concrete specimens after high-temperature action at 25, 200, 400, and 600 °C are 1.13, 1.13, 1.21, and 1.19 times that of plain concrete, respectively, and the mean crushing energy consumption densities are 1.27, 1.31, 1.73, and 1.59 times that of plain concrete, respectively. The addition of carbon fiber-bar reinforcement significantly enhanced the impact resistance and energy dissipation of the concrete structure, and the higher the temperature was, the more significant the increase. An increase in temperature increases the number of crack extensions and width, and the high tensile strength of the carbon fiber-bar reinforcement and the synergistic effect with the concrete material reduce the degree of crack extension in the specimen. The fractal dimension of the concrete ranged from 1.92 to 2.68, that of the carbon fiber-bar reinforced concrete specimens ranged from 1.61 to 2.42, and the mean values of the corresponding fractal dimensions of the plain concrete specimens after high-temperature effects at 25, 200, 400, and 600 °C were 1.19, 1.21, 1.10, and 1.11 times those of the fiber-reinforced concrete specimens, respectively. The incorporation of carbon fiber-bar reinforcement reduces the degree of rupture and fragmentation of concrete under impact loading and improves the safety and stability of concrete structures.

Analysis of fracture modes and acoustic emission characteristics of low‐frequency disturbed coal rock bodies with different cyclic amplitudes

AbstractFrequent mining operations significantly disturb the security of deep weakly cemented rock roadways in western mining areas, constituting one of the primary causes of deformation, instability, and failure within the coal‐rock body. In this paper, dynamic uniaxial compression tests of soft rock‐coal combinations under low‐frequency disturbance with different cyclic amplitudes were conducted based on acoustic emission to elucidate fracture modes. The findings are as follows: Different cycle amplitudes manifested significant degradation effects on the soft rock‐coal combination. With increasing cycle amplitude, the proportion of tensile cracks initially decreased before subsequently increasing, demonstrating a general upward trajectory. The sudden increase in the acoustic emission RA value, the large decrease in the b‐value, and AE counts reaching the peak mean that failure and destabilization of the specimen begin to occur. The results of this study will furnish theoretical direction for dynamic disaster monitoring and early warning in soft rock mines located in western mining regions.

Abstract P383: Increased renal afferent nerve activity and peak response to pro-inflammatory cytokine interleukin 6 in isolated dorsal root ganglion neurons from hypertensive rats

Renal afferent nerves are reported to mediate the progression of hypertension in preclinical models, putatively via an aberrant increase in activation. The underlying source of this nerve activation is unknown but we hypothesized renal inflammatory cytokines are a primary driver. We previously reported interleukin 6 (IL-6) is increased in the kidneys of hypertensive rats, and intrarenal administration of IL-6 can activate renal afferent nerves. Though these data are promising, the direct effects of IL-6 on afferent renal nerves remain unclear. We hypothesized that isolated renal afferent neurons from hypertensive rats will have increased activity and responsiveness to inflammatory cytokine IL-6 compared to normotensive controls. To test our hypothesis, we tested the direct effects of interleukin-6 (IL-6) on renal afferent nerve action potentials (AP) generated in freshly isolated dorsal root ganglion (DRG) neurons. To model salt-sensitive hypertension, uninephrectomized rats (n=6) were administered deoxycorticosterone acetate (DOCA; 100mg, sc) and 0.9% saline for drinking water for 21 days. Control rats (n=6) were uninephrectomized. To label renal afferent nerves, neuronal tracer DiI was introduced by intrarenal injection 6 days prior to DRG collection. DRGs from T10-L1 were isolated, enzymatically digested and dissociated, and cultured overnight for whole-cell patch-clamp the following day. DiI-positive neurons from both control and DOCA rats generated AP during the delivery of 100, 200, and 300 pA current steps. Data were analyzed by two-way, repeat-measures ANOVA (α=.05). At baseline, DOCA neurons had a higher (p&lt;0.05) mean AP frequency compared to controls (no difference in AP mean peak amplitude or AP duration). In both groups, increasing concentrations of IL-6 (0. 4, 4, and 40 ng/ml) elicited a dose-dependent increase in AP peak amplitude compared to baseline. No difference was detected in IL-6 responses between DOCA and controls. Overall, these data supported our original hypothesis that pro-inflammatory cytokine IL-6 would increase renal afferent nerve activity, and that said activity is increased in hypertensive DOCA-salt rats. IL-6 accumulation triggered by end organ damage due to hypertension might lead to increased afferent renal nerve activity, which exacerbates the hypertensive phenotype through a sympatho-excitatory response. Additional measurements of isolated DRG responses to pro-inflammatory mediators are underway for direct comparison.

Comparative evaluation of modified diurnal tension curve with water drinking test among glaucoma suspects at University of Port Harcourt Teaching Hospital, Rivers State, Nigeria

Objective: The objective of the study was to assess the correlation of intraocular pressure (IOP) peaks and fluctuation obtained using a modified diurnal tension curve (mDTC) and water drinking test (WDT) and to investigate the relevance of routine use of WDT in glaucoma suspects at University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State Nigeria. Materials and Methods: Glaucoma suspects were enrolled in this prospective comparative study. A total of 138 participants were recruited. All participants were subjected to two hourly IOP checks for 8 h (mDTC starting from 8:00 am). The WDT was done the following day, starting at 8:00 am. There was a 2-h water fast before the commencement of the WDT and IOP was measured every 15 min for 1 h after ingestion of 1 L of water. Results: Out of the 138 glaucoma suspects recruited for the study, 57 were male and 81 females, with a mean age of 37.8 ± 11.7 years. The mean peak IOP measured during mDTC (19.0 ± 3.5 mmHg) was statistically different from that measured during WDT (20.9 ± 4.4 mmHg; P &lt; 0.001). The mean IOP fluctuation measured during the mDTC (5.6 ± 1.9 mmHg) was also statistically different from that measured by WDT (6.9 ± 2.7 mmHg) (P &lt; 0.001). The peak IOP measured during mDTC showed a strong correlation with peak IOP during WDT (r = 0.840); however, there was moderate agreement between the two peaks (k = 0.408). The IOP peaks of mDTC and WDT showed excellent strength of association (Cronbach’s alpha = 0.901) and poor strength of association for the fluctuation in IOP (Cronbach’s alpha = 0.556). Conclusion: The WDT can provide an easier, nonexpensive, and less time-consuming method of peak IOP determination, which will aid in the timely management of glaucoma patients.

Reduced Knee Flexion Strength 18 Years After ACL Reconstruction With Hamstring Tendon Versus Patellar Tendon

Background: Bone–patellar tendon–bone (BPTB) and double-looped semitendinosus and gracilis (hamstring) grafts are commonly used for anterior cruciate ligament (ACL) reconstruction. Short-term and midterm studies show little or no differences between the 2 grafts; however, there are only a few long-term studies to compare results between the 2 grafts. Purpose: To compare the results after using either BPTB grafts or hamstring tendon grafts 18 years after ACL reconstruction. Study Design: Randomized controlled trial; Level of evidence 2. Methods: A total of 114 patients with ACL rupture between 2001 and 2004 were randomized to reconstruction with either a BPTB graft or a hamstring tendon graft. Patients were operated on at 4 major hospitals. The 18-year follow-up evaluation included anterior knee laxity measured with a KT-1000 arthrometer, defined as the primary outcome, while clinical examination (Lachman and pivot-shift tests), isokinetic testing of muscle strength, patient-reported outcome measures, and an assessment of radiographic osteoarthritis using the Kellgren-Lawrence classification were defined as secondary outcomes. Results: A total of 96 patients (84%, 47 BPTB and 49 hamstring grafts) were available for follow-up, 71 of these for clinical examination. Seven of 96 patients were excluded for ACL revision (n = 5) or knee replacement (n = 2) surgery. In total, 25 patients (10 BPTB and 15 hamstring grafts) had undergone additional surgery other than ACL revision or total knee arthroplasty. There were no significant differences between the groups in terms of anterior laxity test with KT-1000 arthrometer (primary outcome). In secondary outcomes, no significant differences between groups were reported regarding clinical examination, patient-reported outcome scores, or radiographic osteoarthritis (Kellgren-Lawrence grade 2-4 for patellofemoral joint [18 hamstring and 14 BPTB] or tibiofemoral joint [20 hamstring and 19 BPTB]), while isokinetic testing revealed that the hamstring group had a 10.7% reduction in mean peak flexion torque compared with the BPTB group at 60 deg/s (df = 59; P = .011). At 60 deg/s the mean total flexion work in the hamstring group was reduced by 17.2% compared with the BPTB group (df = 59; P = .002). Conclusion: The flexion strength in the hamstring group was significantly reduced in the operated knee after 18 years. There were no significant differences between the groups regarding subjective outcomes, patient-reported outcomes, range of motion, clinical and instrumented knee laxity, and the development of osteoarthritis. Registration: NCT05876013 (ClinicalTrials.gov identifier).

Dynamic response of a pipe conveying pulsating fluid under random vibration

This paper studies the dynamic response of a pipe conveying pulsating fluid under random vibration. Its nonlinear equation of motion is first developed using the method of Newton. The method of Galerkin is then used to discretize the equation of motion into a system of ordinary differential equations. Afterwards, the statistical moments and mean peak values of the displacement and velocity responses of the pipe are obtained using an efficient Monte Carlo simulation (MCS) method based on the explicit time-domain method (ETDM). Furthermore, the displacement-sensitive and velocity-sensitive locations of the pipe are obtained for different boundary conditions. The impacts of the fluid, random vibration, and structural parameters on the mean peak value of the dynamic response of the pipe are finally analyzed. The obtained results provide a reference for better understanding the dynamic characteristics of pulsating fluid transport pipes under random vibration and for accurately designing pipe structures.

Evaluation of pulmonary arterial stiffness in post mild COVID-19 patients: a pilot prospective study

BackgroundOur primary goal was to utilize pulmonary arterial stiffness (PAS) to demonstrate the early alterations in the pulmonary vascular area in individuals with prior COVID-19 illness who had not undergone hospitalization.MethodsIn total, 201 patients with prior COVID-19 infection without hospitalization and 195 healthy, age- and sex-matched individuals without a history of COVID-19 disease were included in this prospective analysis. The PAS value for each patient was calculated by dividing the mean peak pulmonary flow velocity by the pulmonary flow acceleration time.ResultsThe measured PAS was 10.2 ± 4.11 Hz/msec in post–COVID-19 participants and 8.56 ± 1.47 Hz/msec in healthy subjects (P < 0.001). Moreover, pulmonary artery acceleration time was significantly lower in patients with a prior history of COVID-19. Multivariable logistic regression analysis revealed that PAS was significantly connected to a prior COVID-19 illness (odds ratio, 1.267; 95% confidence interval, 1.142–1.434; P < 0.001). The optimal cutoff point for detecting a prior COVID-19 disease for PAS was 10.1 (sensitivity, 70.2%; specificity, 87.7%).ConclusionsThis might be the first investigation to reveal that patients with a history of COVID-19 had higher PAS values compared to those without COVID-19. The results of the investigation may indicate the need of regular follow up of COVID-19 patients for the development of pulmonary arterial hypertension, especially during the post–COVID-19 interval.

Deep learning for retrieving omni-directional ocean wave spectra from spaceborne synthetic aperture radar

Synthetic Aperture Radar (SAR) is a unique remote sensing instrument imaging ocean surface waves in two dimensions with high spatial resolution regardless of sunlight and weather conditions. However, due to the nonlinear imaging process, the ocean wave spectra cannot be retrieved directly from SAR data. The emergence of deep learning (DL) techniques provides a new paradigm for addressing this challenge. In this paper, a deep-learning-based model, called Wave-Spec-CNN, is proposed for retrieving omni-directional ocean wave spectra from SAR data. This model is constructed using approximately 21,000 collocations of Sentinel-1 Interferometric Wide swath mode images matched with global in-situ buoy data. The model adapts the convolution neural network (CNN) to accommodate the multi-valued nature of omni-directional ocean wave spectra, enhances performance by integrating a calibration branch and further incorporates physical characteristics into the training process. The results demonstrate consistency with buoy measurements for significant wave height (SWH) in the range of 0.5 m to 6 m, yielding a root-mean-square error (RMSE) of 0.51 m on the validation dataset, comparable to traditional physical-based methods. In terms of mean wave period (MWP) and peak frequency (PF), the achieved RMSEs are of 1.24 s and 0.03 Hz, respectively. The retrieved omni-directional ocean wave spectra also allow to separate swell and windsea components for respective comparisons with those derived by in-situ buoy data. The RMSEs of respective SWH comparisons are of 0.46 m and 0.42 m. This research represents an initial endeavor into utilizing DL for the long-standing challenge of SAR inversion for ocean wave spectra, as well as providing valuable insights for employing DL in multi-parameter inversion tasks in remote sensing.

Pressure-Relieving Effect of Different Insole Top Covers in People with Diabetes at High Risk of Foot Ulceration.

Pressure-relieving footwear helps prevent foot ulcers in people with diabetes. The footwear design contributes to this effect and includes the insole top cover. We aimed to assess the offloading effect of materials commonly used as insole top cover. We measured 20 participants with diabetes and peripheral neuropathy for in-shoe peak pressures while walking in their prescribed footwear with the insole covered with eight different materials, tested in randomized order. Top covers were a 3 mm or 6 mm thick open or closed-cell foam or a 6 mm thick combination of open- and closed-cell foams. We re-assessed pressures after one month of using the top cover. Peak pressures were assessed per anatomical foot region and a region of interest (i.e., previous ulceration or high barefoot pressure). Walking comfort was assessed using a 10-point Likert scale. Mean peak pressure at the region of interest varied between 167 (SD:56) and 186 (SD:65) kPa across top covers (p < 0.001) and was significantly higher for the 3 mm thick PPT than for four of the seven 6 mm thick top covers. Across 6 mm thick top covers, only two showed a significant peak pressure difference between them. Over time, peak pressures changed non-significantly from -2.7 to +47.8 kPa across top cover conditions. Comfort ratings were 8.0 to 8.4 across top covers (p = 0.863). The 6 mm thick foams provided more pressure relief than the 3 mm thick foam during walking in high-risk people with diabetes. Between the 6 mm thick foams and over time, only small differences exist. The choice of which 6 mm thick insole top cover to use may be determined more by availability, durability, ease of use, costs, or hygienic properties than by superiority in pressure-relief capacity.

Handgrip strength as a prognostic factor for COVID-19 mortality among older adult patients admitted to the intensive care unit (ICU): a comparison Alpha (B.1.1.7) and Delta (B.1.617.2) variants

Handgrip strength (HGS) is a non-invasive and reliable biomarker of overall health, physical function, mobility, and mortality. This study aimed to investigate the possible relationship between HGS and mortality in older adult patients hospitalized with COVID-19 in the intensive care unit (ICU) by Alpha (B.1.1.7) and Delta (B.1.617.2) variants. This retrospective cohort study was conducted on 472 COVID-19 patients (222 female and 250 male) aged 60–85 years admitted to the ICU. Demographic data, underlying comorbidities, COVID-19-related symptoms, as well as laboratory and computed tomography (CT) findings were obtained from the patient’s medical records. Using a JAMAR® hydraulic dynamometer, the average grip strength value (kg) after three measurements on the dominant side was recorded for subsequent analysis. Low grip strength (LGS) was defined as an arbitrary cut-off of two standard deviations below the gender-specific peak mean value of normative HGS in Iranian healthy population, i.e. < 26 kg in males and < 14 kg in females. The findings showed lower mean grip strength and high frequency of LGS in the non-survivors patients versus survivors group and in the Delta (B.1.617.2) variant vs. Alpha (B.1.1.7) variant, respectively (both p < 0.01). The binary logistic regression analysis showed that chronic obstructive pulmonary disease (COPD) (adjusted odds ratio [OR] 5.125, 95% CI 1.425–25.330), LGS (OR 4.805, 95% CI 1.624–10.776), SaO2 (OR − 3.501, 95% CI 2.452–1.268), C-reactive protein (CRP) level (OR 2.625, 95% CI 1.256–7.356), and age (OR 1.118, 95% CI 1.045–1.092) were found to be independent predictors for mortality of patients with Alpha (B.1.1.7) variant (all p < 0.05). However, only four independent predictors including COPD (OR 6.728, 95% CI 1.683–28.635), LGS (OR 5.405, 95% CI 1.461–11.768), SaO2 (OR − 4.120, 95% CI 2.924–1.428), and CRP level (OR 1.893, 95% CI 1.127–8.692) can be predicted the mortality of patients with Delta (B.1.617.2) variant (p < 0.05). Along with the well-known and common risk factors (i.e. COPD, CRP, and SaO2), handgrip strength can be a quick and low-cost prognostic tool in predicting chances of mortality in older adults who are afflicted with COVID-19 variants.

Prediction of Friction Coefficient Based on 3D Texture Characteristics of Road Surfaces

Accurate assessment of road pavement friction is crucial for maintaining road safety. This study explores the prediction of the friction coefficient (µ) using 3D texture parameters of pavement surfaces. Measurements were conducted on 17 different rural road sections using the Traction Watcher One (TWO) for friction coefficients and a newly developed Static Road Scanner (SRS) for surface texture. Multiple linear regression models were created, incorporating texture parameters such as the valley material portion (Smr2,MIC), arithmetic mean peak curvature (Spc,MAC), and dale void volume (Vvv,PS). The results demonstrate a strong correlation between texture characteristics and friction, with R2 values up to 0.80 and an RMSE as low as 0.076, validating the model’s accuracy. This approach highlights the potential of using non-contact texture measurements for reliable prediction of friction, offering a significant advancement in pavement management and safety.

The Impact of Exercise Order on Velocity Performance in the Bench Press and the Squat: A Comparative Study

We analyzed the influence of exercise order using the bench press and squat as the first or second exercise of the session on velocity performance. Ten male trained individuals (20.9 ± 0.7 years) randomly performed two protocols of three sets of six repetitions at 80% of their one-repetition maximum with different exercise sequences: the bench press followed by the squat (BP + S) and the squat followed by the bench press (S + BP). A linear velocity transducer attached to the Smith machine barbell measured the mean propulsive velocity (MPV), peak velocity (PV), and time to peak velocity. Additionally, blood lactate and heart rate were measured. Regarding the bench press, differences were found in the MPV in the first (BP + S: 0.50 ± 0.07 m·s−1 vs. S + BP: 0.42 ± 0.08 m·s−1; p = 0.03, g = 0.72) and second sets (0.50 ± 0.06 m·s−1 vs. 0.42 ± 0.07 m·s−1; p = 0.03, g = 0.73), and in the PV in the second set (0.74 ± 0.09 m·s−1 vs. 0.63 ± 0.09 m·s−1; p = 0.02, g = 0.86). Regarding the squat, although the S + BP sequence tended to show higher velocities, no significant differences were found between protocols. These results showed that squatting first decreased subsequent bench press velocity performance. On the other hand, squat velocity performance was not impaired when preceded by the bench press.

Comparing visualization performance of liquid embolic agents using a novel injectable phantom.

Radiographic visualization of liquid embolic agents (LEAs) during embolization procedures in neurovascular territory represents a crucial feature to ensure efficacy and safety for the patients during endovascular treatment of arteriovenous shunting lesions. Radiopacity of available LEAs varies significantly and limited methods are currently available for comparison. The purpose of this study was to compare the contrast resolution (CR) during injection under blank roadmap of various LEAs, as well as standard contrast material. An injectable angiographic phantom was designed consisting of parallel tubings between 313 and 1000 micron. Under roadmap, eight radiopaque liquid agents were injected and analyzed: Onyx18®, 34® Squid®12, 18, PHIL®25% (PHIL®25), PHIL®30% (PHIL®30).TrufillTM (NBCA), 30% dilution and Omnipaque®300. CR was evaluated as a contrast to noise ratio (CNR) and calculated as mean peak signal (Sa) minus mean background signal (Sb) divided by the standard deviation of the background signal (Std) . Omnipaque 300 and NBCA were found to have the highest CR. PHIL®25 demonstrated the lowest CNR (45% of Omnipaque CNR). Onyx 18 and 34 (Both around 82% of Omnipaque CNR) demonstrated higher CNR compared to Squid®12 and 18 (52-55% of Omnipaque CNR). On average, at 500 micron there is a >70% reduction in CNR, and at 313 micron there is a 90% reduction in CNR compared to 1000 micron. Significantly different CNR between most LEAs and iodinated contrast media was evident under roadmap conditions and should be considered prior to injection.

Assessment the Impact of IDH Mutation Status on MRI Assessments of White Matter Integrity in Glioma Patients: Insights From Peak Width of Skeletonized Mean Diffusivity and Free Water Metrics.

Gliomas are highly invasive brain tumors that evade accurate geographic assessment by conventional MRI due to microscopic invasion along white matter (WM) tracts. Advanced diffusion MRI techniques are needed to assess occult WM involvement. To evaluate peak width of skeletonized mean diffusivity (PSMD) and peak width of skeletonized free water (PSFW), and axonal water fraction (AWF) for assessing glioma-induced alterations in normal-appearing WM and their relationship with isocitrate dehydrogenase 1 (IDH1) mutation. Retrospective. One hundred five glioma patients (46 ± 13 years), 53 healthy controls (HCs) (46 ± 9 years). 3.0 T, T1WI, T1-CE, T2WI, T2FLAIR, and DKI. PSMD and PSFW were compared between lesion and contralateral sides in glioma patients and between patients and HCs. The associations between these metrics and clinical variables, including IDH1 mutation, was assessed. Corpus callosum (CC) injury, quantified by the AWF, was evaluated for its mediated effect of IDH1 mutation on contralesional PSMD and PSFW. Paired-t tests, ANCOVA, univariate and multivariate linear regression, and mediation analysis with significance set at P < 0.05. Contralateral PSMD and PSFW were significantly higher in left-sided gliomas (PSMD: 0.206 ± 0.027 vs. 0.193 ± 0.023; PSFW: 0.119 ± 0.019 vs. 0.106 ± 0.020) than in HCs, with similar increases in right-sided gliomas (PSMD: 0.219 ± 0.036 vs. 0.195 ± 0.023; PSFW: 0.129 ± 0.031 vs. 0.109 ± 0.020). IDH1 wild-type gliomas were associated with higher contralateral PSMD and PSFW (β = -0.302 and -0.412). AWF of CC mediated the impact of IDH1 mutations on contralesional PSMD and PSFW (mediated proportion: 42.7% and 53.7%). PSMD and PSFW are effective biomarkers for assessing WM integrity in gliomas, significantly associated with IDH1 mutation status. AWF of CC mediates the relationship between IDH1 mutation and contralesional PSMD and PSFW. 4 TECHNICAL EFFICACY: Stage 2.