Physiological Assessment Research Articles

The gut metabolome in a cohort of pregnant and lactating women from Antioquia-Colombia

Nutrition during the perinatal period is an essential component of health and one that can severely impact the correct development of a human being and its overall condition, in all the subsequent stages of life. The availability of several compounds, mainly macronutrients and micronutrients, plays a key role in the balanced nutrition of both mother and baby and is a process with direct relation to the gut microbiome. Thus, we hereby refer to the set of small molecules derived from gut microbiome metabolism as the gut metabolome. These continuous processes occurring in the gut of a gestating or lactating mother related to microbial communities and nutrients, can be revealed by metabolomics. In this study, we explore for the first time the gut metabolome of pregnant and lactating women, from our region of Antioquia-Colombia, applying untargeted metabolomics by LC-QTOF-MS, and molecular networking. Regarding the gut metabolome composition of the cohort, we found, key metabolites that can be used as biomarkers of microbiome function, overall metabolic health, dietary intake, pharmacology, and lifestyle. In our cohort, pregnant women evidenced a significantly higher abundance of prostaglandins, alkaloids, corticosteroids, organosilicons, and natural toxins, while in lactating women, lipids stand out. Our results suggest that unveiling the metabolic phenotype of the gut microbiome of an individual, by untargeted metabolomics, allows a broad visualization of the chemical space present in this important niche and enables the recognition of influential indicators of the host’s health status and habits, especially of women during this significant perinatal period. This study constitutes the first evidence of the use of untargeted LC-QTOF-MS coupled with molecular networking analysis, of the gut microbiome in a Colombian cohort and establishes a methodology for finding relative abundances of key metabolites, with potential use in nutritional and physiological state assessments, for future personalized health and nutrition practices.

Collaborative Online International Learning in Physiology: A Case Study.

Internationalisation in higher education is essential, and although active learning methodologies are increasing and allow students to develop transversal skills, most still have a very local scope. In this context, the Collaborative Online International Learning (COIL) methodology is an interesting approach to benefit the students' development. It consists of an online program that involves creating multicultural teams to develop a specific learning project. Although this methodology is expanding, its use in physiology is still scarce. This paper aims to show an example of applying COIL methodology in physiology topics to enhance higher-education students' innovation and business skills. Our example project developed a sports-assessment service concept focused on physiology and biomechanics assessments. The program involved teams from Brazil, Germany, and Spain, comprising undergraduate and master students. Over seven weeks, these teams, mentored by professors and researchers, engaged in workshops covering COIL methodology, business model design, executive summary planning, economic analyses, and communication techniques. Key outcomes included learning new concepts, developing soft skills, building confidence in innovative solution proposals, and experiencing diverse cultures. Challenges faced were language barriers, scheduling, task complexity, and logistical issues. This experience confirms the effectiveness of incorporating programs using COIL methodology into educational curriculums. Doing so exposes physiology students to innovation, entrepreneurship, and business creation while strengthening their professional connections and opening up post-graduation opportunities.

Illusion of revascularization: does anyone achieve optimal revascularization during percutaneous coronary intervention?

This Perspective article is a form of 'pastiche', inspired by the 1993 review by Lincoff and Topol entitled 'Illusion of reperfusion', and explores how their concept continues to apply to percutaneous revascularization in patients with coronary artery disease and ischaemia. Just as Lincoff and Topol argued that reperfusion of acute myocardial infarction was facing unresolved obstacles that hampered clinical success in 1993, we propose that challenging issues are similarly jeopardizing the potential benefits of stent-based angioplasty today. By analysing the appropriateness and efficacy of percutaneous coronary intervention (PCI), we emphasize the limitations of relying solely on visual angiographic guidance, which frequently leads to inappropriate stenting and overtreatment in up to one-third of patients and the associated increased risk of periprocedural myocardial infarction. The lack of optimal revascularization observed in half of patients undergoing PCI confers risks such as suboptimal physiology after PCI, residual angina and long-term stent-related events, leaving an estimated 76% of patients with an 'illusion of revascularization'. These outcomes highlight the need to refine our diagnostic tools by integrating physiological assessments with targeted intracoronary imaging and emerging strategies, such as co-registration systems and angiography-based computational methods enhanced by artificial intelligence, to achieve optimal revascularization outcomes.

Eleven Years After Scimitar Syndrome Repair With the Lugones Technique: Usefulness of Four-Dimensional Flow Magnetic Resonance Imaging.

Anatomic and physiologic assessment of surgical repair of scimitar syndrome can be challenging. We evaluated the first patient who underwent the Lugones procedure in 2012 using 4D flow magnetic resonance imaging. With this technology, we demonstrate that the reconstructed right pulmonary venous return drains into the left atrium with laminar flow, just as normal pulmonary veins do.

Spatial profiling of in vivo diffusion-weighted MRI parameters in the healthy human kidney.

Diffusion-weighted MRI is a technique that can infer microstructural and microcirculatory features from biological tissue, with particular application to renal tissue. There is extensive literature on diffusion tensor imaging (DTI) of anisotropy in the renal medulla, intravoxel incoherent motion (IVIM) measurements separating microstructural from microcirculation effects, and combinations of the two. However, interpretation of these features and adaptation of more specific models remains an ongoing challenge. One input to this process is a whole organ distillation of corticomedullary contrast of diffusion metrics, as has been explored for other renal biomarkers. In this work, we probe the spatial dependence of diffusion MRI metrics with concentrically layered segmentation in 11 healthy kidneys at 3 T. The metrics include those from DTI, IVIM, a combined approach titled "REnal Flow and Microstructure AnisotroPy (REFMAP)", and a multiply encoded model titled "FC-IVIM" providing estimates of fluid velocity and branching length. Fractional anisotropy decreased from the inner kidney to the outer kidney with the strongest layer correlation in both parenchyma (including cortex and medulla) and medulla with Spearman correlation coefficients and p-values (r, p) of (0.42, <0.001) and (0.37, <0.001), respectively. Also, dynamic parameters derived from the three models significantly decreased with a high correlation from the inner to the outer parenchyma or medulla with (r, p) ranges of (0.46-0.55, <0.001). These spatial trends might find implications for indirect assessments of kidney physiology and microstructure using diffusion MRI.

Pre-Coronary Artery Bypass Grafting Computed Tomography-Based Fractional Flow Reserve Predicts Graft Failure: Implications for Planning Invasive Treatment of Coronary Artery Disease.

The aim of the study is to evaluate whether a pre-coronary artery bypass grafting (CABG) coronary computed tomography-based fractional flow reserve (FFR-CT) result at the site of a future anastomosis would predict the graft failure in patients undergoing CABG. In 43 patients who had coronary computed tomography angiography (CCTA) prior to the CABG, follow-up CCTA were acquired >12 months post-CABG procedure. The FFR-CT values were simulated on the basis of the pre-CABG CCTA. Based on follow-up CCTA, the anastomosis sites and the graft patency were determined. The graft failure was defined as either its stenosis >50% or occlusion. Ninety eight (44 saphenous, 54 left or right internal mammary artery) grafts were assessed. Eighteen grafts from 16 patients were dysfunctional on follow-up CCTA. The FFR-CT values at the location of future anastomosis were higher in dysfunctional than in normal grafts (0.77 [0.71-0.81] vs 0.60 [0.56-0.66], respectively, P = 0.0007). Pre-CABG FFR-CT (hazard ratio = 1.1; 95% CI: 1.012-1.1, P = 0.0230), and bypass graft to right coronary artery (hazard ratio = 3.7; 95% CI: 1.4-9.3 vs left anterior descending artery) were independent predictors of graft dysfunction during follow-up. The optimal threshold of FFR-CT to predict graft failure was >0.68 (sensitivity 88.9% (95% CI: 65.3-98.6), specificity 63.7% (95% CI: 52.2-74.2), positive predictive value 35.6% (95% CI: 28.3%-43.5%), negative predictive value 96.2% (95% CI: 87.2%-99.0%)). Pre-CABG functional FFR-CT predicts future coronary bypass graft failure. This shows utility of FFR-CT for guiding coronary revascularization and also suggests significance of physiological assessment prior to CABG.

DOES EXERCISE INFLUENCE CHRONIC INFLAMMATION IN BURNS &amp;gt;1 YEAR AFTER INJURY?

A burn is one of the most traumatic injuries a person can sustain, and along with mental and physical scars, trigger a greater and more persistent inflammatory and metabolic response than other trauma cases, with hypermetabolic and hyperinflammation being reported &amp;gt;3 years post-burn. Exercise has been shown to positively influence inflammatory and metabolic function in both healthy and diseased cohorts, however little is known about the influence of exercise on chronic inflammation and metabolism in burn survivors. The aim of this study was to determine the effects of an exercise intervention on inflammatory and metabolic markers in patients who had sustained a burn injury &amp;gt;1 year ago. In this study 15 participants were randomised in a cross over design into one of two conditions, either exercise-control, or control-exercise. The exercise condition comprised of six weeks of resistance and aerobic exercise, completed remotely or supervised in a hospital gym. A comprehensive battery of clinical and physiological assessments was completed at 0, 3 and 6 weeks of each exercise and control condition. The primary outcome measure for this study was TNF-alpha and how this changed in response to the exercise condition. Secondary measures included indirect calorimetry, metabolomic and lipidomic analysis, strength and aerobic fitness testing, body composition and questionnaires related to functional status and physical activity history. It is hoped that the results from this study will contribute to the future of post-burn rehabilitation and continue to develop the understanding surrounding the chronic post-response physiological response.

Coronary microvascular dysfunction and inflammation: Insights from the Coronary Microvascular Disease Registry

BackgroundCoronary microvascular dysfunction (CMD) is associated with various inflammatory conditions that worsen endothelial dysfunction. This study aimed to investigate the relationship between CMD and inflammation using common inflammatory markers derived from complete blood count (CBC) analysis. MethodsInformation was gathered from the Coronary Microvascular Disease Registry to examine the neutrophil-to-lymphocyte ratio (NLR), eosinophil-to-monocyte ratio (EMR), and monocyte-to-high-density lipoprotein ratio (MHR) in a cohort of patients with angina who showed non-obstructive coronary arteries and underwent invasive physiological assessments for CMD. ResultsOf the 171 patients studied, 126 were CMD-negative and 45 were CMD-positive, constituting two groups of interest. The average age of all patients was 61.7 ± 11.1 years, and 63.7 % were female. No significant differences were observed between the two groups in terms of baseline characteristics, cardiovascular risk factors, or potential anti-inflammatory medications. Furthermore, there were no statistically significant differences in NLR (2.54 ± 3.71 vs. 2.52 ± 2.28, p = 0.97), EMR (0.3 ± 0.21 vs. 0.34 ± 0.29, p = 0.31), or MHR (0.02 ± 0.01 vs. 0.01 ± 0.01, p = 0.54) between CMD-positive and CMD-negative patients. ConclusionOur findings did not show a noteworthy connection between CMD and inflammation, as suggested by various simple CBC-based biomarkers.

The prognostic value of platelet aggregation in patients with sepsis.

This study aims to investigate the relevance of platelet aggregation markers, specifically arachidonic acid (AA) and adenosine diphosphate (ADP), in relation to the prognosis of sepsis patients. A cohort of 40 sepsis patients was included and stratified, based on their 28-day post-treatment prognosis, into two groups: a survival group (n = 31) and a severe sepsis group (n = 9. Then, their various clinical parameters, including patient demographics, platelet counts (PLT), inflammatory markers, and platelet aggregation rates (PAR) induced by AA and ADP between the two groups, were compared. Long-term health implications of sepsis were assessed using the Acute Physiologic Assessment and Chronic Health Evaluation II (APACHE II) score, and logistic regression analysis was conducted to evaluate the prognostic significance of PAR in sepsis patients. Patients with severe sepsis exhibited significantly elevated levels of procalcitonin (PCT), platelet adhesion rates, and PAR induced by ADP (P < 0.05), but having lower PLT (P < 0.05), compared to those in the survival group. Logistic regression analysis demonstrated that PAR induced by ADP was a protective factor in predicting prognosis in sepsis patients (P < 0.01). Activation of platelets in sepsis intensifies inflammatory response. Patients with sepsis whose ADP-induced PAR was < 60% displayed significant impairment in platelet aggregation function, and had higher mortality rate. Monitoring ADP-induced PAR is crucial for management of sepsis.

Integrating sports education with data analysis and computer technology: A new paradigm for enhanced athletic performance

This comprehensive study delves into the transformative integration of sports science, data analytics, and computer technology in athletic training and education. It highlights the multidisciplinary approach to enhancing athletic performance through evidence-based methodologies, including biomechanical analysis, physiological assessment, and psychological strategies. With a focus on data-driven training methodologies, real-time performance monitoring, educational implications, and the incorporation of ethical considerations, the article showcases how modern technology and data analysis can personalize training programs, optimize performance, and minimize injury risks. Through quantitative analysis and case studies, it demonstrates the significant impact of these integrations on athletic performance metrics, while also addressing the challenges and limitations faced in adopting these approaches. The findings suggest a promising future for sports education and training, advocating for interdisciplinary collaboration and the adoption of data analytics in sports.

Chitosan Oligosaccharides Mitigate Flooding Stress Damage in Rice by Affecting Antioxidants, Osmoregulation, and Hormones

Rice (Oryza sativa L.) is one of the most important food crops worldwide. However, during direct seeding, rice is extremely vulnerable to flooding stress, which impairs rice’s emergence and seedling growth and results in a significant yield loss. According to our research, chitosan oligosaccharides have the potential to be a chemical seed-soaking agent that greatly increases rice’s resistance to flooding. Chitosan oligosaccharides were able to enhance seed energy supply, osmoregulation, and antioxidant capacity, according to physiological index assessments. Using transcriptome and metabolomic analysis, we discovered that important differential metabolites and genes were involved in the signaling pathway for hormone synthesis and antioxidant capacity. Exogenous chitosan oligosaccharides specifically and significantly inhibit genes linked to auxin, jasmonic acid, and abscisic acid. This suggested that applying chitosan oligosaccharides could stabilize seedling growth and development by controlling associated hormones and reducing flooding stress by enhancing membrane stability and antioxidant capacity. Finally, we verified the effectiveness of exogenous chitosan oligosaccharides imbibed in seeds by field validation, demonstrating that they can enhance rice seedling emergence and growth under flooding stress.

Endocrine data provide further evidence of physiologic derangement in sea turtles affected by the Deepwater Horizon oil spill

This study was conducted to characterize the adrenocortical and thyroid status of Kemp’s ridley sea turtles Lepidochelys kempii that were affected by the Deepwater Horizon oil spill. A plasma aldosterone assay was validated for L. kempii, and it was used along with previously validated assays for corticosterone and free thyroxine to assess hormone concentrations of 30 L. kempii that were hospitalized due to oil exposure, representing 2 severities of oiling (lightly or heavily oiled). Hormone concentrations were also assessed in relation to 8 clinical biochemical analytes. Analysis of paired samples indicated that oiled turtles had significantly higher initial aldosterone and corticosterone concentrations, which declined during convalescence (average 96 and 90% decrease, respectively). Thyroxine concentrations significantly increased between admission and convalescence (average 65% increase). Initial biochemical data indicated significantly higher plasma potassium, ionized magnesium, and lactate concentrations compared to convalescent values. Aldosterone concentrations were positively correlated with corticosterone, negatively correlated with free thyroxine, and variably correlated with several clinical biochemical analytes. Results of this study indicate that L. kempii had robust adrenocortical activity after oiling, capture, and transport to the hospital, regardless of the degree of oiling, resulting in very high plasma concentrations of aldosterone and corticosterone. This study also confirms that aldosterone can be reliably measured in sea turtle plasma samples, providing another diagnostic tool for the physiologic assessment of this Critically Endangered species.

The impact of varied correlated color temperatures on visual comfort in museum exhibitions: integrating physiological and subjective assessments

ABSTRACT Correlated Color Temperature (CCT) significantly influences mood, comfort, and potentially overall health. However, its impact on visitors’ visual experience in museum design remains insufficiently explored. This study aims to investigate the effects of different CCT settings (3000 K, 4500 K, 6000 K) on visual comfort within a simulated museum space. Using 3D modeling and physiological recordings, 200 participants assessed visual comfort. Consistent findings support that a CCT of 4500 K provides the highest comfort level, aligning with the observed trend in eye gaze duration. Pupil diameter variability indicates that greater comfort is associated with higher CCT values. While differences in heart rate variability (HRV) were not statistically significant, there is a tendency for HRV to increase with longer fixation durations. These findings challenge literature advocating for lower CCT values in museum lighting, emphasizing the need to balance conservation and visitor experience. This study provides empirical evidence supporting the optimization of visual comfort in museum lighting design through a CCT value of 4500 K, offering valuable insights for practitioners. However, limitations include potential scene disturbance and the simulated environment. Future studies should diversify samples and explore a broader range of CCT values.

Machiavellian behavior and social-emotional functioning in middle childhood and early adolescence.

Machiavellianism is an antisocial interpersonal style involving the use of manipulative, deceptive, and coercive behaviors in the pursuit of self-interest. Although widely studied as a "dark" personality trait in adults, relatively little is known about the developmental correlates of Machiavellian tendencies earlier in life. The present study addressed this knowledge gap by examining associations between Machiavellian behavior and three theoretically relevant social-emotional domains-prosocial emotions, emotion recognition skills, and self-control-in a community sample of 7- and 11-year-old Canadian children (N = 300, 50% female). Of particular interest was the extent to which individual differences in social-emotional capacities were uniquely associated with Machiavellian behavior after controlling for aggression, a relatively well-studied antisocial behavior in childhood. Parents reported on children's Machiavellian behavior and aggression. Social-emotional correlates were assessed via parent and child reports, behavioral tasks, and physiological assessments. Machiavellian behavior and aggression were similarly associated with lower parent-reported prosocial emotions and self-control. Machiavellian (but not aggressive) behavior was associated with lower child-reported guilt (a prosocial emotion), higher resting skin conductance levels (reflecting a general tendency for higher arousal), and better anger recognition. Semipartial correlational analyses indicated that these patterns of association with Machiavellian behaviors held independent of aggression. These findings indicate that, by middle childhood, Machiavellian behavior constitutes a distinct form of antisocial conduct that is associated with a unique social-emotional risk profile. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Lipidomic and transcriptomic analysis of triacylglycerol accumulation mechanism of pecan (Carya illinoinensis) nut

Pecan (Carya illinoinensis) holds significant prominence as an oil-seed nut, characterized by its high content of fatty acids and triacylglycerol (TG). The inclusion of TG in the C. illinoinensis nut is of paramount importance, not only contributing significantly to the nutritional value for human consumption but also serving as a reliable and eco-friendly resource for various industrial uses. The present study conducted a comprehensive analysis involving transcriptomics, lipidomics, and physiological assessments to explore the dynamic patterns and components of triacylglycerols (TG) in C. illinoinensis nuts throughout the ripening phase. Additionally, the investigation aimed to elucidate the molecular mechanisms governing TG metabolism. The physiological investigation conducted on the maturation progression of three cultivars of C. illinoinensis unveiled distinctive traits within each variety. Notably, ‘Mahan’ displayed elevated concentrations of oil and crude fat, in contrast to the contrasting trend observed in ‘Y-01’. Further lipidomic scrutiny exposed that ‘Mahan’ exhibited augmented levels of glycerides, specifically triglycerides (TG), monoacylglycerol (MG), and diacylglycerol (DG), compared to its counterparts during the ripening phase. The comparative analysis of RNA-Seq libraries uncovered a notable increase in unigenes associated with the ‘glycerolipid metabolism’ pathway. Moreover, the amalgamation of transcriptomic and lipidomic information indicated a heightened expression of genes implicated in TG metabolism in ‘Mahan’. Moreover, there was a strong association between CiGPAT3, CiDGAT1, CiTAGL2, and CiMAGL1 genes and TG metabolism during the ripening process of C. illinoinensis nuts. Utilizing weighted gene co-expression network analysis (WGCNA) identified six distinct modules linked to various ripening stages, alongside the discovery of ten transcription factor families implicated in regulating TG metabolism. In summary, our research provides significant insights into the molecular framework that governs the accumulation mechanism of triglycerides (TG) in C. illinoinensis nuts throughout the ripening phase, which plays a pivotal role in optimizing the yield of C. illinoinensis oil and fostering progress in the molecular breeding.

Physiological Assessment with iFR prior to FFR Measurement in Left Main Disease.

Despite guideline-based recommendation of the interchangeable use of instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR) to guide revascularization decision-making, iFR/FFR could demonstrate different physiological or clinical outcomes in some specific patient or lesion subsets. Therefore, we sought to investigate the impact of difference between iFR and FFR-guided revascularization decision-making on clinical outcomes in patients with left main disease (LMD). In this international multicenter registry of LMD with physiological interrogation, we identified 275 patients in whom physiological assessment was performed with both iFR/FFR. Major adverse cardiovascular event (MACE) was defined as a composite of death, non-fatal myocardial infarction, and ischemia-driven target lesion revascularization. The receiver-operating characteristic analysis was performed for both iFR/FFR to predict MACE in respective patients in whom revascularization was deferred and performed. In 153 patients of revascularization deferral, MACE occurred in 17.0% patients. The optimal cut-off values of iFR and FFR to predict MACE were 0.88 (specificity:0.74; sensitivity:0.65) and 0.76 (specificity:0.81; sensitivity:0.46), respectively. The area under the curve (AUC) was significantly higher for iFR than FFR (0.74; 95%CI 0.62-0.85 vs. 0.62; 95%CI 0.48-0.75; p = 0.012). In 122 patients of coronary revascularization, MACE occurred in 13.1% patients. The optimal cut-off values of iFR and FFR were 0.92 (specificity:0.93; sensitivity:0.25) and 0.81 (specificity:0.047; sensitivity:1.00), respectively. The AUCs were not significantly different between iFR and FFR (0.57; 95%CI 0.40-0.73 vs. 0.46; 95%CI 0.31-0.61; p = 0.43). While neither baseline iFR nor FFR was predictive of MACE in patients in whom revascularization was performed, iFR-guided deferral seemed to be safer than FFR-guided deferral.

Measuring soundscape quality of urban environments using physiological indicators: Construction of physiological assessment dimensions and comparison with subjective dimensions

Residents and designers typically pursue healthy urban acoustic environments. The soundscape community has established internationally recommended standards for subjective questionnaires to evaluate soundscape quality; however, much work is still needed to standardise physiological assessments. This study measures the physiological responses and subjective evaluations of participants in 20 common sound sources (scenarios) in urban public open spaces, and discusses the potential dimensions when assessing the quality of urban soundscapes through physiological indicators. Categorical principal components analysis are employed to reduce the dimensionality of the physiological data. The results indicate that physiological Dimension 1 represents the Natural–Artificial dimension, and physiological Dimension 2 potentially represents the Regular–Irregular dimension, providing a rough estimate of regularity or predictability in soundscapes. Subjective data are used as a control for physiological data, subjective Dimension 1 can be summarised as the Calm (Pleasant)–Chaotic (Annoying) dimension, whereas subjective Dimension 2 can be summarised as Familiar (Congruent)–Unfamiliar (Incongruent). Through comparing and discussing the distributions in physiological and subjective models under different sound sources, it is found that both physiologically and subjectively, the foremost dimension (Dimension 1) represents comfort and pleasure, and natural sounds can be distinctly differentiated from noise through this dimension. Although its physiological significance is not clear, the two-dimensional physiological indicator model reveals distinctions between sound sources of various categories. These findings have implications for the planning and design of liveable and comfortable urban environments from the perspective of physiological indicators.

The Effect of Watching Video Method on Pain Level and Physiological Parameters during Vaccine Injection in Children: A Randomized Controlled Study

Objective: The aim of the study was to determine the effect of the watching video method applied to children during vaccine injection on pain level and physiologic parameters. Materials and Methods: The study was conducted as a randomized controlled experimental study. The sample of the study consisted of a total of 60 children who agreed to participate in the study as a result of the power analysis and met the inclusion criteria. Personal Information Form, FLACC Pain Scale and Physiological Parameter Assessment Form were used to collect the data. Results: When the pain level of the children was evaluated, it was determined that the FLACC Pain Scale scores of the children in the watching video group during and after the procedure were significantly lower than the children in the control group (p

Optimization system for training efficiency and load balance based on the fusion of heart rate and inertial sensors

ObjectivesTo enhance the daily training quality of athletes without inducing significant physiological fatigue, aiming to achieve a balance between training efficiency and load. Design methodsFirstly, we developed an activity classification training model using the random forest algorithm and introduced the “effective training rate” (the ratio of effective activity time to total time) as a metric for assessing athlete training efficiency. Secondly, a method for rating athlete training load was established, involving qualitative and quantitative analyses of physiological fatigue through subjective fatigue scores and heart rate data. Lastly, an optimization system for training efficiency and load balance, utilizing multiple inertial sensors, was created. Athlete states were categorized into nine types based on the training load and efficiency ratings, with corresponding management recommendations provided. ResultsOverall, this study, combining a sports activity recognition model with a physiological fatigue assessment model, has developed a training efficiency and load balance optimization system with excellent performance. The results indicate that the prediction accuracy of the sports activity recognition model is as high as 94.70%. Additionally, the physiological fatigue assessment model, utilizing average relative heart rate and average RPE score as evaluation metrics, demonstrates a good overall fit, validating the feasibility of this model. ConclusionsThis study, based on relative heart rate and wearable devices to monitor athlete physiological fatigue, has developed a balanced optimization system for training efficiency and load. It provides a reference for athletes’ physical health and fatigue levels, offering corresponding management recommendations for coaches and relevant professionals.

Optical Coherence Tomography-Based Functional Stenosis Assessment: FUSION-A Prospective Multicenter Trial.

Intravascular imaging and intracoronary physiology may both be used to guide and optimize percutaneous coronary intervention; however, they are rarely used together. The virtual flow reserve (VFR) is an optical coherence tomography (OCT)-based model of fractional flow reserve (FFR) facilitating the assessment of the physiological significance of coronary lesions. We aimed to validate the VFR assessment of intermediate coronary artery stenoses. FUSION (Validation of OCT-Based Functional Diagnosis of Coronary Stenosis) was a multicenter, prospective, observational study comparing OCT-derived VFR to invasive FFR. VFR was mathematically derived from a lumped parameter flow model based on 3-dimensional lumen morphology. Patients undergoing coronary angiography with intermediate angiographic stenosis (40%-90%) requiring physiological assessment were enrolled. Investigational sites were blinded to the VFR analysis, and all OCT and FFR data were reviewed by an independent core laboratory. The coprimary end points were the sensitivity and specificity of VFR against FFR as the reference standard, each of which was tested against prespecified performance goals. After core laboratory review, 266 vessels in 224 patients from 25 US centers were included in the analysis. The mean angiographic diameter stenosis was 65.5%±14.9%, and the mean FFR was 0.83±0.11. Overall accuracy, sensitivity, and specificity of VFR versus FFR using a binary cutoff point of 0.80 were 82.0%, 80.4%, and 82.9%, respectively. The 97.5% lower confidence bound met the prespecified performance goal for sensitivity (71.6% versus 70%; P=0.01) and specificity (76.6% versus 75%; P=0.01). The area under the curve was 0.88 (95% CI, 0.84-0.92; P<0.0001). OCT-derived VFR demonstrates high sensitivity and specificity for predicting invasive FFR. Integrating high-resolution intravascular imaging with imaging-derived physiology may provide synergistic benefits as an adjunct to percutaneous coronary intervention. URL: https://clinicaltrials.gov; Unique identifier: NCT04356027.