Standard Count Research Articles

First report of anthelmintic resistance among sheep in six farms from three governorates in Jordan

This study aimed to identify the presence of gastrointestinal nematode populations resistant to albendazole, levamisole, and ivermectin in six farms located in three regions of Jordan (Irbid, Mafraq, and Ma'an). Infected sheep (40 per farm) with at least 100 eggs per gram were randomly divided into four groups (10 animals per group). Three groups were treated with ivermectin, albendazole, or levamisole while the fourth group was used as a negative control group. The standard faecal egg count reduction test (FECRT) was used to assess the drugs' efficacy. Resistance to ivermectin and albendazole was detected in all studied farms while resistance to levamisole was detected in four of the sampled farms. FECRT ranged from 55.6 % (90 % Confidence Intervals (CI): 29.6 % - 79.6 %) to 80.3 % (CI: 48.3 % - 92.1 %) for ivermectin, 77.4 % (CI: 53.2–86.7 %) to 95 % (CI: 85.8–97.6 %) for albendazole, and 86 % (CI: 46.1–95.6 %) to 99.4 % (CI: 97.6–99.7 %) for levamisole. Post-treatment copro-cultures, faecal floatation and/or Baermann technique indicated the presence of larvae of Haemonchus spp. in all of the sampled farms, followed by Nematodirus spp. in four farms, Trichostrongylus spp. in three farms, then Marshallagia spp. in one farm. This is the first study of its kind in Jordan that shows widespread anthelmintic resistance for gastrointestinal nematodes in geographically distant sheep farms in Jordan. Such widespread resistance to anthelmintics imposes a risk of failure to the present control programs and urges for changing the methodology of selecting effective anthelmintic treatments in local farms.

Investigation of scatter energy window width and count levels for deep learning-based attenuation map estimation in cardiac SPECT/CT imaging

Objective.Deep learning (DL) is becoming increasingly important in generating attenuation maps for accurate attenuation correction (AC) in cardiac perfusion SPECT imaging. Typically, DL models take inputs from initial reconstructed SPECT images, which are performed on the photopeak window and often also on scatter windows. While prior studies have demonstrated improvements in DL performance when scatter window images are incorporated into the DL input, the comprehensive analysis of the impact of employing different scatter windows remains unassessed. Additionally, existing research mainly focuses on applying DL to SPECT scans obtained at clinical standard count levels. This study aimed to assess utilities of DL from two aspects: (1) investigating the impact when different scatter windows were used as input to DL, and (2) evaluating the performance of DL when applied on SPECT scans acquired at a reduced count level.Approach.We utilized 1517 subjects, with 386 subjects for testing and the remaining 1131 for training and validation.Main results.The results showed that as scatter window width increased from 4% to 30%, a slight improvement was observed in DL estimated attenuation maps. The application of DL models to quarter-count (¼-count) SPECT scans, compared to full-count scans, showed a slight reduction in performance. Nonetheless, discrepancies across different scatter window configurations and between count levels were minimal, with all normalized mean square error (NMSE) values remaining within 2.1% when comparing the different DL attenuation maps to the reference CT maps. For attenuation corrected SPECT slices using DL estimated maps, NMSE values were within 0.5% when compared to CT correction.Significance.This study, leveraging an extensive clinical dataset, showed that the performance of DL seemed to be consistent across the use of varied scatter window settings. Moreover, our investigation into reduced count studies indicated that DL could provide accurate AC even at a ¼-count level.

Experimental investigation on treating dredged silt ground using vibratory probe compaction combined with well-point dewatering

This study improved the vibratory probe compaction (VPC) technique by combining it with well-point dewatering to address the challenges of treating newly dredged silt ground. Specific methods were presented to determine the operating frequency based on multi-channel analysis of surface waves (MASW) results, as well as the spacing between compaction points derived from vertical vibration velocity measurements. The effects of well-point dewatering were analyzed through field monitoring of groundwater level, pore water pressure, and ground settlement. A comparative evaluation of the reinforcement of the improved and conventional VPC techniques was conducted through in-situ tests. The results indicate that continuous dewatering suppresses the excessive rise of excess pore water pressure during compaction, effectively eliminating equipment tilting and settlement due to sandblasting water, and enhancing construction efficiency by over 40%. The average standard penetration blow count (N 63.5) increases from 4.3 to 11.4, the ground bearing capacity reaches 140.8 kPa and the average ground settlement is 42.5 cm. The cone resistance and sleeve resistance also exhibit higher values, and the risk of soil liquefaction is effectively eliminated. The experiments and practices provide some successful experiences for the wider application of this technique in similar newly reclamation grounds.

Utility of Reticulocyte Hemoglobin Equivalent in Screening for Iron Deficiency in Pregnancy.

Ferritin, commonly used for diagnosing iron deficiency (ID) in pregnancy, is limited by high cost and false elevations during inflammation. Reticulocyte hemoglobin equivalent (Ret-He), an alternative marker for ID, is unaffected by inflammation and analyzed on the same collection tube as the standard complete blood count (CBC). We aimed to determine the accuracy of Ret-He in detecting ID in pregnancy compared to ferritin in a U.S. This prospective cohort study enrolled 200 pregnant participants, recruited in any trimester if a CBC was drawn as part of routine prenatal care. For those who agreed to participate, Ret-He and ferritin were collected concurrently with the CBC. ID was defined as ferritin level below 30 ng/mL. Patients were classified into three groups based on hemoglobin and ferritin results to determine the severity of ID: no ID, ID alone, and ID anemia (IDA). Four participants with anemia but normal ferritin were excluded. Receiver operating curve analysis, including the area under the curve (AUC), was performed to assess the accuracy of Ret-He in detecting ID. A one-way ANOVA (analysis of variance) with post-hoc analysis was used to compare differences in Ret-He between the three groups of ID severity. The prevalence of ID in our cohort was 82% (161/196). The AUC for Ret-He was 0.65 (95% confidence interval: 0.55-0.75), indicating suboptimal discrimination between patients with and without ID. Ret-He was significantly different among the three groups (p < 0.001). In post-hoc analysis, Ret-He was significantly lower in the IDA group compared to the ID group (p < 0.001) but there was only a trend of lower Ret-He in the ID group compared to the non-ID group (p = 0.38). Ret-He has low accuracy in diagnosing ID in pregnancy. It may be useful in detecting severe ID resulting in anemia but not a mild iron-deficient state resulting in ID only. · The prevalence of ID in our cohort was 82%.. · Ret-He has low accuracy in diagnosing ID in pregnancy.. · Ferritin is preferable when readily available..

Predictive model for shear wave velocity of gravelly soil and its application to liquefaction triggering assessment

Several studies have established empirical correlations between shear wave velocity (Vs) and standard penetration test blow count (SPT-N) for engineering use. However, these empirical correlations cannot be applied to gravel-rich soils since the measured SPT-N is often inflated in gravel. Therefore, an empirical correlation of Vs for gravel is developed in this study using the Engineering Geological Database for the Taiwan Strong Motion Instrumentation Program. The Vs predictive model considers gravel content (GC) and coefficient of uniformity (Cu) in addition to effective vertical stress, void ratio, fines content, plasticity index, and overconsolidation ratio, which have been considered previously. The proposed model indicates that Vs increases with GC and Cu. Moreover, the Vs adjusted for GC can be used with existing Vs -based liquefaction triggering relationships to rationally define the boundary between liquefaction and non-liquefaction case histories with different GCs.

Impact of Gold Nanoparticles Intraperitoneal Injection on Mice's Erythrocytes and Renal Tissue.

The purpose of this study was to investigate the effects of two different types of gold nanoparticles (AuNPs) delivered by intraperitoneal (IP) injection on blood and kidney tissue changes in a mouse model. Three groups of fifteen adult male BALB/c healthy mice, weighing approximately 25-30 g, were used for the experiment and designated G1, G2, and G3, respectively. G1 mice received vehicle, whereas G2 and G3 received an IP injection of 10 mg/kg body weight of methoxy poly ethylene glycol gold nanoparticles (PEG-AuNPs) and fluorescently dye labeled gold nanoparticles (Dye-AuNPs), respectively. Hematological parameters were measured based on the standard complete blood cell count (CBC) technique. The two nanoparticles, i.e., PEG-AuNPs and Dye-AuNPs, significantly reduced most red blood cell (RBC) parameters in the groups with the exception of a nonsignificant effect on hemoglobin (HBG) levels. Both gold nanoparticles, i.e., PEG-AuNPs and Dye-AuNPs, led to a reduced RBC count, mean corpuscular volume (MCV), and mean corpuscular hemoglobin (MCH) level when compared with the control. Notably, Dye-AuNPs and PEG-AuNPs resulted in a considerably higher RBC distribution RDW-(CV % and SD fL). Glomerular injury was suggested based on the development of hydropic degeneration and the presence of a protein-rich fluid inside the tubules. Renal tissue and blood indices changed significantly in response to the two nanoparticles, suggesting possible organ injury.

A-147 Comparative Precision of Platelet Counting by Optical, Fluorescent, and Impedance Techniques in Thrombocytopenia and Microcytosis Patients

Abstract Background In today's era of automation driven by Artificial Intelligence, even the most efficient automated hematology analyzer may struggle to accurately determine platelet count in patients with low platelet count and microcytosis. The Sysmex XN-series analyzer (Sysmex, Kobe, Japan) uses optical density, fluorescence, and electronic impedance methods for platelet counting. This study aimed to evaluate the accuracy of optical, fluorescence, and electrical impedance methods in estimating precise platelet counts in thrombocytopenic and microcytic patient samples. Methods A cross-sectional study was conducted in the Department of Laboratory Medicine at AIIMS, New Delhi, for 30 days consecutively. A total of 200 blood samples collected, of which 100 samples were of thrombocytopenia (&amp;lt;100x10^9/L) and 100 samples were of microcytosis (Mean corpuscular volume &amp;lt;76 femtoliters). MCV&amp;lt;76 fl was further categorized into 2 groups- MCV 60-70 fl and MCV 71-76 fl accordingly. Males and females were categorized and analyzed distinctly for thrombocytopenia and microcytosis. Statistical analysis was performed using SPSS 16.0 for Windows (SPSS Inc., Chicago, IL, USA) and the Bland Altman plot was analyzed. Results Of the 100 patients with thrombocytopenia (platelet&amp;lt;1 lakh/L) females were predominantly 54% while males were 46% and the median age was 29 years (0.02-70). Of the 100 patients with low MCV (&amp;lt;76 fl) females were 53%, while males were 47% and the median age was 29 years (0.3-69). The findings were compared against the standard manual platelet count method in peripheral smears verified by two expert pathologists. The Bland Altman plot for Platelet &amp;lt;1 lakh/L and MCV &amp;lt;76 fl were compared with standard manual platelet count method and the following findings were obtained i) In female with PLT- &amp;lt;1 lakh/L, PLT-O showed least bias (9.8) followed by PLT-F (10.4) and PLT-I (12.1) ii) In males with PLT-&amp;lt;1 lakh/L, PLT-O showed least bias(14.1) followed by PLT-F(16.5) and PLT-I(17.0) iii) For MCV 61-70fl, PLT-O showed the least bias (4.4) followed by PLT-F (6.7) and PLT-I (28.5) iv)For MCV 71-76fl, PLT-F showed least bias (-0.2) followed by PLT-O (1.5) and PLT-I(31.2). Conclusions Platelet count by optical method (PLT-O) detects platelet count more accurately with minimum bias when compared with PLT-F and PLT-I in patients with thrombocytopenia. In patients with microcytosis, PLT-I is less reliable in comparison to PLT-O and PLT-F. A limitation of the automated hematology analyzer is the inability to detect platelet clumps which is appreciated in peripheral smears.

Improving the Prognostic and Predictive Value of Circulating Tumor Cell Enumeration: Is Longitudinal Monitoring the Answer?

Circulating tumor cell (CTC) numbers in the blood of cancer patients can indicate the progression and invasiveness of tumors, and their prognostic and predictive value has been repeatedly demonstrated. However, the standard baseline CTC count at the beginning of treatment, while informative, is not completely reliable and may not adequately reflect the state of the disease. A growing number of studies indicate that the long-term monitoring of CTC numbers in the same patient provides more comprehensive prognostic data and should be incorporated into clinical practice, as a factor that contributes to therapeutic decisions. This review describes the current status of CTC enumeration as a prognostic and predictive factor, highlights the shortcomings of current solutions, and advocates for longitudinal CTC analysis as a more effective method of the evaluation of developing disease, treatment efficacy, and the long term-monitoring of the minimal residual disease. As evidenced by the described reports, the longitudinal monitoring of CTCs should provide a better and more sensitive prediction of the course of the disease, and its incorporation in clinical practice should be beneficial.

Enteral Nutrition in Neonates on Inotropic Support Admitted to a Tertiary Neonatal Intensive Care Unit: A Prospective Cohort Study.

Background Early initiation of enteral feeding in neonates on inotropic support may improve clinical outcomes compared to intravenous fluids, but the safety and optimal inotrope levels for enteral nutrition remain unclear. This study aims to assess the early initiation of enteral feeding versus intravenous fluids in newborns on inotrope support andto compare the clinical outcome in terms of hospital stay, morbidity, and mortalityin neonates with enteral feed versus intravenous (IV) fluid group on inotropes. It also focuses on evaluating the safety of enteral nutrition in neonates with inotropic support and determining the cutoff levels of the inotropes at which enteral feed is well tolerated. Methodology A prospective cohort study was conducted at a tertiary care center in northern Karnataka from June 2022 to December 2023. Neonates born after 28 weeks or more of gestation or weighing more than 1000 grams with fluid nonresponsive shock were enrolled for the study. Neonates with gastrointestinal comorbidities or birth weight below 1000 grams, younger than 28 weeks of gestation, and with lethal congenital malformations were excluded. Eligible neonates were enrolled by the investigator into enteral and intravenous fluid groups at the clinical discretion of the treating neonatologist. Enteral feeding commenced with expressed breast milk or milk from milk bankafter 6 hours of stable circulation while the intravenous fluid group received no feed initially. Inotropes were tapered upon stable circulation with feed volumes adjusted based on tolerance. The data obtained was entered into a Microsoft Excel sheetand statistical analyses were performed using IBM SPSS Statistics software, version 20. The results were presented as mean, standard deviation counts, percentagesand diagrams. For normally distributed continuous variables between the two groups, they were compared using an independent sample t-test. For not normally distributed variables, the Mann-Whitney U test was used. Categorical variables between the two groups were compared using the chi-square test and Fisher's exact test and p<0.05 was considered statistically significant. Results The study included 142 neonates (71 per group). The enteral nutrition grouphad a higher percentage (62; 87.32%) of improved and discharged neonates than the intravenous fluid group(56; 78.87%).The mean time to reach full feeds was significantly lower in the enteral nutrition group (6.04 days) as compared to the intravenous fluid group (9.78 days), with a p-value of < 0.0001. Similarly, the duration of neonatal intensive care unit (NICU) stay was significantly shorter for enteral nutrition group (7.38 days) compared to intravenous fluid group (11.37 days), also with a p-value of < 0.0001. Three patients (4.22%) chose to get discharged against medical advice in the enteral nutrition group while five patients (7.04%) did the same in the intravenous fluid group. The death rate was also higher among intravenous fluid group (10; 10.08%) compared to enteral nutrition group (6; 8.45%).Independent samples t-test showed significant differences in time to reach full feed and duration of NICU stay between cases and controls. Conclusion Neonates receiving enteral feeds had significantly shorter NICU stays, suggesting improved clinical management. Adrenaline (0.1 mcg/kg) with dobutamine (10 mcg/kg) emerged as the optimal inotrope combination for feed tolerance.

Coarse nodal count and topological persistence

Courant’s theorem implies that the number of nodal domains of a Laplace eigenfunction is controlled by the corresponding eigenvalue. Over the years, there have been various attempts to find an appropriate generalization of this statement in different directions. We propose a new take on this problem using ideas from topological data analysis. We show that if one counts the nodal domains in a coarse way, basically ignoring small oscillations, Courant’s theorem extends to linear combinations of eigenfunctions, to their products, to other operators, and to higher topological invariants of nodal sets. We also obtain a coarse version of the Bézout estimate for common zeros of linear combinations of eigenfunctions. We show that our results are essentially sharp and that the coarse count is necessary, since these extensions fail in general for the standard count. Our approach combines multiscale polynomial approximation in Sobolev spaces with new results in the theory of persistence modules and barcodes.

Endoscopic Resection of Stage T1 Colorectal Adenocarcinoma Followed by Surgical Intervention: a Single-center Retrospective Study

BackgroundDomestic and international guidelines recommend endoscopic resection for stage T1 colorectal adenocarcinoma with indications. However, completion surgery remains imperative for patients exhibiting high-risk factors subsequent to endoscopic procedures.ObjectiveTo investigate the evidence, pathological features, and surgical outcomes of completion surgery in patients with T1 colorectal adenocarcinoma following endoscopic resection.MethodsWe retrospectively collect data on the clinical features and treatment outcomes of patients with stage T1 colorectal adenocarcinoma who underwent endoscopic resection followed by surgical resection and those who initially completed surgical intervention at Peking University International Hospital between January 2019 and October 2022, with the aim of assessing the necessity and feasibility of surgical intervention.ResultsSeventeen patients (Group A) with high-risk factors following endoscopic procedure, especially with deep submucosal invasion and vascular or lymphatic invasion, experienced further surgical resection. The median interval between endoscopic resection and completion surgery was 23.71 days ± 15.89. Sixteen patients (Group B) underwent radical resection without any prior interventions. The surgical approach involves integration of laparoscopy and colonoscopy for precise localization and quantitative diagnosis, followed by radical surgery. The two groups demonstrated significant differences statistically with reference to tumor diameter (1.65 cm ± 0.77 vs 3.36 cm ± 1.39, P = 0.000) and the attainment of standard lymph node count (cases of detected lymph nodes larger than or equal to 12, 5 vs 12, P = 0.015). Postoperative complications and hospital stay manifested no significant disparity statistically in two groups. Patients who underwent completion surgery had no inferior outcomes compared with those who underwent direct surgery in terms of 5-year disease-free survival (Log rank test: P = 0.083, Breslow test: P = 0.089). The two groups also exhibited no significant differences statistically in the context of overall survival (Log rank test: P = 0.652, Breslow test: P = 0.758).ConclusionCompletion surgery is a safe and feasible treatment option for T1 colorectal adenocarcinoma patients with high-risk factors, particularly those with deep submucosal invasion and vascular or lymphatic invasion following endoscopic treatment. Furthermore, subsequent treatment should be chosen based on a comprehensive analysis of the patient’s history of abdominal surgery, willingness, and pathological features.

An algorithm for building contour inference fitting based on multiple contour point classification processes

Extracting buildings from True Digital Ortho Maps often encounters occlusions and misidentifications, making it challenging to obtain complete, regular, and accurate building contours. To address this issue, we developed a building recognition process based on the Segment Anything Model, and proposed a novel regularization algorithm for building contour inference and fitting, which quantifies the confidence levels of contour points to accurately fit building contours from data containing substantial noise, and reformulates the fitting problem as progressive node classification tasks consisting of contour simplification, iterative regularization, and rationality assessment. In experimental evaluations, the proposed contour fitting algorithm achieved 97.99 % Intersection over Union (IoU), 95.39 % consistency with the standard contour edge count, and 88.06 % of cases with Hausdorff distances less than or equal to 15 pixels (30 cm), significantly outperforming comparative methods. Notably, it was the only contour regularization algorithm that improved IoU (1.03 %) compared to the original contours. The experimental results demonstrate that the proposed algorithm effectively suppresses noise and infers incomplete building contours, producing accurate and regular contours comparable to manual delineation. It is particularly suitable for buildings with near-orthogonal structures, exhibiting significant practical applicability and generalization potential.

Assessment of accuracy of liver fluke diagnostic tests using the gold standard of total worm counts

In many regions of New Zealand liver fluke is endemic, infecting most grazing ruminants, including cattle, sheep, and deer. Restricting the economic losses and welfare costs associated with liver fluke relies on accurately identifying those animals with a production limiting infection. This has proven a difficult goal and although several antemortem quantitative tests are available, including faecal egg counts (FEC), serum ELISA and copro-antigen ELISA, none can be considered a gold standard test of liver fluke infection. The accepted gold standard test for fascioliasis is the total fluke count, which is both laborious and can only be completed at post-mortem. This study aimed to compare the performance of four liver fluke diagnostic tests, against the results of a gold standard total fluke count test. Two groups of cattle were selected, 29 culled mixed age beef cows (MAC) and ten 30-month-old steers. The cattle were blood sampled and faecal sampled prior to slaughter and their whole livers recovered post slaughter at the abattoir. Liveweight was also recorded at slaughter. After collection, each liver was weighed, scored for gross pathology, then serum, faeces and livers were frozen at −20 °C for later analysis. Faecal egg counts and F. hepatica copro-antigen ELISA tests were completed on the faecal samples and total fluke counts were completed on the livers. Fasciola hepatica antibody concentration in serum samples were quantified using a commercial ELISA test. Poisson regression models were built to model the association between each diagnostic test and the total fluke count, and a linear regression model was built to examine the relationship between each diagnostic test and live weight at slaughter.The median fluke count was significantly higher in MAC than steers (p = 0.01), and F. hepatica eggs were present in 100% steers and 66% MAC. There was a significant effect of copro-antigen ELISA value on total fluke count (p < 0.0001), with a coproantigen ELISA value = 20.1 predicting 10 flukes and a value = 44.8 predicting 30 flukes. There was also a significant effect of FEC on total fluke count (p = 0.002) but the R-squared value for this model was lower. There was no association between liver fibrosis score or antibody ELISA test and total fluke count (p = 0.95, p = 0.73, respectively). There was a significant effect of total fluke count (p = 0.03) on liveweight at slaughter, with liveweight falling 20.4 kg for each unit increase in loge (total fluke count). There was no effect of FEC (p = 0.11), antibody ELISA (p = 0.55) or copro-antigen ELISA value (p = 0.16) on liveweight at slaughter. Taken together, these results show that the coproantigen ELISA test is the better test for estimating the true liver fluke burden and that the number of flukes in the liver has a negative effect on cattle live weights at slaughter.

A comparative analysis of several multivariate zero-inflated and zero-modified models with applications in insurance

. Given that insurance companies often operate across multiple lines of insurance business, where claim frequencies on different lines are often correlated, it often becomes advantageous to employ multivariate count modeling where dependence between lines of business can be included in the modeling. Due to the operation of bonus-malus systems where there is a reward to the insurance policyholder for not claiming, claims data in automobile insurance often exhibits an excess of common zeros, a characteristic known as multivariate zero-inflation. In this article, we propose two approaches to address this feature. The first approach involves utilizing a multivariate zero-inflated model, where we artificially enhance the probability of common zeros based on standard multivariate count distributions. The second approach applies a multivariate zero-modified model, which separately handles the common zeros and the number of claims incurred in each line given that at least one claim occurs. We present several models under these frameworks, along with detailed inference procedures. In the applications section, we conduct a comprehensive comparative analysis of these models using data from an automobile insurance portfolio.

Occurrence of gastrointestinal nematodes in lambs in Norway, as assessed by copromicroscopy and droplet digital polymerase chain reaction

BackgroundGastrointestinal nematodes (GINs) have a major impact on sheep production, health, and welfare worldwide. Norway is no exception, but there are only a few studies on the prevalence of GINs in Norwegian sheep. The aim of this study was to investigate the current occurrence of the most important nematodes in sheep flocks in Norway.Faecal samples were collected from flocks in 2021/2022, mainly from three geographical regions in Norway, i.e., northern, eastern, and western. In each of 134 flocks included, individual samples from 10 lambs (autumn) were pooled. Third stage larvae (L3) were cultivated and harvested (Baermann method) from the pooled samples. The DNA was then extracted and further analysed using droplet digital PCR (ddPCR). This enables assessment of the proportions of the three most important nematode species/genera, i.e., H. contortus, T. circumcincta, and Trichostrongylus. The fractional abundance/relative proportion of each species/genus was assessed by performing duplex assays with universal strongyle and species/genus-specific primers and probe sets. In addition, the occurrence of Nematodirus eggs was assessed by standard faecal egg counts (i.e., McMaster method).ResultsOf the 134 flocks sampled, 24 were from the northern region, 31 from eastern, and 71 from western Norway. In addition, some flocks from central (n = 7), and southern (n = 1) Norway were included. Among the sampled flocks, T. circumcincta occurred most commonly (94%), followed by H. contortus (60%) and Trichostrongylus (55%), and Nematodirus (51%). In general, mixed infections were observed, with 38% and 18% of flocks infected with three or all four genera, respectively.ConclusionsThe results of this study indicate that GINs are widespread in Norway. Teladorsagia circumcincta seems to be present in most flocks based on this screening. Moreover, the results show that Nematodirus spp. infect lambs throughout the country, predominantly N. battus, and indicate that this nematode has become more abundant, which could lead to an increase in nematodirosis.

Conduction velocity-based functional substrate mapping during atrial fibrillation (AF) enhances identification of AF drivers compared to mapping during sinus rhythm

Abstract Background Conduction velocity (CV) heterogeneity is known to play a role in the initiation and maintenance of atrial fibrillation (AF) [1,2]. CV has been shown to decrease with cycle lengths (CLs) &amp;lt;600ms in low voltage areas (LVAs) [3,4], and with CLs &amp;lt;300ms in non-LVAs [4]. Yet, the impact of rhythm and CL on voltage-independent, CV-based atrial substrate mapping remains uncertain. Purpose This study evaluates CV differences based on mapping protocol and explores the relationship between CV and AF pathologic conduction patterns (PCPs) identified through global, non-contact, charge density mapping (CDM) [5]. Methods CDM was performed in twelve patients with persistent AF, presenting for de novo ablation. All mapping was performed prior to any ablation. Sinus rhythm (SR) CV was assessed during atrial pacing at two CLs (380ms and 800ms). To mitigate the impact of wavefront direction, pacing was performed at three sites: mid coronary sinus, left atrial appendage, and right atrial appendage. AF CV was determined from a 20-second continuous recording of global propagation. PCPs were identified as: focal firing (FF), rotational propagation (Localised Rotational Activation [LRA]), and pivoting propagation (Localised Irregular Activity [LIA]) [5]. Patients’ left atrial geometries consisted of approximately 3000 vertices, facilitating paired comparisons of spatial data. At each vertex, values for median CV dependent on mapping protocol and frequency of PCPs were utilised for analysis. Variables are presented as mean±standard deviation, median (interquartile range), and count (percentage) as appropriate. All analyses were performed using R (version 4.1.2). CV distributions were compared using the Analysis of Variance test. Results Mean age was 64±12 years, eight (67%) were male, median time since AF diagnosis was 3.1 (2-3.5) years, and median CHA2DS2-VASc score was 2 (2-4). Median CV across our cohort was significantly lower during AF than SR with either long or short CL pacing (0.37mm/ms vs 0.66mm/ms vs 0.61mm/ms, p&amp;lt;0.001). Histograms of CV vs left atrial surface area demonstrated similar distributions for both CLs. However, there was poor overlap with AF, which was prominently skewed towards slower CVs (Figure 1). Slower CVs during AF were associated with an increased frequency of PCPs (Figure 2), particularly FF with CVs &amp;lt;0.2mm/ms, and LRA and LIA with CVs &amp;lt;0.4mm/ms. This association was absent during SR. Conclusions Rhythm has a significant impact on CV-based functional substrate mapping. Slower CVs observed during AF likely result from the presence of CLs shorter than 300ms, which impact both LVA and non-LVA areas. Crucially, areas of slow CV during AF were associated with the location of PCPs. Mapping performed during AF may improve identification of areas where functional remodelling has preceded structural. Such areas, characterised by CV heterogeneity, may serve as promising targets for catheter ablation.Figure 1.Figure 2.

Workload Risk Factors for Pitching-Related Injuries in High School Baseball Pitchers

Background: Pitch counts are only one measure of the true workload of baseball pitchers. Newer research indicates that workload measurement and prevention of injury must include additional factors. Thus, current monitoring systems gauging pitcher workload may be considered inadequate. Purpose/Hypothesis: The purpose of this study was to develop a novel method to determine workload in baseball pitchers and improve processes for prevention of throwing-related injuries. It was hypothesized that our pitching workload model would better predict throwing-related injuries occurring throughout the baseball season than a standard pitch count model. Study Design: Cohort study; Level of evidence, 2. Methods: This prospective observational study was conducted at an academic medical center and community baseball fields during the 2019 to 2023 seasons. Pitchers aged 13 to 18 years were monitored for pitching-related injuries and workload (which included pitching velocity; intensity, using preseason and in-season velocity as a marker of effort; and pitch counts). Results: A total of 71 pitchers had 313 recorded pitcher outings, 11 pitching-related injuries, and 24,228 pitches thrown. Gameday pitch counts for all pitchers ranged from 19 to 219 (mean, 77.5 ± 41.0). Velocity ranged from 46.8 to 85.7 mph (mean, 71.3 ± 5.8 mph). Intensity ranged from 0.7 to 1.3 (mean, 1.0 ± 0.08). The mean workload was 74.7 ± 40.1 for all pitchers. Risk factors significant for injury included throwing at a higher velocity in game (P = .001), increased intensity (eg, an increase in mean velocity thrown from preseason to in-season; P < .001), and being an older pitcher (P = .014). No differences were found for workload between injured and noninjured pitchers because the analysis was underpowered. Conclusion: Our workload model indicated that throwing at a higher velocity, throwing at a higher intensity, and older age were risk factors for injury. Thus, this novel workload model should be considered as a means to identify pitchers who may be at greater risk for injury.

A prediction model for residual shear strength of liquefiable soil based on lateral spreading cases

The residual shear strength of liquefiable soil plays an important role in evaluating the displacement magnitude of lateral spreading when applying the Newmark sliding block method. Currently, the empirical model is a mainstream alternative method for estimating the residual shear strength. In this study, a database of well-documented lateral spreading cases is used to establish an exponential function for residual shear strength evaluation correlated with the vertical effective stress and normalized standard penetration test blow counts for liquefied soil. A comparative analysis with two other empirical models is conducted, and the lateral spreading of the Wildlife Site during the Superstition Hills earthquake in 1987 is estimated using the Newmark sliding block method. The model exhibits good performance for soil residual shear strength estimation in cases of liquefaction-induced lateral spreading. The average estimated value of the residual shear strength may be appropriate for deterministic analyses in engineering practice.

Optimization and Testing of a Commercial Viability PCR Protocol to Detect Escherichia coli in Whole Blood.

Bacteremia, specifically if progressed to sepsis, poses a time-sensitive threat to human and animal health. Escherichia coli is a main causative agent of sepsis in humans. The objective was to evaluate a propidium monoazide (PMA)-based viability PCR (vPCR) protocol to detect and quantify live E. coli from whole blood. We optimized the protocol by adding a eukaryotic-specific lysis step prior to PMA exposure, then used spiking experiments to determine the lower limit of detection (LOD) and linear range of quantification. We also compared the vPCR quantification method to standard colony count of spiked inoculum. Lastly, we calculated percent viability in spiked samples containing 50% live cells or 0% live cells. The LOD was 102 CFU/mL for samples containing live cells only and samples with mixed live and heat-killed cells. The linear range of quantification was 102 CFU/mL to 108 CFU/mL (R2 of 0.997) in samples containing only live cells and 103 CFU/mL to 108 CFU/mL (R2 of 0.998) in samples containing live plus heat-killed cells. A Bland-Altman analysis showed that vPCR quantification overestimates compared to standard plate count of the spiked inoculum, with an average bias of 1.85 Log10 CFU/mL across the linear range when only live cells were present in the sample and 1.98 Log10 CFU/mL when live plus heat-killed cells were present. Lastly, percent viability calculations showed an average 89.5% viable cells for samples containing 50% live cells and an average 19.3% for samples containing 0% live cells. In summary, this optimized protocol can detect and quantify viable E. coli in blood in the presence of heat-killed cells. Additionally, the data presented here provide the groundwork for further development of vPCR to detect and quantify live bacteria in blood in clinical settings.

A Monte Carlo simulation study for designing collimators for a CZT-based spent nuclear fuel characterization system

As an attempt to develop a spent nuclear fuel characterization system that can acquire both high-resolution gamma-ray energy spectrum and neutron flux simultaneously at multiple positions around the spent nuclear fuel assembly and provide more information compared to conventional equipment, simulation study was conducted to design a collimator around a gamma-ray detector to obtain high-resolution gamma-ray spectra in a high-flux gamma-ray environment. The ORIGEN depletion code was used to evaluate the source terms of spent nuclear fuel, and MCNP 6.2, the Monte Carlo simulation code, was used to simulate the detector response. Considering the realistic operating conditions of Korea's pressurized light water reactor, the source term for the ACE7 17×17 nuclear fuel assembly was derived under the conditions of initial enrichment ranging from 3 to 5%, burnup ranging from 30 to 60 GWd/MTU, and maximum cooling time of 30 years. MCNP 6.2, the Monte Carlo simulation code, was used to design a spent nuclear fuel characterization system using a CZT detector as a gamma-ray detector to obtain a high-resolution gamma-ray energy spectrum. In particular, the research focused on designing collimators to be used in high-flux radiation environments, such as spent nuclear fuel inspection, with CZT detectors. A simulation model of the CZT detector to be installed internally was made and the validity of the detector simulation model was confirmed by comparing simulation results with the measurement experiment results. Finally, the response of the CZT detector was calculated by changing various setting parameters of the collimator. By comparing the calculated detector response with the design standard count rate, the design of a collimator that can utilize the CZT detector in a spent nuclear fuel inspection environment was derived.