Unit Values Research Articles

Correlation between the ease of cage plates implantation and endplate Hounsfield unit value during ACDF: a retrospective study

ObjectiveTo investigate the correlation between the implantation status of the ROI-C cervical cage plates and the Hounsfield unit(HU) value of the target vertebral endplate during anterior cervical decompression and fusion (ACDF)surgery.MethodsReview of patient data undergoing ACDF from January 2018 to December 2021. Data on gender, age, body mass index, history of hypertension, diabetes, hyperlipidemia, smoking, alcohol consumption, cervical cage plates status, and HU values of the cervical vertebral endplate. Logistic regression analysis was used to evaluate the relationship between the HU values and the plates status.ResultsA total of 17 cases (12.1%) had misplaced implants during surgery. There were statistical differences in gender, long-term smoking history, drinking history, and cervical vertebral endplate HU values between the abnormal implantation group and the normal implantation group (P < 0.05). The cervical vertebral endplate HU values in the abnormal implantation group were significantly higher than those in the normal implantation group (729.3 ± 36.2 HU vs. 484.4 ± 59.2 HU, P < 0.001). In the logistic regression analysis, cervical endplate HU value (OR 1.081; 95% CI 1.016–1.375) was an independent factor influencing improper plate implantation. The area under the ROC curve (AUC) for the cervical endplate HU value in predicting implantation difficulty was 0.836 (P < 0.05), with an optimal threshold of 724 HU (sensitivity 83.2%; specificity 90.4%).ConclusionsThe cervical vertebral segment endplate HU value can independently predict whether the implantation of the plates is misplaced during ACDF surgery.

Comprehensive analysis of particulate matter, gaseous pollutants, and microbiological contamination in an international chain supermarket

Indoor environmental quality is of utmost importance since urban populations spend a large proportion of their life in confined spaces. Supermarkets offer a wide range of products and services that are prone to emitting several air pollutants. This study aimed to perform a comprehensive characterisation of the indoor and outdoor air quality in a multinational supermarket, encompassing not only criteria parameters but also unregulated pollutants of concern. Monitoring included measurements of comfort parameters, CO2, multiple gaseous pollutants, particulate matter (PM10) and bioburden. PM10, volatile organic compounds (VOCs) and carbonyls were subject to chemical speciation. Globally, the supermarket presented CO2, VOCs, and PM10 values below the limits imposed by international regulations. The PM10 concentration in the supermarket was 33.5±23.2 μg/m3, and the indoor-to-outdoor PM10 ratio was 1.76. Carbonaceous constituents represented PM10 mass fractions of 21.6% indoors and 15.3% outdoors. Due to the use of stainless-steel utensils, flour and fermentation processes, the bakery proved to be a pollution hotspot, presenting the highest concentrations of PM10 (73.1±9.16 μg/m3), PM10-bound elements (S, Cl, K, Ca, Ti, and Cr) and acetaldehyde (42.7 μg/m3). The maximum tetrachloroethylene level (130 μg/m3) was obtained in the cleaning products section. The highest values of colony-forming units of bacteria and fungi were recorded in the bakery, and fruit and vegetable section. The most prevalent fungal species was Penicillium sp., corresponding to 56.9% of the total colonies. In addition, other fungal species/sections with toxicological or pathogenic potential were detected (Aspergillus sections Aspergilli, Circumdati, Flavi, Mucor and Fusarium sp.).

Differential prognostic significance of platelet reactivity based on ischemic risk after percutaneous coronary intervention

Abstract Background High platelet reactivity (HPR) in patients underwent percutaneous coronary intervention (PCI) is a potential risk factor of adverse cardiovascular events. It is not well understood in which patients HPR is particularly clinically important. Purpose We aimed to elucidate the prognostic value of high platelet reactivity (HPR), across varying levels of ischemic risk categorized by the CHADS-P2A2RC score in a large registry. Methods We retrospectively analyzed 11,714 patients who underwent PCI in the PTRG-DES registry. Ischemic risk was stratified using the CHADS-P2A2RC score into low (score ≤ 1), moderate (score 2–3), and high (score ≥ 4) groups. HPR was defined as a P2Y12 Reaction Unit (PRU) value ≥252. The incidence of major adverse cardiac and cerebrovascular events (MACCE) during 5- year follow-up was the primary outcome. Results During the median follow-up of 37.6 months (IQR, 12.0–60.8), a total of 709 MACCEs (6.1%) (392 deaths [3.3%], 172 non-fatal MI [1.5%], 62 ST [0.5%] and 181 non-fatal stroke [1.5%]), and 324 cases of major bleeding (2.8%) occurred. The high-risk group has the highest incidence of MACCE during 5-year follow-up unadjusted HR of 4.206, 95% CI 3.204–5.521. Among the 2,577 low-risk patients, HPR did not significantly affect MACCE incidence (HR 1.366, 95% CI 0.798–2.336, p=0.253). In the moderate-risk cohort of 5,417 patients, HPR conferred a modest increase in MACCE risk (HR 1.289, 95% CI 1.008–1.649, p=0.043). Notably, the high-risk group demonstrated a significant association between HPR and MACCE (HR 1.385, 95% CI 1.135–1.692, p&amp;lt;0.001). Conclusion HPR is a potent risk factor of long-term outcomes following PCI, especially in patients with a high ischemic risk based on CHADS-P2A2RC scoring. The results highlight the varying impact of platelet reactivity depending on the level of ischemic risk, indicating the importance of tailored antiplatelet therapy in high-risk group to improve clinical outcomes.

Social Cost Benefit Analysis – a powerful tool for decision making

Abstract Health Impact Assessment provides policy makers with important information about health effects of programs, policies, plans or projects (PPPP). However, PPPP may have many more effects, both positive and negative, direct and indirect, intended and unintended, immediate and in the far future. Ex-ante insights in all these effects may help policy makers to optimize decision-making, but also to communicate realistically to all stakeholders about the PPPP. Weighing effects that may be very different in scale and reach different stakeholders in different ways is inevitable. One powerful tool to help decision makers in this task is Social Cost Benefit Analysis (SCBA). SCBA requires to specify and quantify all effects of PPPP over a specified time horizon. It is also necessary to specify a base-case scenario, i.e. how the problem under study would develop without further investments in PPPP. All effects of PPPP need to be quantified in monetary terms, these can be financial, e.g. healthcare costs or costs of productivity losses, or non-financial, for instance by placing a value of €50,000 on a QALY gained or a DALY averted or a value of €3,5 million on a lost life. PPPP with positive net monetary value are considered welfare enhancing, while PPPP with a negative monetary value do not add to welfare in society. In the Netherlands, government asks any bigger PPPP to be quantified with SCBA methodology. Guidance on unit values for non-monetary effects is given. This contribution will elaborate on results of the SCBA method for different alcohol policy measures, such as increase in excise taxes, minimum unit pricing, closure of vending spots and a total marketing ban. SCBA is a powerful tool to inform policy makers and assist in their decision making processes. It is also a labour and data intensive process that should only be used for larger PPPP investments and not for local decision making.

Risk Factors for Adjacent Vertebral Fractures Following Cement Vertebroplasty: The Clinical Significance of Multiple Preexisting Vertebral Compression Fractures.

A retrospective cohort study. The study retrospectively analyzed the factors associated with the development of adjacent vertebral fractures. Adjacent vertebral fractures (AVF) may occur following cement vertebroplasty, and several risk factors have been reported with controversies. A total of 123 patients, with a mean age of 79.2 years, who underwent single-level vertebroplasty were included in the investigation. We systematically collected data encompassing baseline demographics, osteoporosis parameters, surgical details, radiologic measurements, and Hounsfield unit (HU) values in the lumbar spine. Subsequently, univariable, followed by multivariable logistic regression analyses, were employed to identify the risk factors of AVFs. Thirty of 123 patients had AVFs within 6 months following vertebroplasty. The AVF group exhibited a higher percentage of multiple preexisting vertebral compression fractures (P=0.006), a greater volume of injected cement (P=0.032), and a more pronounced reduction in local kyphosis (P=0.007). Multivariable logistic regression analysis revealed multiple preexisting vertebral compression fractures and a reduction in local kyphosis exceeding 8 degrees were independent risk factors for AVFs (P=0.008 and 0.003, respectively), with odds ratios of 3.78 (95% confidence interval: 1.41-10.12) and 4.16 (95% CI: 1.65-10.50), respectively. Subgroup analysis showed that patients with multiple preexisting vertebral compression fractures (VCFs) had significantly lower bone mineral density Z-score, T-score, and HU values compared with those without preexisting VCFs (P<0.05). Conversely, there were no significant differences in T-score or HU values between patients with no VCFs and those with a single VCF. This study demonstrated that both bone strength and local alignment are key factors associated with adjacent vertebral fractures. Specifically, having multiple preexisting vertebral compression fractures and a reduction in local kyphosis exceeding 8 degrees are independent risk factors. The presence of more than one previous vertebral compression fracture serves as a significant clinical indicator of advanced bone density reduction in patients with osteoporosis, offering a quick and straightforward method for identifying high-risk patients. Patients exhibiting these risk factors should be monitored more closely for favorable clinical outcomes. Level III-retrospective nonexperimental study.

Pengaruh Ekstrak Kayu Manis Cinnamomum Burmannii dan Larutan Alkalin Peroksida sebagai Pembersih Basis Gigi Tiruan Nilon Termoplastik terhadap Stabilitas Warna

The background of this study is to evaluate the effect of soaking the base of thermoplastic nylon dentures in cinnamon extract Cinnamomum burmannii and alkaline peroxide solution on color stability, considering the importance of maintaining denture hygiene with safe and effective cleaning agents. This study aimed to evaluate the colour stability of thermoplastic nylon denture bases after immersion in Cinnamomum burmannii 20% cinnamon extract, alkaline peroxide solution, and distilled water for 4 and 8 days. This research is a laboratory experimental research. This study was conducted with Post-Test Only Control Group Design, which is research with treatment on one or more groups whose final results are compared with the control group, that the colour stability of thermoplastic nylon denture bases after immersion in Cinnamomum burmannii 20% cinnamon extract and alkaline peroxide solution had similar mean ΔE unit values, namely 2.45 ΔE ± 0.27 and 2.24 ΔE ± 0.28 for 4 days, and 2.87 ΔE ± 0.19 and 2.58 ΔE ± 0.30 for 8 days. While immersion in distilled water showed lower mean values of ΔE units, namely 1.17 ΔE ± 0.10 and 1.35 ΔE ± 0.29. Statistical test results showed that there was a significant effect on colour stability (p = 0.0001), but there was no significant difference between cinnamon extract and alkaline peroxide solution, either for 4 days (p = 0.192) or 8 days (p = 0.113).

Hounsfield units and vertebral bone quality score for predicting mechanical complications after adult spinal deformity surgery: a systematic review and meta-analysis.

The purpose of this systematic review and meta-analysis is to assess existing literature and determine the association between the Hounsfield unit (HU) value and the vertebral body quality (VBQ) score with mechanical complications (MCs) after adult spinal deformity (ASD) surgery. Although bone quality is considered an increasingly important factor for MCs after ASD surgery, the utility of the HU value assessed by computed tomography and the VBQ score assessed by magnetic resonance imaging remains unknown. A systematic review of PubMed, Embase, and Cochrane Library databases was performed to find studies evaluating the association between the HU value and the VBQ score with MCs after ASD surgery. In the subsequent meta-analysis, MC outcomes were combined using a random-effects model, and the standardized mean difference and 95% confidence interval were calculated. The final analysis included a total of 20 studies. Nineteen studies reported HU values, and two studies reported VBQ scores. Proximal junctional kyphosis/failure (PJK/PJF) was reported as the MC in 16 studies, whereas other MCs were included in 6 studies. Six studies with a pool of 506 patients with ASD revealed that preoperative HU values at the upper instrumented vertebra (UIV) and UIV+1 were significantly lower in patients with PJK/PJF (standardized mean difference, -0.74; 95% confidence interval, -1.09 to -0.40). Three studies suggested an cutoff HU value of approximately ≤120, yielding a pooled sensitivity of 0.77, specificity of 0.67, and diagnostic odds ratio of 7.01. However, two studies reported conflicting results on the relationship between the VBQ score and PJK/PJF. Low HU values predicted the risk of certain MCs, particularly PJK/PJF, after ASD surgery. An HU value of <120 should alert surgeons to be cautious about the postoperative occurrence of PJK/PJF. Future studies are needed to validate the cutoff HU value and evaluate the utility of the VBQ score.

Trabecular Attenuation of L1 in Adult Patients with Multiple Myeloma: An Observational Study on Low-Dose CT Images.

The aim of this study was to evaluate the impact of trabecular attenuation of the L1 vertebral body in low-dose CT in adult patients with multiple myeloma (MM), smoldering multiple myeloma (SMM), and monoclonal gammopathy of undetermined significance (MGUS). The study population consisted of 22 patients with MGUS and 51 consecutive patients with newly diagnosed MM (SMM, n = 21; symptomatic MM, n = 36). CT scans were conducted using a 128-slice CT scanner (Somatom go.Top, Siemens, Munich, Germany). Low-dose whole-body CT scans were performed at a single time point for each patient. Trabecular bone density values were obtained by defining regions of interest on non-contrast images at the level of L1 vertebra. A threshold of p = 0.05 was applied to determine statistical significance. The median Hounsfield unit (HU) value in patients with MGUS, SMM, and MM was 148 HU (range 81-190), 130 HU (range 93-193), and 92 HU (range 26-190), respectively, with a statistically significant difference between the groups (p = 0.0015). Patients with HU values ≤ 92 had lower progression-free survival with statistically significant differences compared to the group with HU values > 92 (p < 0.0499). This is the earliest evidence of the importance of evaluating L1 attenuation values in low-dose CT images in patients with MGUS, SMM, and MM. Further prospective studies could contribute to reinforcing these results and exploring the clinical applicability and generalization of L1 attenuation values in low-dose whole-body CT scans in routine clinical practice.

Overloaded Vertebral Body Following Consecutive Three-Level Hybrid Surgery Comparing with Anterior Cervical Discectomy and Fusion.

Based on the varying number and relative positions of cervical disc replacement (CDR) and anterior cervical discectomy and fusion (ACDF) procedures, three-segment hybrid surgery (HS) presents a diverse structural approach. Currently, the potential differential effects of HS with different segment combinations and surgical procedures on overloaded vertebral body (OVB) occurrence remain unexplored. The purpose of this retrospective study is to compare the clinical and radiological outcomes of HS and ACDF in treating cervical degenerative disc disease (CDDD), aiming to provide further insights into OVB. This study included patients with three-level CDDD who underwent ACDF or HS at our institution. Eligible patients were divided into three groups: Type I (one-level CDR and two-level ACDF), Type II (two-level CDR and one-level ACDF), and ACDF (three-level ACDF). For radiographic analysis, patients were further divided into the Replacement Segment Group and the Nonreplacement Segment Group based on the presence of replacement segments above and below the OVB. Clinical outcomes were evaluated using visual analog scale (VAS) scores for neck and arm pain, Japanese Orthopedic Association (JOA) scores, and neck disability index (NDI) scores. The cervical radiological parameters assessed included (1) vertebral cross-sectional area (CSA), (2) wedge angle (WA), (3) anterior vertebral height (AH), (4) posterior vertebral height (PH), and (5) Hounsfield unit (HU) values. Statistical methods included paired t-test, ANOVA test, and chi-square test. Independent samples t-test, Mann-Whitney U test, and Wilcoxon signed-rank test were used to compare the differences between two groups according to the results of normal distribution test. A total of 123 patients, evenly distributed among three groups, were included and were well matched in terms of demographic characteristics. The likelihood of vertebral body collapse (VBC) was notably higher in the ACDF group (41.5%) compared with the Type I (17.9%) and Type II (8.9%) groups (p < 0.01). Following surgery, both at 3 and 6 months, the ACDF group demonstrated higher VAS neck scores and NDI scores compared with the Type I and Type II groups (p < 0.01). Additionally, the WA and AH values of the upper and lower adjacent OVB were consistently lower in the ACDF group than in the Type I and Type II groups at 6 and 12 months and at the final follow-up (p < 0.01). Notably, in the Nonreplacement Segment Group, WA significantly decreased at 12 months postoperatively and at the final follow-up compared with the Replacement Segment Group (p < 0.01). Three levels of HS appear to reduce stress concentrations and alleviate morphological changes in OVB. The occurrence of more VBC patients with OVB was associated with the use of Zero-P or Zero-P VA implants.

CT-Based Evaluation of Volumetric Posterior Pelvic Bone Density with Implications for the Percutaneous Screw Fixation of the Sacroiliac Joint.

Background: Operative treatment of fragility fractures of the pelvis has become a gold standard. Preoperative planning, including the assessment of the pathway for iliosacral screws, is crucial. The anchorage of the screw depends on the bone quality. Some recent studies have concentrated on assessing bone mineral density (BMD) with the use of Hounsfield unit (HU) values obtained from CT scans. The aim of the present study is to determine the best sacral levels of S1-S3 on the pathway of iliosacral screws for sacroiliac joint fixation. Methods: Patients admitted to the Independent Public Healthcare Center in Rypin between 1 of September and 1 of December in 2023, who had CT scans of the pelvis performed on them for different reasons, were included in this study. In total, 103 patients-56 men and 47 women-were enrolled in the study and consecutively separated into two groups of different ages: 18-60 years old (group A) and above 60 years old (group B). The volumetric bone density expressed in HU values was measured with sacral levels of S1, S2 and S3. Apart from the bodies of sacral vertebrae S1-S3, our measurements involved the ala of the ilium in the vicinity of the sacroiliac joint and the wing of the sacrum. All the measurements were performed on the pathway of presumptive iliosacral screws to stabilize the sacroiliac joint. Results: In group A (58 patients) the highest bone density in sacral bodies was found in S1 that gradually decreased to S3, while the opposite tendency was demonstrated in the ala of ilium. The HU values in the wing of the sacrum did not display statistical significance. In group B (45 patients), the highest bone density was also found in the sacral body S1 that decreased toward S3 but in the ala of ilium, the highest bone density was found with level S1 and lowest with level S2. In both groups, the highest bone density referred to the wing of the sacrum. Conclusion: While the perfect construct for posterior pelvic ring fixation remains unclear, our findings may imply that sacroiliac joint screws inserted into the wing of the sacrum of greater bone density could provide much more successful fixation in comparison to those anchored in the body of sacral vertebra of lesser bone density.

PREDICTION OF UNIT VALUE INDEX OF EXPORTS OF SITC 897 JEWELRY AND PRECIOUS GOODS GROUP IN INDONESIA

Export is an international trade activity that plays an important role in the economic progress in Indonesia. One of Indonesia's leading commodities that dominate the export market is jewelry. In export activities, the export unit value index is an important component that serves to describe the development of export commodity prices. This unit value index always changes every time and fluctuates. This research conducts a comparative analysis of the performance of parametric method, non-parametric method, and machine learning, specifically, ARIMA, Fourier series estimator, and Support Vector Regression (SVR). This study aims to evaluate the effectiveness of various methods in improving prediction accuracy for the unit value index of the SITC code 897 in Indonesia. The research data used is secondary data including monthly export unit value index data with SITC code 897 in Indonesia obtained from the Central Bureau of Statistics. The data divided into 90% training data and 10% testing data. The methods used in this analysis are ARIMA, Fourier series estimator, and SVR. The best model obtained from each method is ARIMA (1,1,1) with MAPE of 10.92%, Fourier series estimator with MAPE of 8.47%, and an SVR RBF kernel function with MAPE of 3.73%. The results of this study obtained the best method for predicting the unit value index of SITC code 897 is SVR with an RMSE value of 8.288 and very good prediction accuracy.

Breaking the Barrier of 2 for the Competitiveness of Longest Queue Drop

We consider the problem of managing the buffer of a shared-memory switch that transmits packets of unit value. A shared-memory switch consists of an input port, a number of output ports, and a buffer with a specific capacity. In each time step, an arbitrary number of packets arrive at the input port, each packet designated for one output port. Each packet is added to the queue of the respective output port. If the total number of packets exceeds the capacity of the buffer, some packets have to be irrevocably evicted. At the end of each time step, each output port transmits a packet in its queue, and the goal is to maximize the number of transmitted packets. The Longest Queue Drop ( LQD ) online algorithm accepts any arriving packet to the buffer. However, if this results in the buffer exceeding its memory capacity, then LQD drops a packet from whichever queue is currently the longest, breaking ties arbitrarily. The LQD algorithm was first introduced in 1991, and has been known to be \(2\) -competitive since 2001. Although LQD remains the best known online algorithm for the problem and is of practical interest, determining its true competitiveness is a long-standing open problem. We show that LQD is 1.6918-competitive, establishing the first \((2-\varepsilon)\) upper bound for the competitive ratio of LQD for a constant \(\varepsilon{\,\gt\,}0\) .

A photonic sensor system for real‐time monitoring of turbidity changes in aquaculture

AbstractObjectiveThe objective of this study was to test the compatibility and performance of a developed photonic sensor system, which can serve as a dependable and practical device for continuous monitoring of turbidity changes in aquaculture tanks.MethodsThe fabricated photonic sensor system consisted of an integrated data logger and sensor probe. The sensor probe exhibited a precise emission of infrared light at a wavelength of 850 nm. Moreover, the sensor evaluates the ambient light across the red‐green‐blue spectrum. To ensure accuracy and reliability, the entire system underwent a thorough calibration process, referencing nephelometric turbidity unit values acquired through a specialized handheld turbidimeter. Rigorous trials were systematically conducted in 600‐L seawater tanks featuring tubular sea cucumber Holothuria tubulosa and Gilt‐head Sea Bream Sparus auratus to ensure the sensitivity and robustness of the photonic sensor system to the aquaculture environment.ResultA calibration curve revealed a significant correlation between the infrared channel values of the sensor (photon counts) and the turbidity values measured by the turbidimeter. The photonic sensor effectively captured turbidity changes in the aquaculture tanks, with significant differences observed between the tanks. The sensor performance was evaluated in trials with Gilt‐head Sea Bream, which showed sensitivity to high turbidity changes. The photonic sensor system accurately reflects turbidity changes continuously using its own active light source, independent of ambient light intensity, which is essential for turbid water conditions or for taking measurements in total darkness.ConclusionThe photonic sensor is a reliable tool for the continuous and accurate monitoring of turbidity changes in aquaculture systems. However, there are specific usage limitations under low‐turbidity conditions that can be improved in further studies.

Bone density as a risk of early loss of correction after percutaneous posterior spinal fixation for traumatic thoracolumbar fracture: a study on the usefulness of Hounsfield unit values on computed tomography scan.

Vertebral Hounsfield unit values on computed tomography scan (CT values) have been found to be correlated with bone density measured using dual-energy X-ray absorptiometry. We hypothesized that low preoperative CT values are risk factors for early loss of correction after percutaneous posterior spinal fixation (PPSF). This study aimed to evaluate the usefulness of measuring preoperative CT values. In total, 104 patients underwent PPSF due to traumatic thoracolumbar fracture. Among them, 53 with a range of fixation that was within two vertebrae above and below the fractured vertebra were selected. CT values were measured preoperatively from the most cephalad vertebrae on the fixed vertebrae. Vertebral wedge angle (VWA) and local kyphosis angle (LKA) were measured before and after surgery. participants were classified into progression (P) and nonprogression (NP) groups. The P group comprised patients with LKA progressing > 10° from the immediate postoperative period to 3months postoperatively. Meanwhile, the NP group included patients without progression. Eight (15.1%) patients were included in the P group. The vertebral CT values were 102.2 ± 36.7 in the P group and 162.4 ± 59.7 in the NP group (p < 0.01). The pedicle CT values were 114.4 ± 45.9 in the P group and 170.8 ± 72.3 in the NP group (p < 0.05). At 2weeks postoperatively, VWA and LKA of the P group progressed to 9.8° ± 7.0° and 10.9° ± 7.6°, respectively. CT values can predict progressive loss of correction after PPSF.

The influence of proliferative tissue on Hounsfield unit and its correlation with BMD in middle-aged and elderly patients with lumbar degenerative diseases

PurposeThe difference of Hounsfield Unit (HU) value in different regions of L3 vertebra in middle-aged and elderly patients with lumbar degeneration diseases (LDD) was analyzed. To investigate the influence of proliferative tissue on HU value of cancellous bone and its correlation with bone mineral density (BMD).MethodsThe medical records of middle-aged and elderly patients with LDD in our hospital from December 2020 to December 2023 were retrospectively analyzed. The patients were divided into osteophyte group and no-osteophyte group according to the presence or absence of osteophyte formation on lumbar spine X-ray. In osteophyte group, cancellous bone HU value, containing cortical bone overall HU value and containing osteophyte overall HU value in L3 vertebra were measured on the lumbar CT cross-section. In no-osteophyte group, only the cancellous bone HU value and the containing cortical bone overall HU value were measured. Differences in HU value in different regions of the L3 vertebral body were compared within and between groups of middle-aged and elderly patients with LDD, respectively. To investigate its effect on cancellous bone HU measurements and to do a correlation analysis with patients’ BMD.ResultsA total of 115 patients with LDD were included in this study, including 65 males and 50 females, with an average age of 67.83 ± 6.59 years. The results of the study showed no statistical differences in age (P = 0.15), gender (P = 0.57), smoking (P = 0.88), drinking history (P = 0.76), medical history (P > 0.05) and BMI(P = 0.29) between the two groups. In osteophyte group, the mean cancellous bone HU value was 98.00 ± 25.50 HU, the containing cortical bone overall HU value was 189.02 ± 46.18 HU, and the containing osteophyte overall HU value was 232.69 ± 56.01 HU. The overall HU values containing cortical bone and containing osteophyte were significantly higher than cancellous bone HU value (P < 0.001). In no-osteophyte group, the mean cancellous bone HU value was 102.04 ± 19.64 HU, and the containing cortical bone overall HU value was 175.00 ± 28.97 HU, which was statistically significantly different (P < 0.001). There was no significant difference in cancellous bone HU value and the containing cortical bone overall HU value between the two groups (P > 0.05). The results of the Pearson correlation analysis showed a significant correlation between the cancellous bone HU value of the L3 vertebrae and the QCT BMD value of the patients (r = 0.95, P < 0.001). However, there was no significant correlation between containing cortical bone overall HU value and containing osteophyte overall HU value and the patient’s QCT BMD value (P > 0.05).ConclusionsVertebral HU value is an alternative measurement that effectively reflects the patient’s BMD. In middle-aged and elderly LDD patients, HU values in different areas of L3 vertebra are significantly different, and hyperplastic tissues such as cortical bone and osteophytes may exponentially lead to higher HU value in patients. Compared with other measurement areas, vertebral cancellous bone HU value have the advantage of accurately assessing patients’ BMD.

Structural Analysis for Qazzaz Metamorphic Core Complex, Northwestern Arabian Shield, Saudi Arabia

AbstractIdentifying deformational mechanisms and associated structures at various scales, ranging from regional‐scale structures to microscopic fabric, is crucial for the assessment of tectonic development. Thirty‐three samples were taken from the Qazzaz metamorphic core complex to estimate the finite strain for felsic and mafic minerals. These samples included gneisses rocks, monzogranite, and metavolcano–sedimentary rocks for both the Thalbah and Bayda groups. Using the Rf/j and Fry methods, the axial ratios (XZ) range about 2.20 to 7.10 and 1.90 to 9.10, respectively. For various rock units, the strain measurements show moderate to highly deformation. Most of the observed samples show shallow WNW dipping along a N to WNW trend of finite strain (X). The short axes (Z) based to be subvertical foliation related with a subhorizontal foliation. The results demonstrate that contacts generated at semi‐brittle to ductile deformation and that the strain of magnitude has the same value for different lithologic units. It concluded that nappe generation in orogens results from pure shear deformation.

A Dosimetric Comparison Study for Blood Irradiation Employing Different Medium and Algorithms in Clinical Linear Accelerator.

To identify a suitable approach for blood irradiation other than the commonly used water medium and to study the impact of different algorithm dose computations. Water is the commonly used medium for blood irradiation. In this study computed tomography scans were taken with locally made blood irradiation phantoms other than water, by using air, rice powder and thermocole using parallel beam for 25 Gy. Plans were recalculated for different algorithms such as collapsed cone (CC), Monte Carlo (MC) and pencil beam (PB). The dose-volume parameters and measured doses were collected and analyzed for each medium and algorithm. The monitor unit (MU) for rice powder and water are close (2461±57 and 2469±61, respectively), with a maximum dose of 28.0±1.8 and 28.0±1.9 Gy. The PB algorithm resulted in lower monitor unit values regardless of the medium used, generating values of 2418, 2406, 2382, and 2362 for water, rice powder, air, and Thermocol, respectively. A significant increase in dose was observed irrespective of the medium used when the MC algorithm was employed, with a maximum of 30.26 Gy in rice powder; a smaller dose was used when the CC algorithm was employed, with 26.3 Gy in water medium. The average maximum doses of all groups were equal using the one-way Anova statistical test. Regarding the impact of field size, rice powder appears to have consistent doses across various field sizes, with slight increases as field size grows, which is similar to water. While water is the conventional medium, this study highlights the potential benefits of rice powder, such as eliminating the risks associated with bubble formation and water spillage, which can lead to equipment malfunction and safety hazards. Although previous studies have explored rice powder as a bolus and tissue-equivalent material, this study uniquely applies this knowledge to blood irradiation, an area where rice powder has not been thoroughly investigated.

Evolutionary Game Analysis of Knowledge Sharing among Supply Chain Enterprises Considering Incentive Strategy

This paper aims to explore and enhance the influencing factors which effect the evolution of supply chain knowledge sharing under different incentive strategies. Furthermore, it also helps supply chain managers determine whether incentives are needed and if needed to what extent they are needed to deal with the dynamic changes of factors in the evolution of supply chain knowledge sharing. The evolutionary game model of knowledge sharing without considering incentives is established respectively, and the influence of relevant influencing factors on the evolutionary results of knowledge sharing is analyzed. The results show that enterprises’strategy of selecting knowledge sharing can be attributed to the change by the degree of knowledge complementarity among enterprises when the incentive is not considered. The incentive of supply chain will stimulate knowledge sharing between enterprises but then the incentive coefficient needs to meet certain conditions; can the evolutionary system converge to the state of {knowledge sharing, knowledge sharing}, and the analysis shows that the relationship capital, knowledge’s unit value, knowledge sharing cost, knowledge sharing risk and other factors have significant effects on the evolution rate of knowledge sharing. Finally, based on the research conclusions, the countermeasures and suggestions for supply chain knowledge sharing are proposed.

Isolation and Plant Growth Promotion Effect of Endophytic Siderophore-Producing Bacteria: A Study on Halophyte Sesuvium portulacastrum.

The objective of the present study was to isolate endophytes from the roots of the halophyte Sesuvium portulacastrum, which is applied for aquatic phytoremediation. From these endophytes, siderophore-producing bacteria were specifically isolated for their potential capacity to promote plant growth. The siderophore production capacity of the isolated bacteria was quantified, and a high-yield siderophore-producing strain was selected for further investigation. A total of 33 endophytic bacteria were successfully isolated and identified using a culturable approach. Of these, 10 siderophore-producing bacteria were identified using the selective agar assay, displaying siderophore unit (SU) values ranging from 11.90% to 80.39%. It is noteworthy that Erwinia sp. QZ-E9 exhibited the highest siderophore production capacity, achieving an SU of 80.39%. A microcosm co-cultivation experiment was conducted with the strain QZ-E9 in iron-deficient conditions (2 μmol/L Fe3⁺). The results demonstrated that strain QZ-E9 significantly enhanced the growth of S. portulacastrum, by increases in both fresh weight (1.41 g) and root length (18.7 cm). Furthermore, fluorescence in situ hybridization (FISH) was utilized to ascertain the colonization pattern of strain QZ-E9 within the plant roots. The analysis demonstrated that strain QZ-E9 exhibited extensive colonization of the epidermal and outer cortical cells of S. portulacastrum roots, as well as the intercellular spaces and vascular tissues. This colonization indicated that Erwinia sp. QZ-E9 plays a crucial role in promoting the growth of S. portulacastrum, presumably through its siderophore-mediated iron acquisition mechanism.

Misconceptions about the valuation of ecosystem services

The concept of ecosystem services – the benefits humans derive from functioning ecosystems – has been around for at least 4 decades. Attempts to value those services in monetary and other units have been around for just as long. However, several misconceptions have sprung up about ecosystem services, and especially the valuation of those services in monetary units, that are counterproductive to further dialogue, research, and solutions. This paper attempts to address some of those misconceptions, including showing that: (1) ecosystem services is not an anthropocentric concept; (2) economics is not only the market; (3) valuation is not commodification or privatization; (4) expressing relative values in monetary units is not necessarily ‘market-based’; (5) in a world of trade-offs, whether to perform a valuation is not a choice since it happens implicitly; (6) ‘intrinsic values’ are about rights, not relative valuation; and (7) relative valuation and rights-based approaches are complimentary not mutually exclusive. I address each of these misconceptions in turn and end with a plea for constructive dialogue on these important issues, not continuing unproductive debate founded on fundamental misconceptions.