Postural stability disorders—early signs of aging—in physically non-active prisoners

Background There is a need for a study of possible relationship between serving a prison sentence and developing postural stability dysfunction. The aim of the study was to analyze postural stability of physically inactive prisoners. The study group consisted of 24 male prisoners aged 34.6 ± 7.02 years, imprisoned in closed prison and 30 healthy, non-active physically, aged 36.9 ± 7.5 years, who consisted control group. The subjects were imprisoned for a mean of 105.43 ± 58.48 months. Methods The static balance test was conducted on bi-modular stabilometric platform CQStab2P. Results We found statistically significant differences in several stability parameters. Prisoners results were significantly worse in parameters measured with eyes open: MA (mean amplitude p < 0.01), MAAP (mean amplitude in anterio–posterior plane p < 0.03), MAML (mean amplitude in medio—lateral plane p < 0.04), MaxAP (maximal sway in AP p < 0.01), MaxML (p < 0.01). With eyes closed the prisoner’s results were significantly worse in SPML (sway path in medio-lateral plane p = 0.01), better in MAML (p < 0.01) and MaxML (p < 0.01), and faster in MVML (mean velocity in medio-lateral plane p < 0.01). Conclusions (1) Diagnostics aimed at early diagnoses of ageing symptoms should be performed in prisons. It would allow for better prisoner management in terms of assessment of ability to work, free time activity offer and falls prevention. (2) In prisons, in addition to counteracting the typical causes of balance disorders, action should be taken to counteract the causes for balance disorders typical for prison environment, inter alia: sensory deprivation—by implementing programmes comprehensively activating prisoners, and hypokinesis—by implementing physical activity programmes that cater for the needs of older prisoners.

Blast-induced axonal degeneration in the rat cerebellum in the absence of head movement

Blast exposure can injure brain by multiple mechanisms, and injury attributable to direct effects of the blast wave itself have been difficult to distinguish from that caused by rapid head displacement and other secondary processes. To resolve this issue, we used a rat model of blast exposure in which head movement was either strictly prevented or permitted in the lateral plane. Blast was found to produce axonal injury even with strict prevention of head movement. This axonal injury was restricted to the cerebellum, with the exception of injury in visual tracts secondary to ocular trauma. The cerebellar axonal injury was increased in rats in which blast-induced head movement was permitted, but the pattern of injury was unchanged. These findings support the contentions that blast per se, independent of head movement, is sufficient to induce axonal injury, and that axons in cerebellar white matter are particularly vulnerable to direct blast-induced injury.

Direct Observation of Axial Dynamics of Particle Manipulation With Weber Self-Accelerating Beams

Optical manipulation of micro-particles with nondiffracting and self-accelerating beams has been successfully applied in many research fields such as chemicophysics, material sciences and biomedicine. Such operation mainly focuses on the particle transport and control in the beam propagation direction. However, the conventional optical microscopy is specifically designed for obtaining the sample information located in the lateral plane, which is perpendicular to the optical axis of the detecting objective lens, making the real-time observation of particle dynamics in axial plane a challenge. In this work, we propose and demonstrate a technique which integrates a special beam optical tweezer with a direct axial plane imaging system. Here, particles are transported in aqueous solution along a parabolic trajectory by a designed nonparaxial Weber self-accelerating beam, and the particle motion dynamics both in lateral and axial plane are monitored in real-time by the axial plane imaging technique.

Conceptual-based design of an ultrabroadband microwave metamaterial absorber

By introducing metallic ring structural dipole resonances in the microwave regime, we have designed and realized a metamaterial absorber with hierarchical structures that can display an averaged −19.4 dB reflection loss (∼99% absorption) from 3 to 40 GHz. The measured performance is independent of the polarizations of the incident wave at normal incidence, while absorption at oblique incidence remains considerably effective up to 45°. We provide a conceptual basis for our absorber design based on the capacitive-coupled electrical dipole resonances in the lateral plane, coupled to the standing wave along the incident wave direction. To realize broadband impedance matching, resistive dissipation of the metallic ring is optimally tuned by using the approach of dispersion engineering. To further extend the absorption spectrum to an ultrabroadband range, we employ a double-layer self-similar structure in conjunction with the absorption of the diffracted waves at the higher end of the frequency spectrum. The overall thickness of the final sample is 14.2 mm, only 5% over the theoretical minimum thickness dictated by the causality limit.

Blast-Induced Axonal Degeneration In The Rat Cerebellum In The Absence of Head Movement

Blast exposure can injure brain by multiple mechanisms, and injury attributable to direct effects of the blast wave itself have been difficult to distinguish from that caused by rapid head displacement and other secondary processes. To resolve this issue, we used a rat model of blast exposure in which head movement was either strictly prevented or permitted in the lateral plane. Blast was found to produce axonal injury even with strict prevention of head movement. This axonal injury was restricted to the cerebellum, with the exception of injury in visual tracts secondary to ocular trauma. The cerebellar axonal injury was increased in rats in which blast-induced head movement was permitted, but the pattern of injury was unchanged. These findings support the contentions that blast per se, independent of head movement, is sufficient to induce axonal injury, and that axons in cerebellar white matter are particularly vulnerable to direct blast - induced injury.

CENTRIFUGAL-FLOW LVAD INFLOW CANNULA POSITION: PREOPERATIVE INFLUENCES AND POSTOPERATIVE OUTCOMES

Background: We previously demonstrated better inflow cannula (IFC) position and reduced pump thrombosis with a centrifugal-flow LVAD (CF-LVAD) compared to an axial-flow device. We hypothesized that implant technique and patient anatomy would affect CF-LVAD IFC positioning and that malposition would impact LV unloading and outcomes. Methods: Pre- and postoperative computed tomography (CT) scans were reviewed for patients with six-month follow-up. Malposition was quantified using angular deviation from an ideal line in two planes. IFC position was compared between conventional sternotomy (CS) and lateral thoracotomy-hemisternotomy (LTHS). The influence of LV end-diastolic dimension (LVEDD), body mass index (BMI), and CT-derived anatomy was determined. LV unloading was assessed by LVAD flow index (FI) and pre- to post-LVAD decrement in mitral regurgitation (MR) and LVEDD. Outcome measures were pump thrombus or stroke (PT/eCVA); 30-day and total heart failure-related readmissions (HFRAs); and survival free of surgery for LVAD dysfunction. Results: One hundred fourteen patients met criteria. Total malposition magnitude was higher for CS than LTHS (p=0.04). Midline-LV apex distance predicted lateral-plane malposition (p=0.04), while apex-LVOT angle predicted both anterior- (p=0.01) and lateral-plane (p=0.04) malposition. Lateral-plane malposition predicted decreased LVAD FI at three (p=0.03) and six (p=0.01) months. Total malposition magnitude predicted increased 30-day HFRAs (p=0.04), while lateral-plane malposition predicted more overall HFRAs (p=0.01). Malposition was not associated with PT/eCVA, changes in MR or LVEDD, or survival free of surgical revision. Conclusions: Patient anatomy and surgical technique were associated with CF-LVAD IFC malposition. In turn, malposition was associated with increased readmissions and decreased LVAD FI.

Diaphyseal Proximal Phalangeal Shortening Osteotomy for Correction of Hammertoe Deformity: Operative Technique and Radiological Outcomes

Background Correction of hammertoe deformities at the proximal interphalangeal (PIP) joint results in an inherent loss of motion that can be a concern for active patients who want to maintain toe function and grip strength. Diaphyseal proximal phalangeal shortening osteotomy (DPPSO) is a joint-sparing procedure resecting a cylindrical portion of the proximal phalanx on the middiaphysis. Patients/Methods This was a retrospective review including patients treated using DPPSO with at least a 1-year follow-up. Demographic, comorbidity, and Visual Analogue Scale (VAS) scores and complication data were obtained. Radiological assessment included union status and alignment. Medial frontal anatomical (mFAA), frontal proximal interphalangeal (mFIA), plantar lateral anatomical (pLAA), and medial and plantar lateral interphalangeal angles (pLIA) were measured. Results A total of 31 patients (45 toes) were included, with a mean age of 59 years (range: 24-72) and follow-up of 35 months (range: 12-60; mean preoperative VAS score was 4.9 ± 1.72 improving to 1.62 ± 2.28; P < .01). Union occurred in all patients at an average of 11.2 weeks. Complications were present on 4 toes (8.8%), with no recurrences. The pLIA significantly changed from 44.9° to 17.9°. There were no significant differences in the preoperative and postoperative values of the mFAA, pLAA, and mFIA. Conclusions DPPSO provides adequate pain relief and corrects the PIP joint in the lateral plane without significantly affecting the coronal plane or the anatomical axis of the phalanx in the frontal and lateral views, nor producing secondary deformities. DPPSO is a safe, effective, and reproducible technique with a low complication rate. Levels of Evidence: Level IV: Retrospective case series

Geophysical Investigation Using 3-Dimensional Grid-Formation for Subsurface Lithology Characterization (A Case Study of Ovia North East, Edo State, South South Nigeria)

Geophysical investigations using three-dimensional (3D) grid formation was carried out in Ovia North East Local Government Area of Edo State, Nigeria for subsurface lithology characterisation so as to generate a comprehensive basemap of the study area. Twelve (12) traverses in form of a rectangular grid were occupied for the 2D Electrical Resistivity Imaging (ERI) using the Wenner array. The 2D were all collated to form the 3D grid. The 2D Electrical Resistivity data was processed by the inversion of the 2D apparent resistivity data using the DIPRO software to generate the 2D inverted resistivity section while the 3D inverted resistivity model was done by inverting all the twelve traverses using 3DEarthimager software to model the 3D cube. The results of the 2D ERI revealed three (03) to five (05) resistivity structures across the twelve traverses indicating clay/clayey sand, sand and sandstone on a 200 and 300 m lateral distance and corresponding depth of 39.6 and 57.3 m across each traverses. Resistivity values generally varies from 16.8 – 45302 Ωm across Traverse 1 – 12. The layer horizontal depth slices of the 3D inverted resistivity distribution are in six layers, which are; 0 - 5 m, 5 – 10.8 m, 10.8 – 17.4 m, 17.4 – 25 m, 25 – 33.7 m and 33.7 – 43.8 m. The 3D inverted resistivity model within the study area covered lateral plane (the roll axis), 300 m, in the x plane (the pitch axis), 200 m lateral distance was covered and in the depth plane (the yaw axis), a maximum depth of 66 m is imaged. The inverted 3D Resistivity values generally vary from 189 - 6149 Ωm across the study area. The resistivity structures delineated from the 3D model are clayey sand and sand.