Comparative investigation of methods for determining the lateral stiffness of coupled RC shears walls

In this study, the lateral stiffness of coupled RC shear walls is studied using the continuum method, equivalent frame and finite element methods. For this purpose, asix-story coupled shear walls with typical dimensions are considered and the lateral displacements of system are calculated under a variety of lateral loads such as: uniform, triangular distributed and concentrated loads, then the results are compared with together. The results show that under the rectangular and concentrated loadings, equivalent frame and continuum indicate more displacements compared finite element approach; therefore, these methods approximate less lateral stiffness for coupled RC shear walls. In addition, equivalent frame technique in most cases, except triangular loading, compared with continuous medium method determines more soft behavior for the structure.Keywords: 1-Coupled RC shear wall 2-Lateral stiffness 3-Equivalent frame 4-Continuum method 5-finite elemen

Superior metal artifact reduction of tin-filtered low-dose CT in imaging of lumbar spinal instrumentation compared to conventional computed tomography

OBJECTIVE To compare the image quality of low-dose CT (LD-CT) with tin filtration of the lumbar spine after metal implants to standard clinical CT, and to evaluate the potential for metal artifact and dose reduction. MATERIALS AND METHODS CT protocols were optimized in a cadaver torso. Seventy-four prospectively included patients with metallic lumbar implants were scanned with both standard CT (120 kV) and tin-filtered LD-CT (Sn140kV). CT dose parameters and qualitative measures (1 = worst,4 = best) were compared. Quantitative measures included noise, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and the width and attenuation of the most prominent hypodense metal artifact. Standard CT and LD-CT were assessed for imaging findings. RESULTS Tin-filtered LD-CT was performed with 60% dose saving compared to standard CT (median effective dose 3.22 mSv (quartile 1-3: 2.73-3.49 mSv) versus 8.02 mSv (6.42-9.27 mSv; p < .001). Image quality of CT and tin-filtered low-dose CT was good with excellent depiction of anatomy, while image noise was lower for CT and artifacts were weaker for tin-filtered LD-CT. Quantitative measures also revealed increased noise for tin-filtered low-dose CT (41.5HU), lower SNR (2) and CNR (0.6) compared to CT (32HU,3.55,1.03, respectively) (all p < .001). However, tin-filtered LD-CT performed superior regarding the width and attenuation of hypodense metal artifacts (2.9 mm and -767.5HU for LD-CT vs. 4.1 mm and -937HU for CT; all p < .001). No difference between methods was observed in detection of imaging findings. CONCLUSION Tin-filtered LD-CT with 60% dose saving performs comparable to standard CT in detection of pathology and surgery related complications after lumbar spinal instrumentation, and shows superior metal artifact reduction

Characterization of radio active aerosols in Tehran research reactor containment

The objectives of this research were to determine the levels of radioactivity in the Tehran research reactor containment and to investigate the mass-size distribution, composition, and concentration of radio nuclides during operation of the reactor. A cascade impactor sampler was used to determine the size-activity distributions of radioactive aerosols in each of the sampling stations. Levels of α and β activities were determined based on a counting method using a liquid scintillation counter and smear tests. The total average mass fractions of fine particles (particle diameter dp &lt;1 µm) in all of the sampling stations were approximately 26.75 , with the mean and standard deviation of 52.15 ± 19.75 µg/m3. The total average mass fractions of coarse particles were approximately 73.2, with the mean and standard deviation of 71.34 ± 24.57 µg/m3. In addition to natural radionuclides, artificial radionuclides, such as 24Na,91Sr,131I,133I,103Ru,82Br, and 140La, may be released into the reactor containment structure. Maximum activity was associated with accumulation-mode particles with diameters less than 400 nm. The results obtained from liquid scintillation counting suggested that the mean specific activity of alpha particles in fine and coarse-modes were 89.7 and 10.26 , respectively. The mean specific activity of beta particles in fine and coarse-modes were 81.15 and 18.51 , respectively. A large fraction ofthe radionuclides' mass concentration in the Tehran research reactor containment was associated with coarse-mode particles, in addition, a large fraction of the activity in the aerosol particles was associated with accumulation-mode particles. © 2015, Vinca Inst Nuclear Sci. All rights reserved

Pedicle subtraction osteotomy with patient-specific instruments

Background Although the utility of patient-specific instruments (PSI) has been well established for complex osteotomies in orthopedic surgery, it is yet to be comparatively analyzed for complex spinal deformity correction, such as pedicle subtraction osteotomy (PSO). Methods Six thoracolumbar human cadavers were used to perform nine PSOs using the free-hand (FH) technique and nine with PSI (in total 18 PSOs). Osteotomy planes were planned on the basis of preoperative computed tomography (CT). A closing-wedge angle of 30° was targeted for each PSO. Postoperative CT scans were obtained to measure segmental lordosis correction and the deviation from the planned 30° correction as well as the osseous gap of posterior elements. Results The time required to perform a PSO was 18:22 (range 10:22–26:38) min and 14:14 (range 10:13–22:16) min in the PSI and FH groups, respectively (p = 0.489). The PSI group had a significantly higher lordosis gain (29°, range 23–31° vs. 21°, range 13–34°; p = 0.015). The lordosis gain was significantly more accurate with PSI (deviation angle: 1°; range 0–7°) than with the FH technique (9°; range 4–17°; p = 0.003). PSI achieved a significantly smaller residual osseous gap of the posterior elements (5 mm; range 0–9 mm) than the FH group (11 mm; range 3–27 mm; p = 0.043). With PSI, an angular difference of 3° (range 1–12°), a translational offset of 1 (range 0–6) mm at the level of the lamina, and a vertebral body entry point deviation of 1 (range 0–4) mm was achieved in the osteotomies. Conclusions PSI-guided PSO can be a more feasible and accurate approach in achieving a planned lordosis angle than the traditional FH technique in a cadaver model. This approach further reduced osseous gaps, potentially promoting higher fusion rates in vivo

Event-Related Potentials in an Associative Word Pair Learning Paradigm

The study investigated the effect of unintentional learning of semantically unrelated word pairs on event-related brain potentials. Two experiments were conducted, in whose acquisition phase participants listened to five pairs of semantically unrelated words, each pair being repeated twenty times. In the test phase of Experiment 1, these “old” pairs were presented mixed with “new” pairs containing other words. In the test phase of Experiment 2, a third condition was added in which the first word in a pair was one of the words presented during acquisition but the second word was new. In both experiments, the second word in new word pairs elicited an N400 and a late (550–1000 ms) frontal positivity. The amplitude of the N400 to new second words in Experiment 2 was significantly larger when the first word in the pair was an old (previously learnt) word, as compared with the condition in which both first and second words were new. The results indicate that, in addition to a repetition effect, unintentional learning of word pairs results in building new associations between previously unrelated words. © 2021 Elsevier Ltd.The study was supported by the German Research Society (Deutsche Forschungsgemeinschaft), Grant KO-1753/13

Study Protocol: Short Against Long Antibiotic Therapy for Infected Orthopaedic Sites - SALATIO Trials

Background: Few studies address the appropriate duration of post-surgical antibiotic therapy for orthopedic infections; with or without infected residual implants. We perform two similar randomized-clinical trials (RCT) to reduce the antibiotic use and associated adverse events. Methods: Two unblinded RCTs in adult patients (non-inferiority with a margin of 10%, a power of 80%) with the primary outcomes "remission" and "microbiologically-identical recurrences" after a combined surgical and antibiotic therapy. The main secondary outcome are antibiotic-related adverse events. The RCTs allocate the participants between 3 vs. 6 weeks of post-surgical systemic antibiotic therapy for implant-free infections; and between 6 vs. 12 weeks for residual implant-related infections. We need a total of 280 episodes (randomization schemes 1:1) with a minimal follow-up 12 months. We perform two interim analyses starting approximately after 1 and 2 years. The study approximatively lasts 3 years. Discussion: Both parellel RCT will enable to prescribe less antibiotics for future orthopedic infections in adult patients. Trial registration: ClinicalTrial.gov NCT05499481. Registered on 12 August 2022. Protocol version: 2 (19 May 2022

Paraspinal muscles in individuals undergoing surgery for lumbar spine pathology lack a myogenic response to an acute bout of resistance exercise

BACKGROUND: Lumbar spine pathology (LSP) is a common source of low back or leg pain, and paraspinal muscle in these patients demonstrates fatty and fibrotic infiltration, and cellular degeneration that do not reverse with exercise-based rehabilitation. However, it is unclear of this lack of response is due to insufficient exercise stimulus, or an inability to mount a growth response. The purpose of this study was to compare paraspinal muscle gene expression between individuals with LSP who do and do not undergo an acute bout of resistance exercise. METHODS: Paraspinal muscle biopsies were obtained from 64 individuals with LSP undergoing spinal surgery. Eight participants performed an acute bout of machine-based lumbar extension resistance exercise preoperatively. Gene expression for 42 genes associated with adipogenic/metabolic, atrophic, fibrogenic, inflammatory, and myogenic pathways was measured, and differential expression between exercised and non-exercised groups was evaluated for (a) the full cohort, and (b) an age, gender, acuity, and etiology matched sub-cohort. Principal components analyses were used to identify gene expression clustering across clinical phenotypes. RESULTS: The exercised cohort demonstrated upregulation of inflammatory gene IL1B, inhibition of extracellular matrix components (increased MMP3&9, decreased TIMP1&3, COL1A1) and metabolic/adipogenic genes (FABP4, PPARD, WNT10B), and downregulation of myogenic (MYOD, ANKRD2B) and atrophic (FOXO3) genes compared to the non-exercised cohort, with similar patterns in the matched sub-analysis. There were no clinical phenotypes significantly associated with gene expression profiles. CONCLUSION: An acute bout of moderate-high intensity resistance exercise did not result in upregulation of myogenic genes in individuals with LSP. The response was characterized by mixed metabolic and fibrotic gene expression, upregulation of inflammation, and downregulation of myogenesis

Performance and scientific collaboration of Iran Occupational Health Journal: A scientometric analysis

Background: Of common scientometric indices is evaluating the performance and scientific collaboration of journals and organizations. Iran Occupational Health Journal belongs to Iran University of Medical Sciences and committed to providing scientific evidence for improving occupational health. Based on the importance of health at work, this study aimed to evaluate the Journal�s performance and scientific collaboration in the field. Methods: This is a scientometric study using both citation and content analyses. Complete enumeration survey method and Scimago data were used to collect all information about published articles between 2012 and 2017. Content analysis was performed to find about the articles� dominant subject area. The data on the number of authors, the authors' organizational affiliation, the type of articles, and the affiliated centers with the most number of articles were reported. Data were analyzed using Excel 2016 software. Results: The Journal�s performance in various indices such as reducing the time between receive and accept of papers has had an improving trend for 6 consecutive years. The Journal has published mostly in subjects of ergonomics (59 articles) and then safety (52 articles). The Journal�s SJR in Scopus has had an increasing trend from 0.101 in 2012 to 0.220 in 2017. Conclusion: Based on the collected data and Scimago indices, the performance of Iran Occupational Health Journal has shown an improving trend over the studied years. The priorities of published subjects in the Journal are in agreement with the research priorities for occupational health in Iran. Thus, the Journal�s continuous improvement regarding examined criteria is highly expected. © 2019 Iran University of Medical Sciences. All rights reserved