Wound healing assessment using digital photography: a review

Digital photography as a non-invasive, simple, objective, reproducible, and practical imaging modality has been investigated for the wound healing assessment over the last three decades, and now has been widely used in clinical daily routine. Advances in the field of image analysis and computational intelligence techniques along with the improvements in digital camera instrumentation, expand the applications of standardized digital photography in diagnostic dermatology such as evaluation of tumours, erythema, and ulcers. A series of digital images taken at regular intervals carries the most informative wound healing indexes, color and dimension, that may help clinicians to evaluate the effectiveness of a particular treatment regimen, to relieve patient discomfort, to globally assess the healing kinetics, and to quantitatively compare different therapies; however, the extent of underlying tissue damage cannot be fully detected. This paper is an introductory review of the important investigations proposed by researchers in the context of clinical wound assessment. The principles of wound assessment using digital photography were shortly described, followed by review of the related literature in four main domains: wound tissue segmentation, automated wound area measurement, wound three dimensional (3D) analysis and volumetric measurement, and monitoring and evaluation of wound tissue changes during healing

Morphological and mechanical properties of styrene butadiene rubber/nano copper nanocomposites

AbstractIn this research, rubber based nanocomposites with presence of nanoparticle has been studied. Styrene butadiene rubber (SBR)/nanocopper (NC) composites were prepared using two-roll mill method. Transmission electron microscope (TEM) and scanning electron microscope (SEM) images showed proper dispersion of NC in the SBR matrix without substantial agglomeration of nanoparticles. To evaluate the curing properties of nanocomposite samples, swelling and cure rheometric tests were conducted. Moreover, the rheological studies were carried out over a range of shear rates. The effect of NC particles was examined on the thermal behavior of the SBR using thermal gravimetric analysis (TGA). Furthermore, tensile tests were employed to investigate the capability of nanoparticles to enhance mechanical behavior of the compounds. The results showed enhancement in tensile properties with incorporation of NC to SBR matrix. Moreover, addition of NC increased shear viscosity and curing time of SBR composites

Study of Pluto's Atmosphere Based on 2020 Stellar Occultation Light Curve Results

On 6 Jun 2020, Pluto's stellar occultation was successfully observed at a ground-based observatory and Pluto's atmospheric parameters were investigated. We used an atmospheric model of Pluto (DO15), assuming a spherical and transparent pure N2 atmosphere. Using ray-tracing code the stellar occultation light curve was satisfactorily fitted to this model. We found that Pluto's atmospheric pressure at the reference radius of 1215 km is 6.72+_0.21 {\mu}bar. Our estimated pressure shows a continuation of the increasing pressure studied in 2016 consistent with a seasonal volatile transport model. We concluded that the N2 condensation processes in the Sputnik Planitia glacier are increasing due to the heating of the N2 ice in this basin. This study's result was shown on the diagram of the annual evolution of atmospheric pressure.Comment: 4 figures, 2 table

High-frequency ultrasound imaging in wound assessment: current perspectives

Non-invasive imaging modalities for wound assessment have become increasingly popular over the past two decades. The wounds can be developed superficially or from within deep tissues, depending on the nature of the dominant risk factors. Developing a reproducible quantitative method to assess wound-healing status has demonstrated to be a convoluted task. Advances in High-Frequency Ultrasound (HFU) skin scanners have expanded their application as they are cost-effective and reproducible diagnostic tools in dermatology, including for the measurement of skin thickness, the assessment of skin tumours, the estimation of the volume of melanoma and non-melanoma skin cancers, the visualisation of skin structure and the monitoring of the healing of acute and chronic wounds. Previous studies have revealed that HFU images carry dominant parameters and depict the phenomena occurring within deep tissue layers during the wound-healing process. However, the investigations have mostly focussed on the validation of HFU images, and few studies have utilised HFU imaging in quantitative assessment of wound generation and healing. This paper is an introductory review of the important studies proposed by the researchers in the context of wound assessment. The principles of dermasonography are briefly explained, followed by a review of the relevant literature that investigated the wound-healing process and tissue structures within the wound using HFU imaging

Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective

This study aimed to objectively evaluate changes in gait kinematics, kinetics and symmetry among anterior cruciate ligament (ACL) reconstructed athletes during rehabilitation. Twenty-two national athletes with ACL reconstruction and 15 healthy athletes were recruited for the study. Gait data were collected between the weeks 4–5, 8–9, and 12–13 post-operation using three-dimensional motion analysis system. Five separate components, including knee range of motion (ROM), vertical ground reaction force (VGRF), their symmetries and knee extension moment were evaluated. One way and repeated measure multivariate analysis of variance (MANOVA) were used to analyze the knee ROMs. The VGRF and extension moment were tested using repeated measure ANOVA and independent sample t-test. Findings indicated significant alterations in all measured components between patients’ Test 1 and control group. Repeated measure analysis revealed significant effect for time in components of knee angular and VGRF (P < 0.001), their symmetry index (P = 0.03) and knee extension moment (P = 0.045). Univariate outcomes demonstrated significant improvement in the injured limb's stance and swing (P < 0.001), and single-stance (P = 0.005) ROMs over time. Symmetry indexes of stance and swing ROM, and VGRF reduced significantly by 26.3% (P = 0.001), 17.9% (P < 0.001), and 31.9% (P = 0.03) respectively. After three months, symmetry indexes of single-stance ROM and VGRF along with operated knee extension moment were the only variables which showed significant differences with control group. The rehabilitation program allowed national athletes to restore the operated limb's gait parameters except knee extension moment by 12–13 weeks post-reconstruction; however, more time is required to normalize single-stance ROM and VGRF asymmetries

Assessing the risk factors and management outcomes of ectopic pregnancy: A retrospective case-control study

Background: Ectopic pregnancy (EP) is the implantation of a fertilized egg outside the uterine cavity or in an unusual location. According to the clinical case reports, hormonal contraceptive failures may be related to emergency contraceptives and EP. EP may be treated medically, surgically, or expectantly. Currently, there is no consensus regarding whether a multiple- or double-dose regimen with methotrexate (MTX) or an additional dose could be more effective than a single-dose regimen. Objective: This study aimed to assess risk factors and treatment outcomes for EP. Materials and Methods: This case-control study was conducted in Tehran, Iran from March 2020 to March 2021. The case group was comprised of all EP-diagnosed cases (n = 191). Based on the levels of β-human chorionic gonadotropin, MTX was administered to stable individuals with no surgical indications. Risk factors were assessed through 2 control groups: intrauterine pregnancy (n = 190) and nonpregnant groups (n = 180). Results: The medical treatment significantly improved with an extra dose of MTX, especially in individuals with higher β-human chorionic gonadotropin concentrations and gestational age &gt; 7.5 wk (p = 0.002). Considering risk factors, it is assumed that hormonal contraceptive failures, including both oral and emergency contraceptives, may increase the EP likelihood (p &lt; 0.001). Conclusion: Based on our findings, we recommended an additional dose of MTX for subjects who are further along in their pregnancy. It is also concluded that failure of contraceptive pills increases the chances of EP. Key words: Contraception, Ectopic pregnancy, Intrauterine device, Levonorgestrel

Quantitative assessment of wound healing using high-frequency ultrasound image analysis

Purpose: We aimed to develop a method for quantitative assessment of wound healing in ulcerated diabetic feet. Methods: High‐frequency ultrasound (HFU) images of 30 wounds were acquired in a controlled environment on post‐debridement days 7, 14, 21, and 28. Meaningful features portraying changes in structure and intensity of echoes during healing were extracted from the images, their relevance and discriminatory power being verified by analysis of variance. Relative analysis of tissue healing was conducted by developing a features‐based healing function, optimised using the pattern‐search method. Its performance was investigated through leave‐one‐out cross‐validation technique and reconfirmed using principal component analysis. Results: The constructed healing function could depict tissue changes during healing with 87.8% accuracy. The first principal component derived from the extracted features demonstrated similar pattern to the constructed healing function, accounting for 86.3% of the data variance. Conclusion: The developed wound analysis technique could be a viable tool in quantitative assessment of diabetic foot ulcers during healing

Association of weekly or biweekly use of 50 000 IU vitamin D3 with hypervitaminosis D

Since the beginning of the COVID-19 pandemic, many Iranian people have been taking 50 000 IU of vitamin D3 on weekly or biweekly bases in order to enhance their immune system function. This cross-sectional study was conducted on the patients of endocrinology clinic to compare 25(OH)D levels of weekly or biweekly consumption with the monthly users of vitamin D3 50 000 IU. The level >100 ng/mL of 25(OH)D was defined as hypervitaminosis D. In total, 211 patients (108 and 103 patients in monthly and weekly/biweekly groups, respectively) were studied. In the subgroups of weekly and biweekly users, the rates of hypervitaminosis were 18.9% and 4.5%, respectively. In contrast, only 0.9% of monthly users had hypervitaminosis D. The highest vitamin D value of 185 ng/mL was detected in a patient who had consumed 50 000 IU vitamin D3 weekly for 6 years. No hypercalcaemia was detected in patients with hypervitaminosis D

Contributing Factors for Calcium Changes During Hospitalization in COVID-19: A Longitudinal Study

Abstract Background: Hypocalcemia is highly prevalent in Coronavirus disease 2019 (COVID-19). There is limited evidence about the course and roles of different parameters in the occurrence of new or worsening hypocalcemia. Objectives: This prospective longitudinal study was conducted on hospitalized COVID-19 patients in Qazvin, Iran, in 2021. Methods: Serum levels of calcium, albumin, parathormone (PTH), 25(OH)D (vitamin D), magnesium, and phosphate were assessed on the first day (time one), as well as fourth to sixth days (time two) of hospitalization. Paired t-test, McNemar’s test, and multivariate logistic regression test were used to compare data at two times and evaluating the independent roles of different variables in the occurrence or worsening of hypocalcemia. Results: Out of a total of 123 participants, 102 patients completed the study. The mean serum calcium level significantly decreased from 8.32 ± 0.52 mg/dL to 8.02 ± 0.55 mg/dL at time two compared to time one (P < 0.001). Also, we witnessed new or worsening hypocalcemia at time two in 44 (55%) patients with normal serum calcium or mild hypocalcemia at time one (P < 0.001). The PTH level decreased from 42.17±27.20 pg/mL to 31.28±23.42 pg/mL (P < 0.001). The decrease in albumin and PTH levels was an independent significant factor in the occurrence or worsening of hypocalcemia at time two (OR = 1.27; 95% CI: 1.10 - 1.46; P = 0.001 for each 1 g/L decrement albumin and OR = 1.29; 95% CI: 1.03 - 1.62; P = 0.026 for each 10 pg/mL decrement PTH). Vitamin D deficiency or changes during hospitalization did not have a significant role in new or worsening hypocalcemia. Conclusions: Decreased PTH secretion and hypoalbuminemia have significant roles in the occurrence of new or worsening hypocalcemia during hospitalization due to COVID-19. Keywords: Hypocalcemia, COVID-19, Parathormone, Vitamin

An evaluation of technical and economic capacity of farmers of Rural Production Cooperatives. Case Study: Neishabour

The main objective of this article is to investigate the impact of cooperatives on the technical and economical empowering of farmers and agricultural development in the villages of Neishabour. The method of this research is analytical – descriptive and it has been carried out in 2013.  The statistical society is composed of 4685 members and non-members of cooperatives in twenty villages of Neishabour. The sample size via the Cochran formula and stratified sampling technique has been calculated to be 252.  Data collection has been performed through documentation and field study. For data analysis, the SPSS software package and the T-Student Test have been employed. The results of statistical analysis based on 13 economic indicators revealed that the average economic stability of the members is 2.64 which is slightly higher than 2.47; that is the average economic stability of non-members. Independent samples T-Test results between members and non-members revealed that the probability value is 0.004 which indicates that there exists a significant difference between average economic stability of members and non-members. The T-Test results with hypothetical mean of 3 and 4 showed that the majority of indicators are less than the average. Therefore, the impact of cooperatives in economic development is evaluated to be below the average limit and cooperatives could not play an important role in increasing the economic empowerment of farmers