Extending tPA Use for Wake-up Stroke

https://scholarlycommons.henryford.com/detstrokeconf2019/1004/thumbnail.jp

Effective constitutive relations for large repetitive frame-like structures

Effective mechanical properties for large repetitive framelike structures are derived using combinations of strength of material and orthogonal transformation techniques. Symmetry considerations are used in order to identify independent property constants. The actual values of these constants are constructed according to a building block format which is carried out in the three consecutive steps: (1) all basic planar lattices are identified; (2) effective continuum properties are derived for each of these planar basic grids using matrix structural analysis methods; and (3) orthogonal transformations are used to determine the contribution of each basic set to the overall effective continuum properties of the structure

Added value of graded compression ultrasound to the Alvarado score in cases of right iliac fossa pain

IntroductionAcute appendicitis is one of the most common emergencies treated by the general surgeon. Simple appendicitis can progress to perforation, which is associated with a much higher morbidity and mortality, and surgeons have therefore been inclined to operate when the diagnosis is probable rather than wait until it is certain. The aim of this study was to evaluate the sensitivity and specificity of the Alvarado score combined with ultrasounds of the abdomen and pelvis in cases of right iliac fossa pain with suspected acute appendicitis.Methods100 patients admitted to the Department of Surgery at Alexandria Main University Hospital in 2013 complaining of right iliac fossa pain with suspected acute appendicitis were studied prospectively. The demographic information, histopathology, physical examination, laboratory data, Alvarado score, sonography report and histopathological reports of these patients were gathered. The treating surgeon made decisions for surgery or conservative management without any intervention from the research team.ResultsA combination of methods showed that Alvarado alone was 100% sensitive in excluding appendicitis at scores below five and was highly specific at scores above eight (91.9%) with no added value when combining it with ultrasound in those scores. On the other hand, ultrasound was beneficial only in patients with Alvarado scores between five and eight for detecting appendicitis and not excluding it (increasing specificity to 100% and not affecting sensitivity).ConclusionUltrasound is a good adjuvant examination in cases with Alvarado scores between five and eight in order to diagnose appendicitis. Negative ultrasound results do not exclude appendicitis and further assessment by other modalities should be performed

Enhance productivity and net economic return by intercropping sunflower (Helianthus annus L.) with common beans (Phaseolus vulgaris L.) under drip irrigation

Intercropping represents ways of maximizing water use efficiency (WUE) for higher yields per unit of irrigation water applied. The field experiments were carried out at the Experimental Farm of Arab El- Awammer Research, Station, Assiut during the two successive growing summer seasons of 2017 and 2018, to study the effect of different irrigation regimes (120, 100 and 80% ETo) and intercropping systems (sole sunflower, sole common bean and intercropping sunflower and common bean) for enhanced productivity and net economic return under drip irrigation. Irrigation with 120% ETo treatment gave higher yield and its compounds and oil % compared to 100 and 80% ETo treatments for sunflower and common bean. The highest stem, head diameters and 100-seed weight and seed and oil yield produced with sole sunflower as compared with intercropping of sunflower with common bean which had the lowest values in both growing seasons. The highest values of IWUE (0.723 and 0.704 kg/m3) were obtained at intercropping under irrigation with 100% ETo. Values of land equivalent ratio of various intercropping systems were larger than one in the intercropping systems. Sunflower + common bean cropping system produced higher values of net return than sole sunflower and sole common bean. The highest net return (2709 US$/ha) were obtained when irrigated sunflower + common bean intercropping system with 120$/ha) were obtained when irrigated sole sunflower with 80% ETo treatment in the first season. DOI: http://dx.doi.org/10.5281/zenodo.376327

Geometric modeling and analysis of large latticed surfaces

The application of geometrical schemes, similar to geodesic domes, to large spherical antenna reflectors was investigated. The shape and size of flat segmented latticed surfaces which approximate general shells of revolution, and in particular spherical and paraboloidal reflective surfaces, were determined. The extensive mathematical and computational geometric analyses of the reflector resulted in the development of a general purpose computer program capable of generating the complete design parameters of the dish. The program also includes a graphical self contained subroutine for graphic display of the required design

On the kinematics of the cross body abduction and hand behind the back tests to assess osteoarthritis of the acromioclavicular joint

Background: Osteoarthritis of the acromioclavicular joint is one of the most common sources of shoulder pain. One of the current standard clinical physical examination tests is the cross body adduction test which has been shown to signal the presence of osteoarthritis. Another test referred to as the hand behind the back test has been described to provide a more accurate diagnosis than the CBA test for some patients. Through this work, both the CBA and the HBB tests were modeled in order to determine if there is merit for the HBB test to be used as a diagnostic tool for clinicians. Methods: Both tests were modeled using the zygote solid 3D 50th percentile male human anatomy model and MSC-ADAMS Software to compile and run the simulations. Within MSC-ADAMS the bones were outfitted with joints. During simulation, the bones were moved from the anatomical position to the final position for each test and the corresponding minimum distances between the bones at the acromioclavicular joint were then determined. Results: It was found that the distance between the acromioclavicular joint articulating surfaces decreased by 0.3 mm from the anatomical position during the CBA test and by 1.65 mm from the anatomical position during the HBB. This shows that the minimum space decreased from the anatomical position by more than 5 folds during the HBB test than during the CBA test. Conclusions: These results indicate that the HBB test may be a better diagnostic test due to the greater stress and irritation it places upon the acromioclavicular joint

Impact of irrigation regimes on productivity and profitability of maize + peanut intercropping system in Upper Egypt

Good management of soil and water use is one of the most important factors in agricultural sustainability, and intercropping systems are an important component of good agricultural practices. Thus, a field experiment was conducted at the Experimental Farm of Arab Al-Awamer Research Station, Assiut Governorate, Agriculture Research Center, Egypt, during the summer seasons of 2021 and 2022 to investigate the effect of maize (M) + peanut (P) intercropping system on productivity, water use efficiency, and profitability at varying irrigation regimes. The experiment was laid out in a randomized complete block design using a split-plot arrangement with three replicates. Irrigation regimes (120, 100 and 80% ETc) were assigned to the main plots, while the intercropping systems (100% P + 25% M, 100% P + 33% M and 100% P + 50% M) were allocated to the sub-plots. The results showed that most traits of peanut and maize decreased substantially under the 80% ETc irrigation regime. While the largest values of traits were associated with the 120 % ETc. Averaged across the two seasons, the highest values of net return (1,441 US$/ha) were obtained when 100% peanut plants were intercropped with 25% maize at 120% ETc irrigation regime. Therefore, we recommend intercrop maize (25%) with peanut (100%) irrigated with 120% ETc to achieve higher yields and net return. DOI: http://dx.doi.org/10.5281/zenodo.1041338

The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament. Part 2: femoral attachment.

Accepted versio

Accuracy of biplane x-ray imaging combined with model-based tracking for measuring in-vivo patellofemoral joint motion

<p>Abstract</p> <p>Background</p> <p>Accurately measuring <it>in-vivo</it> motion of the knee's patellofemoral (PF) joint is challenging. Conventional measurement techniques have largely been unable to accurately measure three-dimensional, <it>in-vivo</it> motion of the patella during dynamic activities. The purpose of this study was to assess the accuracy of a new model-based technique for measuring PF joint motion.</p> <p>Methods</p> <p>To assess the accuracy of this technique, we implanted tantalum beads into the femur and patella of three cadaveric knee specimens and then recorded dynamic biplane radiographic images while manually flexing and extending the specimen. The position of the femur and patella were measured from the biplane images using both the model-based tracking system and a validated dynamic radiostereometric analysis (RSA) technique. Model-based tracking was compared to dynamic RSA by computing measures of bias, precision, and overall dynamic accuracy of four clinically-relevant kinematic parameters (patellar shift, flexion, tilt, and rotation).</p> <p>Results</p> <p>The model-based tracking technique results were in excellent agreement with the RSA technique. Overall dynamic accuracy indicated errors of less than 0.395 mm for patellar shift, 0.875° for flexion, 0.863° for tilt, and 0.877° for rotation.</p> <p>Conclusion</p> <p>This model-based tracking technique is a non-invasive method for accurately measuring dynamic PF joint motion under <it>in-vivo</it> conditions. The technique is sufficiently accurate in measuring clinically relevant changes in PF joint motion following conservative or surgical treatment.</p