Factors Related to Intra-Tendinous Morphology of Achilles Tendon in Runners

The purpose of this study was to determine and explore factors (age, sex, anthropometry, running and injury/pain history, tendon gross morphology, neovascularization, ankle range of motion, and ankle plantarflexor muscle endurance) related to intra-tendinous morphological alterations of the Achilles tendon in runners. An intra-tendinous morphological change was defined as collagen fiber disorganization detected by a low peak spatial frequency radius (PSFR) obtained from spatial frequency analysis (SFA) techniques in sonography. Ninety-one runners (53 males and 38 females; 37.9 ± 11.6 years) with 8.8 ± 7.3 years of running experience participated. Height, weight, and waist and hip circumferences were recorded. Participants completed a survey about running and injury/pain history and the Victorian Institute of Sport Assessment-Achilles (VISA-A) survey. Heel raise endurance and knee-to-wall composite dorsiflexion were assessed. Brightness-mode (B-mode) sonographic images were captured longitudinally and transversely on the Achilles tendon bilaterally. Sonographic images were analyzed for gross morphology (i.e., cross-sectional area [CSA]), neovascularization, and intra-tendinous morphology (i.e., PSFR) for each participant. The factors associated with altered intra-tendinous morphology of the Achilles tendon were analyzed using a generalized linear mixed model. Multivariate analyses revealed that male sex was significantly associated with a decreased PSFR. Additionally, male sex and the presence of current Achilles tendon pain were found to be significantly related to decreased PSFR using a univariate analysis. Our findings suggested that male sex and presence of current Achilles tendon pain were related to intra-tendinous morphological alterations in the Achilles tendon of runners

Associations of lower-limb muscle strength performance with static and dynamic balance control among older adults in Taiwan

BackgroundAging is an inevitable process of life development. These physical changes can cause a decline in the functional adaptability and health status of older adult individuals.AimsThe purpose of this study was to investigate the association of lower-limb muscle strength performance with static and dynamic balance control among older adults in Taiwan.MethodsWe conducted a cross-sectional study and reviewed data derived from the National Physical Fitness Survey in Taiwan 2015–2016. A total of 20,846 Taiwanese older adult individuals aged 65 years old or older were recruited as study participants. Demographic characteristics, anthropometric assessments, lifestyle habits, and health-related physical fitness measurements from this dataset were analyzed using the chi-square test, one-way analysis of variance, and linear regression analysis. Lower-limb muscle strength performance was classified into 4 groups based on quartile (Quartile 1 [Q1], Quartile 2 [Q2], Quartile 3 [Q3], and Quartile 4 [Q4]) values.ResultsIncreased lower-limb muscle strength levels were significantly associated with static balance in men (Q2: β = 2.539, p < 0.0001; Q3: β = 4.590, p < 0.0001; Q4: β = 7.700, p < 0.0001) and women (Q2: β = 2.022, p < 0.0001; Q3: β = 4.179, p < 0.0001; Q4: β = 6.920, p < 0.0001) after adjusting for potential confounders. In addition, we observed that increased lower-limb muscle strength levels were significantly associated with dynamic balance in men (Q2: β = −1.661, p < 0.0001; Q3: β = −2.434, p < 0.0001; Q4: β = −3.091, p < 0.0001) and women (Q2: β = −1.660, p < 0.0001; Q3: β = −2.548, p < 0.0001; Q4: β = −3.196, p < 0.0001) after adjusting for potential confounders.ConclusionLower-limb muscle strength was the most important factor, as it was an improved method for static and dynamic balance control in both genders

A Multichannel MAC Protocol for IoT-enabled Cognitive Radio Ad Hoc Networks

Cognitive radios have the ability to dynamically sense and access the wireless spectrum, and this ability is a key factor in successfully building Internet-of-Things (IoT)-enabled mobile ad hoc networks. This paper proposes a contention-free token-based multichannel MAC protocol for IoT-enabled Cognitive Radio Ad Hoc Networks (CRAHNs). In this, secondary users of CRAHNs detect activity on the wireless spectrum and then access idle channels licensed by primary users. CRAHNs are divided into clusters, and the channel to use for transmission is determined dynamically from the probability of finding idle primary-user channels. The token-based MAC window size is adaptive, with adjustment according to actual traffic, which reduces both end-to-end MAC contention delay and energy consumption. High throughput and spatial reuse of channels can also be achieved using a dynamic control channel and dynamic schemes for contention windows. We performed extensive simulations to verify that the proposed method can achieve better performance in mobile CRAHNs than other MAC schemes can

Self‐potential ambient noise and spectral relationship with urbanization, seismicity, and strain rate revealed via the Taiwan Geoelectric Monitoring Network

AbstractGeoelectric self‐potential (SP) signals are sensitive to natural and anthropogenic factors. The SP spectral characteristics under the different factors in Taiwan were investigated, and the SP spectral scalings were correlated with urbanization level, seismicity, and crustal deformation. The ambient SP noise models were first established by estimating the probability density functions of the spectrograms at each frequency. The effects of the natural and anthropogenic factors on the SP signals are understood by comparing the SP noise models under various conditions, such as precipitation, urbanization, and electric trains. Results show that the SP signals in areas of high industrialization and human activity and areas close to train stations behave as white noises and exhibit a distinct spectral ripple at frequencies around 1 Hz. On the other hand, the SP spectral power law parameters, Gutenberg‐Richter b values, and dilation strain rates were estimated by using the SP, earthquake catalog, and GPS data, respectively, during 2012–2017. By investigating the correlations of the SP spectral parameters with the Gutenberg‐Richter b value, dilation strain rates, and urbanization level, the SP optimal frequency band is found between 0.006 and 1 Hz due to the high correlation between the SP and seismicity data and between the SP and dilation data and the low correlation between the SP and urbanization data. Hence, this study may help the filtering and screening of the SP data and facilitate the understanding of the mechano‐electric behavior in the crust

Imaging of Renal Tuberculosis in Eastern Taiwan: Correlation with Clinical Course and Different Communities

Hualien, located in eastern Taiwan, is a relatively isolated district. The population is composed of different ethnic communities. Our hospital is the only medical center in eastern Taiwan, so is the most important referral hospital for epidemic diseases. After reviewing our collected cases of renal tuberculosis (TB), we observed a great diversity in staging and outcomes. The aim of this study was to classify different imaging presentations and clinical outcomes in the ethnic communities represented by these cases (non-aboriginal and aboriginal). We retrospectively reviewed 22 cases from 1991 to 2001. We reviewed laboratory data, radiologic reports, and clinical outcomes. Before TB was proved by biopsy or culture, patients were not treated with an anti-TB regimen. Roentgenography showed that 68% of patients had renal calcification, 59% had dilated calyces, 55% had lung involvement, and 41% had auto-nephrectomy. The proportion of mild and severe forms was significantly different between aboriginal and non-aboriginal groups (0.05 > p ≥ 0.00409). From this series, we recommend routine plain film roentgenography, including chest roentgenography and kidney, ureter, and bladder or abdominal roentgenography, followed by intravenous urography or computerized tomography as investigative tools for renal TB. Based on the significantly different outcomes of the disease between aboriginal and non-aboriginal groups, a stronger health education program for the isolated district in eastern Taiwan is necessary