448 research outputs found
Vegetation Phenology as a Function of Plant Functional Type and Urbanization
Urban land cover contributes to higher temperatures in urban areas compared to adjacent rural areas, which can cause an earlier start of the growing season for urban vegetation. Variations in plant community characteristics between urban and rural areas also produce intra-urban differences in vegetation phenophases, although few studies have investigated differences in phenology between plant functional types in multiple urban environments. In this study I used an exploratory analysis based on the Landsat Phenology Algorithm and weather station data to quantify differences in leaf-onset dates for different plant functional types in the New York City Metropolitan Area. The results demonstrate that Landsat can be used to identify urban-rural variations in leaf-onset for different plant functional types, and that these variations are driven by different climate variables depending on plant functional type. Furthermore, results from such analyses suggest that long-term changes in leaf onset vary across different plant functional types—i.e., grasslands may be advancing at a different rate than forests
Estimation of Passive Drag in Swimming via Experimental and Computational Means
Discussed is a comparison of computational and experimental evaluations of passive drag during human swimming. Experimentally, ten trials were conducted per athlete at five chosen velocities, using a commercial resistance trainer to record the tension force in a rope during a streamline position tow test. The resistive force recorded was assumed equal to the passive drag force and an average value of passive drag was found across each tow test. Mean passive drag values measured during the tow test were agreed well with existing experimental data across the range of velocities used, varying between 20 N at 1 ms-1 up to 100 N at 2 ms-1 20 . Computationally, using the immersed boundary method in OpenFOAM, basic geometry validation cases and streamline passive drag cases were simulated. Validation cases were completed on 2D cylinders and 3D spheres with the drag coefficient found at low and high Reynolds numbers, using the simpleFoam solver within OpenFOAM. Results tended to be slightly over predictive when compared with existing simulation and experimental data in literature. The accuracy of results could potentially be improved using a finer mesh and better quality geometries. The passive drag was also computed using OpenFOAM over a range of velocities, similar to the experiments, varying from 30 N at 1 ms-1 to 120 N at 2 ms-1 28 . Drag forces computed using simpleFoam were over predictive when compared to existing literature and the completed experiments, likely due to the inaccuracy of the geometry used in the simulations. When results were compared to existing literature for swimmers not in a perfect streamline position, more similar to the geometry used in this study, results were in better agreement. The accuracy of the results could be improved using a better quality geometry in the correct position
INVESTIGATING DRILL CONSTRAINT KINEMATICS IN MALE BASEBALL PITCHERS USING MARKERLESS MOTION CAPTURE
This study investigated the kinematic differences that pitching constraint drills elicit compared to a baseball pitch. 18 male baseball pitchers with average height (183.7 ± 5.2cm), weight (87.4 ± 9.6kg), and skill level (Professional (4), Collegiate (5), High School (9)) were included. Video was recorded using a single camera from the open side. Each pitcher threw 3 maximum effort pitches from a mound. Next, 3 maximum effort throws were recorded for 8 different throwing drills: medicine ball hook’em drill, pivot pickoff drill, foot-up rocker drill, walk-in drill, towel drill, janitor drill, drop-step drill, and long toss. Videos were processed using pitchAITM, a markerless motion capture solution. The medicine ball hook’em drill was the most different to a pitch, and the towel drill was the most similar. This work demonstrates the first collective approach to studying the biomechanics of frequently used baseball pitching constraint drills
THE PREDICTION OF THE NEED FOR CORONARY ARTERY BYPASS SURGERY IN PATIENTS PRIOR TO CORONARY ANGIOGRAPHY
Biochemical Validation of Patient-Reported Symptom Onset Time in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
AbstractObjectivesThis study evaluated a biochemical validation of patient-reported symptom onset time in patients with ST-segment elevation myocardial infarction (STEMI).BackgroundSymptom onset time is an important metric but has never been formally validated.MethodsThe Mayo Clinic Percutaneous Coronary Intervention (PCI) Registry was interrogated to obtain baseline, procedural, and outcome data on 607 STEMI patients undergoing primary PCI. Biochemical onset time was determined by backward extrapolation of serial increasing cardiac troponin T (cTnT) measurements.ResultsThe median patient-reported onset time was 12 min later than the calculated time of first cTnT increase and was therefore estimated to be 4.2 h later than the biochemical onset time (interquartile range: 1.9 to 11.1 h; p < 0.001), assuming a 4-h interval between coronary occlusion and first cTnT increase. Conventional ischemic time showed no association with infarct size (correlation with peak cTnT: r = 0.023; p = 0.61) or 1-year mortality (hazard ratio: 0.97 per doubling; 95% confidence interval: 0.68 to 1.40; p = 0.88). However, after recalculation of ischemic time with biochemical onset time, significant associations with infarct size (r = 0.14; p = 0.001) and 1-year mortality (hazard ratio: 1.70 per doubling; 95% confidence interval: 1.20 to 2.40; p = 0.003) were found. When underestimation of ischemic time by patient-reported onset time increased, so did the risk of mortality.ConclusionsAlthough our point estimate should be interpreted with caution, our study indicates that the actual onset of STEMI is likely to be earlier than the patient-reported onset time. Recalculation of ischemic time with biochemical onset time greatly enhanced its prognostic value. Underestimation of ischemic time by patient-reported onset time occurred more often in high-risk patients
TEMPORAL TRENDS IN THE CAUSE OF LONG-TERM DEATH AFTER PCI: A 20-YEAR SINGLE-CENTER EXPERIENCE
Restoration of normal coronary flow after no-reflow phenomenon does not improve post-procedural myocardial infarction in patients without ST-segment elevation myocardial infarction
Inflammatory Burden of Cardiac Allograft Coronary Atherosclerotic Plaque Is Associated With Early Recurrent Cellular Rejection and Predicts a Higher Risk of Vasculopathy Progression
ObjectivesThis study was designed to investigate tissue characterization of the coronary allograft atherosclerotic plaque with virtual histology intravascular ultrasound (VH-IVUS) imaging to assess the presence and predictors of vessel wall inflammation and its significance in cardiac allograft vasculopathy (CAV) progression.BackgroundA unique form of accelerated atherosclerosis, CAV remains the leading cause of late morbidity and mortality in heart transplant patients. The pathogenesis of CAV is not fully elucidated.MethodsA total of 86 patients with coronary allograft vasculopathy underwent VH-IVUS examination of the left anterior descending coronary artery 3.61 ± 3.04 years following cardiac transplantation. Based on the VH-IVUS plaque characteristics, coronary allograft plaque was divided on virtual histology intravascular ultrasound-derived “inflammatory” (VHD-IP) (necrotic core and dense calcium ≥30%) and “noninflammatory” plaque (VHD-NIP) (necrotic core and dense calcium <30%). Total rejection scores were calculated based on the 2004 International Society of Heart and Lung Transplantation rejection grading system.ResultsIn the whole study population, the mean percentage of fibrous, fibrofatty, dense calcified, and necrotic core plaques in a mean length of 62.3 ± 17.4 mm of the left anterior descending coronary artery were 50 ± 17%, 16 ± 11%, 15 ± 11%, and 18 ± 9%, respectively. Patients with a 6-month total rejection score >0.3 had significantly higher incidence of VHD-IP than those with a 6-month total rejection score ≤0.3 (69% vs. 33%, p = 0.011). The presence of VHD-IP at baseline was associated with a significant increase in plaque volume (2.42 ± 1.78 mm3/mm vs. –0.11 ± 1.65 mm3/mm, p = 0.010), plaque index (7 ± 9% vs. 0 ± 8%, p = 0.04), and remodeling index (1.24 ± 0.44 vs. 1.09 ± 0.36, p = 0.030) during 12 months of follow-up when compared with the presence of VHD-NIP at baseline and during follow-up.ConclusionsThe presence of VHD-IP as assessed by VH-IVUS is associated with early recurrent rejection and with higher subsequent progression of CAV. A VH-IVUS assessment may add important information in the evaluation of transplant recipients
The SoftHand Pro: Functional evaluation of a novel, flexible, and robust myoelectric prosthesis
Roughly one quarter of active upper limb prosthetic technology is rejected by the user, and user surveys have identified key areas requiring improvement: function, comfort, cost, durability, and appearance. Here we present the first systematic, clinical assessment of a novel prosthetic hand, the SoftHand Pro (SHP), in participants with transradial amputation and age-matched, limb-intact participants. The SHP is a robust and functional prosthetic hand that minimizes cost and weight using an underactuated design with a single motor. Participants with limb loss were evaluated on functional clinical measures before and after a 6-8 hour training period with the SHP as well as with their own prosthesis; limb-intact participants were tested only before and after SHP training. Participants with limb loss also evaluated their own prosthesis and the SHP (following training) using subjective questionnaires. Both objective and subjective results were positive and illuminated the strengths and weaknesses of the SHP. In particular, results pre-training show the SHP is easy to use, and significant improvement in the Activities Measure for Upper Limb Amputees in both groups following a 6-8 hour training highlights the ease of learning the unique features of the SHP (median improvement: 4.71 and 3.26 and p = 0.009 and 0.036 for limb loss and limb-intact groups, respectively). Further, we found no difference in performance compared to participant's own commercial devices in several clinical measures and found performance surpassing these devices on two functional tasks, buttoning a shirt and using a cell phone, suggesting a functional prosthetic design. Finally, improvements are needed in the SHP design and/or training in light of poor results in small object manipulation. Taken together, these results show the promise of the SHP, a flexible and adaptive prosthetic hand, and pave a path forward to ensuring higher functionality in future
Sex differences in atheroma burden and endothelial function in patients with early coronary atherosclerosis
Aims Women and men have different clinical presentations and outcomes in coronary artery disease (CAD). We tested the hypothesis that sex differences may influence coronary atherosclerotic burden and coronary endothelial function before development of obstructive CAD. Methods and results A total of 142 patients (53 men, 89 women; mean ± SD age, 49.3 ± 11.7 years) with early CAD simultaneously underwent intravascular ultrasonography and coronary endothelial function assessment. Atheroma burden in the left main and proximal left anterior descending (LAD) arteries was significantly greater in men than women (median, 23.0% vs. 14.1%, P = 0.002; median, 40.1% vs. 29.3%, P = 0.001, respectively). Atheroma eccentricity in the proximal LAD artery was significantly higher in men than women (median, 0.89 vs. 0.80, P = 0.04). The length of the coronary segments with endothelial dysfunction was significantly longer in men than women (median, 39.2 vs. 11.1 mm, P = 0.002). In contrast, maximal coronary flow reserve was significantly lower in women than men (2.80 vs. 3.30, P < 0.001). Sex was an independent predictor of atheroma burden in the left main and proximal LAD arteries (both P < 0.05) by multivariate analysis. Conclusion Men have greater atheroma burden, more eccentric atheroma, and more diffuse epicardial endothelial dysfunction than women. These results suggest that men have more severe structural and functional abnormalities in epicardial coronary arteries than women, even in patients with early atherosclerosis, which may result in the higher incidence rates of CAD and ST-segment myocardial infarction in men than wome
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