173 research outputs found
Use of a video scoring anchor for rapid serial assessment of social communication in toddlers
Investigating the Effect of Stratospheric Radiation on Seed Germination and Growth
Three seed types: bean (Phaseolus vulgaris), corn (Zea mays) and radish (Raphanus sativus) were flown in a high altitude weather balloon into the mid-stratosphere to investigate the effects of high altitude radiation on germination success and seedling growth. After recovering and planting the seeds, the bean seeds showed lower germination success with exposure to high altitude radiation, and consequently stunted seedling growth. Cord and radish seeds experienced a statistically significant positive effect on germination success form radiation exposure compared to control seeds, but negative effect on seedling growth. Overall, the field experiments presented here support laboratory studies that show radiation exposure on vegetable seeds has a mixed effect on the germination success and negative effect on seedling growth on investigated seed types
3D CAD systems for the clothing industry
The approaches for designing virtual garments may be categorised as ‘2D to 3D’ and ‘3D to 2D’. The former refers to draping flat digital pattern pieces on a virtual mannequin, and the later indicates the development of clothing design on a realistic body and subsequent flattening into 2D pattern pieces. Several computer-aided design (CAD) systems for garment visualisation in space from flat patterns have already been introduced into the clothing industry. Any industrial application of the pattern flattening technique is yet to be made, due to the non-availability of an appropriate CAD system on the market. This article reviews the historical developments of 3D CAD systems for the clothing industry, and assesses the features of currently available systems on market
3D Grading and Pattern Unwrapping Technique for Loose-fitting Shirt Part 2: Functionality
The functionality of a resizable template developed for the creation of virtual loose-fitting shirts, along with its support of automatic 3D grading and pattern flattening is described in this paper. The capacity of the system for performing as a 3D drawing platform and for supporting pattern flattening and 3D grading is tested and evaluated. Aspects of the design work are limited because the sleeves have been created separately from the body; this constraint may be addressed by building the template as a single shape. In other respects the template was found to be fully functional and ready for use by fashion designers and pattern technicians, allowing them to combine fashion illustration and pattern creation into a single step
The effect of link-length and vertex angle on mesh generation and pattern flattening for virtual clothing
Purpose - The purpose of this paper is to identify optimum operating parameters, namely link-length and vertex angle, for producing virtual clothing prototypes for the purpose of pattern flattening. Design/methodology/approach – Commercially available physically-based simulation and flattening engines were utilised to carry out the computational part of this study. Two separately developed 3D garment templates were used for the creation of virtual garments in the form of a triangulated mesh and later for pattern unwrapping by taking differential link-lengths and vertex angles into account to ascertain their effects on the mesh quality and on the ultimate pattern flattening process. Findings – It has been found that a link-length between 10 and 15 mm and a vertex angle between 120º and 160º are optimum for the virtual clothing prototyping process. Practical Implications – The findings of this study can universally be applied to simplify the tasks of virtual clothing prototyping and pattern unwrapping using commercial software packages. Originality/Value - Previously, there has not been any guidance available for the selection of specific operational parameters to promote 3D garment design
Socio-economic status and mortality in people with type 1 diabetes in Scotland 2006-2015:a retrospective cohort study
Factors influencing quality of life following lower limb amputation for peripheral arterial occlusive disease: a systematic review of the literature
Background: The majority of lower limb amputations are undertaken in people with peripheral arterial occlusive disease,\ud
and approximately 50% have diabetes. Quality of life is an important outcome in lower limb amputations; little is known\ud
about what influences it, and therefore how to improve it.\ud
Objectives: The aim of this systematic review was to identify the factors that influence quality of life after lower limb\ud
amputation for peripheral arterial occlusive disease.\ud
Methods: MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science and Cochrane databases were searched to identify\ud
articles that quantitatively measured quality of life in those with a lower limb amputation for peripheral arterial occlusive\ud
disease. Articles were quality assessed by two assessors, evidence tables summarised each article and a narrative\ud
synthesis was performed.\ud
Study design: Systematic review.\ud
Results: Twelve articles were included. Study designs and outcome measures used varied. Quality assessment scores\ud
ranged from 36% to 92%. The ability to walk successfully with a prosthesis had the greatest positive impact on quality\ud
of life. A trans-femoral amputation was negatively associated with quality of life due to increased difficulty in walking\ud
with a prosthesis. Other factors such as older age, being male, longer time since amputation, level of social support and\ud
presence of diabetes also negatively affected quality of life.\ud
Conclusion: Being able to walk with a prosthesis is of primary importance to improve quality of life for people with lower\ud
limb amputation due to peripheral arterial occlusive disease. To further understand and improve the quality of life of this\ud
population, there is a need for more prospective longitudinal studies, with a standardised outcome measure
DPD Quantification in Cardiac Amyloidosis A Novel Imaging Biomarker
OBJECTIVES: To assess whether single-photon emission computed tomography (SPECT/CT) quantification of bone scintigraphy would improve diagnostic accuracy and offer a means of quantifying amyloid burden. BACKGROUND: Transthyretin-related cardiac amyloidosis is common and can be diagnosed noninvasively using bone scintigraphy; interpretation, however, relies on planar images. SPECT/CT imaging offers 3-dimensional visualization. METHODS: This was a single-center, retrospective analysis of 99mTc-3,3-diphosphono-1,2-propanodicarboxylic acid (DPD) scans reported using the Perugini grading system (0 = negative; 1 to 3 = increasingly positive). Conventional planar quantification techniques (heart/contralateral lung, and heart/whole-body retention ratios) were performed. Heart, adjacent vertebra, paraspinal muscle and liver peak standardized uptake values (SUVpeak) were recorded from SPECT/CT acquisitions. An SUV retention index was also calculated: (cardiac SUVpeak/vertebral SUVpeak) × paraspinal muscle SUVpeak. In a subgroup of patients, SPECT/CT quantification was compared with myocardial extracellular volume quantification by CT imaging (ECVCT). RESULTS: A total of 100 DPD scans were analyzed (patient age 84 ± 9 years; 52% male): 40 were Perugini grade 0, 12 were grade 1, 41 were grade 2, and 7 were grade 3. Cardiac SUVpeak increased from grade 0 to grade 2; however, it plateaued between grades 2 and 3 (p < 0.001). Paraspinal muscle SUVpeak increased with grade (p < 0.001), whereas vertebral SUVpeak decreased (p < 0.001). The composite parameter of SUV retention index overcame the plateauing of the cardiac SUVpeak and increased across all grades (p < 0.001). Cardiac SUVpeak correlated well (r2 = 0.73; p < 0.001) with ECVCT. Both the cardiac SUVpeak and SUV retention index had excellent diagnostic accuracy (area under the curve [AUC]: 0.999). The heart to contralateral lung ratio performed the best of the planar quantification techniques (AUC: 0.987). CONCLUSIONS: SPECT/CT quantification in DPD scintigraphy is possible and outperforms planar quantification techniques. Differentiation of Perugini grade 2 or 3 is confounded by soft tissue uptake, which can be overcome by a composite SUV retention index. This index can help in the diagnosis of cardiac amyloidosis and may offer a means of monitoring response to therapy
Identifying Cardiac Amyloid in Aortic Stenosis: ECV Quantification by CT in TAVR Patients
OBJECTIVES: To validate computed tomography measured ECV (ECVCT) as part of routine evaluation for the detection of cardiac amyloid in patients with aortic stenosis (AS)-amyloid. BACKGROUND: AS-amyloid affects 1 in 7 elderly patients referred for transcatheter aortic valve replacement (TAVR). Bone scintigraphy with exclusion of a plasma cell dyscrasia can diagnose transthyretin-related cardiac amyloid noninvasively, for which novel treatments are emerging. Amyloid interstitial expansion increases the myocardial extracellular volume (ECV). METHODS: Patients with severe AS underwent bone scintigraphy (Perugini grade 0, negative; Perugini grades 1 to 3, increasingly positive) and routine TAVR evaluation CT imaging with ECVCT using 3- and 5-min post-contrast acquisitions. Twenty non-AS control patients also had ECVCT performed using the 5-min post-contrast acquisition. RESULTS: A total of 109 patients (43% male; mean age 86 ± 5 years) with severe AS and 20 control subjects were recruited. Sixteen (15%) had AS-amyloid on bone scintigraphy (grade 1, n = 5; grade 2, n = 11). ECVCT was 32 ± 3%, 34 ± 4%, and 43 ± 6% in Perugini grades 0, 1, and 2, respectively (p < 0.001 for trend) with control subjects lower than lone AS (28 ± 2%; p < 0.001). ECVCT accuracy for AS-amyloid detection versus lone AS was 0.87 (0.95 for 99mTc-3,3-diphosphono-1,2-propanodicarboxylic acid Perugini grade 2 only), outperforming conventional electrocardiogram and echocardiography parameters. One composite parameter, the voltage/mass ratio, had utility (similar AUC of 0.87 for any cardiac amyloid detection), although in one-third of patients, this could not be calculated due to bundle branch block or ventricular paced rhythm. CONCLUSIONS: ECVCT during routine CT TAVR evaluation can reliably detect AS-amyloid, and the measured ECVCT tracks the degree of infiltration. Another measure of interstitial expansion, the voltage/mass ratio, also performed well
Prevalence and Outcomes of Concomitant Aortic Stenosis and Cardiac Amyloidosis
Background: Older patients with severe aortic stenosis (AS) are increasingly identified to have cardiac amyloidosis (CA). It is unknown whether dual AS-CA has worse outcomes or results in futility of transcatheter aortic valve replacement (TAVR). /
Objective: To identify clinical characteristics and outcomes of AS-CA compared to lone AS. /
Methods: TAVR referrals at three international sites underwent blinded research-corelab 99mTc-DPD bone scintigraphy (Perugini Grade-0 negative, 1–3 increasingly positive) prior to intervention. Transthyretin-CA (ATTR) was diagnosed by DPD and absence of a clonal immunoglobulin, and light-chain-CA (AL) via tissue biopsy. National registries captured all-cause mortality. /
Results: 407 patients (83.4±6.5 years, 49.8% male) were recruited. DPD was positive in n=48 (11.8%, Grade-1 3.9%[n=16] Grade-2/3 7.9%[n=32]); AL was diagnosed in one Grade-1. Grade-2/3 patients had worse functional capacity, biomarkers (NT-proBNP/hsTnT), and bi-ventricular remodeling. A clinical score (RAISE) using left-ventricular Remodeling (hypertrophy/diastolic dysfunction), Age, Injury (hsTnT), Systemic involvement, and Electrical abnormalities (RBBB/low-voltages) was developed to predict AS-CA presence (AUC 0.86, 95%CI 0.78-0.94, p<0.001). Heart Team decision (DPD-blinded) resulted in TAVR (333[81.6%]), surgical-AVR (10[2.5%]), or medical management (65[15.9%]). After median 1.7 years, 23% of patients had died. 1-year mortality was worse in all-comers AS-CA (Grade-1-3) than lone AS (24.5 vs 13.9%, p=0.05). TAVR improved survival versus medical management with AS-CA survival post-TAVR no different to lone AS (p=0.36). /
Conclusion: Dual pathology of AS-CA is common in older AS patients and can be predicted clinically. AS-CA has worse clinical presentation and a trend towards worse prognosis, unless treated. TAVR should therefore not be withheld in AS-CA
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