A PRINCIPLE INVESTIGATION INTO THE FEASIBILITY OF USING MICROWAVE IMAGING TO MONITOR BONE HEALTH

INTRODUCTION Assessing bone health is of particular interest in age-associated disease and traumas such as osteoporosis, and fractures from extreme sports. Having tools that can safely and accurately assess bone health allows for the screening, diagnosis, and monitoring of disease or injury. The current gold standard for assessing bone health is high-resolution peripheral quantitative computed tomography (HR-pQCT) allowing direct three-dimensional (3D) visualization of bone. Recent evidence suggests microwave imaging can be a complementary medical imaging tool to HR-pQCT for dynamic assessment of full bone health [1]. Specifically, it was shown that microwave properties of cancellous bone are sensitive to physical changes in bone. However, this study was purely exploratory and provided no direct evidence for changes in dielectric properties with varying bone health. In this study, we aim to understand the interaction of electromagnetic waves with bone as a composite material, specifically the material anisotropy. Such information would be crucial to understanding how microwave measurements relate to the physical characteristics of the bone. METHODS Image data for the right and left tibia and radius of one female and two male subjects was acquired from HR-pQCT (XtremeCTII, Scanco Medical). The 3D image data was smoothed with a Gaussian filter (σ = 1.6) and segmented using histogram based segmentation. Cubes of edge length 82 voxels (5.002 mm) were extracted from the segmented images based on the bone center of geometry. The extracted cubes were imported into electromagnetic simulation software (SEMCAD X, Schmid & Partner Engineering AG). A parallel plate waveguide filled with air was excited with a Gaussian pulse polarized in the z-axis (f0 = 6.5 GHz, BW = 11 GHz). The bone and marrow were assigned material properties from literature [2]. Resulting data was exported and processed using custom MATLAB scripts (R2013a, MathWorks). Three simulations were performed per image such that the electromagnetic wave was polarized in each of the three anatomical directions: anterior-posterior, medial-lateral, and proximal-distal. RESULTS The effective permittivity, ε’r, was calculated for each of the anatomical directions and plotted across the frequency range of the input signal. A representative plot for all images is shown in Figure 1. The effective permittivity for each orientation tend to vary around a common permittivity.DISCUSSION AND CONCLUSIONS The results presented here provide a rudimentary but novel insight into the anisotropic behaviour of bone at microwave frequencies. Furthermore, it presents a technique for 3D model acquisition and simulation of bone not yet present in literature. This technique will allow further exploration of the electromagnetic properties of bone such as a deeper insight into the anisotropic behaviour and development of a model for the effective medium of bone as a composite material. With such information, the microwave measurements of bone could be directly related to the bone’s physical properties. This would prove the potential of microwaves to assess bone health for disease or trauma and allow the development of in vivo imaging tools for assessing disease and trauma

Improved synthesis of conduritol B epoxide

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/25497/1/0000038.pd

Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce.

The first Stroke Recovery and Rehabilitation Roundtable established a game changing set of new standards for stroke recovery research. Common language and definitions were required to develop an agreed framework spanning the four working groups: translation of basic science, biomarkers of stroke recovery, measurement in clinical trials and intervention development and reporting. This paper outlines the working definitions established by our group and an agreed vision for accelerating progress in stroke recovery research

MRI channel flows and their parasites

Local simulations of the magnetorotational instability (MRI) in accretion disks can exhibit recurrent coherent structures called channel flows. The formation and destruction of these structures may play a role in the development and saturation of MRI-induced turbulence, and consequently help us understand the time-dependent accretion behaviour of certain astrophysical objects. Previous investigations have revealed that channel solutions are attacked by various parasitic modes, foremost of which is an analogue of the Kelvin-Helmholtz instability. We revisit these instabilities and show how they relate to the classical instabilities of plasma physics, the kink and pinch modes. However, we argue that in most cases channels emerge from developed turbulence and are eventually destroyed by turbulent mixing, not by the parasites. The exceptions are the clean isolated channels which appear in systems near criticality or which emerge from low amplitude initial conditions. These structures inevitably achieve large amplitudes and are only then destroyed, giving rise to eruptive behaviour.Comment: 17 pages, 17 figures, accepted by MNRA

New fat free mass - fat mass model for use in physiological energy balance equations

<p>Abstract</p> <p>Background</p> <p>The Forbes equation relating fat-free mass (<it>FFM</it>) to fat mass (<it>FM</it>) has been used to predict longitudinal changes in <it>FFM </it>during weight change but has important limitations when paired with a one dimensional energy balance differential equation. Direct use of the Forbes model within a one dimensional energy balance differential equation requires calibration of a translate parameter for the specific population under study. Comparison of translates to a representative sample of the US population indicate that this parameter is a reflection of age, height, race and gender effects.</p> <p>Results</p> <p>We developed a class of fourth order polynomial equations relating <it>FFM </it>to <it>FM </it>that consider age, height, race and gender as covariates eliminating the need to calibrate a parameter to baseline subject data while providing meaningful individual estimates of <it>FFM</it>. Moreover, the intercepts of these polynomial equations are nonnegative and are consistent with observations of very low <it>FM </it>measured during a severe Somali famine. The models preserve the predictive power of the Forbes model for changes in body composition when compared to results from several longitudinal weight change studies.</p> <p>Conclusions</p> <p>The newly developed <it>FFM</it>-<it>FM </it>models provide new opportunities to compare individuals undergoing weight change to subjects in energy balance, analyze body composition for individual parameters, and predict body composition during weight change when pairing with energy balance differential equations.</p

Regulation to create environments conducive to physical activity : understanding the barriers and facilitators at the Australian State Government level

Introduction Policy and regulatory interventions aimed at creating environments more conducive to physical activity (PA) are an important component of strategies to improve population levels of PA. However, many potentially effective policies are not being broadly implemented. This study sought to identify potential policy/regulatory interventions targeting PA environments, and barriers/facilitators to their implementation at the Australian state/territory government level.Methods In-depth interviews were conducted with senior representatives from state/territory governments, statutory authorities and non-government organisations (n = 40) to examine participants\u27: 1) suggestions for regulatory interventions to create environments more conducive to PA; 2) support for preselected regulatory interventions derived from a literature review. Thematic and constant comparative analyses were conducted.Results Policy interventions most commonly suggested by participants fell into two areas: 1) urban planning and provision of infrastructure to promote active travel; 2) discouraging the use of private motorised vehicles. Of the eleven preselected interventions presented to participants, interventions relating to walkability/cycling and PA facilities received greatest support. Interventions involving subsidisation (of public transport, PA-equipment) and the provision of more public transport infrastructure received least support. These were perceived as not economically viable or unlikely to increase PA levels. Dominant barriers were: the powerful &lsquo;road lobby&rsquo;, weaknesses in the planning system and the cost of potential interventions. Facilitators were: the provision of evidence, collaboration across sectors, and synergies with climate change/environment agendas.Conclusion This study points to how difficult it will be to achieve policy change when there is a powerful &lsquo;road lobby&rsquo; and government investment prioritises road infrastructure over PA-promoting infrastructure. It highlights the pivotal role of the planning and transport sectors in implementing PA-promoting policy, however suggests the need for clearer guidelines and responsibilities for state and local government levels in these areas. Health outcomes need to be given more direct consideration and greater priority within non-health sectors.<br /

An Approach to Evaluation of the Effect of Bioremediation on Biological Activity of Environmental Contaminants: Dechlorination of Polychlorinated Biphenyls

The effectiveness of bioremediation efforts is assessed traditionally from the loss of the chemical of interest. In some cases, analytical techniques are coupled with evaluation of toxicity to organisms representative of those found in the affected environment or surrogate organisms. Little is known, however, about the effect of remediation of environmental chemicals on potential toxicity to mammalian organisms. We discuss both an approach that employs mammalian cell system bioassays and the criteria for selection of the assays. This approach has been used to evaluate the biological response to mixtures of polychlorinated biphenyls (PCBs) before and after remediation by reductive dechlorination. The dechlorination process used results in accumulation of congeners substituted in only the ortho and para positions and containing fewer chlorines than the starting mixtures. Evaluation of the dechlorinated mixture reveals a loss of biological activity that could be ascribed to coplanar PCBs not containing chlorine in the ortho positions. Conversely, biological activity associated with ortho-substituted PCB congeners is unaffected or increased by remediation. Thus, the results of the bioassays are consistent with the remediation-induced change in the profile of PCB congeners and the known mechanisms of action of PCBs. The results emphasize a need for evaluation of the products of remediation for biological activity in mammalian systems. Furthermore, the approach outlined demonstrates the potential to assess the impact of remediation on a range of biological activities in mammalian cells and thus to estimate positive and negative effects of remediation strategies on toxicity. Future needs in this area of research include assays to evaluate biological effects under conditions of exposure that mimic those found in the environment and models to extrapolate effects to assess risk to people and wildlife

Design and methods of Shape Up Under 5: Integration of systems science and community-engaged research to prevent early childhood obesity

Shape Up Under 5 (SUU5) was a two-year early childhood obesity prevention pilot study in Somerville, Massachusetts (2015–2017) designed to test a novel conceptual framework called Stakeholder-driven Community Diffusion. For whole-of-community interventions, this framework posits that diffusion of stakeholders’ knowledge about and engagement with childhood obesity prevention efforts through their social networks will improve the implementation of health-promoting policy and practice changes intended to reduce obesity risk. SUU5 used systems science methods (agent-based modeling, group model building, social network analysis) to design, facilitate, and evaluate the work of 16 multisector stakeholders (‘the Committee’). In this paper, we describe the design and methods of SUU5 using the conceptual framework: the approach to data collection, and methods and rationale for study inputs, activities and evaluation, which together may further our understanding of the hypothesized processes within Stakeholder-driven Community Diffusion. We also present a generalizable conceptual framework for addressing childhood obesity and similar complex public health issues through whole-of-community interventions