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

Experimental demonstration of a fiber-optic gas sensor network addressed by FMCW

Author name used in this publication: H. L. HoAuthor name used in this publication: W. JinAuthor name used in this publication: M. S. DemokanAuthor name used in this publication: K. C. Chan2000-2001 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Return to work after cardiac rehabilitation

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T5lephone: Bridging Speech and Text Self-supervised Models for Spoken Language Understanding via Phoneme level T5

In Spoken language understanding (SLU), a natural solution is concatenating pre-trained speech models (e.g. HuBERT) and pretrained language models (PLM, e.g. T5). Most previous works use pretrained language models with subword-based tokenization. However, the granularity of input units affects the alignment of speech model outputs and language model inputs, and PLM with character-based tokenization is underexplored. In this work, we conduct extensive studies on how PLMs with different tokenization strategies affect spoken language understanding task including spoken question answering (SQA) and speech translation (ST). We further extend the idea to create T5lephone(pronounced as telephone), a variant of T5 that is pretrained using phonemicized text. We initialize T5lephone with existing PLMs to pretrain it using relatively lightweight computational resources. We reached state-of-the-art on NMSQA, and the T5lephone model exceeds T5 with other types of units on end-to-end SQA and ST

Catalytic Addition of Simple Alkenes to Carbonyl Compounds by Use of Group 10 Metals

Recent advances using nickel complexes in the activation of unactivated monosubstituted olefins for catalytic intermolecular carbon-carbon bond-forming reactions with carbonyl compounds, such as simple aldehydes, isocyanates, and conjugated aldehydes and ketones, are discussed. In these reactions, the olefins function as vinyl- and allylmetal equivalents, providing a new strategy for organic synthesis. Current limitations and the outlook for this new strategy are also discussed.National Institute of General Medical Sciences (U.S.) (GM-063775)National Institute of General Medical Sciences (U.S.) (GM-072566)National Science Foundation (U.S.) (CAREER CHE-0134704)Amgen Inc.Boehringer Ingelheim PharmaceuticalsBristol-Myers Squibb CompanyMerck & Co., Inc.GlaxoSmithKlineJohnson & JohnsonPfizer Inc.Alfred P. Sloan FoundationWyeth ResearchDeshpande Center for Technological InnovationNational Science Foundation (U.S.) (CHE-9809061)National Science Foundation (U.S.) (DBI-9729592)National Institutes of Health (U.S.) (1S10RR13886-01

Carbon monoxide and stroke: A time series study of ambient air pollution and emergency hospitalizations

postprin

Effects of risk assessment and management programme for hypertension on clinical outcomes and cardiovascular disease risks after 12 months: a population-based matched cohort study

Objectives: This study evaluated the effectiveness of a structured multidisciplinary risk assessment and management programme for patients with hypertension (RAMP-HT) who were managed in public primary care clinics but had suboptimal blood pressure (BP) control in improving BP, LDL-cholesterol (LDL-C) and predicted 10-year cardiovascular disease (CVD) risk after 12 months of intervention. Methods: A total of 10 262 hypertension patients with suboptimal BP despite treatment, aged less than 80 years and without existing CVD were enrolled in RAMP-HT between October 2011 and March 2012 from public general out-patient clinics in Hong Kong. Their clinical outcomes and predicted 10-year CVD risk were compared with a matched cohort of hypertension patients who were receiving usual care in general out-patient clinics without any RAMP-HT intervention by propensity score matching. Multivariable linear and logistic regressions were used to determine the independent effectiveness of RAMP-HT after adjusting for potential confounding variables. Results: Compared with the usual care group after 12 months, significantly greater proportions of RAMP-HT participants achieved target BP (i.e. BP 20%) (OR = 1.13, P < 0.01). RAMP-HT participants also had significantly greater reduction in predicted 10-year CVD risk by 0.44% (coefficient = -0.44, P < 0.01). Conclusion: The structured multidisciplinary RAMP-HT was more effective than usual care in achieving target BP, LDL-C and reducing predicted 10-year CVD risk in public primary care patients with suboptimal hypertension control after 12 months of intervention. A long-term follow-up should be conducted to confirm whether the improvement in clinical outcomes can be translated into actual reductions in CVD complications and mortalities and whether such approach is cost-effective.published_or_final_versio

A targeted gene panel that covers coding, non-coding and short tandem repeat regions improves the diagnosis of patients with neurodegenerative diseases

Genetic testing for neurodegenerative diseases (NDs) is highly challenging because of genetic heterogeneity and overlapping manifestations. Targeted-gene panels (TGPs), coupled with next-generation sequencing (NGS), can facilitate the profiling of a large repertoire of ND-related genes. Due to the technical limitations inherent in NGS and TGPs, short tandem repeat (STR) variations are often ignored. However, STR expansions are known to cause such NDs as Huntington\u27s disease and spinocerebellar ataxias type 3 (SCA3). Here, we studied the clinical utility of a custom-made TGP that targets 199 NDs and 311 ND-associated genes on 118 undiagnosed patients. At least one known or likely pathogenic variation was found in 54 patients; 27 patients demonstrated clinical profiles that matched the variants; and 16 patients whose original diagnosis were refined. A high concordance of variant calling were observed when comparing the results from TGP and whole-exome sequencing of four patients. Our in-house STR detection algorithm has reached a specificity of 0.88 and a sensitivity of 0.82 in our SCA3 cohort. This study also uncovered a trove of novel and recurrent variants that may enrich the repertoire of ND-related genetic markers. We propose that a combined comprehensive TGPs-bioinformatics pipeline can improve the clinical diagnosis of NDs

Benefits of cardiac rehabilitation in patients with left ventricular systolic heart failure

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