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1.
ChemSusChem ; : e202400576, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38823005

RESUMO

Affordable clean energy is one of the major sustainable development goals that can transform our world. At present, researchers are working to develop cheap electrode materials to develop energy storage devices, the Lithium-sulfur (Li-S) battery is considered a promising energy storage device owing to its excellent theoretical specific capacity and energy density. Herein, utilizing the ramie degumming waste liquid as raw materials, after freeze-drying and high-temperature calcination, a sustainable and cost-effective three-dimensional (3D) porous nitrogen-doped ramie carbon (N-RC) was synthesized. The N-RC calcined at 800 °C (N-RC-800) shows a superior high specific surface area of 1491.85 m2 ⋅ g-1 and a notable high pore volume of 0.90 cm3 ⋅ g-1. When employed as a sulfur host, the S@N-RC-800 cathode illustrates excellent initial discharge capacity (1120.6 mAh ⋅ g-1) and maintains a reversible capacity of 625.4 mAh ⋅ g-1 after 500 cycles at 1 C. Simultaneously, the S@N-RC-800 cathode also shows excellent coulombic efficiency and ideal rate performance. Such exceptional electrochemical performance of S@N-RC-800 can be primarily attributable to N-RC's high specific surface area, high porosity, and abundant polar functional groups. This green and low-cost synthesis strategy offers a new avenue for harnessing the potential of waste biomass in the context of clean energy storage.

2.
Spine Deform ; 2024 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-38403800

RESUMO

PURPOSE: The relationship between axial surface rotation (ASR) measured by surface topography (ST) and axial vertebral rotation (AVR) measured by radiography in the transverse plane is not well defined. This study aimed to: (1) quantify ASR and AVR patterns and their magnitudes from T1 to L5; (2) determine the correlation or agreement between the ASR and AVR; and (3) investigate the relationship between axial rotation differences (ASR-AVR) and major Cobb angle. METHODS: This is a retrospective study evaluating patients (age 8-18) with IS or spinal asymmetry with both radiographic and ST measurements. Demographics, descriptive analysis, and correlations and agreements between ASR and AVR were evaluated. A piecewise linear regression model was further created to relate rotational differences to Cobb angle. RESULTS: Fifty-two subjects met inclusion criteria. Mean age was 14.1 ± 1.7 and 39 (75%) were female. Looking at patterns, AVR had maximal rotation at T8, while ASR had maximal rotation at T11 (r = 0.35, P = .006). Cobb angle was 24.1° ± 13.3° with AVR of - 1° ± 4.6° and scoliotic angle was 20.9° ± 11.5° with ASR of - 2.3° ± 6.6°. (ASR-AVR) vs Cobb angle was found to be very weakly correlated with a curve of less than 38.8° (r = 0.15, P = .001). CONCLUSION: Our preliminary findings support that ASR measured by ST has a weak correlation with estimation of AVR by 3D radiographic reconstruction. This correlation may further help us to understand the application of transverse rotation in some clinical scenarios such as specific casting manipulation, padding mechanism in brace, and surgical correction of rib deformity.

3.
Trials ; 25(1): 133, 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38374040

RESUMO

BACKGROUND: Patients with cervical spondylosis myelopathy (CSM) may experience severe neurological dysfunction due to untimely spinal cord compression after surgery. These disorders may lead to sensory and motion disorders, causing considerable psychological distress. Recent studies found that virtual reality (VR) technology can be an effective tool for treating spinal cord injuries. Owing to this discovery, we developed an exploratory research project to investigate the impact of this intervention on the postoperative recovery of patients with CSM. METHODS: The purpose of this randomized controlled trial was to evaluate the efficacy of combining VR technology with conventional rehabilitation strategies for the postoperative rehabilitation of patients with CSM. A total of 78 patients will be recruited and randomized to either the conventional rehabilitation group or the group subjected to VR technology combined with conventional rehabilitation strategies. The Japanese Orthopaedic Association (JOA) scale will be the main tool used, and secondary outcomes will be measured via the visual analogue scale (VAS), neck disability index (NDI), and functional MRI (fMRI). The data analysis will identify differences between the intervention and control groups as well as any relationship between the intragroup changes in the functional area of the brain and the subjective scale scores after the intervention. DISCUSSION: The aim of this trial is to investigate the effect of VR training on the postoperative rehabilitation of patients with CSM after 12 intervention treatments. Positive and negative outcomes will help us better understand the effectiveness of the intervention and its neural impact. If effective, this study could provide new options for the postoperative rehabilitation of patients with CSM. TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR2300071544). Registered 17 May 2023, https://www.chictr.org.cn/ .


Assuntos
Doenças da Medula Espinal , Espondilose , Humanos , Espondilose/cirurgia , Espondilose/complicações , Doenças da Medula Espinal/etiologia , Doenças da Medula Espinal/cirurgia , Vértebras Cervicais/cirurgia , Imageamento por Ressonância Magnética/efeitos adversos , Descompressão Cirúrgica/efeitos adversos , Resultado do Tratamento , Ensaios Clínicos Controlados Aleatórios como Assunto
4.
Children (Basel) ; 11(2)2024 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-38397270

RESUMO

Adolescent Idiopathic Scoliosis is a 3D spinal deformity commonly characterized by serial radiographs. Patients with AIS may have increased average radiation exposure compared to unaffected patients and thus may be implicated with a modest increase in cancer risk. To minimize lifetime radiation exposure, alternative imaging modalities such as surface topography are being explored. Surface topography (ST) uses a camera to map anatomic landmarks of the spine and contours of the back to create software-generated spine models. ST has previously shown good correlation to radiographic measures. In this study, we sought to use ST in the creation of a risk stratification model. A total of 38 patients met the inclusion criteria for curve progression prediction. Scoliotic curves were classified as progressing, stabilized, or improving, and a predictive model was created using the proportional odds logistic modeling. The results showed that surface topography was able to moderately appraise scoliosis curvatures when compared to radiographs. The predictive model, using demographic and surface topography measurements, was able to account for 86.9% of the variability in the future Cobb angle. Additionally, attempts at classification of curve progression, stabilization, or improvement were accurately predicted 27/38 times, 71%. These results provide a basis for the creation of a clinical tool in the tracking and prediction of scoliosis progression in order to reduce the number of X-rays required.

5.
Biomed Opt Express ; 14(9): 4660-4676, 2023 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-37791266

RESUMO

High-toxicity secondary metabolites called aflatoxin are naturally produced by the fungus Aspergillus. In a warm, humid climate, Aspergillus growth can be considerably accelerated. The most dangerous chemical among all aflatoxins is aflatoxin B1 (AFB1), which has the potential to cause cancer and several other health risks. As a result, food forensicists now urgently need a method that is more precise, quick, and practical for aflatoxin testing. The current study focuses on the development of a highly sensitive, specific, label-free, and rapid detection method for AFB1 using a novel humanoid-shaped fiber optic WaveFlex biosensor (refers to a plasmon wave-based fiber biosensor). The fiber probe has been functionalized with nanomaterials (gold nanoparticles, graphene oxide and multiwalled carbon nanotubes) and anti-AFB1 antibodies to enhance the sensitivity and specificity of the developed sensor. The findings demonstrate that the developed sensor exhibits a remarkable low detection limit of 34.5 nM and exceptional specificity towards AFB1. Furthermore, the sensor demonstrated exceptional characteristics such as high stability, selectivity, reproducibility, and reusability. These essential factors highlight the significant potential of the proposed WaveFlex biosensor for the accurate detection of AFB1 in diverse agricultural and food samples.

6.
Appl Opt ; 62(15): 3904-3908, 2023 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-37706699

RESUMO

In this work, the fabrication and sensing performance of fusion structures based on single-mode fiber (SMF) and multimode fiber (MMF) with different cladding diameters are discussed, and the effects of different lengths of MMF and fiber etching on sensing performance are analyzed. First, the transmitted intensity measurement experiment is performed, and the results indicate that the performance of the SMF-MMF-SMF(SMS)-based structure is better for sensing purposes. In addition, the results demonstrate that the performance of etched fiber is better than that of non-etched fiber. The etched fiber structure with lower fiber diameters produces more evanescent waves and is better for sensing purposes. Therefore, the proposed structure has certain development potential as an application of future optical fiber sensors.

7.
Appl Opt ; 62(16): E37-E42, 2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37706887

RESUMO

In this paper, three S-tapered fiber (STF) structures with different diameters (40, 60, and 80 µm) are fabricated using conventional single-mode fiber. First, the reproducibility of the proposed S-tapered structure is confirmed through an analysis of the diameter distribution. Considering the transmitted intensities of the three various diameter, S-tapered structures reveal that the STF with a 40 µm diameter produces more evanescent waves and is more sensitive to external refractive index variations. Therefore, the STF structure with a 40 µm diameter was evaluated for the detection of different concentration of glucose solutions, demonstrating that the structure has the potential to be utilized to develop a highly sensitive fiber sensor.

8.
Appl Opt ; 62(18): 4753-4758, 2023 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-37707248

RESUMO

In this work, the fabrication method of a U-shaped optical fiber (UOF) structure using single-mode fiber is proposed. Few UOF sensors have been developed to date, but the fabrication process has not been described in detail. Here, its subsequent homemade fabrication, optimization strategies, and analysis are thoroughly explored. Further, the influence of transmission on U-shaped diameter is explored. The transmitted intensity is mainly used to assess the strength of the evanescent field. For this purpose, three different diameters of 2 mm, 4 mm, and 6 mm UOFs are fabricated. The results show that the transmission of the U-shaped structure is dependent on the diameter of the UOF. Thereafter, different concentrations of glucose solutions are detected using the optimized stable UOF structure to showcase the sensing properties. Overall, this work is essential for beginners who want to conduct research on optical fiber sensors with a curved shape.

9.
Front Psychol ; 14: 1172442, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37599756

RESUMO

This study aims to investigate the impact of using synchronized computer-mediated communication (SCMC) in a face-to-face (FTF) classroom on reducing foreign language anxiety (FLA) and enhancing the learning experience. Fifty Chinese college students participated in a learning activity under three modes: normal FTF classroom (the blank sample), pure SCMC, and hybrid SCMC (BYOD). Smartphones, PCs, open internet, and the bring-your-own-device (BYOD) concept were used for SCMC applications. After completing the learning activity, the students completed Foreign Language Classroom Anxiety Scale (FLCAS) questionnaires. The students were also asked to complete perceptual questionnaires to assess their interaction, anxiety, distraction from the internet, and class atmosphere in the three modes. The results showed that the hybrid SCMC (BYOD) resulted in better interaction than the normal FTF classroom mode (the blank sample), while pure SCMC showed no significant improvement. Both SCMC modes reduced FLA compared to the normal FTF classroom mode (the blank sample), but pure SCMC caused a noticeable increase in distraction from the internet and weakened the classroom atmosphere. In contrast, the hybrid SCMC (BYOD) mode slightly increased distraction and improved the classroom atmosphere.

10.
ACS Appl Mater Interfaces ; 15(23): 27612-27623, 2023 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-37265327

RESUMO

The extensive research into developing novel strategies for detecting respiratory syndrome coronavirus 2 (SARS-CoV-2) antigens in clinical specimens, especially the sensitive point-of-care testing method, is still urgently needed to reach rapid screening of viral infections. Herein, a new lateral flow immunoassay (LFIA) platform was reported for the detection of SARS-CoV-2 spike-S1 protein antigens, in which four sensitive and specific SARS-CoV-2 mouse monoclonal antibodies (MmAbs) were tailored by using quantum dot (QD)-loaded dendritic mesoporous silica nanoparticles modified further for achieving the -COOH group surface coating (named Q/S-COOH nanospheres). Importantly, compact QD adsorption was achieved in mesoporous channels of silica nanoparticles on account of highly accessible central-radial pores and electrostatic interactions, leading to significant signal amplification. As such, a limit of detection for SARS-CoV-2 spike-S1 testing was found to be 0.03 ng/mL, which is lower compared with those of AuNPs-LFIA (traditional colloidal gold nanoparticles, Au NPs) and enzyme-linked immunosorbent assay methods. These results show that optimizing the affinity of antibody and the intensity of fluorescent nanospheres simultaneously is of great significance to improve the sensitivity of LFIA.


Assuntos
COVID-19 , Nanopartículas Metálicas , Nanosferas , Animais , Camundongos , SARS-CoV-2 , COVID-19/diagnóstico , Ouro , Dióxido de Silício , Imunoensaio/métodos , Anticorpos Antivirais , Sensibilidade e Especificidade
11.
Biosensors (Basel) ; 13(6)2023 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-37367009

RESUMO

Optical fiber sensors based on tapered optical fiber (TOF) structure have attracted a considerable amount of attention from researchers due to the advantages of simple fabrication, high stability, and diverse structures, and have great potential for applications in many fields such as physics, chemistry, and biology. Compared with conventional optical fibers, TOF with their unique structural characteristics significantly improves the sensitivity and response speed of fiber-optic sensors and broadens the application range. This review presents an overview of the latest research status and characteristics of fiber-optic sensors and TOF sensors. Then, the working principle of TOF sensors, fabrication schemes of TOF structures, novel TOF structures in recent years, and the growing emerging application areas are described. Finally, the development trends and challenges of TOF sensors are prospected. The objective of this review is to convey novel perspectives and strategies for the performance optimization and design of TOF sensors based on fiber-optic sensing technologies.


Assuntos
Tecnologia de Fibra Óptica , Fibras Ópticas
12.
Appl Opt ; 62(8): 1992-1998, 2023 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-37133085

RESUMO

This paper discusses the details about the fabrication of single-mode fiber (SMF)- and multi-mode fiber (MMF)-based core-offset sensor structures for biomolecules detection. SMF-MMF-SMF (SMS) and SMF-core-offset MMF-SMF (SMS structure with core-offset) are proposed in this paper. In the conventional SMS structure the incident light is introduced from the SMF to the MMF and then passes through the MMF to the SMF. However, in the SMS-based core offset structure (COS) the incident light is introduced from the SMF to the core offset MMF and then passes through the MMF to the SMF, and more incident light leaks at the fusion point between the SMF and the MMF. This structure causes more incident light to leak out from the sensor probe, forming evanescent waves. By analyzing the transmitted intensity, the performance of COS can be improved. The results show that the structure of the core offset has great potential for the development of fiber-optic sensors.


Assuntos
Tecnologia de Fibra Óptica
13.
Opt Express ; 31(3): 4783-4802, 2023 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-36785437

RESUMO

In this work, authors have developed a portable, sensitive, and quick-response fiber optic sensor that is capable of detection of Aflatoxins B1 (AFB1) quantitatively and qualitatively. Using multi-mode fiber (MMF) and multi-core fiber (MCF), the MMF-MCF-MCF-MMF fiber structure based on symmetric transverse offset splicing and waist-expanded taper is fabricated. The evanescent waves are enhanced to form a strong evanescent field by etching the fiber surface with hydrofluoric acid. To successfully excite the localized surface plasmon resonance phenomenon, gold nanoparticles are deposited on the optical fiber probe's surface. Further, to modify the fiber optic probes, Niobium carbide (Nb2CTx) MXene and AFB1 antibodies are functionalized. Nb2CTx MXene is employed to strengthen the biocompatibility of the sensor and increase the specific surface area of the fiber probe, while AFB1 antibody is used to identify AFB1 micro-biomolecules in a specific manner. The reproducibility, reusability, stability, and selectivity of the proposed fiber probe are tested and validated using various concentration of AFB1 solutions. Finally, the linear range, sensitivity, and limit of detection of the sensing probe are determined as 0 - 1000 nM, 11.7 nm/µM, and 26.41 nM, respectively. The sensor offers an indispensable technique, low-cost solution and portability for AFB1-specific detection in agricultural products and their byproducts with its novel optical fiber structure and superior detecting capability. It is also useful for marine species like fish and consequently affecting health of human body.


Assuntos
Aflatoxina B1 , Nanopartículas Metálicas , Humanos , Aflatoxina B1/análise , Ouro/química , Nanopartículas Metálicas/química , Reprodutibilidade dos Testes , Ressonância de Plasmônio de Superfície
14.
Biosensors (Basel) ; 13(1)2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36671920

RESUMO

This article discusses optically active nanomaterials and their optical biosensing applications. In addition to enhancing their sensitivity, these nanomaterials also increase their biocompatibility. For this reason, nanomaterials, particularly those based on their chemical compositions, such as carbon-based nanomaterials, inorganic-based nanomaterials, organic-based nanomaterials, and composite-based nanomaterials for biosensing applications are investigated thoroughly. These nanomaterials are used extensively in the field of fiber optic biosensing to improve response time, detection limit, and nature of specificity. Consequently, this article describes contemporary and application-based research that will be of great use to researchers in the nanomaterial-based optical sensing field. The difficulties encountered during the synthesis, characterization, and application of nanomaterials are also enumerated, and their future prospects are outlined for the reader's benefit.


Assuntos
Técnicas Biossensoriais , Nanoestruturas , Nanoestruturas/química , Carbono/química , Tecnologia de Fibra Óptica
15.
Phytopathology ; 113(7): 1244-1253, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36706002

RESUMO

The root rot disease caused by Fusarium oxysporum f. sp. ginseng is one of the most destructive diseases of ginseng, an economically important herb. However, little is known about the pathogen's toxin biosynthesis or the molecular mechanisms regulating infection of ginseng. In this study we identified and functionally characterized the FoRSR1 gene that encodes a Ras-related (RSR) small GTPase homologous to yeast Rsr1 in F. oxysporum f. sp. ginseng. Disruption of FoRSR1 resulted in a significant reduction in mycelial dry weight in liquid cultures, although vegetative growth rate was not affected on culture plates. Notably, the Forsr1 mutant exhibited blunted and swollen hyphae with multi-nucleated compartments. It produced fewer and morphologically abnormal conidia and was defective in chlamydospore formation. In infection assays with ginseng roots, the Forsr1 mutant was significantly less virulent and caused only limited necrosis at the wounding sites. Deletion of FoRSR1 also affected pigmentation, autophagy, and production of fusaric acid. Furthermore, the expression of many candidate genes involved in secondary metabolism was significantly downregulated in the mutant, suggesting that FoRSR1 is also important for secondary metabolism. Overall, our results indicated that FoRSR1 plays important roles in conidiation, vacuolar morphology, secondary metabolism, and pathogenesis in F. oxysporum f. sp. ginseng.


Assuntos
Fusarium , Panax , Virulência/genética , Ácido Fusárico/metabolismo , Doenças das Plantas , Saccharomyces cerevisiae
16.
Hum Vaccin Immunother ; 18(6): 2138049, 2022 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-36409064

RESUMO

In this study, we sought to evaluate the inter-batch consistency and safety of the CTN-1 V human rabies vaccine (Vero cells). A total of 594 healthy participants aged 10-60 years were enrolled from Mianzhu, Sichuan Province, and randomized into three batch groups to receive vaccination via the Essen Regimen, that is, a single dose on days 0, 3, 7, 14, and 28 in the deltoid muscle of the upper arm. The serum antibody geometric mean concentration (GMC) and positive conversion rate of each group were determined using a rapid fluorescence focus inhibition test (RFFIT) before the first-dose immunization, 14 d after the first-dose immunization, and 14 d and 12 mo after full immunization. Adverse events (AEs) 30 min and 30 d after immunization were observed in each group. There were 322 cases of AEs during the observation period, with an overall incidence of 54.4%. The incidences of AEs in groups A, B, and C were 57.4%, 51.5%, and 54.3%, respectively. There were no significant differences among the groups (P > .05). Moreover, there were no significant differences (P > .05) in the serum GMC or antibody-positive conversion rate between any two groups at any time point. The bilateral 95% confidence interval of the GMC ratio between any two groups 14 d after the first-dose immunization was within the range of 0.67-1.50. This study shows that the CTN-1 V human rabies vaccine (Vero cells) has reliable safety and stable immunogenicity between batches.


This was a randomized, double-blind, equivalent clinical study on the inter-batch consistency of rabies vaccine. The rabies virus CTN strain adopted for the vaccine was isolated by China National Institute for Food and Drug Control. It has a gene sequence homology of 82.0%­93.0% with the representative strains of street virus isolated in China (i.e., CQ92, HN06, and J strains), higher than that of other vaccine strains (aG, PM, and PV strains). A total of 594 participants were enrolled in this study, and were randomized into three batch groups. Blood samples were collected from participants in each group before vaccination, at 14 days after the first dose of vaccination, and at 14 d and 12 mo after the fifth dose of vaccination, in order to detect antibody levels and observe adverse reactions. There was no significant difference in serum antibody levels and adverse reactions between any two of the three groups, indicating that different vaccine batches manufactured at the commercial scale can maintain stable immunogenicity and safety profiles.


Assuntos
Vacina Antirrábica , Raiva , Chlorocebus aethiops , Animais , Humanos , Células Vero , Anticorpos Antivirais , Vacinação/efeitos adversos , Voluntários Saudáveis , Raiva/prevenção & controle , Imunogenicidade da Vacina
17.
Biosensors (Basel) ; 12(11)2022 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-36421134

RESUMO

Optical fiber sensors based on surface plasma technology have many unique advantages in specific applications such as extreme environmental monitoring, physical parameter determination, and biomedical indicators testing. In recent decades, various kinds of fiber probes with special structures were developed according to special processing such as tapering, splicing, etching, fiber balls, grating etc. In this paper, the fabrication technology, characteristics, development status and application scenarios of different special optical fiber structures are briefly reviewed, including common processing equipment. Furthermore, many special novel optical fiber structures reported in recent years are summarized, which have been used in various kinds of plasmonic sensing work. Then, the fiber-plasmonic sensors for practical applications are also introduced and examined in detail. The main aim of this review is to provide guidance and inspiration for researchers to design and fabricate special optical fiber structures, thus facilitating their further research.


Assuntos
Monitoramento Ambiental , Fibras Ópticas
18.
Front Rehabil Sci ; 3: 889905, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36188888

RESUMO

Background: There are many different Thoracic Lumbar Sacral Orthosis style brace designs available in the market for the correction of scoliosis deformity. Hole cut out patterns, are commonly used in brace designs. These cut-outs may be subdivided into two groups: hole patterns and windows. Hole patterns are an array of holes which are implemented to lighten the weight of a brace and allow for the skin to breathe. Windows provide space for spinal derotation and/or breathing. From an examination of the literature, it appears that a systematic analysis of the effect of these cut-outs on the structural integrity and functionality of the brace has not been undertaken. Furthermore, there is a lack of understanding on the effect of spacing, size and geometry of the cut-outs on the mechanical behavior of the brace. Method of Approach: In this study, Finite Element Analysis is employed to examine the mechanical response of the brace to these cut-outs. Geometry for the Thoracic Lumbar Sacral Orthosis was obtained by scanning an existing brace using an optical scan and converted into a Computer Aided Design model. A systematic approach was undertaken where cut-out geometry, spacing and size was varied. The deformation and stress in the thickness of the brace was ascertained from the Finite Element Analysis. An appropriate factor of safety for the structural analysis was determined using a standardized approach and used to quantify the structural integrity of the brace due to the cut-out. Various geometries were analyzed for the hole patterns including circle, triangle, diamond, and hexagon. For the window, the geometries considered were circle, trapezoidal and the "bib" geometry. Results: It was found that linear hole patterns where the holes are aligned do not provide a desirable structural factor safety. Furthermore, among all the possible geometries, the hexagonal cut-out was the best structurally while reducing the weight of the brace the most. The optimal spacing was found to be 12 mm, and the optimal hole surface area was found to be 78.54 mm2. For the windows in the abdominal area, the "bib" shape provided the best structural integrity and generated the lowest amount of deformation. An increase in the size of this window had a small effect on the stress but an almost negligible effect on the deformation. Conclusions: A hexagonal hole pattern should be used with a spacing of 12 mm and each hole should have a surface area of 78.54 mm2. Windows in the abdominal area should be of "bib" shape. The size of the window cut-outs does not affect the brace stress and deformation significantly. Thus, the size of these windows should be based on the functional aspects of the brace, i.e., the minimum required size needed to permit the patient to breathe comfortably as in the case of the abdominal window or to allow for proper derotation, as in the case of the derotation window.

19.
WMJ ; 121(1): 36-40, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35442577

RESUMO

INTRODUCTION: Clubfoot, also known as idiopathic congenital talipes equinovarus, is one of the most common pediatric deformities affecting 1 to 2 in every 1,000 live births. We sought to provide the first known analysis of incidence of clubfoot diagnoses in the most populous region of Wisconsin as well as risk factors associated with the deformity. METHODS: We conducted a retrospective study on children treated for clubfoot at Children's Wisconsin from January 1, 2004, through December 31, 2018. To examine trends, we performed a linear trend of annual clubfoot births for each county covered as well as the southeastern region of Wisconsin. We also analyzed common risk factors associated with clubfoot. RESULTS: The study population included 760 clubfoot patients: 497 males and 263 females. Most patients were non-Hispanic/Latino (76.8%) and White (72.2%). A total of 414 patients (54.4%) had no family history of clubfoot, 130 patients (17.1%) had a positive family history of clubfoot, and family history was unknown for 216 patient (28.4%). The southeastern region of Wisconsin contained the largest patient population (n = 523) and, among counties studied, Milwaukee County had the largest patient population (n = 269). Linear trends for Milwaukee County and the southeastern region of Wisconsin showed a statistically significant increase in clubfoot births from 2004 through 2017 (P < 0.001). CONCLUSIONS: In this study of children diagnosed with clubfoot, high population areas showed a statistically significant increase in the number of children affected over time, with a low evidence of family history. This study provides further insight into the possible etiology of clubfoot being influenced by an exogenous, environmental factor.


Assuntos
Pé Torto Equinovaro , Criança , Pé Torto Equinovaro/epidemiologia , Feminino , Humanos , Incidência , Recém-Nascido , Masculino , Estudos Retrospectivos , Fatores de Risco , Wisconsin/epidemiologia
20.
Spine (Phila Pa 1976) ; 47(15): 1103-1110, 2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-35275852

RESUMO

STUDY DESIGN: Multicenter numerical study. OBJECTIVE: To biomechanically analyze and compare various passive correction features of braces, designed by several centers with diverse practices, for three-dimensional (3D) correction of adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA: A wide variety of brace designs exist, but their biomechanical effectiveness is not clearly understood. Many studies have reported brace treatment correction potential with various degrees of control, making the objective comparison of correction mechanisms difficult. A Finite Element Model simulating the immediate in-brace corrective effects has been developed and allows to comprehensively assess the biomechanics of different brace designs. METHODS: Expert clinical teams (one orthotist and one orthopedist) from six centers in five countries participated in the study. For six scoliosis cases with different curve types respecting SRS criteria, the teams designed two braces according to their treatment protocol. Finite Element Model simulations were performed to compute immediate in-brace 3D correction and skin-to-brace pressures. All braces were randomized and labeled according to 21 design features derived from Society on Scoliosis Orthopaedic and Rehabilitation Treatment proposed descriptors, including positioning of pressure points, orientation of push vectors, and sagittal design. Simulated in brace 3D corrections were compared for each design feature class using ANOVAs and linear regressions (significance P ≤ 0.05). RESULTS: Seventy-two braces were tested, with significant variety in the design approaches. Pressure points at the apical vertebra level corrected the main thoracic curve better than more caudal locations. Braces with ventral support flattened the lumbar lordosis. Lateral and ventral skin-to-brace pressures were correlated with changes in thoracolumbar/lumbar Cobb and lumbar lordosis (r =- 0.53, r = - 0.54). Upper straps positioned above T10 corrected the main thoracic Cobb better than those placed lower. CONCLUSIONS: The corrective features of various scoliosis braces were objectively compared in a systematic approach with minimal biases and variability in test parameters, providing a better biomechanical understanding of individual passive mechanisms' contribution to 3D correction.


Assuntos
Cifose , Lordose , Escoliose , Adolescente , Braquetes , Análise de Elementos Finitos , Humanos , Cifose/terapia , Lordose/terapia , Escoliose/terapia
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