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RATIONALE: Chronic cannabis users frequently report stress relief as their primary reason for use. The endocannabinoid system is involved in the neuroendocrine stress response, and diurnal cortisol rhythms may be disrupted in chronic cannabis users. OBJECTIVES: The objectives were to determine whether cannabis users demonstrate disruptions in diurnal stress rhythms and examine the acute effects of cannabis on stress-related outcomes in cannabis users' natural environments. METHODS: Eighty-two participants (39 cannabis users, 43 non-users) collected saliva samples to quantify cortisol concentrations and provided subjective stress ratings at 8 time points throughout the day. They wore a medical-grade wearable device for 24 h that recorded physiological indicators of stress (heart rate variability, electrodermal activity). Cannabis users collected additional saliva samples before and after cannabis use to examine acute effects of cannabis use. RESULTS: Cannabis users exhibited significant dysregulations in diurnal cortisol rhythms, including a blunted cortisol awakening response, flattened diurnal cortisol slope, and elevated afternoon cortisol concentrations. There were no differences in diurnal heart rate variability or electrodermal activity except for elevated evening heart rate in cannabis users. Finally, there were significant decreases in cortisol, subjective stress, and electrodermal activity following acute cannabis use in cannabis users' natural environment. CONCLUSIONS: These results provide evidence of dysregulated diurnal cortisol rhythms in cannabis users that were related to later waking times and acute stress-relieving properties of cannabis use in naturalistic environments. Future research should examine the direction of the relationship between cannabis use and diurnal cortisol rhythms and potential implications for other psychological disorders.
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Several kinematic-based algorithms have shown accuracy for gait event detection in unimpaired and pathological gait. However, their validation in subjects with lower limb amputation while walking on different terrains is still limited. The aim of this study was to evaluate the accuracy of three kinematic-based algorithms: Coordinate-Based Algorithm (CBA), Velocity-Based Algorithm (VBA) and High-Pass Filtered Algorithms (HPA) for detection of gait events in subjects with unilateral transtibial amputation walking on different terrains. Twelve subjects with unilateral transtibial amputation, using a hydraulic ankle prosthesis, walked at self-selected walking speed, on level ground and up and down a slope. Detection of Initial Contact (IC) and Foot Off (FO) by the three algorithms for intact and prosthetic limbs was compared with detection by force platforms using the True Error (TE) (time difference in detection). Mean TE found for over 100 events analysed per condition were smaller than 40 ms for both events in all conditions (approximately 6 % of stance phase). Significant interactions (p < 0.01) were found between terrain and algorithm, limb and algorithm, and also a main effect for the algorithm. Post-hoc analyses indicate that the algorithm, the limb and the terrain had an effect on the accuracy in detection. If an accuracy of 40 ms is acceptable for the particular application, then all three algorithms can be used for event detection in amputee gait. However, if accuracy in detection of events is crucial for the intended application, an evaluation of the algorithms in pathological gait walking on the terrain of interest is recommended.
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OBJECTIVE: This study aimed to identify the effect of some novel risk factors associated with L1 vertebrae and parameters closely related to the sagittal alignment for the occurrence of proximal junctional kyphosis (PJK) following surgery for patients with osteoporotic vertebral compression fractures (OVCF) kyphosis. METHODS: 74 OVCF patients undergoing posterior corrective surgery between January 2008 and June 2021 with a minimum 2-year follow-up were included. These patients were divided into PJK and non-PJK groups. Spinopelvic parameters, including thoracolumbar slope (TLS) and the L1 plumb line (L1PL) were measured preoperatively, postoperatively, and at follow-up. Multivariate logistic analysis was performed on various risk factors and Global Alignment and Proportion (GAP) scores. Associations between novel parameters and PJK were analyzed using receiver operating characteristic (ROC) analysis. RESULTS: PJK was identified in 28.4% of patients. The mean age and follow-up were 63.45 years and 38.17 months, respectively. There was no difference between the PJK and the non-PJK groups in baseline demographics, pre-operative and immediate post-operative pelvic incidence-lumbar lordosis mismatch. Multiple comparisons showed that the proportion of PJK in the severely disproportioned group(the group with the highest GAP scores) and that of the other two groups with lower GAP scores were statistically different (P < 0.001). Potential risk factors for PJK included preoperative thoracic kyphosis (TK) (P < 0.001), TLS (P = 0.016), postoperative TLS (P < 0.001), and L1PL (P < 0.001). Postoperative TLS and L1PL were respectively independent risk factors for PJK, with the cut-off values set at 8.6° and 10.4 mm to predict the occurrence of PJK. CONCLUSIONS: TLS and L1PL can be used to predict the occurrence of PJK in patients undergoing surgery for OVCF and are crucial for preventing the progression of PJK. Achieving a proportionate GAP Score postoperatively seems to be a viable option as higher GAP scores were associated with higher rates of PJK.
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BACKGROUND: The literature agrees that an increased posterior tibial slope (PTS) increases the risk of anterior cruciate ligament (ACL) rupture in adults. However, there is no consensus on the average normal value and it varies with growth. We carried out a systematic review of the literature to answer 4 questions faced with an increase in PTS in children: METHOD: We conducted a systematic review of the literature in accordance with PRISMA criteria. The inclusion criteria were all studies analyzing the association between increased PTS and the occurrence of knee disease in patients, the majority of whom were under 18 years of age or had immature skeletons. For each study, we recorded the demographic characteristics of the patients, the type of measurements performed, the PTS values and the association between the PTS value and the occurrence of pathology. RESULTS: A total of 294 studies were identified. After analysis, 11 studies were included (n = 1173 patients). Six studies examined the association between PTS and anterior cruciate ligament (ACL) rupture (n = 5) or recurrence of rupture (n = 1). Two studies investigated the association between tibial slope and proximal tibial fracture and 3 studies investigated the association between tibial slope and growth disease (Osgood Schlatter (OSD) or osteochondritis dissecans of the knee). Of the 5 ACL studies, all studies found a significant increase in PTS in patients with ACL rupture (range min 2.1 ° max 4.3 °) compared with healthy subjects. Concerning growth lesions, 3 studies found an increased PTS in patients with OSD or osteochondritis. The studies concerning fractures of the proximal end of the tibia also found an increase in PTS. CONCLUSIONS: This review highlighted the potential link between an abnormally high PTS value and the occurrence of knee pathologies in children, in particular ACL rupture. Children with a high PTS and an ACL rupture will require longer-term follow-up and should be warned of the greater risk of re-rupture. LEVEL OF EVIDENCE: IV; systematic review.
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As the main component of terrestrial ecosystem, vegetation plays a very important role in regional ecosystem environmental change, global carbon cycle and climate regulation. The Lower Mekong region (LMR) is at the core of Southeast Asia, its vegetation changes will affect the regional ecosystem and climate. Five countries of LMR were selected as the study area, based on MODIS (Moderate-Resolution Imaging Spectroradiometer) NDVI(Normal Difference Vegetation Index) data from 2000 to 2022, using the Sen's slope estimator, Mann-Kendall trend test and geographic detector to study the spatial and temporal variation trends and driving forces of vegetation coverage. The results showed that:(1) From 2000 to 2022,the vegetation coverage in the LMR showed an overall fluctuating upward trend, the annual average Fractional Vegetation Cover(FVC) value was 0.70, mainly with high vegetation coverage and relatively high vegetation coverage. Vegetation distribution had obviously spatial heterogeneity, and the vegetation of Myanmar, Laos and Vietnam was significantly larger than Thailand and Cambodia.(2) The variation trend analysis of Sen_MK showed that the proportion of improved and degraded vegetation coverage areas in the LMR were 56.33% and 37.55% respectively. The vegetation improvement area was much larger than the vegetation degradation area during 2000-2022. According to the variation trend analysis of different countries, the vegetation coverage improvement area in Vietnam, Myanmar and Thailand were larger than the degraded , the overall vegetation coverage variation trend were good. However, in Laos and Cambodia, the degraded areas were larger than the improved, the overall variation trends of coverage were not good.(3) The results of geographic detector showed that the Land Use and Land Cover(LULC) had the greatest influence on vegetation coverage in the study area.The influencing factors of vegetation coverage were different in the LMR. For Vietnam, Thailand and Laos,elevation and slope factors were second only to LULC, for Myanmar and Cambodia, the influence of precipitation factor was second only to LULC. The results provide scientific data support for understanding the ecological environment status and future changes in the research area.
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Ecossistema , Vietnã , Laos , Sudeste Asiático , Camboja , Mudança Climática , Imagens de Satélites , Plantas , Monitoramento Ambiental/métodos , Vale do Mecom , Análise Espaço-Temporal , Conservação dos Recursos Naturais , TailândiaRESUMO
PURPOSE: To evaluate the available literature on the relationship between knee bony morphology and medial meniscus posterior root tears (MMPRTs) to determine which underlying tibiofemoral morphologic risk factors may predispose the development of MMPRTs. METHODS: Embase, MEDLINE, and PubMed databases were searched to identify all relevant human clinical studies investigating knee morphologic features and MMPRTs. Shape features were compared between control groups and patients with MMPRTs. The methodological index for non-randomized studies (MINORS) instrument was utilized to assess the methodological quality of included studies. RESULTS: Thirteen level III evidence studies and one level IV evidence study were included in this review (n=2,181), with 895 patients in the MMPRT group and 1,286 in the control group. Tibial morphology features associated with an increased risk for MMPRTs included an increased medial tibial slope (six studies), increased tibial torsion (one study), increased medial meniscal slope (one study), and shallower medial tibial plateau concavity (one study). Varus mechanical alignment was found to increase the risk for MMPRTs (four studies). Femoral morphology features associated with an increased risk for MMPRTs included an A-type intercondylar notch (one study), increased medial femoral condyle (MFC) angle (one study), narrower intercondylar distance (one study), narrower intercondylar notch width (one study), shorter MFC distal offset distance (one study), increased MFC width (one study), increased MFC to medial tibial condyle width ratio (one study), greater distance between the medial tibial eminence and MFC (one study), and smaller femoral offset ratios of both the medial and lateral condyles (one study). CONCLUSION: Multiple tibiofemoral shape features, including a steeper slope of the medial tibial plateau, greater varus alignment, and a narrower intercondylar distance and notch width, were found to be predictive factors for MMPRTs. LEVEL OF EVIDENCE: Level IV (Systematic review of Level III and IV studies).
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Background: Low-density screw constructs yield significant radiographic and clinical improvements with reduced risk of neurological complications. This study aimed to investigate the relationship between coronal Cobb angle and pelvic incidence (PI) in the correction of adolescent idiopathic scoliosis (AIS) using a low-density construct, as well as the association between PI and functional outcomes. Patients and Methods: This prospective cohort study involved 60 posteriorly instrumented AIS patients, aged 10-16 years, with Cobb angles ranging from 45° to 90° of various Lenke types. Radiological assessments were conducted pre- and postsurgery at 1, 3, 6, 12, and 24 months. Functional evaluation utilized the Scoliosis Research Society score form (SRS-30). Results: A positive correlation was observed between screw density and operation time, blood loss, and degree of correction with SRS change (P = 0.004). No correlation was found between screw density and hospital stay, loss of correction, correction rate, SRS change, change in PI, or Cobb angle. Conclusions: Correction of AIS through a posterior approach using a low-density construct can lead to satisfactory curve correction, impacting spinopelvic parameters. However, PI alone does not directly influence patient functional outcomes assessed by SRS-30. Low-density implant constructs reduce operative time, blood loss, costs, and complication risks.
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PURPOSE: The influence of polyethylene insert conformity on the outcomes of cruciate-retaining (CR) total knee arthroplasty (TKA) with a medial pivot design remains uncertain. Therefore, this study aimed to evaluate the effects of polyethylene insert conformity in CR-TKA on patient-reported outcomes. METHODS: The data of 255 knees (FINE Total Knee System) from 255 patients were retrospectively analysed to compare outcomes for high- or low-constraint medial pivot inserts, as determined through historical controls, over an average follow-up period of 2.2 years (range, 2.0-5.5 years). Multivariate logistic regression analysis was used to identify predictors of achieving the patient-acceptable symptom state (PASS) for the Forgotten Joint Score-12 (FJS-12). Propensity score-matched cohorts for age, sex, body mass index, Kellgren-Lawrence grade, Charlson Comorbidity Index, knee flexion contracture, FJS-12 and follow-up duration were created for between-group comparison (n = 50 in each group). RESULTS: Low-constraint insert (p = 0.031) and age (p = 0.043) were independent predictors of achieving the PASS for the FJS-12 (>33, 153/255). After successful matching, compared to the high-constraint insert, the low-constraint insert improved patient satisfaction (p = 0.029 for pain on going up or downstairs, and p = 0.047 for the function of going upstairs) and increased the likelihood of achieving the minimal clinically important difference (p = 0.019) and PASS (p = 0.025) for the FJS-12. A significant correlation was observed between the posterior tibial slope and the FJS-12 in the low-constraint insert group (p < 0.001), indicating that a greater posterior tibial slope was associated with better functional outcomes in this group. CONCLUSIONS: Compared with high-constraint inserts, low-constraint medial pivot inserts yielded higher functional outcomes and patient satisfaction. Therefore, insert conformity may play a crucial role in CR-TKA outcomes. LEVEL OF EVIDENCE: Level III.
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A growing body of literature suggests that power spectral density (PSD) slope, measured using electroencephalography (EEG), might reflect synaptic activity and be a useful marker of early brain development. The objective of this article is to identify differences between preterm and full-term infants in PSD slope in active and quiet sleep. This is a secondary analysis of two studies, including premature (N = 33) (30 0/7 and 36 0/7 weeks' gestation) and full-term infants (N = 22). EEG was performed at near term-equivalent age in premature infants and within 36 h after birth in full-term infants. The natural log of the EEG power spectrum was plotted versus the natural log of the frequency spectrum. To estimate PSD slope, the power law exponent derived from the slope of the log(power) versus log(frequency) was calculated for the 1-20 Hz range and the 21-40 Hz range. Linear regression models were fit for each region in active and quiet sleep to examine the association between the PSD slope and infant age group. Preterm versus full-term infants demonstrated a less negative slope across multiple brain regions in active and quiet sleep. PSD slope may be an early measure of altered brain development in premature infants.
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Encéfalo , Eletroencefalografia , Recém-Nascido Prematuro , Sono , Humanos , Recém-Nascido Prematuro/fisiologia , Feminino , Masculino , Recém-Nascido , Encéfalo/fisiologia , Sono/fisiologia , Lactente , Desenvolvimento Infantil/fisiologia , Idade GestacionalRESUMO
Sufficient light and high UV intensity pose significant challenges to the long-term performance of polymeric geonet materials for slope-protection structures. This study investigates strength degradation under the effect of UV radiation; five different types of geonets were selected, which can be categorized as polyamide (PA), polypropylene (PP), and polyethylene (PE) materials. A comprehensive experimental investigation was performed, including tension strength, peer strength, artificially accelerated aging, and SEM tests, to further establish a service life prediction method used for slope-protection design. The results showed that the tension strength, percentage of breaking elongation, and peer strength all depict a descending trend with aging-elapsed time, especially in the early 600 h. The decreasing tendency of these mechanical properties' magnitude differed in the diversity of direction and material type. Significant changes have been generated on the geonet surface after aging; materials with smooth surfaces exhibit a strong ability against strength degradation. Fitting results affirmed the predictive technique as a useful engineering tool for tension strength assessments, offering guidelines for using and designing of geonets for slope-protection structures.
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Background: The primary objective of this research is to propose an intra-operative tumor detection probe calibrated on human models of gastrointestinal (G.I.) cancers, enabling real-time scanning of dissected masses. Methods: Electrical Gastrointestinal Cancer Detection (EGCD) measures impedimetric characteristics of G.I. masses using a handpiece probe and a needle-based head probe. Impedance Phase Slope (IPS) and impedance magnitude (Z1kHz) are extracted as the classification parameters. EGCD was tested on palpable G.I. masses and compared to histopathology results. Results: Calibration was carried out on 120 GI mass samples. Considering pathological results as the gold standard, most cancer masses showed Z1kHz between 100 Ω and 2500 Ω while their IPS was between -15 and -1. The EGCD total sensitivity and specificity of this categorization in G.I. cancer patients with palpable tumors were 86.4% and 74.4%, respectively (p-value < 0.01). Conclusion: EGCD scoring can be used for 3D scanning of palpable tumors in G.I. tumors during surgery, which can help clarify the tumors' pathological response to neoadjuvant chemotherapy or the nature of intra-operative newly found G.I. tumors for the surgeon to manage their surgical procedure better.
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Background: kidney transplant recipients are exposed to multiple pathogenic pathways that may alter short and long-term allograft survival. Metabolomic profiling is useful for detecting potential biomarkers of kidney disease with a predictive capacity. This field is still under development in kidney transplantation and metabolome analysis is faced with analytical challenges. We performed a cross-sectional study including stable kidney transplant patients and aimed to search for relevant associations between baseline plasmatic and urinary metabolites and relevant outcomes over a follow-up period of 3 years. Methods: we performed a cross-sectional study including 72 stable kidney transplant patients with stored plasmatic and urinary samples at the baseline evaluation which were there analyzed by nuclear magnetic resonance in order to quantify and describe metabolites. We performed a 3-year follow-up and searched for relevant associations between renal failure outcomes and baseline metabolites. Between-group comparisons were made after classification by observed estimated glomerular filtration rate slope during the follow-up: positive slope and negative slope. Results: The mean estimated GFR (glomerular filtration rate) was higher at baseline in the patients who exhibited a negative slope during the follow-up (63.4 mL/min/1.73 m2 vs. 55.8 mL/min/1.73 m2, p = 0,019). After log transformation and division by urinary creatinine, urinary dimethylamine (3.63 vs. 3.16, p = 0.027), hippuric acid (7.33 vs. 6.29, p = 0.041), and acetone (1.88 vs. 1, p = 0.023) exhibited higher concentrations in patients with a negative GFR slope when compared to patients with a positive GFR slope. By computing a linear regression, a significant low-strength regression equation between the log 2 transformed plasmatic level of glycine and the estimated glomerular filtration rate was found (F (1,70) = 5.15, p = 0.026), with an R2 of 0.069. Several metabolites were correlated positively with hand grip strength (plasmatic tyrosine with r = 0.336 and p = 0.005 and plasmatic leucine with r = 0.371 and p = 0.002). Other urinary metabolites were found to be correlated negatively with hand grip strength (dimethylamine with r = -0.250 and p = 0.04, citric acid with r = -0.296 and p = 0.014, formic acid with r = -0.349 and p = 0.004, and glycine with r = -0.306 and p = 0.01). Conclusions: some metabolites had different concentrations compared to kidney transplant patients with negative and positive slopes, and significant correlations were found between hand grip strength and urinary and plasmatic metabolites.
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BACKGROUND: The aim of this study to compare of the image quality of calcified lesions in coronary artery disease between deep learning reconstruction (DLR) and model-based iterative reconstruction (MBIR) on energy-integrating detector (EID) based ultra-high-resolution CT (UHRCT). METHODS: We performed a phantom study on EID-based UHRCT using a dedicated insert for calcifications and obtained the derivative values for DLR and MBIR. In the clinical study, the derivative values were compared between DLR and MBIR across 73 calcified lesions in 62 patients. Edge sharpness of calcifications and contrast resolution at the coronary lumen side were quantified by the maximum and minimum derivative values. Two radiologists independently analyzed image quality of the calcified lesions using a 5-point Likert scale. RESULTS: In the phantom study, the edge sharpness of the 3-mm calcifications on DLR (median, 924 HU/mm; IQR, 580-1741 HU/mm) was significantly higher than on MBIR (median, 835 HU/mm; IQR, 484-1552; p â< â0.001). In the clinical study, the image quality of the calcified lesions was significantly better on DLR with significantly reduced reconstruction time (p â< â0.001). The contrast resolution at the coronary lumen side on DLR (median, -99.1 HU/mm; IQR, -209 to -34.3 HU/mm) was significantly higher than on MBIR (median, -41.8 HU/mm; IQR, -121 to 22.3 HU/mm, p â< â0.001) although the edge sharpness of calcifications was similar between DLR and MBIR (p â= â0.794) in the clinical setting. CONCLUSION: EID-based UHRCT reconstructed using DLR represents better image quality of calcified lesions in coronary artery disease compared with MBIR, with significantly reduced reconstruction time.
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Large landslides can involve the multiple failures of regional slopes. To understand the effect of lateral thrust caused by the failure of one slope on its surroundings, the failures of two adjacent highway slopes in Guangdong Province, China, were investigated in detail. The interactive failure processes and landslide morphological characteristics of the two slopes were first analyzed based on the on-site investigation. Then, a plane mechanical model of a large-scale slope was established to evaluate the significant influence of the lateral thrust generated by the west slope acting on the east excavated slope. Furthermore, the extrusion effect of the west slope was modelled under the alternate excavation disturbance and rainfall by transferring the thrust forces onto the interface elements, and the induced failure mechanism and instability mode of the east slope under lateral thrust were reproduced numerically. The results show that the compression-shear failure occurred at the middle and rear slope bodies because of the lateral thrust, which led to the formation of a thrust landslide and the final instability of the east slope.
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Background: Several studies have described pathology in relation to transverse sigmoid notch morphology, using the Tolat transverse sigmoid notch classification. It is believed that the entire shape of a sigmoid notch can be described using Tolat sigmoid types. We hypothesised that the determination of the sigmoid notch shape (SNS) depends on the level of the transverse CT plane on the axial axis of the distal radius. The aim of this study was to determine and compare the transverse SNS on different axial CT levels in the same wrist. Methods: The transverse SNS of 53 participants were independently qualitatively classified by two researchers in accordance with the four morphologies described by Tolat et al. The SNS was determined at two levels on the axial axis of the distal radius; at the level of the most prominent part of Lister tubercle, determined on the sagittal plane and at the level of the 'smallest distance between the ulnar head and sigmoid notch' (SDUS). Results: Forty-seven percent of the wrists demonstrated different SNS types according to Tolat classification, depending on the axial level of the CT scan. Interobserver agreement on the transverse sigmoid shape was 87% at Lister tubercle and 85% at SDUS, which can both be interpreted as 'excellent'. Conclusions: Despite an excellent interobserver agreement, 47% of the study population had different transverse sigmoid notch types within the same wrist. We, therefore, conclude that Tolat transverse sigmoid classification may not be useful for the description of potential pathology in relation to the sigmoid notch morphology.
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A large-scale shaking table test of a living stump slope with a geometric similarity ratio of 1:7 was designed and completed. The peak acceleration, acceleration amplification factor, and displacement response patterns of living stumps slopes under different types of seismic waves and excitation intensities were obtained. The time-frequency and energy variation characteristics were analyzed using the Hilbert-Huang Transform (HHT). The results showed that: (1) Regardless of the type of seismic wave, the peak acceleration and acceleration amplification factor of the living stumps slope surface are positively correlated with relative height and seismic excitation intensity. When the excitation intensity is ≤ 0.4 g, the acceleration amplification effect is more pronounced; when the excitation intensity is > 0.4 g, the acceleration amplification effect weakens. (2) Under the action of different seismic waves, the peak displacement of slope surface shows amplification effect along the elevation, and increases with the increase of excitation intensity. In addition, the incremental displacement gradually decreases from the toe to the top of the slope, which is expressed as D2 > D3 > D1 > D4 > D5. The peak displacement at the top of the slope is the greatest, but the incremental displacement is the smallest; the peak displacement at the toe of the slope is the smallest, but the incremental displacement is relatively large. (3) Regardless of the type of seismic wave, living stumps slope shows the characteristics of filtering the low-frequency components of the seismic waves and amplifying their high-frequency components. At the same time, the seismic Hilbert energy gradually accumulates along the elevation. PSHEA and PMSA significantly increase with elevation and excitation intensity, and they reach the maximum at the top of the slope. (4) The seismic Hilbert energy is positively correlated with the relative height and excitation intensity, and reaches the maximum at the top of the slope. With the accumulation of seismic Hilbert energy increases, the dynamic response parameters such as peak acceleration, acceleration amplification coefficient and displacement also increase synchronously, reaching the maximum at the top of the slope. The research conclusions can provide an experimental basis for the seismic design of living stumps slopes.
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Blasting vibration(BV) may cause the instability and damage to the surrounding structures and infrastructures, even leading to serious accident. As far as slope blasting is concerned, more and more attention has been paid to the elevation effect of BV of rock mass. However, scarce information is available on the influence of the elevation effect of slope blasting on the BV of surrounding structures, especially the existing buried pipes. As a consequence, the influence of the elevation effect of slope blasting on the BV of steel pipes was numerically investigated according to finite element model, which was verified against the experimental result. Moreover, the formula is presented to predict the peak vibration velocity (PVV) of steel pipes under slope blasting. It is found that PVV of the steel pipes has the elevation amplification effect in the terrain with positive or negative elevation difference. PVV of the pipes in the terrain with positive elevation difference is greater than that in the terrain with the same negative elevation difference. The elevation effect is more obvious under the condition of the positive elevation difference (2.1-5.1 m). The modified Sadovsky's empirical formula is more suitable to predict PVV of the buried steel pipes during the slope blasting process.
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High-steep gently inclined mining slopes, prevalent globally, often suffer significant deformation, leading to landslides due to numerous goafs. This research investigates the critical role of goaf location in controlling deformation, failure mechanisms, and disaster evolution, vital for safe mining practices. Through field investigations and model generalization in Guizhou, a physical model test method was used to study three positions of goafs: under the shoulder and foot of the slope, under the slope shoulder, and within the slope. Findings highlight the stronger influence of the goaf's mutual position with the slope shoulder on slope and overburden deformation and failure compared to the slope toe. Deformation and failure modes evolve from collapse toppling to collapse slip and collapse settlement as the goaf shifts from the near slope surface to inside of the slope. Statistical analysis of fracture distribution in the goaf's overlying strata reveals damage increase with larger goafs, following a Gaussian distribution, with concentrated damage in the middle. The study identifies the maximum damage area, influenced by the horizontal distance between the goaf center and slope shoulder. These insights advance understanding of overburden rock deformation in gently inclined high-steep mining slopes.
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Background: Cardiorespiratory fitness (CRF) is a vital indicator of health. However, accurately measuring peak oxygen consumption ( V Ë O2peak) to determine CRF in children can be challenging. The oxygen uptake efficiency slope (OUES) has been proposed as an alternative metric for predicting V Ë O2peak in children, but its accuracy and agreement with measured V Ë O2peak remain unclear. Methods: A post hoc analysis was conducted in 94 children (ages 7-10 years) who completed an incremental cycle ergometer test to measure V Ë O2peak. Body composition (Dual-energy X-ray absorptiometry) was measured, and fat mass index (FMI, kg/m2) and fat-free mass index (FFMI, kg/m2) were calculated. OUES was determined using all respiratory data (OUES100%) collected during the cycle ergometer test and using data only up to 60% of heart rate reserve (OUES60%HRR). Regression equations to predict V Ë O2peak (Pred- V Ë O2peak) were derived from simple and multiple linear regression analysis. Bland-Altman analysis assessed the level of agreement between Pred- V Ë O2peak and measured V Ë O2peak. Results: OUES60%HRR (ß = 0.46, p < 0.0001), age (ß = 56.0, p = 0.0004), White race (ß = 173.3, p < 0.0003), FFMI (ß = 0.98.6, p < 0.000), and FMI (ß = -0.40.8, p < 0.000) were retained in the final model. The difference between measured V Ë O2peak and Pred- V Ë O2peak was not different from zero (p = 0.999). There was a positive association between the difference of measured V Ë O2peak and Pred- V Ë O2peak and the average of the two methods (ß = 0.79, p = 0.0028). Conclusion: There was no mean bias between measured V Ë O2peak and Pred- V Ë O2peak. However, magnitude bias was present even after considering other significant predictors of V Ë O2peak (FMI, FFMI, race, and age) in the regression equation. Caution is advised when using OUES to predict V Ë O2peak in children.