Trends and associations between kinesiophobia and knee function from preoperatively to three and six months postoperatively in patients post-ACL reconstruction surgery.

OBJECTIVE: This study aimed to clarify the relationship between the transition of kinesiophobia and knee joint function from the preoperative period to three months postoperative, the time to resume running, six months post-ACLR, and the goal time to resume sports. METHODS: 54 patients who underwent initial ACLR were included in this study. The Tampa Scale for Kinesiophobia-11 (TSK-11) was used to assess kinesiophobia. One-way ANOVA was performed for the preoperative, three-month postoperative, and six-month postoperative endpoints. To examine changes in knee function associated with changes in TSK-11, we calculated correlations between the differences at each time point. RESULTS: TSK-11 decreased significantly at both three and six months postoperatively compared with the preoperative level, but there was no significant change between three months and six months postoperatively. Similar to the decrease in TSK-11 from preoperatively to three and six months postoperatively, there was an improvement in flexion ROM, Pain, Subjective knee function, but none of these changed significantly from three to six months postoperatively. CONCLUSION: There may be significant improvements in knee function associated with TSK-11 reduction up to three months postoperatively.

Confocal micro-X-ray fluorescence analysis for difference identification of ceramic samples.

A nondestructive analytical method for difference identification is required in the research fields such as forensic science or archeology. An X-ray fluorescence (XRF) analysis is one of feasible techniques for this purpose. Micro-XRF using an X-ray micro-beam gives elemental distributions by scanning the samples. A confocal micro-XRF (CM-XRF) technique is a unique analytical technique to analyze limited volume. CM-XRF enables elemental depth imaging and elemental profiling in depth nondestructively. Therefore, CM-XRF has been applied for various samples such as industrial samples, paintings, forensic samples, food materials, and human hairs. CM-XRF technique would be a suitable method for difference identification because the CM-XRF gives detailed information on elemental distribution not only on the surface of the sample but also in depth. We developed CM-XRF instrument in the laboratory and applied to two very similar ceramics samples. It showed differences in the intensity profiles of Fe and Mn for blue paintings on the ceramics. In addition, depth elemental analysis revealed different depth profiles especially of Co and Zn for both samples. These results suggest that CM-XRF provides useful information for the identification of ceramic samples.

A Diabetic Patient with Prolonged Hyperammonemia Due to Urinary Tract Infection Caused by Urease-producing Bacteria.

Obstructive tract infection caused by urease-producing bacteria can lead to hyperammonemia. We herein report a 73-year-old woman with diabetes and compensated liver cirrhosis who developed obstructive pyelonephritis. Her consciousness level declined on day 3 of hospitalization. Blood tests revealed an elevated ammonia level of 140 µg/dL. Urine and blood cultures identified Proteus mirabilis as a urease-producing bacterium. The treatment included double J (WJ) catheter insertion and administration of antimicrobial agents. On day 7 of hospitalization, the ammonia level gradually decreased, and the patient's consciousness improved. However, despite these interventions, perinephric overflow of urine persisted, necessitating nephrectomy.

Covalent Immobilization of Collagen Type I to a Polydimethylsiloxane Surface for Preventing Cell Detachment by Retaining Collagen Molecules under Uniaxial Cyclic Mechanical Stretching Stress.

Surface modification of polydimethylsiloxane (PDMS) with an extracellular matrix (ECM) is useful for enhancing stable cell attachment. However, few studies have investigated the correlation between the stability of deposited ECM and cell behavior on the PDMS surfaces in external stretched cell culture systems. Herein, covalent collagen type I (Col)-immobilized PDMS surfaces were fabricated using 3-aminopropyl-trimethoxysilane, glutaraldehyde, and Col molecules. The immobilized collagen molecules on the PDMS surface were more stable and uniform than the physisorbed collagen. The cells stably adhered to the Col-immobilized surface and proliferated even under uniaxial cyclic mechanical stretching stress (UnCyMSt), whereas the cells gradually detached from the Col-physisorbed PDMS surface, accompanied by a decrease in the number of deposited collagen molecules. Moreover, the immobilization of collagen molecules enhanced cell alignment under the UnCyMSt. This study reveals that cell adhesion, proliferation, and alignment under the UnCyMSt can be attributed to the retention of collagen molecules on the PDMS surface.

Association between knee function and kinesiophobia 6 months after anterior cruciate ligament reconstruction.

[Purpose] Kinesiophobia after anterior cruciate ligament reconstruction has been identified as an inhibitor of return to sports. This study aimed to clarify the relationship between kinesiophobia and knee function 6 months after anterior cruciate ligament reconstruction when the patient intends to return to sports. [Participants and Methods] A total of 66 patients who underwent primary anterior cruciate ligament reconstruction (mean age 17.3 ± 2.6 years, 17 males and 49 females, Tegner activity score ≥7) were included in the study. The 11-item version of Tampa scale of kinesiophobia was used to evaluate kinesiophobia 6 months postoperatively. Knee function was evaluated with knee extension muscle strength, tibial anterior displacement, heel buttock distance, heel height difference, anterior knee pain score, and single-leg hop test. The relationship between Tampa scale of kinesiophobia, patient characteristics, and knee function was investigated. [Results] A low Anterior knee pain score and low single-leg hop test, male gender, and age were significant factors associated with kinesiophobia. [Conclusion] Kinesiophobia was associated with a low anterior knee pain score and low single-leg hop test 6 months after anterior cruciate ligament reconstruction. Patients with a low single-leg hop test score or severe pain may need rehabilitation to reduce kinesiophobia.

Bone Scintigraphy in Pembrolizumab-Induced Inflammatory Arthritis.

We present a novel report on the use of bone scintigraphy in pembrolizumab-induced inflammatory arthritis. A 70-year-old man with lung cancer complained about arthralgia after 7 courses of the pembrolizumab therapy. Tc-HMDP bone scintigraphy revealed symmetrically strong uptakes in the major distal joints of the upper and lower extremities, thereby clearly identifying them as the affected joints. The pattern of uptakes was not consistent with that of other pathophysiologies including bone metastases, hypertrophic osteoarthropathy, and rheumatoid arthritis. Tc-HMDP bone scintigraphy is more practical and cost-effective compared with PET to reveal the affected joints in pembrolizumab-induced inflammatory arthritis.

Designing minimal and scalable insect-inspired multi-locomotion millirobots.

In ant colonies, collectivity enables division of labour and resources1-3 with great scalability. Beyond their intricate social behaviours, individuals of the genus Odontomachus4, also known as trap-jaw ants, have developed remarkable multi-locomotion mechanisms to 'escape-jump' upwards when threatened, using the sudden snapping of their mandibles5, and to negotiate obstacles by leaping forwards using their legs6. Emulating such diverse insect biomechanics and studying collective behaviours in a variety of environments may lead to the development of multi-locomotion robotic collectives deployable in situations such as emergency relief, exploration and monitoring7; however, reproducing these abilities in small-scale robotic systems with simple design and scalability remains a key challenge. Existing robotic collectives8-12 are confined to two-dimensional surfaces owing to limited locomotion, and individual multi-locomotion robots13-17 are difficult to scale up to large groups owing to the increased complexity, size and cost of hardware designs, which hinder mass production. Here we demonstrate an autonomous multi-locomotion insect-scale robot (millirobot) inspired by trap-jaw ants that addresses the design and scalability challenges of small-scale terrestrial robots. The robot's compact locomotion mechanism is constructed with minimal components and assembly steps, has tunable power requirements, and realizes five distinct gaits: vertical jumping for height, horizontal jumping for distance, somersault jumping to clear obstacles, walking on textured terrain and crawling on flat surfaces. The untethered, battery-powered millirobot can selectively switch gaits to traverse diverse terrain types, and groups of millirobots can operate collectively to manipulate objects and overcome obstacles. We constructed the ten-gram palm-sized prototype-the smallest and lightest self-contained multi-locomotion robot reported so far-by folding a quasi-two-dimensional metamaterial18 sandwich formed of easily integrated mechanical, material and electronic layers, which will enable assembly-free mass-manufacturing of robots with high task efficiency, flexibility and disposability.

Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty.

Life-space mobility describes the spatial areas through which an individual moves, and the frequency and need for assistance. Although patients with knee osteoarthritis (OA) have shown restricted life-space mobility, total knee arthroplasty (TKA) does not improve it beyond preoperative levels. Life-space mobility after TKA was influenced by self-efficacy for walking tasks; thus, an intervention to improve self-efficacy for walking tasks may contribute to better life-space mobility. We provided a walking event including several walking tasks as the intervention. We assessed the effect of the walking event on life-space mobility and self-efficacy for walking tasks in patients following TKA. In this nonrandomized controlled trial, patients who underwent primary TKA were recruited. After recruitment, patients who could not participate in the walking event due to scheduling conflicts were included in the control group. The walking event consisted of 3.5 km of walking course and included walking tasks as follows: crossing at the crosswalk, walking up- and downstairs without a railing, walking along dirt roads, and walking up and down a slope. The primary outcome was life-space mobility measured using Life-Space Assessment (LSA) and self-efficacy for walking tasks measured using the modified Gait Efficacy Scale (mGES). We enrolled 104 patients, of whom 36 were assigned to the intervention group and participated in the walking event. Participants in the intervention group had significantly better LSA score (adjusted mean difference between groups: 13.9; 95% confidence interval: 12.4-15.5; p < 0.001) and mGES score (adjusted mean difference between groups: 13.8; 95% confidence interval: 12.4-15.1; p < 0.001) than the control group even after adjusting for age, gender, body mass index, elapsed time from surgery, the severity of knee OA of nonoperated limb, and patient-reported functional outcome. The walking event including various walking tasks improved life-space mobility and self-efficacy in patients following TKA. It is important to design a program that can improve self-efficacy for walking tasks through mastery experiences to improve life-space mobility after TKA.

Multicentre analysis of PET SUV using vendor-neutral software: the Japanese Harmonization Technology (J-Hart) study.

BACKGROUND: Recent developments in hardware and software for PET technologies have resulted in wide variations in basic performance. Multicentre studies require a standard imaging protocol and SUV harmonization to reduce inter- and intra-scanner variability in the SUV. The Japanese standardised uptake value (SUV) Harmonization Technology (J-Hart) study aimed to determine the applicability of vendor-neutral software on the SUV derived from positron emission tomography (PET) images. The effects of SUV harmonization were evaluated based on the reproducibility of several scanners and the repeatability of an individual scanner. Images were acquired from 12 PET scanners at nine institutions. PET images were acquired over a period of 30 min from a National Electrical Manufacturers Association (NEMA) International Electrotechnical Commission (IEC) body phantom containing six spheres of different diameters and an 18F solution with a background activity of 2.65 kBq/mL and a sphere-to-background ratio of 4. The images were reconstructed to determine parameters for harmonization and to evaluate reproducibility. PET images with 2-min acquisition × 15 contiguous frames were reconstructed to evaluate repeatability. Various Gaussian filters (GFs) with full-width at half maximum (FWHM) values ranging from 1 to 15 mm in 1-mm increments were also applied using vendor-neutral software. The SUVmax of spheres was compared with the reference range proposed by the Japanese Society of Nuclear Medicine (JSNM) and the digital reference object (DRO) of the NEMA phantom. The coefficient of variation (CV) of the SUVmax determined using 12 PET scanners (CVrepro) was measured to evaluate reproducibility. The CV of the SUVmax determined from 15 frames (CVrepeat) per PET scanner was measured to determine repeatability. RESULTS: Three PET scanners did not require an additional GF for harmonization, whereas the other nine required additional FWHM values of GF ranging from 5 to 9 mm. The pre- and post-harmonization CVrepro of six spheres were (means ± SD) 9.45% ± 4.69% (range, 3.83-15.3%) and 6.05% ± 3.61% (range, 2.30-10.7%), respectively. Harmonization significantly improved reproducibility of PET SUVmax (P = 0.0055). The pre- and post-harmonization CVrepeat of nine scanners were (means ± SD) 6.59% ± 1.29% (range, 5.00-8.98%) and 4.88% ± 1.64% (range, 2.65-6.72%), respectively. Harmonization also significantly improved the repeatability of PET SUVmax (P < 0.0001). CONCLUSIONS: Harmonizing SUV using vendor-neutral software produced SUVmax for 12 scanners that fell within the JSNM reference range of a NEMA body phantom and improved SUVmax reproducibility and repeatability.

Induction of subterahertz surface waves on a metal wire by intense laser interaction with a foil.

We have demonstrated that a pulsed electromagnetic wave (Sommerfeld wave) of subterahertz frequency and 11-MV/m field strength can be induced on a metal wire by the interaction of an intense femtosecond laser pule with an adjacent metal foil at a laser intensity of 8.5×10^{18}W/cm^{2}. The polarity of the electric field of this surface wave is opposite to that obtained by the direct interaction of the laser with the wire. Numerical simulations suggest that an electromagnetic wave associated with electron emission from the foil induces the surface wave. A tungsten wire is placed normal to an aluminum foil with a gap so that the wire is not irradiated and damaged by the laser pulse, thus making it possible to generate surface waves on the wire repeatedly.

Single plasma mirror providing 104 contrast enhancement and 70% reflectivity for intense femtosecond lasers: publisher's note.

This note points out a missed correction to the math on p. 5648 of [Appl. Opt.5, 5647 (2016)APOPAI0003-693510.1364/AO.55.005647].

Single plasma mirror providing 104 contrast enhancement and 70% reflectivity for intense femtosecond lasers.

To efficiently eliminate picosecond pre-pulses that accompany ultrashort pulses emitted from high-power chirped-pulse-amplification laser systems, we have developed a high-performance plasma mirror system. By reducing the reflectivity of the antireflection coating on the substrate for the plasma mirror to the limit of current technology (∼0.006%), we achieved the highest pre-pulse contrast enhancement reported to date for a single plasma mirror of 104 at 1 ps before the pulse peak. By optimizing the laser incidence to the plasma mirror and the laser fluence, the reflectivity of the plasma mirror has been improved to 70%. The contrast improvement indicates extensibility to 100 PW class lasers by doubling this plasma mirror system. Contrast enhancement of 108 should be possible without a serious reduction in energy (no more than 50%).

[The Three-dimensional Representation in the Nuclear Medicine].

The three-dimensional representation is used by cerebral blood flow SPECT and myocardial SPECT. It is used with the statistical image analysis software (3D-SSP, eZIS) in cerebral blood flow SPECT, and regional cerebral blood flow decrease can be detected. It is used with the heart function analysis software (QGS, QPS, QBS) in myocardial SPECT, and is effective for the cardiac wall motion evaluation. SPECT/CT and PET/CT are used in clinical. The three-dimensional fusion image that overlaps CT- volume rendering image with SPECT (PET) image can be constructed with an easy and high quality by SPECT/CT (PET/CT). It is effective for identification of accumulation part of radiopharmaceutical.

[Thyroid uptake error in four different gamma camera systems].

The thyroid uptake of (123)I and (131)I is generally measured by a gamma camera system. We evaluated the error in determining thyroid uptake caused by different methods of calculation among four gamma camera systems with various collimators. We first designed an original thyroid phantom that consisted of the thyroid and a body containing various levels of radioiodine activity. The applications for thyroid uptake equipped in two gamma camera systems performed calculations by the automatic method with background counts not subtracted from the capsule counts. When the size of the rectangular region of interest (ROI) for the capsule was set at 10x8 cm (a typical ROI size for the thyroid), percentages of thyroid uptake as calculated by the manual method with background counts subtracted from the capsule counts and thyroid counts were 52% to 57% when the value was set at 55% for (123)I; and 54.2% and 58.7%, respectively, when the value was set at 60% for (131)I. On the other hand, the percentages of thyroid uptake calculated by the automatic method with the application using two gamma camera systems with non-subtraction of background counts from the capsule counts were 46% and 50.5% when the value was set at 55%; and 49.6% when the value was set at 60%. The values calculated by the automatic method were underestimated as a result of background counts that were not subtracted from the capsule counts. When ROI size for the capsule was set at 4x4 cm, which is slightly larger than the capsule size, even thyroid uptake as determined by the automatic method using the application showed a difference of less 2% from the set values. There was no difference in thyroid uptake among the various kinds of collimators, high-resolution collimators, all-purpose collimators, and a suitable collimator for gamma-ray energy of (123)I.