Search Results (23)

Objectives: This study aimed to determine the impacts of upper and lower limb (UL and LL) spasticity and impairment on spinal alignment in chronic post-stroke patients. Methods: A total of 45 consecutive chronic post-stroke patients, 18 women and 27 men, from 18 to 70 years old who presented post-stroke hemiparesis were recruited in this cross-sectional study. The clinical assessment included the Modified Ashworth Scale (UL-MAS and LL-MAS spasticity), Upper Limb Motricity Index (UL-MI), FAST-UL, and Five Times Sit-to-Stand Test (5T-STS); the Associated Reaction Rating Scale was used to measure associated reactions in the hemiparetic UL, the plumb line distance from the spinous process of C7 on the sagittal (PL-C7s) and frontal plane (Pl-C7f), the kyphosis apex (PL-AK), and the spinous process of L3 (PL-L3). Angular measures of spinal alignment were measured by a Bunnell scoliometer™ (angle of trunk rotation—ATR) and a gravity-dependent inclinometer (inclination at C7-T1 and T12-L1). Results: In chronic post-stroke patients, there was found to be an association between the 5T-STS and PL-C7f (β = 0.41, p = 0.05) and the angle of inclination at T12-L1 (β = 0.44, p = 0.01). The FAST-UL correlated with PL-C7f (β = −0.41, p = 0.05), while the UL-MI correlated with this last parameter (β = −0.36, p = 0.04) and the ATR (β = −0.31, p = 0.05). The UL-MAS showed correlation with the ATR (β = 0.38, p = 0.01). Conclusions: The results lead to the possibility that, in chronic post-stroke patients, spinal misalignment on the frontal and sagittal plane is associated both with strength impairment and UL spasticity. The improvement or restoration of spinopelvic parameters can take advantage of therapeutic interventions targeted at motor improvement and spasticity reduction of the hemiparetic side. Full article

Even though drinking water utilities are not meant to fight wildfires, they quickly become stakeholders, if not first responders, when their resources are needed for firefighting. The August 2023 wildfires on the island of Maui, Hawaii, USA, have highlighted weaknesses at this intersection. While attention has focused on the wildfire causes or water quality impacts afterward, few studies have analyzed the response. We review this extreme case to support disaster-response lessons for water utilities and to guide further research and policy. First, emergency water releases were not available in a timely manner. Second, fire and wind toppled power lines, causing power outages that inhibited pumping water. Third, many structures were a total loss despite water doused on them, consuming valuable water. Finally, water was lost through damaged premise plumbing in burned structures, further reducing system pressure. These conditions emphasize that water utilities need to access emergency water supplies quickly, establish reliable backup electricity, coordinate with firefighters on priority water uses, and shut valves in burned areas to preserve water. While further research will certainly follow, we present these early lessons as starting points. Full article

Building facades has always been a challenge for feature matching in oblique photogrammetry due to weak textures, non-Lambertian objects, severe occlusion, and distortion. Plumb lines are essential building geometry structural feature lines in building facades, which show strong spatial relevance to these problems. Achieving plumb line matching has great application potential for optimizing the process and products of oblique photogrammetry. Thus, we proposed a novel matching algorithm for plumb lines based on spatial and color hybrid constraints according to its central projection imaging characteristics. Firstly, based on vanishing point theory, the plumb lines from photos were back-calculated to determine the matching target set; secondly, the property of its large elevation ranges was exploited to calculate the homonymous points as spatial constraints by projecting plumb lines onto the stratified spatial planes; thirdly, the neighboring primary colors on both sides of the plumb lines were extracted as feature descriptors and compared by colorimetry; then, the greedy strategy was employed to successively filter out the locally optimal solutions satisfying the spatial and color hybrid constraints to complete the initial matching; finally, the intersection-over-union analysis of the solution plane and the verticalness evaluation of the matching results were implemented to eliminate errors. The results show that the proposed algorithm can achieve an average accuracy of 97.29% and 78.41% in the forward and lateral overlap experiments from multi-scenes, respectively, displaying a strong adaptability to poor texture, inconsistency, and distortion. In conclusion, thanks to the plumb-line-oriented matching strategy, this algorithm owns inherent advantages in theory and computational complexity. It is suitable for all building-oriented oblique photogrammetry tasks and is highly worthy of promotion and application. Full article

The high-precision building exterior facade corner point (BEFCP) is an essential element in topographic and cadastral surveys. However, current extraction methods rely on the interactions of humans with the 3D real-scene models produced by unmanned aerial vehicle (UAV) oblique photogrammetry, which have a high workload, low efficiency, poor precision, and cannot satisfy the requirements of automation. The dense point cloud contains discrete 3D building structure information. Still, it is challenging to accurately filter out the partial point cloud characterizing the building structure from it in order to achieve BEFCP extraction. The BEFCPs are always located on the plumb line of the building’s exterior wall. Thus, this paper back-calculated the plumb line from the image and designed a photographic ray corresponding to the image point and point cloud intersection point calculation algorithm to recover its approximate spatial position in order to successfully extract the accurate point cloud in the building structure neighborhood. It then utilized the high signal-to-noise ratio property of the point cloud as a base to eliminate the noise points and, finally, accurately located the building exterior façade corner points by recovering the building structure through segmental linear fitting of the point cloud. The proposed algorithm conducted automated building exterior facade corner point extraction via both of planar-to-stereo and rough-to-precise strategies, reached a 92.06% correctness rate and ±4.5 cm point mean square location error in the experiment, and was able to extract and distinguish the building exterior facade corner points under eaves obstruction and extreme proximity. It is suitable for all high-precision surveying and mapping tasks in building areas based on oblique photogrammetry, which can effectively improve the automation of mapping production. Full article

Campi Flegrei and Vesuvio volcanoes are only about 25 km apart, located on opposite sides of the densely inhabited area of Naples (Italy). Since neighbouring volcanoes may influence each other’s activity, it is of great interest to identify signs of any mutual interaction between Campi Flegrei and Vesuvio, or at least note coincidences in their recent deformation dynamics. After a large uplift, Campi Flegrei was generally subsiding from 1985 to 2001, while it has been uplifting—probably driven by deep magma inflation—at an accelerating rate since then. Here, we analysed the ground displacement in the whole Vesuvian area and its surroundings around the early 2000s using 1993–2010 ERS/ENVISAT ascending- and descending-orbit line-of-sight displacements obtained through the Small BAseline Subset Differential Synthetic Aperture Radar Interferometry technique. Although ground deformation is slow—a few millimetres per year—Empirical Orthogonal Function analysis shows a sudden trend change around 2001. Pre-2001 velocity maps confirm previously published results: subsidence mainly occurred inside the caldera rim—probably because of the sliding and compaction of young incoherent materials—and in a few spots around 10 km from the summital crater; eastward displacement occurred in a lobe east of Vesuvio, and westward displacement occurred in a lobe west of Vesuvio, as in the case of the spreading of the volcanic edifice and/or extensional tectonics. We attribute the subsidence spots to the previous high local number of new buildings per year. Post-2002 velocity maps provide evidence of a very different scenario: general subsidence in the whole Vesuvian area, westward displacement in a lobe east of Vesuvio, and eastward displacement in a lobe west of Vesuvio. This last arrangement of the ground displacement field is made even clearer by subtracting the post-2002 velocity from the pre-2001 value. The results of our analyses are consistent with the deflation of a deep pressurised source. Additionally, Vesuvio’s deep seismicity decreased at the beginning of 2002. The coincidence between the transition from deflation to inflation at Campi Flegrei and the onset of deflation below Vesuvio may suggest the possible transfer of magma and/or magmatic fluids between the two plumbing systems. Full article

The aim of the present study is to elucidate preoperative risk factors for inadequate correction of coronal imbalance and/or creation of new postoperative coronal imbalance (iatrogenic CIB) in patients who undergo surgery for Adult Spinal Deformity (ASD). A retrospective review of adults who underwent posterior spinal fusion (>5 levels) for ASD was performed. Patients were divided into groups according to the Nanjing classification: type A (CSVL < 3 cm), type B (CSVL > 3 cm and C7 plumb line shifted to major curve concavity), and type C (CSVL > 3 cm and C7 plumb line shifted to major curve convexity). They were also divided according to postoperative coronal balance in balanced (CB) vs. imbalanced (CIB) and according to iatrogenic coronal imbalance (iCIB). Preoperative, postoperative, and last follow-up radiographical parameters and intraoperative data were recorded. A multivariate analysis was performed to identify independent risk factors for CIB. A total of 127 patients were included (85 type A, 30 type B, 12 type C). They all underwent long (average levels fused 13.3 ± 2.7) all-posterior fusion. Type C patients were more at risk of developing postoperative CIB (p = 0.04). Multivariate regression analysis indicated L5 tilt angle as a preoperative risk factor for CIB (p = 0.007) and indicated L5 tilt angle and age as a preoperative independent risk factors for iatrogenic CIB (p = 0.01 and p = 0.008). Patients with a preoperative trunk shift towards the convexity of the main curve (type C) are more prone to postoperative CIB and leveling the L4 and L5 vertebrae is the key to achieve coronal alignment preventing the “takeoff phenomenon”. Full article

The first impoundment of a super-high dam is a crucial period from dam construction to operation, in which the prediction of the dam deformation is vital for the continued safety of the dam. Therefore, a multi-head attention model based on Pearson K-means clustering is proposed, which is shortened to PKMA. The inputs of the PKMA include measurements of the displacements of plumb lines, water levels, air temperatures, dam body temperatures, water temperatures, and foundation temperatures. Among these inputs, variables related to displacements are regarded as the dominant explanatory factors. Hence, the K-means clustering based on the Pearson index is utilised to increase the weights of displacements in the PKMA. To involve the interactions between inputs, the MA mechanism of neural networks is used to simulate the relationship between inputs and deformation targets. The PKMA model had a maximum MSE of 1.2518 and a maximum MAE of 0.9017 for the model performance metrics at the study measurement points. Compared to the comparison models MA, HST, and LSTM, the performance metrics of the PKMA model are an improvement of an average of 87.02%, 72.42%, and 69.24%. Full article

Existing electric-field integral inversion methods have limited field application conditions, and they are difficult to arrange electric-field measurement points on high-span overhead lines. This paper proposes a non-intrusive voltage measurement method for overhead transmission lines based on the near-end electric-field integration method. First, the electric-field distribution under 10 kV lines is calculated by finite element simulation software. The electric-field distribution of the plumb line and the discrete integral node below the wire are analyzed. Then, based on traditional electric-field integration, a line-voltage-inversion measurement method based on near-end electric-field integration is proposed. In addition, a voltage-monitoring system based on near-end electric-field integration is constructed. Next, the numerical integration types, the number of integration nodes, and the scale coefficient of the near-end region of the inversion algorithm are optimized with the electric-field simulation data. Finally, to verify the voltage-inversion method proposed in this paper, a test platform for overhead-line voltage is constructed using a MEMS electric-field sensor. The results indicate that the voltage-inversion error is 5.75%. The research results will provide theoretical guidance for non-intrusive voltage-inversion measurement of overhead lines. Full article

Different tools for the assessment of posture exist, from the simplest and cheap plumb line to complex, expensive, 3D-marker-based systems. The aim of this study is to present digital postural normative data of young adults collected through a mobile app to expand the possibilities of digital postural evaluation. A sample of 100 healthy volunteers, 50 males and 50 females, was analyzed with the mobile app Apecs-AI Posture Evaluation and Correction System^® (Apecs). The Student’s t-test evaluated differences between gender to highlight if the digital posture evaluation may differ between groups. A significant difference was present in the anterior coronal plane for axillary alignment (p = 0.04), trunk inclination (p = 0.03), and knee alignment (p = 0.01). Head inclination (p = 0.04), tibia shift (p = 0.01), and foot angle (p < 0.001) presented significant differences in the sagittal plane, while there were no significant differences in the posterior coronal plane. The intraclass correlation coefficient (ICC) was considered to evaluate reproducibility. Thirteen parameters out of twenty-two provided an ICC > 0.90, three provided an ICC > 0.60, and six variables did not meet the cut-off criteria. The results highlight that digital posture analysis of healthy individuals may present slight differences related to gender. Additionally, the mobile app showed good reproducibility according to ICC. Digital postural assessment with Apecs could represent a quick method for preventing screening in the general population. Therefore, clinicians should consider this app’s worth as an auxiliary posture evaluation tool. Full article

The bright stars in the clear night sky with weak background lights should be observed in the traditional deflection of the vertical (DOV) measurement so that the DOV cannot be observed under all-weather conditions, which limits its wide applications. An all-weather DOV measurement method combining three-dimensional (3D) laser tracking free-fall and multi-GNSS baselines is proposed in this paper. In a vacuum environment, the 3D laser tracking technique is used to continuously track and observe the motion of free-fall with high frequency and precision for obtaining 3D coordinate series. The plumb line vector equation is established to solve the gravity direction vector in the coordinate system of the laser tracker at the measuring point using least squares fitting coordinate series. Multi-GNSS observations are solved for obtaining the precise geodetic cartesian coordinates of the measuring point and GNSS baseline information. A direction transformation method based on the baseline information proposed in this paper is used to convert the gravitational direction vector in the laser tracker coordinate system into the geodetic cartesian coordinate system. The geodetic cartesian coordinates of the measuring point are used to calculate the ellipsoid normal vector, and the angle between this and the gravity direction vector in the geodetic cartesian coordinate system is estimated to obtain the astrogeodetic DOV. The DOV is projected to the meridian and prime vertical planes to obtain the meridian and prime vertical components of the DOV, respectively. The astronomical latitude and longitude of the measuring point are calculated from these two components. The simulation experiments were carried out using the proposed method, and it was found that the theoretical precision of the DOV measured by the method could reach 0.2″, which could realise all-weather observation. Full article

Parkinson’s disease (PD) is a progressive neurodegenerative disease determining spinal deformities and muscle rigidity, weakness and dystonia that can be related to a change in muscular output during sit-to-stand tasks (STS). Purpose: The aim of this study was to determine the impacts of spinal alignment on lower limbs performance during STS tasks in Parkinson’s disease (PD) patients and healthy controls. Methods: In total, 43 consecutive PD patients (“PD” Group, 25 males and 18 females; age 73.7 ± 7.1) and 42 people not affected by any type of neurological disease (“CON” Group, 22 males, 20 females; age 69.8 ± 6.0) participated in the observational study. The clinical assessment included: IPAQ (International Physical Activity Questionnaire), Hoehn Yahr score, plumb-line distance from the spinous process of C7, kyphosis apex and the spinous process of L3 and S1. We used the Muscle Quality Index test (MQI) to assess muscle power output during STS in both groups. Results: The MQI test measurements of absolute and relative lower limb power was significantly lower in the PD group, in addition to a negative correlation with age and a positive correlation with PL-L3 in that group of patients. Conclusions: A final consideration regarding our results leads to the possibility that the preservation of lumbar lordosis may be one of the factors for maintaining efficient biomechanics of the lower limb muscles, with the preservation of the physiological contractile characteristics of these muscles being the objective for a multidisciplinary rehabilitation based on postural exercises of the spine and a program of training exercises for the lower limb muscles. Full article

Children: adolescents, and young who are adults affected with hematological malignancies (CAYA-H) and who are undergoing intensive phases of cancer treatment, including hematopoietic stem cell transplantation (HSCT), experience diminished functional ability. This study was aimed at assessing the feasibility, efficacy, safety, and satisfaction of an osteopathic intervention in CAYA-H attending an 11-week precision-based exercise program (PEx). All of the participants were given 4–10 treatments according to the prescription ordered by the sports medicine doctor in charge of the PEx, and the following outcomes were assessed: (1) spinal column range of motion (ROM) by palpation; (2) lower and upper limb joints ROM by a goniometer; (3) orthostatic posture by plumb line assessment; (4) chest and abdomen mobility by inspection and palpation; (5) cranial-sacral rhythmic impulse (CRI) by palpation; and (6) adverse effects. Goal attainment scaling (GAS) was used to identify the accomplishment of a desired clinical result. Moreover, HSCT patients who were affected with graft-versus-host disease and/or osteonecrosis had their joints assessed in terms of ROM as tools to monitor the effectiveness of immunosuppressive treatment. A total of 231 CAYA-H were identified, and 104 participated in the study (age 10.66 ± 4.51 yrs; 43% F). PEx plus osteopathy reached positive GAS scores by improving the ROMs of the spinal column and/or limbs (81% and 78%, respectively), chest and abdomen mobility (82%), and CRI (76%). Only minor reversible adverse effects were noticed during the study. Together, our data seem to initiate a new course where osteopathy could be useful in evaluating structural edges due to the clinical history of each CAYA-H. Given the contributions that were obtained by the GAS scores, osteopathic treatment seems to reveal interesting potential that can be targeted in the future. Full article

The venom from Apis mellifera intermissa, the main honey bee prevailing in Morocco, has been scarcely studied, despite its known potential for pharmacological applications. In the present work, we investigated the composition, the anti-inflammatory activity, and the venom’s cytotoxic properties from fifteen honey bee venom (HBV) samples collected in three regions: northeast, central, and southern Morocco. The chemical assessment of honey bee venom was performed using LC-DAD/ESI/MSⁿ, NIR spectroscopy and AAS spectroscopy. The antiproliferative effect was evaluated using human tumor cell lines, including breast adenocarcinoma, non-small cell lung carcinoma, cervical carcinoma, hepatocellular carcinoma, and malignant melanoma. Likewise, we assessed the anti-inflammatory activity using the murine macrophage cell line. The study provides information on the honey bee venom subspecies’ main components, such as melittin, apamin, and phospholipase A2, with compositional variation depending on the region of collection. Contents of toxic elements such as cadmium, chromium, and plumb were detected at a concentration below 5 ppm, which can be regarded as safe for pharmaceutical use. The data presented contribute to the first study in HBV from Apis mellifera intermissa and highlight the remarkable antiproliferative and anti-inflammatory effects of HBV, suggesting it to be a candidate natural medicine to explore. Full article

Background: The aims of this study were to evaluate the effects of correcting lower limb alignment by total knee arthroplasty (TKA) on the spinopelvic alignment and to identify patients with difference in the knee joint between clinically measured passive motion and the actual standing posture. Methods: In this retrospective study, 101 patients who underwent TKA and whose serial whole-body EOS X-ray were available were included. The relationship of the knee and spinopelvic alignment was analyzed by evaluating the parameters of standing anterior-posterior and lateral whole-body EOS X-ray. The differences between postoperative passive motion and weight-bearing posture in the knee joint were assessed in both coronal and sagittal planes. Furthermore, the causes of such differences were analyzed. Results: Significant correlations between Δpelvic obliquity and coronal ΔHip-Knee-Ankle (HKA)_Rt-Lt angle between the preoperative and 3-month and 1-year postoperative data (p < 0.001 and p < 0.005, respectively) and improved with coronal lower limb alignment close to neutral resulted in decreased pelvic obliquity (p < 0.001, ß = 0.085 and p = 0.005, ß = 0.065, respectively) were observed. The correlations between Δpelvic tilt (PT) and Δsacral slope (SS) and sagittal ΔHKA_Rt-Lt angle were statistically significant (PT: p < 0.001 and p < 0.045; SS: p = 0.002 and p < 0.001, respectively). The improved sagittal alignment close to neutral resulted in decreased PT and increased SS. The difference between postoperative passive motion and the weight-bearing posture of the knee joint was correlated with lumbar lordosis and sagittal C7 plumb line-sacrum distance (p = 0.042 and p < 0.001, respectively). Conclusions: The correction of lower limb alignment with TKA affected pelvic parameters dominantly; however, there was little effect on the spinal alignment. Additionally, patients with anterior stooping or lumbar flat back demonstrated difference in extension between passive knee motion and standing. Therefore, rather than only focusing on changes in the knee alignment correction, knee surgeons should also evaluate the spinopelvic alignment before surgery to consider the prognosis of the standing and predict the possible changes in the whole-body alignment. This preoperative assessment may improve the prognosis of TKA. Full article

The purposes of this study were (1) to evaluate the relationship between lumbosacral flexibility and the effects of total knee arthroplasty (TKA) on whole-body alignment; and (2) to determine the prerequisites of the adjacent joints for successful TKA. A total of 116 patients (156 cases) who had whole-body X-ray and flexion-extension lumbar radiograph available were enrolled. For the sagittal alignment evaluation, hip–knee–ankle (HKA) angle, pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), thoracic kyphosis (TK), and C7 plumb line-sacrum distance (SVA) were evaluated on the whole-body radiographs. Lumbar flexibility (LF) was evaluated using the flexion-extension lumbar radiographs, and pelvic flexibility (PF) was evaluated using the pelvic incidence (PI). The disparities in the knee joint between postoperative passive motion and weight-bearing posture were assessed. LF was significantly correlated with ΔLL and ΔSVA (LL: p = 0.039, SVA: p = 0.040; Pearson correlation coefficient (PCC): −0.206 and 0.205, respectively). There were correlations between PF and ΔSS (p < 0.001, PCC: −0.362), and between the disparity and LF (p = 0.005, PCC = −0.275). Linear regression analysis demonstrated that LF was significantly associated with the presence of disparity (p = 0.005, β = −0.205). LF is an important factor for improved spinal and lower limb alignment after TKA. Additionally, reduced LF may result in knee joint disparity between passive extension and standing extension status. Therefore, surgeons should consider spinopelvic alignment, including lower limb alignment preoperatively, to be able to predict possible changes in whole-body alignment following TKA. Full article