Tendinopathy of the flexor hallucis longus, commonly called “dancer’s tendinitis”, is a prevalent injury among female ballet dancers. Limited success of non-surgical interventions leads to many dancers undergoing tenolysis surgeries with risks and recovery times that can be detrimental to a dance career. The purpose of this study was to evaluate lower limb kinematics and muscle coordination during a modified traditional heel raise exercise where the toes hang off the edge of the support surface. We hypothesized this would decrease activation of the flexor hallucis longus and increase activation of larger plantarflexors.

Healthy non-dancers (n=11), healthy dancers (n=10), and dancers with flexor hallucis longus tendinopathy (n=9) performed traditional (“toes-on”) and modified (“toes-off”) heel raises with kinematic and electromyographic instrumentation of the lower leg.

Participants maintained ankle excursion with the toes-off modification, while metatarsophalangeal joints had reduced excursion and greatexor hallucis longus tendinopathy. Future work should investigate clinical cues or modifications to this “toes-off” heel raise intervention.The recent outbreak of Coronavirus Disease 2019 (COVID-19) has led to urgent needs for reliable diagnosis and management of SARS-CoV-2 infection. The current guideline is using RT-PCR for testing. find more As a complimentary tool with diagnostic imaging, chest Computed Tomography (CT) has been shown to be able to reveal visual patterns characteristic for COVID-19, which has definite value at several stages during the disease course. To facilitate CT analysis, recent efforts have focused on computer-aided characterization and diagnosis with chest CT scan, which has shown promising results. However, domain shift of data across clinical data centers poses a serious challenge when deploying learning-based models. A common way to alleviate this issue is to fine-tune the model locally with the target domains local data and annotations. Unfortunately, the availability and quality of local annotations usually varies due to heterogeneity in equipment and distribution of medical resources across the globe. This impact may be prta sharing instead of model weight sharing.

This work compares Monte Carlo dose calculations performed using the RayStation treatment planning system against data measured on a Varian Truebeam linear accelerator with 6 MV and 10 MV FFF photon beams.

The dosimetric performance of the RayStation Monte Carlo calculations was evaluated in a variety of irradiation geometries employing homogeneous and heterogeneous phantoms. Profile and depth dose comparisons against measurement were carried out in relative mode using the gamma index as a quantitative measure of similarity within the central high dose regions.

The results demonstrate that the treatment planning system dose calculation engine agrees with measurement to within 2%/1 mm for more than 95% of the data points in the high dose regions for all test cases. A systematic underestimation was observed at the tail of the profile penumbra and out of field, with mean differences generally<0.5mm or 1% of curve dose maximum respectively. Out of field agreement varied between evaluated beam models.

The RayStation implementation of photon Monte Carlo dose calculations show good agreement with measured data for the range of scenarios considered in this work and is deemed sufficiently accurate for introduction into clinical use.

The RayStation implementation of photon Monte Carlo dose calculations show good agreement with measured data for the range of scenarios considered in this work and is deemed sufficiently accurate for introduction into clinical use.

Quantify the expected rate of CT radiation dose alerts for three body regions using accepted radiation dose benchmarks and assess key determinants of alert frequency.

This IRB-approved retrospective cohort study evaluated consecutive CT examinations performed between July and December 2013 within an academic medical system. CTDI

x-ray tube output metrics were compared to the body-region-specific benchmark levels, Achievable Doses (AD), Diagnostic Reference Levels (DRL), and Dose Notification Values (DNV). A logistic regression model for the simulated alerts was fit as a function of the independent predictors scanner, body region, gender, weight, and age.

For 17,000 exams, the proportion of events triggering alerts increased with patient weight. Significant covariates were scanner, body region, patient weight and patient age (all p<0.0001). Odds of alert generation for the AD, DRL, and DNV benchmarks increased by 7.6%, 6.6% and 2.9% per kilogram, respectively, and by 0.8%, 1.1% and -2.7% per year of appropriately performed exams of large patients, while missing opportunities to identify outlier scans of higher-than-expected dose in small patients.A huge amount of excess sludge is inevitably produced in wastewater treatment, and it is becoming more and more urgent to realize efficient sludge reduction. Discharge plasma oxidation was used to efficiently disintegrate excess sludge for sludge reduction in this study. Approximately 18.22% sludge disintegration and 27.8% reduction of total suspended solids (TSS) were achieved by discharge plasma treatment. The water content of the filter cake decreased from 81.9% to 76.0% and the bound water content decreased from 2.66 g/g dry solid to 0.73 g/g dry solid after treatment. The large quantities of reactive oxygen species (ROS) generated by discharge plasma played important roles in sludge disintegration by destroying flocs and promoting the transformation of organic substances. Concurrent cell lysis induced by ROS oxidation released intracellular organics and water into the liquid phase. The fraction of soluble extracellular polymer substances (S-EPS) was enhanced from 16.10% to 58.51%, whereas the tightly bound fraction was reduced from 70.62% to 28.91%. Migration and decomposition of EPS were the main processes for EPS changing at a low oxidation capacity, whereas cell lysis became important at a high oxidation capacity. In summary, the plasma treatment effectively improved sludge disintegration.