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Post-operative protein supplementation following orthopaedic surgery: A systematic review

sports Medicine and Health science 2024年第1期6卷 16-24页

作者： Andrew George Brendan M.Holderread bradley s.lambert Joshua D.Harris Patrick C.McCulloch Houston Methodist Orthopedics and sports Medicine 6445 Main Street Suite 2300HoustonTX77030USA Houston Methodist Orthopedic Biomechanics Research Laboratory 6670 Bertner AveHoustonTX77030USA

Decreased mechanical loading after orthopaedic surgery predisposes patients to develop muscle *** purpose of this review was to assess whether the evidence supports oral protein supplementation can help decrease postoperative muscle atrophy and/or improve patient outcomes following orthopaedic surgery.A systematic review was conducted according to the Preferred Reporting Items for systematic Reviews and MetaAnalysis(PRIsMA).PubMed(MEDLINE),Embase,scopus,and Web of science were searched for randomized controlled trials that assessed protein or amino acid supplementation in patients undergoing orthopaedic *** investigators independently conducted the search using relevant Boolean *** outcomes included functional or physiologic measures of muscle atrophy or *** studies including 611 patients(224 males,387 females)were *** studies evaluated protein supplementation after ACL reconstruction(ACLR),3 after total hip arthroplasty(THA),5 after total knee arthroplasty(TKA),and 3 after surgical treatment of hip *** supplementation showed beneficial effects across all types of *** primary benefit was a decrease in muscle atrophy compared to placebo as measured by muscle cross sectional *** authors also demonstrated improved functional measures and quicker achievement of rehabilitation *** supplementation has beneficial effects on mitigating muscle atrophy in the postoperative period following ACLR,THA,TKA,and surgical treatment of hip *** effects often correlate with improved functional measures and quicker achievement of rehabilitation *** research is needed to evaluate long-term effects of protein supplementation and to establish standardized population-specific regimens that maximize treatment efficacy in the postoperative period.

关键词： Orthopaedic surgery Protein supplementation systematic review Muscle atrophy

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DEXA overestimates bone mineral density in adults with knee replacements

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sports Medicine and Health science 2020年第4期2卷 211-215页

作者： Katharine D.Harper Terry A.Clyburn stephen J.Incavo bradley s.lambert Department of Orthopedics&sports Medicine Houston Methodist Hospital6445 Main StreetOutpatient CenterSuite 2500HoustonTXUnited States Department of Orthopedics Washington DC VA Medical Center50 Irving St.NWWashington D.CUnited States

We examined bone mineral density(BMD)measurements made by dual-energy-xray-absorptiometry(DEXA)taken from 100 patients(♂46/♀54,66±6yr)who previously underwent single total-knee arthroplasty(TKA)to determine if automated software-based artifact detection(AsAD)adequately removes implant artifact from the DXA image before analysis and if potential inaccuracies could be overcome through manual artifact correction(MAC).We also sought to determine if software-based inaccuracies would result in fracture risk misclassification(Low-BMD/Osteopenia=Young-Adult T-scoreselect Results:When using AsAD,limbs with implants had higher BMD(+12.0±1.7%,ps resulting in a 2.5±0.2%overestimation of total-body BMD(single implant).Consequently,the prevalence of osteopenia in 95%of patients who would have been observed to have low leg BMD(18/19 patients)and 80%of those found to have low total-body BMD(4/5 patients)would have gone *** overestimation was eliminated when using *** results reveal a potential issue with AsAD for total-body DEXA scans in TKA patients and highlight the importance of careful review and MAC in those with joint replacements before making diagnostic decisions.

关键词： Dual-energy-xray-absorptiometry DXA DEXA Bone density Total joint replacement Arthroplasty Osteopenia Osteoporosis

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Pelvic region bone density,soft tissue mass,and injury frequency in female professional ballet dancers and soccer athletes

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sports Medicine and Health science 2021年第3期3卷 157-164页

作者： Hamed Vahedi Carter M.Taft Joshua R.Daum sherif Dabash Patrick C.McCulloch bradley s.lambert Department of Orthopedics&sports Medicine Houston Methodist HospitalHoustonTXUnited States Department of Kinesiology Rice UniversityHoustonTXUnited States

We recently observed a high prevalence of low pelvic bone mineral density(BMD)in female professional ballet *** this population is susceptible to musculoskeletal overuse injuries,we aimed to determine which regions of the pelvis may be at greatest risk compared to general population females(GENPOP)as well as professional female soccer players(sOCCER,a comparison to other elite athletes regularly subjected to high degrees of loading).Three groups of age-matched females[(GENPOP;n=38,27±1yrs),(BALLET;single com-pany,n=36,26±3yrs),(sOCCER;single NWsL■club,n=34,25±1yrs)]consented to have their BMD and body composition assessed(DEXA,GE■).In addition to soft tissue and total and regional BMD analyses,a segmental analysis of the pelvis was performed to determine site-specific BMD for the iliac fossa,iliac fossa/iliac crest/ilium combined,pubic bone,ischium,and sacrum.A mixed-model ANOVA followed by a Tukey's post-hoc test was used to compare the groups(Type-I error;α=0.05).The BALLET group had lower pelvic BMD for all measures(Avg.%Diff.=15%-27%,psOCCER group and for the ischium(Avg.%Diff.=8%;p=0.007)and sacrum(Avg.%Diff.=7%;p=0.028)compared to the GENPOP *** BALLET group had lower lean mass for all measures compared to the other groups(Avg.%Diff.=12%-18%;pssional ballet performers exhibit reduced pelvic region soft tissue and site-specific BMD not previously detected using standard DEXA *** findings highlight which pelvic regions may benefit from preventative strength training and/or nutritional interventions.

关键词： Ballet Bone Bone density Athlete Female athlete

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Predicting muscular strength using demographics,skeletal dimensions,and body composition measures

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sports Medicine and Health science 2021年第1期3卷 34-39页

作者： sean T.stanelle stephen F.Crouse Tyler R.Heimdal steven E.Riechman Alexandra L.Remy bradley s.lambert Department of Health and Kinesiology Texas A&M University400 Bizzell StCollege StationTXUSA Department of Orthopedics Baylor University Medical Center3500 Gaston AveDallasTXUSA Department of Orthopedics and sports Medicine Houston Methodist Hospital6565 Fannin StHoustonTXUSA

The purpose of this study was to develop an equation to predict strength for seven common resistance training exercises using anthropometric and demographic ***-hundred forty-seven healthy adults(74 males,73 females,3512 yr,17410 cm,8819 kg)volunteered to *** composition values(regional/total)and body dimensions were assessed using dual-energy x-ray absorptiometry(DEXA).subjects underwent the following maximal strength assessments:Leg Press,Chest Press,Leg Curl,Lat Pulldown,Leg Extension,Tri-ceps Pushdown,and Biceps *** linear regression with stepwise removal was used to determine the best model to predict maximal strength for each *** predictor variables identified(psex(0=F,1=M);regional lean masses(LM,kg);fat mass(FM,kg);fat free mass(FFM,kg);percent fat(%BF);arm,leg,and trunk lengths(AL,LL,TL;cm);and shoulder width(sW,cm).Analyses were performed with and without regional measures to accommodate scenarios where DEXA is *** models presented were significant(ps producing the greatest *** indicate that maximal strength for individual resistance exercises can be reasonably estimated in adults.

关键词： strength training Exercise testing Regression equation DEXA

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Influence of previous plane of nutrition on molecular mechanisms regulating the expression of urea and water metabolism related genes in the rumen and kidney of finishing crossbred Angus steers

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Animal Nutrition 2024年第2期17卷 232-243页

作者： Aghata E.Moreira da silva Arturo Macias Franco bradley s.Ferguson Mozart A.Fonseca College of Agriculture Biotechnology&Natural Resources University of Nevada Department of Animal and Range sciences Clayton Livestock Research Center New Mexico State University

This study aimed to understand how molecular mechanisms controlling water and urea metabolism at the finishing phase can be affected by previous plane of nutrition of crossbred Angus beef steers. Twentyfour(n = 24) animals were randomly distributed into either a moderate(MP) or high plane of nutrition during the background phase for 85 d. Animals were then blocked by their previous plane and were moved onto a 105-d finishing phase in a 2 × 2 factorial arrangement. The forage-finished group received only high-quality alfalfa hay, whereas the grain-fed group received a high grain diet(80% whole corn and20% alfalfa hay). By the end of the finishing phase, animals were harvested and tissue samples from the rumen and kidney were collected. Changes in gene expression of aquaporins(AQP)-2,-3,-4,-7, ATP1A1,ATP1B1, sGK1, CLIC1(kidney and rumen), UT-A1(kidney only) and UT-B(rumen only), were assayed via real-time q PCR; 18s r RNA was used as an endogenous control. One-way ANOVA followed by Tukey's post hoc analysis was conducted. When animals were from MP, forage-finishing increased the relative abundance of AQP3(P ≤ 0.05), AQP7(P ≤ 0.05), ATP1B1(P ≤ 0.05), and sGK1(P ≤ 0.05) in the kidney when compared to grain-fed animals. In the rumen, for the MP group, AQP7 was differentially expressed in both treatments at the finishing phase(P ≤ 0.01), with forage-finished steers having the highest expression of AQP7. For the MP group, UT-B had a tendency of presenting a higher expression on grainfed animals(P = 0.075). Overall, these results suggest that previous plane can impact expression of genes associated with water and urea metabolism during the finishing phase, namely AQP3, AQP7, ATP1B1, and sGK1 in the kidney, and AQP7 and UT-B in the rumen. The greatest impact observed on gene expression changes of investigated genes at the finishing phase was reflective of animals backgrounded on the moderate previous plane.

关键词： Gene expression Aquaporin sodium channel Urea transporter

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Recent Developments in Metallic Degradable Micromotors for Biomedical and Environmental Remediation Applications

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Nano-Micro Letters 2024年第3期16卷 1-35页

作者： sourav Dutta seungmin Noh Roger sanchis Gual Xiangzhong Chen salvador Pané bradley J.Nelson Hongsoo Choi Department of Robotics and Mechatronics Engineering Daegu Gyeongbuk Institute of Science and Technology(DGIST)Daegu 42988Republic of Korea DGIsT‑ETH Microrobotics Research Center DGISTDaegu 42988Republic of Korea Multi‑scale Robotics Lab Institute of Robotics and Intelligent SystemsETH Zurich8092 ZurichSwitzerland Institute of Optoelectronics State Key Laboratory of Photovoltaic Science and TechnologyShanghai Frontiers Science Research Base of Intelligent Optoelectronics and PerceptionFudan UniversityShanghai 200433People’s Republic of China

synthetic micromotor has gained substantial attention in biomedicine and environmental ***-based degradable micromotor composed of magnesium(Mg),zinc(Zn),and iron(Fe)have promise due to their nontoxic fuel-free propulsion,favorable biocompatibility,and safe excretion of degradation products Recent advances in degradable metallic micromotor have shown their fast movement in complex biological media,efficient cargo delivery and favorable biocompatibility.A noteworthy number of degradable metal-based micromotors employ bubble propulsion,utilizing water as fuel to generate hydrogen *** novel feature has projected degradable metallic micromotors for active in vivo drug delivery *** addition,understanding the degradation mechanism of these micromotors is also a key parameter for their design and *** propulsion efficiency and life span govern the overall performance of a degradable metallic *** we review the design and recent advancements of metallic degradable ***,we describe the controlled degradation,efficient in vivo drug delivery,and built-in acid neutralization capabilities of degradable micromotors with versatile biomedical ***,we discuss micromotors’efficacy in detecting and destroying environmental ***,we address the limitations and future research directions of degradable metallic micromotors.

关键词： Magnesium Zinc Iron Biodegradable microrobot Biomedical Environmental

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Integrated vision-based system for efficient,semi-automated control of a robotic manipulator

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International Journal of Intelligent Computing and Cybernetics 2014年第3期7卷 253-266页

作者： Hairong Jiang Juan P.Wachs bradley s.Duerstock school of Industrial Engineering Purdue UniversityWest LafayetteIndianaUSA Weldon school of Biomedical Engineering School of Industrial EngineeringPurdue UniversityWest LafayetteIndianaUSA

Purpose–The purpose of this paper is to develop an integrated,computer vision-based system to operate a commercial wheelchair-mounted robotic manipulator(WMRM).In addition,a gesture recognition interface system was developed specially for individuals with upper-level spinal cord injuries including object tracking and face recognition to function as an efficient,hands-free WMRM ***/methodology/approach–Two Kinects cameras were used synergistically to perform a variety of simple object retrieval *** camera was used to interpret the hand gestures and locate the operator’s face for object positioning,and then send those as commands to control the *** other sensor was used to automatically recognize different daily living objects selected by the *** object recognition module employing the speeded Up Robust Features algorithm was implemented and recognition results were sent as a commands for“coarse positioning”of the robotic arm near the selected *** face detection was provided as a shortcut enabling the positing of the objects close by the subject’s ***–The gesture recognition interface incorporated hand detection,tracking and recognition algorithms,and yielded a recognition accuracy of 97.5 percent for an eight-gesture ***’completion time were conducted to compare manual(gestures only)and semi-manual(gestures,automatic face detection,and object recognition)WMRM control *** use of automatic face and object detection significantly reduced the completion times for retrieving a variety of daily living ***/value–Integration of three computer vision modules were used to construct an effective and hand-free interface for individuals with upper-limb mobility impairments to control a WMRM.

关键词： Gesture recognition Object recognition spinal cord injuries Wheelchair-mounted robotic arm

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An in situ monitoring campaign of a hard rock pillar at great depth within a Canadian mine

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Journal of Rock Mechanics and Geotechnical Engineering 2020年第3期12卷 427-448页

作者： bradley Forbes Nicholas Vlachopoulos Mark s.Diederichs Andrew J.Hyett Allan Punkkinen Department of Geological sciences and Geological Engineering Queen’s UniversityKingstonOntarioK7L 3N6Canada Department of Civil Engineering Royal Military College of CanadaKingstonOntarioK7K 7B4Canada YieldPoint Inc. KingstonOntarioK7M 4W9Canada Normet Canada Ltd. LivelyOntarioP3Y 0B3Canada

A recent research campaign at a Canadian nickel-copper mine involved instrumenting a hard rock sill drift pillar with an array of multi-point rod extensometers,distributed optical fibre strain sensors,and borehole pressure cells(BHPCs).The instrumentation spanned across a 15.24 m lengthwise segment of the relatively massive granitic pillar situated at a depth of 2.44 km within the *** May 2016 and March 2017,the pillar’s displacement and pressure response were measured and correlated with mining activities on the same level as the pillar,including:(1)mine-by of the pillar,(2)footwall drift development,and(3)ore body stoping *** displacements of the pillar,the extensometers provided high temporal resolution(logged hourly)and the optical fibre strain sensors provide high spatial resolution(measured every 0.65 mm along the length of each sensor).The combination of sensing techniques allowed centimetre-scale rock mass bulking near the pillar sidewalls to be distinguished from microstrain-scale fracturing towards the core of the ***,the influence and extent of a mine-scale schistose shear zone transecting the pillar was *** converting measured rock mass displacement to velocity,a process was demonstrated which allowed mining activities inducing displacements to be categorised by time-duration and cumulative *** over half of the analysed mining activities,displacements were determined to prolong for over an hour,predominately resulting in submillimetre cumulative displacements,but in some cases multi-centimetre cumulative displacements were *** time-dependent behaviour was more pronounced within the vicinity of the plumb shear *** measurements were also used to assess selected support member load and elongation mobilisation per mining *** was found that a combined static load and elongation capacity of reinforcing members was essential to maintaining excavation stability,while

关键词： Hard rock pillar Rockburst Rock mass bulking Distributed optical fibre strain sensing Extensometer In situ monitoring High stress Dynamic support

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Refrigerated and frozen storage impact aronia berry quality

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Food Production, Processing and Nutrition 2022年第1期4卷 13-24页

作者： Erica s.King Andrea Noll susan Glenn bradley W.Bolling Department of Food science University of Wisconsin-Madison1605 Linden Dr.MadisonWI53706USA Department of statistics Medical Sciences CenterUniversity of Wisconsin-Madison1300 University Ave Rm 1220MadisonWI53706USA

Postharvest storage of many freshly picked berries affects polyphenol and sugar content. However, little is known about the impact of refrigerated and frozen storage on aronia berry composition. Therefore, the objective of this study was to characterize how storage at 4 ± 2 °C and − 20 ± 2 °C, and temperature cycles affect aronia berry polyphenols, total solid content, pH, titratable acidity, polyphenol oxidase (PPO) activity, sugar content, acid content, color, and cell structure. Refrigerated storage reduced proanthocyanidins (21%), anthocyanins (36%), and total phenols (21%) after 12 weeks. Frozen storage increased polyphenols in the first 6 mo. of frozen storage but then decreased polyphenols at mo. 8 to levels similar to initial values. Frozen temperature cycling reduced anthocyanins 18% but did not affect total phenols or proanthocyanidins. scanning electron microscopy analysis indicated temperature cycling induced cell damage, shrinking, and fusion. This disruption led to the release of anthocyanins inside the berry tissue. PPO activity did not significantly correlate with the decrease in polyphenol content during storage. °Brix did not significantly change during refrigeration and frozen storage but did during the 12th temperature cycle. Aronia berries’ pH and titratable acidity were affected more by refrigeration than frozen and temperature storage. The pH increased by 4% during refrigeration, and titratable acidity decreased by 17% at 12 weeks. In conclusion, refrigerated storage results in a modest reduction of aronia berry polyphenols, but absolute extractable polyphenols are stable for up to 8 months of frozen storage.

关键词： Aronia berry Polyphenols storage Refrigeration sugars Acids Frozen

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Utilizing a novel fiber optic technology to capture the axial responses of fully grouted rock bolts

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Journal of Rock Mechanics and Geotechnical Engineering 2018年第2期10卷 222-235页

作者： Nicholas Vlachopoulos Daniel Cruz bradley Forbes Department of Civil Engineering Royal Military College of Canada Department of Geological sciences and Geological Engineering Queen's UniversityKingston

Rock bolts are one of the primary support systems utilized in underground excavations within the civil and mining engineering industries. Rock bolts support the weakened rock mass adjacent to the opening of an excavation by fastening to the more stable, undisturbed formations further from the excavation. The overall response of such a support element has been determined under varying loading conditions in the laboratory and in situ experiments in the past four decades; however, due to the limitations with conventional monitoring methods of capturing strain, there still exists a gap in knowledge associated with an understanding of the geomechanical responses of rock bolts at the microscale. In this paper, we try to address this current gap in scientific knowledge by utilizing a newly developed distributed optical strain sensing(DOs) technology that provides an exceptional spatial resolution of 0.65 mm to capture the strain along the rock bolt. This DOs technology utilizes Rayleigh optical frequency domain reflectometry(ROFDR) which provides unprecedented insight into various mechanisms associated with axially loaded rebar specimens of different embedment lengths, grouting materials, borehole annulus conditions, and borehole diameters. The embedment length of the specimens was found to be the factor that significantly affected the loading of the rebar. The critical embedment length for the fully grouted rock bolts(FGRBs) was systematically determined to be430 mm. The results herein highlight the effects of the variation of these individual parameters on the geomechanical responses FGRBs.

关键词： Fiber optic technology Fully grouted rock bolts Load transfer stress distribution

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