A novel method for measuring pulmonary artery pressure by high-frequency ultrasound-guided transthoracic puncture in rats.

Objectives: The success of the rat model of pulmonary hypertension (PH) is primarily dependent on the measurement of pulmonary artery pressure. We herein demonstrate a novel method for measuring pulmonary artery pressure through a high-frequency ultrasound-guided transthoracic puncture in rats. The efficacy and time of this novel method are also discussed. Methods: A single subcutaneous injection of monocrotaline (MCT) was used to establish a rat model of PH. Through the heat shaping method, the tip of that puncture cannula was maintained at a certain angle after the needle core was removed. In-plane real-time guided trocar puncture of the right ventricular outflow tract was performed in the short-axis section of the parasternal aorta. The external pressure sensor was used to record the real-time waveform of right ventricular systolic pressure, pulmonary artery systolic pressure, and diastolic pressure. Results: The success rates of which using this novel method in the model group and the control group were 88.5 and 86.7%, respectively. The time of puncture pressure measurement was 164 ± 31 and 235 ± 50 s, respectively. The right ventricular systolic blood pressure, pulmonary systolic blood pressure, and diastolic blood pressure of the model group were higher than those of the control group. Conclusion: The modified method for trocar is helpful for accurately positioning pulmonary artery manometry. The method described in this paper has a high success rate and short operation time. It can simultaneously measure systolic blood pressure, diastolic blood pressure, and mean pressure of the right ventricle and pulmonary artery. It has a broad application prospect in verifying the rat PH model and pulmonary artery pressure monitoring.

Study on Ultrasonic Nondestructive Testing of Self-Compacting Concrete under Uniaxial Compression Test.

To study the variation law of ultrasonic parameters of self-compacting concrete before and after damage under uniaxial compression test conditions, the C30 self-compacting concrete blocks stored for 7 days and 28 days were subjected to ultrasonic nondestructive testing, and the variation law of the sound time, amplitude, and sound velocity before and after the damage of self-compacting concrete blocks was emphatically analyzed. The concrete acoustic detection software was introduced to judge and analyze the abnormal values of the parameters of each measuring point, and the defect distribution map of each test block was obtained. The results showed that after curing the self-compacting concrete test block for 7 days and 28 days, the average value of sound time before and after the failure of each measuring point of the test block is small, and the average value of sound time before the failure is less than that after; the average amplitude after failure is smaller than that before failure, and the amplitude of some measuring points will be smaller than that before. The average sound velocity after failure is less than that before failure, and the internal defects appear and the structure is not dense. This study provides a theoretical basis for the application of ultrasonic detection technology in the field of self-compacting concrete and also provides a practical basis for the stability monitoring and failure warning of self-compacting concrete.

Rapid assessment of circadian behavior in mice.

Circadian rhythms have a cycle length of about 24 hours, i.e. a 24-hour internal clock. In order to adapt to the periodic changes of the circadian environment, almost all organisms on the earth, including algae, bacteria, plants, animals, etc., have evolved a special system-the circadian clock. It helps organisms to adapt to the daily changes in the environment and maintains the physiological process and the behavior in synchronization with the environment changes. Circadian rhythms are composed of an intracellular feedback loop that drives the expression of molecular components and their constitutive protein products to oscillate over a period of about 24 hours. Almost every aspect of the body's functions, including behavior and physiology, is regulated by the circadian clock, and shows obvious daily rhythms, such as sleep and wakefulness, alertness, body temperature fluctuations, urinary system, hormone secretion, immune regulation, and cytokine release. Circadian factors are also increasingly recognized for potentially affecting the occurrence, progression, treatment, and prognosis of a variety of diseases. This paper discusses several methods for measuring circadian behavior disorders in mice for different purposes, and shares experimental operations and analysis ideas, including the use of metabolism cage, wheel running activity, jet lag, lengthened light, bones photoperiod, as well as the T7-cycle. In addition, this paper also studies the possible reasons for variations caused by genetic backgrounds and light conditions. Given these methods, researchers can choose appropriate experiments to evaluate the influence of genetic factors, environmental factors or diseases on circadian behavior.

Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study.

BACKGROUND: Many traditional methods are available to prevent unbalance of extension and flexion gap during total knee arthroplasty (TKA), but there are no reports on the use of measurement and positioning method before tibial osteotomy with self-made tools. We designed a self-made tool measuring the location before tibial osteotomy and determined the clinical effect. METHODS: The retrospective study included patients who received TKA at our hospital, between January 1, 2012 and December 31, 2015. A new method, named as the measurement and localization before osteotomy with self-made tools, was developed to measure the osteotomy position of the posterior femoral condyle during TKA. They were divided into two groups, one that received the new method (Group I), and the other that received the traditional method as a control (Group I I). HSS score, Oxford score, VAS score and knee joint activity were evaluated in two groups. RESULTS: One hundred and eighty-seven of 210 eligible patients were included. The function of knee joint in all patients was improved and the pain was obviously relieved. Significant differences were found in the HSS score, Oxford score, VAS score, knee joint activity between two groups at 5-year follow-up (p < 0.05). CONCLUSIONS: The biomet knee prosthesis was selected for all intraoperative implants. All operations were completed by the same senior surgeon. The use of self-made tools may contribute to improve the balance between flexion and extension gaps as well as the balance between internal and external gaps during TKA, and overcome knee flexion instability.

A comparative evaluation of the four measurement methods for comfort and reachability distance perceptions.

This study aimed to evaluate the precision, accuracy, and reliability of the common measurement methods for collecting comfort and reachability distances. Four measurement methods were applied in the study: real-life measurement, virtual reality (VR) simulation, the media method, and the paper-and-pencil test. Forty participants were recruited, who were required to determine their comfort and reachability distances when approached by, or actively approaching, confederates under the four methods. The relative error magnitude and mean absolute difference were used to evaluate the precision and accuracy of the methods, respectively. Then, intraclass correlation coefficients were applied to evaluate the reliability of the methods. The ANOVA results showed that the confederate's gender, method, and pattern all had significant effects on the comfort and reachability distances. The distance obtained by the paper-and-pencil test was the smallest, while the distance measured by the media method was larger. The real-life measurement had high reliability, but its precision performance was worse than that of both the VR simulation and the active media method. The VR simulation had the best precision and reliability, while the measurement value tended to be overestimated. The media method in the passive pattern showed the worst precision, accuracy, and reliability performance among the four methods. The active media method performed well except for accuracy when collecting distance data. The paper-and-pencil test showed erroneous results regarding the precision and reliability performance. These findings provide scientific reference suggestions for the selection of measuring methods for collecting comfort and reachability distances.

Comparison of the accuracy of axial length measurement by different imaging methods in Sprague Dawley rats.

Background: Obtaining accurate axial length (AL) is very important for the establishment of animal models of myopia. The purpose of this study is to compare the accuracy of Quantel A-B scan, OD-1 A scan, and vernier caliper in measuring AL in Sprague Dawley (SD) rats. Methods: In total, 60 5-week-old SD rats were divided into female rat group (n = 30) and male rat group (n = 30). Quantel A-B scan and OD-1 A scan were, respectively, used to measure the AL of both eyes of each living rat, and vernier caliper was used to measure the anterior-posterior diameter of each rat's eyeball. Besides, the correlation between refractive error (RE) and AL measured by different instruments was evaluated, and the accuracy of the three measurement methods was compared according to gender and left/right eyes. Results: There were significant differences in AL and diopter of SD rats at the same age (p < 0.05). the AL of male rats was greater than that of female rats, while diopter (D) was the opposite; There was no significant difference in AL and D between left and right eyes in the same SD rats (p > 0.05); There were statistical differences among the three measurement methods (p < 0.05), AL measured by vernier caliper was the largest, followed by Quantel A-B scan, OD-1 A scan; Difference in AL between male and female was not statistically significant between the results obtained by Quantel A-B scan and vernier caliper (p > 0.05), but there were statistically significant differences between the other two measurement methods (p < 0.05). Conclusion: Sex is the influencing factor of AL and RE. Imaging measurement can accurately measure the AL in living small rodents. Compared with OD-1 A scan, Quantel A-B scan may be more accurate.

Anemia Diagnostic System Based on Impedance Measurement of Red Blood Cells.

Anemia is a condition in which red blood cells or the hemoglobin in the blood is lower than in healthy people. Red blood cells transport and supply oxygen needed to various organs in the human body. Anemia is caused by hypoxemia due to the lack of red blood cells and causes other serious health problems, such as heart problems, pregnancy complications, severe fatigue, or death. There are many causes of anemia, and it can be diagnosed by measuring hematocrit or hemoglobin levels in the blood. Even though there are various diagnostic devices on the market, these devices are inconvenient because their systems are bulky, heavy, expensive, or inaccurate. This study proposed a new anemia diagnostic system based on the impedance measurement of red blood cells. The proposed system consists of a test strip that collects a blood sample from the finger and a hemoglobin meter that measures the impedance of the blood and converts it into the concentration of hemoglobin. The proposed test strip that does not contain enzymes or reagents was designed in accordance with class 1 approval by the Food and Drug Administration (FDA). The hemoglobin meter was designed to include a hardware block, an algorithm block and a calibration block through empirical work. We also compared it to reference impedance to prove the accuracy of the hemoglobin meter. The experimental results with human blood indicated the superiority of the anemia diagnostic system. As a result, the overall standard deviation of impedance measurements was less than 1%, and the coefficient of variance of the proposed system was 1.7%, which was better than that of other commercial systems.

Evaluation of influence factors on the width, length, and width to length ratio of the maxillary central incisor: A systematic review and meta-analysis.

OBJECTIVES: The aim of this study was to analyze whether symmetry of left and right sides, gender, measuring method, and ethnicity have influences on width (W), length (L), and width to length ratio (W/L) of the maxillary central incisor (MCI) and provide a reference for dental treatment planning in the esthetic zone. MATERIALS AND METHODS: An electronic search was conduct of the dental literature. Studies reporting data about measurements were included. Data were extracted and analyzed for the differences between left and right, male and female, different measuring methods, and ethnicities by Review Manager and Stata statistical software. RESULTS: Seventeen studies were included. There were no differences between measurement of the left and right groups, perceived and actual measuring groups. However, differences were found between genders in MCI's W and L but no difference in W/L. Differences were also found between Asians and Caucasian subjects in MCI's W, L, and W/L. CONCLUSIONS: The results of this meta-analysis suggest that symmetry of left and right sides and measuring method do not influence MCI dimension. Gender and ethnicity are found as influence factors for MCI dimension. We believe these findings can be helpful for dentists to decide and design the dimensions of the restorations for maxillary anterior teeth in clinical practices. CLINICAL SIGNIFICANCE: In the process of designing maxillary anterior teeth for implantation, the contralateral MCI can be helpful to create a symmetrical esthetic restoration. For patients with maxillary anterior tooth loss or diastemas, dentists should divide the left and right space equally and keep the MCI contact area aligned with the midline. Dentists should take face size and gender into consideration when making treatment plans for the MCI. Facial parameters as well as the size ratios of the previous teeth can be evaluated and may influence the size and shape of the teeth. When measuring anterior teeth or facial dimensions for esthetic evaluation, the recommended method is to measure the perceived sizes of a facial view image created by a digital camera. Slight discrepancies may exist between the actual and measured values due to the curvature of the arch and the angle in which the photograph was taken.

Performance Assessment of Two Different Approaches of Measuring Skeletonized Radial Peripapillary Capillary Vessel Density in Glaucoma Patients.

Objective: To compare performance assessment of two methods of measuring radial peripapillary capillary (RPC) vessel density (VD) after skeletonization using MATLAB and Image J in glaucoma clinical setting. Methods: Seventy-three eyes of 73 glaucoma patients from Beijing Tongren Hospital were included in this prospective study. Original images of RPC were obtained using optical coherence tomography angiography. Two approaches were executed before measuring. Method 1 (M1) required image sharpening, removal of big vessels, and skeletonization. Method 2 (M2) required skeletonization and removal of major vessels. Each method was executed twice. Repeatability and correlations with glaucomatous parameters were assessed. Factors associated with retinal nerve fiber layer thickness (RNFLT) and visual field mean deviation (MD) were analyzed. Results: Average VD was 13.86 ± 2.73 and 7.50 ± 2.50% measured by M1 and M2. Percentage of total elimination of the major vessels was 36.99 and 100% by M1 and M2, respectively. The intrasession and intersession reproducibility was higher by M2 (ICC = 0.979, ICC = 0.990) than by M1 (ICC = 0.930, ICC = 0.934). VD measured by M2 showed stronger correlations with glaucomatous parameters than by M1. By stepwise multiple linear regression, thinner RNFLT was associated with smaller VD measured by M2 (B = 4.643, P < 0.001). Worse MD was associated with smaller VD measured by M1 (B = 1.079, P = 0.015). Conclusion: The VD measured by M2 showed better reproducibility and higher correlation with glaucomatous structural parameters. Image sharpning helps display of hazy vasculature in glaucoma, which may reflect visual function better. Researchers should carefully choose image processing methods according to their research object.

Cold Flow Evaluation in Transdermal Drug Delivery Systems by Measuring the Width of the Oozed Adhesive.

The objective of this study was to develop a simpler and more practical quantitative evaluation method of cold flow (CF) in transdermal drug delivery systems (TDDSs). CF was forcibly induced by loading a weight on a punched-out sample (bisoprolol and tulobuterol tapes). When the extent of CF was analyzed using the area of oozed adhesive as following a previously reported method, the CF profiles were looked different between the samples 12 mm in diameter subjected to a 0.5-kg weight and samples 24 mm in diameter subjected to a 2.0-kg weight despite an equal load per unit area (4.42 g/mm2). The width of oozed adhesive around the original sample was suggested to be an index that properly describes the relationship between the load per unit area and the extent of CF. Further, it was clarified that the average CF width over the entire circumference of the sample was the same whether the samples were round or square as long as the sample area and load were the same. We also observed a linear relationship between the CF width and the aspect ratio of oval and rectangular samples. These results indicated that the CF properties of typical TDDS products lacking CF-proof processing at the edges could be determined by testing samples cut from the product rather than the whole TDDS patch. The proposed width measuring method was simple and useful for optimizing the composition of the adhesive and for testing the quality of the product.

Longitudinal changes in mouthguard fit: Reliability of an evaluation method.

BACKGROUND/AIM: A mouthguard should be replaced when it deteriorates or becomes deformed as a result of the softness or flexibility of the material. The question, however, is how long can one use a mouthguard and when should one replace it with a newly made mouthguard? The aim of this study was to develop an improved method for measuring the fit of mouthguards based on previous reports and to examine its reliability. MATERIAL AND METHODS: Silicone fit-testing material was applied to the inner surface of the mouthguards of 12 participants, and the mouthguards were inserted into the participants' oral cavity. After the test material had set, the mouthguard was weighed. The intra-rater reliability and inter-rater reliability were analyzed using intraclass correlation coefficients. RESULTS: The intra-rater reliability was 0.813 (P < .001), and the inter-rater reliability was 0.817 (P < .001). Both values were greater than 0.7, suggesting that this measuring method had sufficient reliability. CONCLUSIONS: The results of this study indicate that mouthguard fit can be evaluated longitudinally to determine the optimal time to replace a mouthguard.

Radon removal trap design and coefficient testing for the development of an effective radioxenon sampling, separation and measurement system.

To monitor low-level radioxenon isotopes activity concentrations in the bulk gases, a radioxenon sampling, separation and measurement system has been developed. The xenon enrichment factor of this system is more than 105 after the separation of impurities, including N2, O2, CO2and H2O, as well as radon and its progenies, such as 214Pb and 214Bi. Since radon and its progenies interfere with radioxenon measurement, they have to be removed before radioxenon counting. To separate radon from xenon, different dynamic adsorption coefficients of xenon and radon are used to design small radon removal trap to retain radon after eluting xenon, and the ratio between radon and xenon dynamic adsorption coefficient gives the adsorbent weight relationship between the xenon adsorption trap and its related radon removal trap. To test the effectiveness of radon removal, the relative measuring method is used by measuring γ-rays energies of radon progenies in canister filling with either the measuring sample prepared by the system or the original gas. The results show that the radon removal coefficient and the stable xenon recovery, which are two important parameters in the radioxenon system, are at the order of 10-6 and >70% respectively. These meet the specifications proposed by the Comprehensive Nuclear-Test-Ban Treaty Organization.

Three-dimensional mean stone density measurement is superior for predicting extracorporeal shock wave lithotripsy success.

OBJECTIVES: The objective of the present study was to investigate the usefulness of three-dimensional images of stones to measure mean stone density for predicting the outcome of shock wave lithotripsy. METHODS: We retrospectively identified 239 patients who underwent shock wave lithotripsy with pretreatment non-contrast computed tomography. We automatically measured the mean stone density of three-dimensional images of stones using a high-functional viewer. For comparison, mean stone density was also measured by two previously reported techniques using both the abdominal windows and the bone windows on the axial slice at the level of the largest diameter of the stone. We compared the outcome predictive power after the first treatment with outcomes according to measurement by four other methods. We also carried out logistic regression analysis, including mean stone density measured by three-dimensional images. RESULTS: The single treatment success rate was 48.5%. The effect size (14.148) of the mean stone density measured by three-dimensional images was higher than those of the other four manual methods. In addition, the area under the curve (0.6330) of the mean stone density measured by three-dimensional images was significantly higher than those of the other methods. Increasing stone volume (P = 0.002) and increasing mean stone density measured by three-dimensional images (P = 0.023) were significant independent predictors of the treatment outcome on multivariate analysis. CONCLUSIONS: This is the first study to compare the predictive powers for shock wave lithotripsy outcome of various mean stone density measuring methods. There is an indication that mean stone density automatically measured by three-dimensional images of stones is more useful than other measuring methods for predicting outcomes of shock wave lithotripsy.

Comparison between tympanic temperature measurement with infrared ear thermometer and rectal ;temperature measurement with mercury clinical thermometer for children / 中国实用护理杂志

Objective To explore the feasibility for application of infrared ear thermometer in body temperature measurement among children. Method Ear temperature and rectal temperature of 500 children patients at outpatient and emergency departments were measured and the difference between ear temperature and rectal temperature were compared with the self-control method. With 500 children patients were divided into the following groups:0-1 year old group,>1-2 years old group,>2-3 years old group, > 3- 7 years old group, the difference of these two measuring methods in these different age groups were compared. Results Average rectal temperature was (38.28 ± 0.93)℃, higher than average ear temperature (38.06 ± 0.92) ℃ with statically significant difference (t =-12.711, P =0.000); 0-1 year old group,>1-2 years old group,>2-3 years old group,>3-7 years old group, four age groups rectal temperature minus ear temperature difference results M(Q25, Q75) were as follows: 0.2(0.0, 0.5), 0.2 (0.1, 0.4) 0.2 (0.0,0.4) 0.2(0.0,0.4), which meant the difference between two temperature measurement methods in different age groups showed that the difference was not statistically significant (H=0.600, P=0.896);ear temperature and rectal temperature were linearly correlated (r=0.915, P=0.000);taking rectal temperature as Y and ear temperature as X, the regression equation was =3.080+0.925X;with rectal temperature of≥38.0℃as golden standard, the area in ROC curve of ear temperature was 0.97 and correct diagnosis index of ear temperature was highly correct. Therefore, as for whether a child is diagnosed as fever based on the ear temperature, it is recommended that the ear temperature be≥37.8℃;the difference of fever incidence for rectal temperature method of 58.2%and fever incident for ear temperature method of 57.2%was determined as not statistically significant (χ2=0.102,P=0.749). Conclusions Infrared ear thermometer may be used for measuring children′s body temperature by replacing mercury rectal thermometer; however, ear temperature should be different from rectal temperature in terms of criteria for clinical judgment of fever.

The correlation research between three ultrasonic technologies for the measurement error in breast cancer and the expression of ER, PR and VEGF / 中国基层医药

Objective To explore the three ultrasonic technologies of two -dimensional ultrasound(2D -US),ultrasonic elastography(UE) and contrast -enhanced ultrasound(CEUS) for the measurement error in breast cancer and the correlation with the expression of ER,PR,VEGF.Methods 50 patients with breast cancer were meas-ured by 2D -US,UE,CEUS preoperatively,and the pathological specimen were measured postoperatively.Then used the immunohistochemistry to detect the expression of ER,PR,VEGF in tumor,and analyzed the correlation with the measurement errors.Results The results of differences between 2D -US,UE,CEUS and pathology were respectively as follows:( -0.59 ±-0.34)cm,( -0.20 ±-0.14)cm,( -0.40 ±-0.31)cm,and the differences were statistically significant(F =20.497,P <0.001).The positive expression rate of ER and PR was high if the difference between UE and 2D -US was less than or equal to 0.44cm.And the positive expression rate of VEGF was low if the difference between CEUS and 2D -US was less than or equal to 0.19cm.Three ultrasonic technologies in the measurement of breast cancer were different,the trend of difference between UE and 2D -US was smaller if the ER and PR were positively expression,and the trend of difference between CEUS and 2D -US was bigger if the VEGF was positively expression.Conclusion There is correlation between different immunohistochemical expression of breast cancer with measurement error in three different ultrasonic imaging technologies.The results suggest that the molecular pathology difference of breast cancer can impact on ultrasonic imaging,which contributes to know the reason and regulation of measurement error in different ultrasonic imaging technology.

A new, highly precise measurement technology for the in vitro evaluation of the accuracy of digital imaging data.

OBJECTIVES: Three-dimensional radiological imaging data play an increasingly role in planning, simulation, and navigation in oral and maxillofacial surgery. The aim of this study was to establish a new, highly precise, in vitro measurement technology for the evaluation of the geometric accuracy down to the micrometric range of digital imaging data. MATERIAL AND METHODS: A macerated human mandible was scanned optically with an industrial, non-contact, white light scanner, and a three-dimensional (3D) model was obtained, which served as a master model. The mandible was then scanned 10 times by cone beam computed tomography (CBCT), and the generated 3D surface bone model was virtually compared with the master model. To evaluate the accuracy of the CBCT scans, the standard deviation and the intraclass coefficient were determined. RESULTS: A total of 19 measurement points in 10 CBCT scans were investigated, and showed an average value of 0.2676 mm with a standard deviation of 0.0593 mm. The standard error of the mean was 0.0043 mm. The intraclass correlation coefficient (ICC) within the 10 CBCT scans was 0.9416. CONCLUSIONS: This highly precise measuring technology was demonstrated to be appropriate for the evaluation of the accuracy of digital imaging data, down to the micrometric scale. This method is able to exclude human measurement errors, as the software calculates the superimposition and deviation. Thus inaccuracies caused by measurement errors can be avoided. This method provides a highly precise determination of deviations of different CBCT parameters and 3D models for surgical, navigational, and diagnostic purposes. Thus, surgical procedures and the post-operative outcomes can be precisely simulated to benefit the patient.

Comparison of 2 invasive or non-invasive blood pressure measuring methods in shock patients

Comparison of Korotkoff blood pressure measuring method and invasive blood pressure measuring method in shock patients at the age of over 16 years, treated in Bach Mai hospital from June 2004 to November 2004. The results: the Korotkoff method in shock patients showed less accurate outcome and higher errors of measurement than the invasive method. When systolic blood pressure <70mmHg or mean blood pressure <40mmHg, the errors of measurement between 2 methods increased 2 folds. In shock patients, the accuracy of the Korotkoff method gained acceptable level when systolic blood pressure ≥60mmHg