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Background: Rotator cuff tears are a common shoulder injury that significantly impacts patients' daily lives and work abilities. Although surgical treatment methods for rotator cuff tears have been continuously improved with advances in medical technology, postoperative rehabilitation remains challenging. Therefore, finding effective rehabilitation treatments is crucial for improving patient prognosis and enhancing quality of life. This study will aim to systematically evaluate the impact of low-intensity pulsed ultrasound (LIPUS) on postoperative rehabilitation of rotator cuff tears, comprehensively assessing the efficacy and safety of LIPUS in postoperative recovery. Methods: This protocol will search multiple databases including PubMed/MEDLINE, Embase, Cochrane Library, CNKI, Scopus, and Web of Science to identify randomized controlled trials related to LIPUS for postoperative rehabilitation of rotator cuff tears. The search will encompass literature published from the inception of the databases up to April 2024. Methodological quality assessment and data extraction will be conducted using the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guidelines. Meta-analysis will be performed on appropriate studies using either random-effects or fixed-effects models, and subgroup analyses will be conducted to explore potential heterogeneity. Studies meeting the inclusion criteria will be included in the analysis. All analyses will be performed using Stata version 16.0. Results: The incidence of rotator cuff tear rates will be assessed by imaging techniques such as MRI or ultrasound. Pain intensity will be scored using standardized pain assessment scales, such as the Visual Analog Scale (VAS). Improved range of motion (ROM) in shoulder flexion, abduction, and rotation. Functional outcomes will be evaluated using effective measures such as Constant-Murley scores (CMS) and shoulder joint scores by American Shoulder and Elbow Surgeons (ASES). Adverse events associated with LIPUS therapy, including skin irritation, increased pain, or any other complications. Subgroup analysis will also be carried out if possible. Discussion and conclusion: Following the meta-analysis, we will assess the overall effect of LIPUS on postoperative rehabilitation of rotator cuff tears, and further explore its impact on aspects such as pain relief, functional improvement, and postoperative complications. It is anticipated that this study will provide comprehensive evidence regarding the role of LIPUS in postoperative rehabilitation of rotator cuff tears, guiding clinical practice and future research. The resultant manuscript will be submitted for publication in a peer-reviewed journal. Protocol registration number: CRD42024530798. [ABSTRACT FROM AUTHOR]

Developing antiswelling hydrogel that retains their low modulus and has three‐dimensional (3D) printability to application in the biomedical field is a current critical issue. Here, we synthesized 3D printing ink consist of poly(acrylic acid‐acrylamide‐allyloxypolyethyleneglycol) (P(AA‐Am‐APEG)) and nanosilica (SiO2) by free radical polymerization, immersed the hydrogel precursor printed by ink in ferric chloride solution to prepare a low modulus, antiswelling, and conductive hydrogel. In the physical cross‐linking network, the coordination interaction and hydrogen bonds contributed to excellent mechanical properties and nSiO2 regulated rheological behavior of ink. Especially, P(AA‐Am‐APEG) molecular chain was a structure containing of APEG branch chain, which could endow antiswelling (the equilibrium swelling rate was only 7% in deionized water) and low modulus (Young's modulus was less than 100 kPa) to hydrogel. The tensile stress could still maintain 90% of the original value after soaking for 24 h. In addition, the existence of iron and chloride ions provided high sensitive deformation‐dependent conductivity to hydrogel. Therefore, the strategy of controlling the swelling and modulus by branch chains would expand the application of hydrogel in biosensors and other fields. [ABSTRACT FROM AUTHOR]

In steel production, defect detection is crucial for preventing safety risks, and improving the accuracy of steel defect detection in industrial environments remains challenging due to the variable types of defects, cluttered backgrounds, low contrast, and noise interference. Therefore, this paper introduces a steel surface defect detection model, DBCW-YOLO, based on YOLOv5. Firstly, a new feature fusion strategy is proposed to optimize the feature map fusion pair model using the BiFPN method to fuse information at multiple scales, and CARAFE up-sampling is introduced to expand the sensory field of the network and make more effective use of the surrounding information. Secondly, the WIoU uses a dynamic non-monotonic focusing mechanism introduced in the loss function part to optimize the loss function and solve the problem of accuracy degradation due to sample inhomogeneity. This approach improves the learning ability of small target steel defects and accelerates network convergence. Finally, we use the dynamic heads in the network prediction phase. This improves the scale-aware, spatial-aware, and task-aware performance of the algorithm. Experimental results on the NEU-DET dataset show that the average detection accuracy is 81.1, which is about (YOLOv5) 6% higher than the original model and satisfies real-time detection. Therefore, DBCW-YOLO has good overall performance in the steel surface defect detection task. [ABSTRACT FROM AUTHOR]

Background: Rotator cuff injury (RCI) is a common musculoskeletal ailment and a major cause of shoulder pain and limited functionality. The ensuing pain and restricted movement significantly impact overall quality of life. This study aims to systematically review the effects of extracorporeal shock wave therapy (ESWT) on RCI. Methods: This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. A literature search, spanning inception to November 1, 2023, will include databases such as PubMed, Web of Science, the Cochrane Library, Scopus, MEDLINE, EMBASE, EBSCO, and China National Knowledge Infrastructure (CNKI) to identify ESWT studies for RCI treatment. Excluding retrospectives, bias risk will be assessed with the Cochrane tool. Two researchers will independently screen, extract data, and evaluate bias risk. Revman 5.3 software will be used for data analysis. Results: This study aims to objectively and comprehensively evaluate the effectiveness and safety of randomized controlled trials of ESWT in the treatment of RCI, and analyze in detail the effect of ESWT in the treatment of RCI. Results will be analyzed using the Pain Visual Analogue Scale (VAS), Constant-Murley score, University of California Los Angeles score (UCLA), and American Shoulder and Elbow Surgeons form (ASES). If applicable, subgroup analysis will also be performed to divide patients into groups according to the energy level of ESWT, the time of intervention, and the degree of tearing of RCI. Finally, the results are submitted for publication in a peer-reviewed journal. Discussion and conclusion: There is existing evidence suggesting that ESWT may contribute to the amelioration of pain and functional limitations associated with Rotator Cuff Injury (RCI). This systematic review aims to update, consolidate, and critically evaluate relevant evidence on the effects of ESWT for RCI. The anticipated outcomes may serve as a valuable reference for clinical ESWT practices, covering treatment methods, timing, and intensity. Moreover, this review aspires to provide high-quality evidence addressing the impact of ESWT on RCI-related pain. Simultaneously, the findings of this systematic review are poised to offer guidance to clinicians and rehabilitation therapists. This guidance is intended to enhance the management of pain and functional impairments experienced by individuals with RCI, ultimately leading to improvements in their physical well-being. Trial registration: Protocol registration numberCRD42023441407. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023441407. [ABSTRACT FROM AUTHOR]

The dry reforming of methane provides an attractive route to convert greenhouse gases (CH4 and CO2) into valuable syngas, so as to resolve the carbon cycle and environmental issues. However, the development of high-performance catalysts remains a huge challenge. Herein, we report a 0.6% Ir/CeO2−x catalyst with a metal-support interface structure which exhibits high CH4 (~72%) and CO2 (~82%) conversion and a CH4 reaction rate of ~973 μmolCH4 gcat−1 s−1 which is stable over 100 h at 700 °C. The performance of the catalyst is close to the state-of-the-art in this area of research. A combination of in situ spectroscopic characterization and theoretical calculations highlight the importance of the interfacial structure as an intrinsic active center to facilitate the CH4 dissociation (the rate-determining step) and the CH2* oxidation to CH2O* without coke formation, which accounts for the long-term stability. The catalyst in this work has a potential application prospect in the field of high-value utilization of carbon resources. Dry reforming of methane is an attractive route to convert greenhouse gases into valuable syngas. Here, the authors demonstrate design strategy to prepare efficient catalysts towards activation of both C–H and C = O bonds and provide atomic-level insights into interfacial synergistic catalysis. [ABSTRACT FROM AUTHOR]

Background: Rotator cuff tendinopathy (RCT) is a widespread musculoskeletal disorder and a primary cause of shoulder pain and limited function. The resulting pain and limited functionality have a detrimental impact on the overall quality of life. The purpose of this study was to perform a systematic review of the effects of extracorporeal shock wave therapy (ESWT) for RCT. Methods: The literature search was conducted on the following databases from inception to February 20, 2024: PubMed, Web of Science, the Cochrane Library, Scopus, MEDLINE, EMBASE, EBSCO, and China National Knowledge Infrastructure (CNKI) were checked to identify the potential studies exploring the effect of ESWT for the treatment of Rotator cuff tendinopathy (Calcification or non-calcification), control group for sham, other treatments (including placebo), without restriction of date, language. Two researchers independently screened literature, extracted data, evaluated the risk of bias in the included studies, and performed meta-analysis using RevMan 5.3 software. Results: A total of 16 RCTs with 1093 patients were included. The results showed that compared with the control group, ESWT for pain score Visual Analogue Scale/Score (VAS) (SMD = -1.95, 95% CI -2.47, -1.41, P < 0.00001), function score Constant-Murley score (CMS) (SMD = 1.30, 95% CI 0.67, 1.92, P < 0.00001), University of California Los Angeles score (UCLA) (SMD = 2.69, 95% CI 1.64, 3.74, P < 0.00001), American Shoulder and Elbow Surgeons form (ASES) (SMD = 1.29, 95% CI 0.93, 1.65, P < 0.00001), Range of motion (ROM) External rotation (SMD = 1.00, 95% CI 0.29, 1.72, P = 0.02), Total effective rate (TER) (OR = 3.64, 95% CI 1.85, 7.14, P = 0.0002), the differences in the above results were statistically significant. But ROM-Abduction (SMD = 0.72, 95% CI -0.22, 1.66, P = 0.13), the difference was not statistically significant. Conclusion: Currently limited evidence suggests that, compared with the control group, ESWT can provide better pain relief, functional recovery, and maintenance of function in patients with RCT. [ABSTRACT FROM AUTHOR]

Objectives: Bankart lesion is one of the most common lesions of the glenohumeral joint. Several double‐row suture methods were reported for Bankart repair, which could provide more stability, yet more motion limitation and complications. Therefore, we introduced a new double‐row Bankart repair technique, key point double‐row suture which used one anchor in the medial line. The purpose of this article is to investigate the clinical outcomes of this new method and to compare it with single‐row suture. Methods: Seventy‐eight patients receiving key point double‐row suture or single‐row suture from October 2010 to June 2014 were collected retrospectively. The basic information including gender, age, dominant arm, and number of episodes of instability was collected. Before surgery, the glenoid bone loss was measured from the CT scan. The visual analogue scale, American shoulder and elbow surgeons, the University of California at Los Angeles shoulder scale, and subjective shoulder value were valued before surgery and at the last follow‐up. Results: Forty‐four patients (24 patients receiving single‐row suture and 20 patients receiving key point double‐row suture) were followed up successfully. The follow‐up period was 9.2 ± 1.1 years (range, 7.8–11.4 years). At the last follow‐up, no significant differences were detected for any of the clinical scores. The recurrence rate was 12.5% for the single‐row group and 10% for the double‐row group, respectively (p = 0.795) 14 patients (31.8%) in the single‐row group and nine patients (26.5%) in the double‐row group were tested for active range of motion. A statistically significant difference was found only for the internal rotation at 90° abduction (48.9° for single‐row and 76.7° for key point double‐row, p = 0.033). Conclusion: The key point double‐row sutures for Bankart lesions could achieve similar long‐term outcomes compared with single‐row suture, and one medial anchor did not result in a limited range of motion. The low recurrence rate and previous biomechanical results also indicate the key point double‐row suture is a reliable method. [ABSTRACT FROM AUTHOR]

Heterogeneous thermal-catalytic CO2 hydrogenation to alcohols using renewable energy is a highly attractive approach for recycling greenhouse gases into high-value chemicals and fuels, thereby reducing the dependence on fossil fuels, while simultaneously mitigating the CO2 emission and environmental problems. Currently, great advances have been made on the heterogeneous catalysts, but an in-depth and more comprehensive understanding to further promote this reaction process is still lacking. Herein, we highlight the thermodynamic and kinetic analysis of CO2 hydrogenation reaction firstly. Then, various reaction pathways for CO2 hydrogenation to methanol and higher alcohols (C2+ alcohols) have been discussed in detail, respectively, by combining the experimental studies and density functional theory calculations. On this basis, the key factors influencing the reaction performance, such as metal dispersion, support modification, promoter addition and their structural optimization, are summarized on the metal-based and metal-oxide-based catalysts. In addition, the catalytic performance of CO2 hydrogenation to alcohols and the relationship between structure and properties are mainly summarized and analyzed in the past five years. To conclude, the current challenges and potential strategies in catalyst design, structural characterization and reaction mechanisms are presented for CO2 hydrogenation to alcohols. [ABSTRACT FROM AUTHOR]

Background: Knowledge of acromioclavicular (AC) joint kinematics and distance may provide insight into the biomechanical function and development of new treatment methods. However, accurate data on in vivo AC kinematics and distance between the clavicle and acromion remain unknown. Purpose/Hypothesis: The purpose of this study was to investigate 3-dimensional AC kinematics and distance during arm elevation in abduction, scaption, and forward flexion in a healthy population. It was hypothesized that AC kinematics and distance would vary with the elevation angle and plane of the arm. Study Design: Controlled laboratory study. Methods: A total of 19 shoulders of healthy participants were enrolled. AC kinematics and distance were investigated with a combined dual fluoroscopic imaging system and computed tomography. Rotation and translation of the AC joint were calculated. The AC distance was measured as the minimum distance between the medial border of the acromion and the articular surface of the distal clavicle (ASDC). The minimum distance point (MDP) ratio was defined as the length between the MDP and the posterior edge of the ASDC divided by the anterior-posterior length of the ASDC. AC kinematics and distance between different elevation planes and angles were compared. Results: Progressive internal rotation, upward rotation, and posterior tilt of the AC joint were observed in all elevation planes. The scapula rotated more upward relative to the clavicle in abduction than in scaption (P =.002) and flexion (P =.005). The arm elevation angle significantly affected translation of the AC joint. The acromion translated more laterally and more posteriorly in scaption than in abduction (P <.001). The AC distance decreased from the initial position to 75° in all planes and was significantly greater in flexion (P <.001). The MDP ratio significantly increased with the elevation angle (P <.001). Conclusion: Progressive rotation and significant translation of the AC joint were observed in different elevation planes. The AC distance decreased with the elevation angle from the initial position to 75°. The minimum distance between the ASDC and the medial border of the acromion moved anteriorly as the shoulder elevation angle increased. Clinical Relevance: These results could serve as benchmark data for future studies aiming to improve the surgical treatment of AC joint abnormalities to restore optimal function. [ABSTRACT FROM AUTHOR]

We tested whether VRN1 is a substrate of GSK3 phosphorylation by performing I in vitro i VRN1 phosphorylation assays using equivalent amounts of GSK3 or gsk3 proteins. To further test whether GSK3 regulates VRN1 protein abundance, we performed a cell-free protein degradation assay to monitor the contents of GST-VRN1 in the absence or presence of the 26S proteasome inhibitor MG132. GLYCOGEN SYNTHASE KINASE 3 physically interacts with VRN1 and regulates its accumulation to mediate flowering in wheat. [Extracted from the article]

In order to realize the optimization of urban spatial patterns in the Yellow River Basin, a study on the inefficient use of urban land in the Yellow River Basin was carried out. In this study, Dali County and Hancheng County in Weinan City are selected as the research areas. Firstly, the analytic hierarchy process is used to build a comprehensive evaluation system for the identification of inefficient land in stock; secondly, the standard deviation ellipse method and spatial kernel density estimation method are used to quantitatively analyze the spatial distribution characteristics of inefficient land. Thirdly, the contribution model is used to analyze the influencing factors of inefficient land use. Finally, corresponding redevelopment suggestions are given for each type of inefficient land. The results show that Dali had the smallest area of inefficient land; second is Xincheng Street in Hancheng City; and Longmen Town, Hancheng City has the largest area. The distribution of inefficient land in Dali and Longmen Town in Hancheng City is relatively balanced, while the distribution of all kinds of inefficient land in Xincheng Street in Hancheng City is not concentrated. The density of the road network is the most important contributing factor to inefficient land use in the study area. This paper comprehensively uses the methods of economics and geography to study inefficient land use, quantifies the spatial-temporal characteristics and influencing factors of land use units, explores the spatial patterns of land use and enriches the research into relevant theories. [ABSTRACT FROM AUTHOR]

Land cover change detection (LCCD) using remote sensing images (RSIs) plays an important role in natural disaster evaluation, forest deformation monitoring, and wildfire destruction detection. However, bitemporal images are usually acquired at different atmospheric conditions, such as sun height and soil moisture, which usually cause pseudo and noise change in the change detection map. Changed areas on the ground also generally have various shapes and sizes, consequently making the utilization of spatial contextual information a challenging task. In this article, we design a novel neural network with a spatial–spectral attention mechanism and multiscale dilation convolution modules. This work is based on the previously demonstrated promising performance of convolutional neural network for LCCD with RSIs and attempts to capture more positive changes and further enhance the detection accuracies. The learning of the proposed neural network is guided with a change magnitude image. The performance and feasibility of the proposed network are validated with four pairs of RSIs that depict real land cover change events on the Earth’s surface. Comparison of the performance of the proposed approach with that of five state-of-art methods indicates the superiority of the proposed network in terms of ten quantitative evaluation metrics and visual performance. Such as, the proposed network achieved an improvement of about 0.08%–14.87% in terms of overall accuracy (OA) for Dataset-A. [ABSTRACT FROM AUTHOR]

A swirling drill bit designed with an integrated vane swirler was developed to improve reverse circulation in down-the-hole hammer drilling. Its entrainment effect and influential factors were investigated by CFD simulation and experimental tests. The numerical results exhibit reasonable agreement with the experimental data, with a maximum error of 13.68%. In addition, the structural parameters of the swirler were shown to have an important effect on the reverse circulation performance of the drill bit, including the helical angle and number of spiral blades, swirler outlet area, and the flushing nozzles. The optimal parameters for the swirling drill bit without flushing nozzles include a helical angle of 60°, four spiral blades, and the area ratio of 2, while it is about 30°, 3, and 3 for the drill bit with flushing nozzles. Moreover, the entrainment ratio of the drill bit without flushing nozzles can be improved by nearly two times compared with one with flushing nozzles under the same conditions. [ABSTRACT FROM AUTHOR]

Bristow-Latarjet procedure has been widely regarded as a reliable and satisfactory operation for recurrent anterior glenohumeral instability, especially for patients with significant glenoid bone loss or high sports demand. Once failed, however, the subsequent revision surgery could be challenging. Eden-Hybinette procedure is the most common operation for revision of failed Bristow-Latarjet. It can perfectly restore the bone defect of the failed Bristow-Latarjet by harvesting a proper size of iliac bone block. Furthermore, several studies have shown the advantages of using suture button fixation in the revision surgery for failed Bristow-Latarjet procedure. However, the potential inferior biomechanical strength of suture button fixation is still a concern. This Technical Note introduced an arthroscopic "double-inlay" Eden-Hybinette procedure with modified suture button fixation for the revision of failed Bristow-Latarjet. With its "quadruple" reinforcement effect, this procedure can achieve an excellent biomechanical strength of fixation. [Display omitted] [ABSTRACT FROM AUTHOR]