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This study aims at modelling the aerodynamic interaction between a world-class runner and several pacers running in line, the objective being to determine the best drafting position in terms of potential speed gain and running time. Computational Fluid Dynamics calculations were performed to determine the aerodynamic drag forces exerted on the runners. Secondly, we estimated the metabolic savings for each of the runner's positions in the pack of pacers. Finally, we estimated a potential equivalent running speed and a corresponding running time gain for each of the runner's positions. Running second in a group of 5 runners would be the most effective drafting strategy, with a reduction of aerodynamic drag reaching 63.3%, corresponding to an improvement of 4.4% of the running economy. Furthermore, decreasing the drag forces acting on the runner would results in greater running speed. For example, a 63.3% reduction in the aerodynamic forces yields a 2.9% faster running speed (20.7 to 21.31 km/h) for an equal metabolic cost. Running in the wake of a leading runner (in a pack of five runners) over a marathon is estimated to provide a significant time saving of 3 min 28 s.

Raw earth bricks made from the soil of the Chalky Champagne region (France) have been used for at least two millennia in construction, a promising heritage in the context of reducing the carbon emissions of buildings. The present experimental study aims to measure the physical, mechanical, thermal, and hydric properties of adobes collected from a local village barn. The results show a high chalk content, estimated at 71%, and a clay content, acting as a binder, of 14%. Despite limited load-bearing capacity, these lightweight adobes are suitable for current single-story constructions, while their hydrothermal properties classify them as excellent moisture regulators for occupants. In association with other bio-sourced materials such as starch-beet pulp bricks, Chalky Champagne adobes yield promising insulating properties, and meet the criteria defined by current energy standards.

Objectives: To investigate the interdisciplinary interobserver reproducibility of Hertel-exophthalmometry-like protrusion measurements on multidetector-row-computed-tomography- (MDCT-) images of the orbit to facilitate structured evaluation of the orbit and mid-face., Methods: Respective reproducibility of base-length along the interfronto-zygomatic line, right and left ocular protrusion, and deriving interocular difference was measured in this retrospective (04/2009-03/2020) single-centre observational study. MDCT-series and slice-positions were selected independently, using picture-archiving-and-communication-system- (PACS-) tools on tilt-corrected axial MDCT-images (slice-thickness 0.6-3.0 mm, window/centre 350/50 HU) in 37 selected adult patients (24 female, age 57 ± 13 years, average±standard-deviation) with clinical indication for Hertel-exophthalmometry, by one radiology-attending, two ophthalmology-attendings, one critical-care-attending, and one ear-nose-throat-surgery resident, respectively. Bland-Altman plots and Wilcoxon-matched-pairs-signed-rank-tests compared interobserver results., Results: Mean and median interobserver and intraobserver (radiology-attending) deviations were within 1 mm of respective averages of base-length (98 ± 4 mm), right and left ocular protrusion (21 ± 4 mm) and interocular difference (2 ± 1 mm). Relative interobserver deviations were within 2.0% of average (all patients) for base-length, and 5.0% (>80% of patients) for ocular protrusion. Pairwise interobserver comparison showed no significant differences between interocular differences of protrusion., Conclusions: Respective measurements of base-length, ocular protrusion, and deriving interocular difference show high interdisciplinary interobserver reproducibility in tilt-corrected axial MDCT-images of the orbit or mid-face., Advances in Knowledge: Hertel-exophthalmometry-like protrusion measurements did not depend on the years of experience or the medical subspecialty of the observer. Measurements are objective, well reproducible and important for multiple medical disciplines and should thus be included in pertinent radiology reports., Competing Interests: Availability of data and material (data transparency)Supplementary tables with raw data of individual measurements are submitted. Additional information is available from the corresponding author upon reasonable request.

The idea of applying various forms of physical activity for the betterment of physical health and the reduction of chronic medical conditions is ubiquitous. Despite evidence of successful applications of physical activity for improvement of mental health dating back to antiquity, it has until recent years remained unconventional to consider exercise as an intervention strategy for various mental health conditions. The past two decades, however, have seen a relative explosion of interest in understanding and applying various programs and forms of exercise to improve mental health. Here, our purpose is to provide a comprehensive and updated overview of the application of exercise as a strategy for improving mental health. In the present paper we first summarize contemporary research regarding short- and long-term impacts of exercise on mental health. Then an overview of the putative mechanisms and neurobiological bases underpinning the beneficial effects of exercise is provided. Finally, we suggest directions for future research as well as a series of concrete recommendations for clinicians who wish to prescribe physical activity as part of patient mental health management., (Copyright © 2023 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.)

Pudendal Neuralgia (PN) is a rare, debilitating disease caused by damage to the pudendal nerve, which innervates the anus, rectum, perineum, lower urinary tract, and genitalia. Although its etiology remains scientifically unknown, a number of sports practices, including horse-riding, are reported as triggering and/or aggravating factors. The present work summarizes the experimental measurements of the contact pressure at the interface between the rider and saddle, for a population of 12 experienced female riders. These tests reveal that dynamic horseback-riding leads to high levels of peak pressures in the perineal region, which confirms that the practice of equine sports may cause neuropathologies such as PN. All collected data will be used as boundary conditions in a future numerical 3D model aimed at locating the possible areas of pudendal nerve crushing.

This study aims at investigating the effects of three different wheelchair cushion technologies at the patient-wheelchair interface. To this end, eight participants were recruited to remain in an unrelieved seated position on a wheelchair successively equipped with three different cushions (foam, air-cell-based and gel), for a duration of 45 min. Interface pressure, temperature (measured with infrared thermography) and relative humidity were measured at the seat interface, at different timestamps. Experimental results show that foam cushion is significantly more efficient in reducing contact peak pressure ( p < .01), while the gel cushion displays higher heat evacuation capabilities. In terms of relative humidity, no significant difference is observed among the three technologies ( p > .29): all of them evacuate around only 10% of the total humidity compared to the reference situation (i.e., without cushion). Besides, a complementary numerical simulation corresponding to the steady state of the patient-wheelchair structure clearly highlights the temperature volume field at the underside of the seat, which acts like a thermal barrier and contributes to heat accumulation. Besides, an air flow at the underside of the chair in motion is shown to significantly reduce heat accumulation.

Objectives: The main goal of this study was to compare the aerodynamic optimization level in echelon-formation strategy for riders fighting against a crosswind from the best (echelon or diagonal paceline) to the worst riders' configuration (guttered riders)., Design: The case reported herein concerned a group of 5 cyclists riding at 30 km/h with a 30 km/h crosswind oriented at 40° to the direction of travel. The effects of the wind, expressed in terms of aerodynamic resistance or pressure, were determined for each cyclist in the different configurations., Methods: The 3D numerical simulations were performed using a calculation code based on the finite volume method and the Reynolds-averaged Navier-Stokes turbulence model k-kl-ω., Results: The results showed that the lateral force savings, averaged over the whole five-riders group, ranged from 50% in the echelon-optimized configuration to 11% in the guttered straight-line one, compared to a solo rider in the same velocity and windy conditions. Individually, the rider with the best aerodynamic shelter is the 4th rider in the "4 rider echelon + 1 guttered rider" formation (- 53.6% in drag force and - 69.8% in lateral force), while the rider with the worst aerodynamic situation is the leader of the straight paceline (- 0.1% in drag force and - 0.2% in lateral force)., Conclusions: The analysis showed how the spatial management of riders significantly influences drag and lateral forces and supported the idea that avoiding being guttered is the best way to save energy in windy races., Competing Interests: Declaration of interest statement All authors declare that they don't have any financial and personal relationships with other people or organizations that could inappropriately influence (bias) their work., (Copyright © 2022 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Context: Although pudendal neuralgia (PN) has received growing interest over the last few years, diagnosis remains difficult, and many different therapeutic approaches can be considered., Objectives: This article aims to provide an overview of the possible treatments of PN and investigate their efficacies., Methods: Utilizing PubMed and ScienceDirect databases, a systematic review was carried out and allowed identification of studies involving patients with PN, as defined by Nantes criteria, and their associated treatments. Relevant data were manually reported., Results: Twenty-eight articles were selected, totaling 1,013 patients (mean age, 49 years) and six different types of interventions. Clinical outcomes, most frequently quantified utilizing the Visual Analog Scale (VAS), vary greatly with both the therapy and time after intervention (from 100 to <10%). However, neither peri nor postoperative serious complications (grade > II of Clavien-Dindo classification) are reported. Although surgery seems to provide a higher proportion of long-term benefits, identifying the most efficient therapeutic approach is made impossible by the multitude of outcome measurements and follow-up frequencies. It should also be noted that literature is sparse regarding randomized controlled trials with long-term follow-up., Conclusions: Although there are a number of modalities utilized for the treatment of PN, there are no current recommendations based on treatment efficacies. This seems to be largely in part caused by the lack of standardization in outcome quantification. Future research in this field should focus on prospective cohort studies with high levels of evidence, aimed at assessing the long-term, if not permanent, benefits of available therapies., (© 2021 Sébastien Murer et al., published by De Gruyter, Berlin/Boston.)

Amplified by the development of new technologies, the interest in personal performance has been growing over the last years. Acceleration has proved to be an easy variable to collect, and was addressed in several works. However, few of them evaluate the effect of running speed on relevant indicators. The influence of the sensors location on the measurement is rarely studied as well. This study is dedicated to investigating the effect of running speed on acceleration measured at three different positions on 18 volunteers. All participants were equipped with three inertial measurement units: on the dorsal surface of the right foot (Fo), at the centre of gravity of the tibia (Ti), at the L4-L5 lumbar (Lu). The test was performed on a treadmill at nine randomised speeds between 8 and 18 km/h. Ten accelerometric variables were calculated. Linear regressions were used to calculate speed from the indicators calculated on (Lu), (Ti), (Fo). Indicators associated to signal energy were highly correlated with speed ( r 2 > 0.90 ). Median frequency appears to be affected by the frequency resolution. Finally, the measurement points closest to the impact zone result in the most correlated indicators.

Cold therapy is commonly used to relieve pain and inflammation and to aid in muscle recovery after exercise in human medicine. A number of applications have also been observed in veterinary practice. In this article, a critical evaluation of equine protocol applied with a new commercial concept of equine whole-body cryostimulation (WBC) was made. With this new concept of WBC, the protocol usually utilized for relieving pain and discomfort in humans has been extended to horses. The investigations described herein focus on the reduction of horse skin temperature when applying human WBC protocols. Based on infrared thermography measurements, results show that exposing a horse for 3 minutes to a temperature of -140°C, which are conventional parameters used for humans, does not induce sufficient skin thermal gradients in horses. Consequently, beneficial cold reflexes such as vasomotor, neuroconduction, and biochemical reactions cannot be triggered. Further investigations should therefore be carried out to design an adequate protocol specifically aimed at horses., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Background: Application of an endorectal coil (ERC) for 3.0-T prostate magnetic resonance imaging (MRI) is contentious. We hypothesised that a multicoil phased-array protocol provides T2-weighted images (T2WI) and diffusion-weighted images (DWI) with reduced field-of-view (DWI reduced ) and monoexponential apparent diffusion coefficient (ADC) maps that are technically equivalent with ERC or without ERC (noERC)., Methods: Axial T2WI (repetition time [TR] 7500 ms, echo time [TE] 98-101 ms) and DWI reduced (field-of-view 149-179 × 71-73 mm 2 , TR/TE 4500-5500/61-74 ms, b values, 50/800 s/mm 2 ) ERC and noERC images were obtained on identical clinical 3.0-T scanners at two centres and compared for signal-to-noise ratio (SNR) in anterior and posterior outer pericarp (OP) and peripheral placenta (PP) in five green Hayward kiwifruit (Actinidia deliciosa, European Union regulation 543/2011 class 2). Corroboration in 21 patients with benign prostate hyperplasia (negative biopsy, prostate imaging reporting and data system version 2 ≤ 2) involved identical MRI protocols: 10 at site 1, noERC, and 11 at site 2, with ERC. Two-tailed Student's t test was used., Results: With few exceptions, signal-to-noise ratio (SNR) was similar in kiwifruits and prostates for ERC and noERC. In T2WI, SNR was higher posteriorly in noERC MRI for peripheral zone (PZ) (p < 0.001). In DWI reduced , SNR was higher posteriorly in ERC-OP (p = 0.013) and ERC-PZ (p = 0.026) for b = 50 s/mm 2 ; noERC-OP (p = 0.044) and ERC-PZ (p = 0.001) for b = 800 s/mm 2 ; and ERC-OP (p = 0.001), noERC-OP (p = 0.001), and ERC-PZ (p = 0.001) for ADC, respectively. Volumes of kiwifruits and prostates were similar (89.2 ± 11.2 versus 90.8 ± 48.5 cm 3 , p = 0.638-0.920)., Conclusions: Findings imply that multicoil phased-array 3.0-T prostate MRI with T2WI and DWI reduced with ADC maps provides equivalent results with and without ERC.

Introduction: Between September 2016 and February 2017 a survey in Swiss deer farms were conducted to gain information about their husbandry. Questions about the business, feeding, management, health and deworming strategies were asked. 98 (19%) out of 527 registered farms (2016) participated in the survey. The farms were often run on a sideline business, had an average used agricultural area of 7.3 ha with an average of 38 deer. Pasture access was the preferred feeding strategy followed by offering first and second cut hay. Between 2013-2015 the most common causes of death were sudden death and injuries. Parasites were classified as no or rather small problem by 91 out of 102 deer owner. Fecal parasitological examinations of fecal samples were conducted in 36 (35%) of the responding farms. Gastrointestinal roundworms (Trichostrongylidae) were identified as the most common pathogens (in 42-59% of sampled farms), in addition large lungworms (Dictyocaulus sp.) and coccidia were detected. 45% of the participating farmers conducted at least one treatment against parasites between 2013 and 2015.

The musculo-skeletal response of athletes to various activities during training exercises has become a critical issue in order to optimize their performance and minimize injuries. However, dynamic and kinematic measures of an athlete's activity are generally limited by constraints in data collection and technology. Thus, the choice of reliable and accurate sensors is crucial for gathering data in indoor and outdoor conditions. The aim of this study is to validate the use of the accelerometer of a high sampling rate ( 1344 Hz ) Inertial Measurement Unit (IMU) in the frame of running activities. To this end, two validation protocols are imposed: a classical one on a shaker, followed by another one during running, the IMU being attached to a test subject. For each protocol, the response of the IMU Accelerometer (IMUA) is compared to a calibrated industrial accelerometer, considered as the gold standard for dynamic and kinematic data collection. The repeatability, impact of signal frequency and amplitude (on shaker) as well as the influence of speed (while running) are investigated. Results reveal that the IMUA exhibits good repeatability. Coefficient of Variation CV is 1 % 8.58 ± 0.06 m / s 2 on the shaker and 3 % 26.65 ± 0.69 m / s 2 while running. However, the shaker test shows that the IMUA is affected by the signal frequency (error exceeds 10 % beyond 80 Hz ), an observation confirmed by the running test. Nevertheless, the IMUA provides a reliable measure in the range 0-100 Hz, i.e., the most relevant part in the energy spectrum over the range 0-150 Hz during running. In our view, these findings emphasize the validity of IMUs for the measurement of acceleration during running., Competing Interests: The authors declare no conflict of interest.

Objectives: To apply an easy-to-assemble phantom substitute for human prostates in T2-weighted magnetic resonance imaging (T2WI), diffusion-weighted imaging (DWI) and 3D magnetic resonance spectroscopy (MRS)., Methods: Kiwi fruit were fixed with gel hot and cold compress packs on two plastic nursery pots, separated by a plastic plate, and submerged in tap water inside a 1-L open-spout plastic watering can for T2WI (TR/TE 7500/101 ms), DWI (5500/61 ms, ADC b50-800 s/mm 2 map) and MRS (940/145 ms) at 3.0 T, with phased array surface coils. One green kiwi fruit was additionally examined with an endorectal coil. Retrospective comparison with benign peripheral zone (PZ) and transitional zone (TZ) of prostate (n = 5), Gleason 6-7a prostate cancer (n = 8) and Gleason 7b-9 prostate cancer (n = 7) validated the phantom., Results: Mean contrast between central placenta (CP) and outer pericarp (OP, 0.346-0.349) or peripheral placenta (PP, 0.364-0.393) of kiwi fruit was similar to Gleason 7b-9 prostate cancer and PZ (0.308) in T2WI. ADC values of OP and PP (1.27 ± 0.07-1.37 ± 0.08 mm 2 /s × 10 -3 ) resembled PZ and TZ (1.39 ± 0.17-1.60 ± 0.24 mm 2 /s × 10 -3 ), while CP (0.91 ± 0.14-0.99 ± 0.10 mm 2 /s × 10 -3 ) resembled Gleason 7b-9 prostate cancer (1.00 ± 0.25 mm 2 /s × 10 -3 ). MR spectra showed peaks of citrate and myo-inositol in kiwi fruit, and citrate and "choline+creatine" in prostates. The phantom worked with an endorectal coil, too., Conclusions: The kiwi fruit phantom reproducibly showed zones similar to PZ, TZ and cancer in human prostates in T2WI and DWI and two metabolite peaks in MRS and appears suitable to compare different MR protocols, coil systems and scanners., Key Points: • Kiwi fruit appear suitable as phantoms for human prostate in MR examinations. • Kiwi fruit show zonal anatomy like human prostates in T2-weighted MRI and DWI. • MR spectroscopy reliably shows peaks in kiwi fruit (citrate/inositol) and human prostates (citrate/choline+creatine). • The kiwi fruit phantom works both with and without an endorectal coil. • EU regulation No. 543/2011 specifies physical and biochemical properties of kiwi fruit.