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Background: One proposed mechanism of rotator cuff disease is scapular motion impairments contributing to rotator cuff compression and subsequent degeneration., Purpose: To model the effects of scapular angular deviations on rotator cuff tendon proximity for subacromial and internal mechanical impingement risk during scapular plane abduction., Study Design: Descriptive laboratory study., Methods: Three-dimensional bone models were reconstructed from computed tomography scans obtained from 10 asymptomatic subjects and 9 symptomatic subjects with a clinical presentation of impingement syndrome. Models were rotated to average scapular orientations from a healthy dataset at higher (120°) and lower (subject-specific) humeral elevation angles to investigate internal and subacromial impingement risks, respectively. Incremental deviations in scapular upward/downward rotation, internal/external rotation, and anterior/posterior tilt were imposed on the models to simulate scapular movement impairments. The minimum distance between the rotator cuff insertions and potential impinging structures (eg, glenoid, acromion) was calculated. Two-way mixed-model analyses of variance assessed for effects of scapular deviation and group., Results: At 120° of humerothoracic elevation, minimum distances from the supraspinatus and infraspinatus insertions to the glenoid increased with ≥5° changes in upward rotation (1.6-9.8 mm, P < .001) or external rotation (0.9-5.0 mm, P ≤ .048), or with ≥10° changes in anterior tilt (1.1-3.2 mm, P < .001). At lower angles, ≥20° changes in most scapular orientations significantly increased the distance between the supraspinatus and infraspinatus insertions and the acromion or coracoacromial ligament., Conclusion: A reduction in scapular upward rotation decreases the distance between the rotator cuff tendon insertions and glenoid at 120° humerothoracic elevation. Interpretation is complicated for lower angles because the humeral elevation angle was defined by the minimum distance., Clinical Relevance: These results may assist clinical decision making regarding the effects of scapular movement deviations in patients with rotator cuff pathology and scapular dyskinesia and may help inform the selection of clinical interventions., Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: research support was received from the Foundation for Physical Therapy, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (award Nos. K01-HD042491 and R03-HD053399), and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (award No. T32AR050938). J.P.B. has received education payments from Gemini Medical and consulting fees from Zimmer Biomet Holdings. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Ethical approval for this study was obtained from the University of Minnesota (reference no. 991M24181)., (© The Author(s) 2024.)

Left ventricular assist devices (LVADs) require anticoagulation therapy with vitamin K antagonists to reduce the risk of thrombotic events. The quality of anticoagulation may be assessed by the time in therapeutic range (TTR). We analyzed a retrospective cohort of LVAD patients at a single institution from January 2012 to September 2014. Primary outcomes included TTR during the study time period and TTR 30 days preceding a bleeding or thrombotic event. Fifty-one patients (mean age 57.0 ± 14.6 years; 78% male) had an overall TTR of 52%. Median international normalized ratio (INR) preceding a bleeding and thrombotic event was 2.7 and 2.2, respectively (p = 0.049). In the 30 days before an event, patients with a bleeding event were more likely to be on low-dose aspirin (37% vs. 12%; p = 0.018) and spend a higher proportion of time above therapeutic range (41% vs. 17%; p = 0.007) compared with those with thrombotic events. The association between a greater percentage of time above therapeutic range in the 30 days before a bleeding event demonstrates the importance of avoiding a supratherapeutic INR in the LVAD patient population and the usefulness of TTR as a measure of the overall quality of anticoagulation and monitoring in an LVAD cohort.

MSC can act as a pluripotent source of reparative cells during injury and therefore have great potential in regenerative medicine and tissue engineering. However, the response of MSC to many growth factors and cytokines is unknown. Many envisioned applications of MSC, such as treating large defects in bone, involve in vivo implantation of MSC attached to a scaffold, a process that creates an acute inflammatory environment that may be hostile to MSC survival. Here, we investigated cellular responses of MSC on a biomaterial surface covalently modified with epidermal growth factor (EGF). We found that surface-tethered EGF promotes both cell spreading and survival more strongly than saturating concentrations of soluble EGF. By sustaining mitogen-activated protein kinase kinase-extracellular-regulated kinase signaling, tethered EGF increases the contact of MSC with an otherwise moderately adhesive synthetic polymer and confers resistance to cell death induced by the proinflammatory cytokine, Fas ligand. We concluded that tethered EGF may offer a protective advantage to MSC in vivo during acute inflammatory reactions to tissue engineering scaffolds. The tethered EGF-modified polymers described here could be used together with structural materials to construct MSC scaffolds for the treatment of hard-tissue lesions, such as large bony defects. Disclosure of potential conflicts of interest is found at the end of this article.

We propose that similarity is determined by the transformation distance between representations: entities which are perceived to be similar have representations which are readily transformed into one another, whereas transforming between dissimilar entities requires many transformations. We present three experiments that indicate that similarity is strongly influenced by transformation distance. These data present a challenge for featural or spatial accounts of similarity. Finally, we introduce a family of transformation-based accounts of similarity, called 'Representational Distortion', as a specific example of a transformational approach to similarity., (Copyright 2002 Elsevier Science B.V.)

Experiments to examine the effects of aging on the ability to identify temporal durations in an absolute identification task are reported. In Experiment 1, older adults were worse than younger adults in identifying a tone's position within a series of 6 tones of varied durations. In Experiment 2, participants were required to identify a tone's position in 9 tones of varied durations. Older adults' performance was again worse than that of younger adults; moreover, they showed a qualitatively different pattern of errors than younger adults. In Experiment 3, in which the tones varied in pitch, the performance of older adults was worse than that of younger adults, but the error patterns of the 2 groups were similar. The results suggest that older adults have distorted memory representations for durations but not for pitch.

Free-field ultrasonic radiation inhibited the feeding of the macrofouling hydroid Garveia franciscana by causing tentacle contraction at the sonic degasification threshold. Within the frequency range of 250 to 2000 kilohertz, the threshold sound intensity (sonic degasification threshold) that caused tentacle contraction was directly proportional to frequency, with the minimum observed being 0.6 watt per square centimeter at 250 kilohertz. A pulse length of 0.2 second and interpulse period of 102 seconds gave the lowest average power required to produce tentacle contraction at a peak pulse sound intensity of 6.2 watts per square centimeter with a frequency of 250 kilohertz. Twenty-four hour exposures to the sound regime caused destruction of the hydranths and regression of tissue in the stolons.

Striped bass (Morone saxatillis) eggs (12 h after fertilization) and larvae (4 d after hatching) and juvenile spot (Leiostomus xanthurus) were exposed to a series of bromate concentrations for 4, 10, and 10 d, respectively, using static replacement bioassay techniques. Three-dimensional mortality response surfaces were constructed by computerized probit regression techniques. Newly hatched striped bass prolarvae were most sensitive to bromate and had a 96-h LC50 of 30.8 mg/l (as BrO3-). Four-day-old striped bass larvae were less sensitive, with 2- to 10-d LC50s ranging from 605.0 to 92.6 mg/l BrO3-, respectively. Juvenile spot were least sensitive, with 1- to 10-d LC50s ranging from 698.0 to 278.6 mg/l BrO3-, respectively.

The chloroplast pigments of three "pastel" mutants of maize were found to vary with temperature as well as with genotype.