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Sjögren's syndrome (SS) is a chronic autoimmune disease caused by immune system disorders. The main clinical manifestations of SS are dry mouth and eyes caused by the destruction of exocrine glands, such as the salivary and lacrimal glands, and systemic manifestations, such as interstitial pneumonia, interstitial nephritis and vasculitis. The pathogenesis of this condition is complex. However, this has not been fully elucidated. Treatment mainly consists of glucocorticoids, disease-modifying antirheumatic drugs and biological agents, which can only control inflammation but not repair the tissue. Therefore, identifying methods to regulate immune disorders and repair damaged tissues is imperative. Cell therapy involves the transplantation of autologous or allogeneic normal or bioengineered cells into the body of a patient to replace damaged cells or achieve a stronger immunomodulatory capacity to cure diseases, mainly including stem cell therapy and immune cell therapy. Cell therapy can reduce inflammation, relieve symptoms and promote tissue repair and regeneration of exocrine glands such as the salivary glands. It has broad application prospects and may become a new treatment strategy for patients with SS. However, there are various challenges in cell preparation, culture, storage and transportation. This article reviews the research status and prospects of cell therapies for SS.
Educationally, we are in an exciting time in terms of geometrical investigations in the classroom. While the manipulation of concrete materials to enable student construction of two-dimensional figures and three-dimensional objects has been readily available for many years, there are a growing number of mathematics classrooms that have access to dynamic geometry software and interactive sites that enable real-time creation and exploration of geometric figures and their properties. In fact, in some pockets of society, students’ access to a mobile device is in a similar manner to how classrooms of the 1980s used pen and paper as a resource. While, in jest, mobile devices may be referred to ‘an extension of the brain’, in its regular use as an instant source of information and exploration there is an element of this use that can be exploited for positive gain in the mathematics classroom. This chapter explores the development of geometrical concepts and the manner in which we can facilitate exploratory experiences to assist students in their development.
Three-dimensional (3D) food printing is a rapidly emerging technology offering unprecedented potential for customised food design and personalised nutrition. Here, we evaluate the technological advances in extrusion-based 3D food printing and its possibilities to promote healthy and sustainable eating. We consider the challenges in implementing the technology in real-world applications. We propose viable applications for 3D food printing in health care, health promotion and food waste upcycling. Finally, we outline future work on 3D food printing in food safety, acceptability and economics, ethics and regulations.
Smartphone applications (SPA) now offer the ability to provide accessible in-home monitoring of relevant individual health biomarkers. Previous cross-sectional validations of similar technologies have reported acceptable accuracy with high-grade body composition assessments; this research assessed longitudinal agreement of a novel SPA across a self-managed weight loss intervention of thirty-eight participants (twenty-one males, seventeen females). Estimations of body mass (BM), body fat percentage (BF%), fat-free mass (FFM) and waist circumference (WC) from the SPA were compared with ground truth (GT) measures from a dual-energy X-ray absorptiometry scanner and expert technician measurement. Small mean differences (MD) and standard error of estimate (SEE) were observed between method deltas (ΔBM: MD = 0·12 kg, SEE = 2·82 kg; ΔBF%: MD = 0·06 %, SEE = 1·65 %; ΔFFM: MD = 0·17 kg, SEE = 1·65 kg; ΔWC: MD = 1·16 cm, SEE = 2·52 cm). Concordance correlation coefficient (CCC) assessed longitudinal agreement between the SPA and GT methods, with moderate concordance (CCC: 0·55–0·73) observed for all measures. The novel SPA may not be interchangeable with high-accuracy medical scanning methods yet offers significant benefits in cost, accessibility and user comfort, in conjunction with the ability to monitor body shape and composition estimates over time.
The three-dimensional characterization of internal features, via metrics such as orientation, porosity, and connectivity, is important to a wide variety of scientific questions. Many spatial and morphological metrics only can be measured accurately through direct in situ three-dimensional observations of large (i.e., big enough to be statistically representative) volumes. For samples that lack material contrast between phases, serial grinding and imaging—which relies solely on color and textural characteristics to differentiate features—is a viable option for extracting such information. Here, we present the Grinding, Imaging, Reconstruction Instrument (GIRI), which automatically serially grinds and photographs centimeter-scale samples at micron resolution. Although the technique is destructive, GIRI produces an archival digital image stack. This digital image stack is run through a supervised machine-learning-based image processing technique that quickly and accurately segments data into predefined classes. These classified data then can be loaded into three-dimensional visualization software for measurement. We share three case studies to illustrate how GIRI can address questions with a significant morphological component for which two-dimensional or small-volume three-dimensional measurements are inadequate. The analyzed metrics include: the morphologies of objects and pores in a granular material, the bulk mineralogy of polyminerallic solids, and measurements of the internal angles and symmetry of crystals.
This study aimed to analyse a three-dimensional transcanal transpromontorial approach to the internal auditory canal using three-dimensional computed tomography.
Method
This study was a retrospective investigation of 48 ears of 24 patients using three-dimensional reconstruction data from normal temporal bone computed tomography. The inner structures of the temporal bone were three-dimensionally reconstructed. Eight points were marked in the three-dimensional object with reference to the axial, coronal and sagittal plane images of the computed tomography scans. Distances and angles to each point were measured from the oval and round windows.
Results
The point of the facial nerve from the internal auditory canal to the labyrinthine segment could be traced between the cochlear apex and the geniculate ganglion based on the oval window.
Conclusion
This technique helps with identifying the locations of important surgical landmarks using three-dimensional reconstructions of pre-operative computed tomography scans and to identify the facial nerve from the internal auditory canal during surgery.
Three-dimensional endoscopes provide a stereoscopic view of the operating field, facilitating depth perception compared to two-dimensional systems, but are not yet widely accepted. Existing research addresses performance and preference, but there are no studies that quantify anatomical orientation in endoscopic ear surgery.
Methods
Participants (n = 70) were randomised in starting with either the two-dimensional or three-dimensional endoscope system to perform one of two tasks: anatomical orientation using a labelled three-dimensional printed silicone model of the middle ear, or simulated endoscopic skills. Scores and time to task completion were recorded, as well as self-reported difficulty, confidence and preference.
Results
Novice surgeons scored significantly higher in a test of anatomical orientation using three-dimensional compared to two-dimensional endoscopy (p < 0.001), with no significant difference in the speed of simulated endoscopic skills task completion. For both tasks, there was lower self-reported difficulty and increased confidence when using the three-dimensional endoscope. Participants preferred three-dimensional over two-dimensional endoscopy for both tasks.
Conclusion
The findings demonstrate the superiority of three-dimensional endoscopy in anatomical orientation, specific to endoscopic ear surgery, with statistically indistinguishable performance in a skills task using a simulated trainer.
Brucellosis is one of the most serious and widespread zoonotic diseases, which seriously threatens human health and the national economy. This study was based on the T/B dominant epitopes of Brucella outer membrane protein 22 (Omp22), outer membrane protein 19 (Omp19) and outer membrane protein 28 (Omp28), with bioinformatics methods to design a safe and effective multi-epitope vaccine. The amino acid sequences of the proteins were found in the National Center for Biotechnology Information (NCBI) database, and the signal peptides were predicted by the SignaIP-5.0 server. The surface accessibility and hydrophilic regions of proteins were analysed with the ProtScale software and the tertiary structure model of the proteins predicted by I-TASSER software and labelled with the UCSF Chimera software. The software COBEpro, SVMTriP and BepiPred were used to predict B cell epitopes of the proteins. SYFPEITHI, RANKpep and IEDB were employed to predict T cell epitopes of the proteins. The T/B dominant epitopes of three proteins were combined with HEYGAALEREAG and GGGS linkers, and carriers sequences linked to the N- and C-terminus of the vaccine construct with the help of EAAAK linkers. Finally, the tertiary structure and physical and chemical properties of the multi-epitope vaccine construct were analysed. The allergenicity, antigenicity and solubility of the multi-epitope vaccine construct were 7.37–11.30, 0.788 and 0.866, respectively. The Ramachandran diagram of the mock vaccine construct showed 96.0% residues within the favoured and allowed range. Collectively, our results showed that this multi-epitope vaccine construct has a high-quality structure and suitable characteristics, which may provide a theoretical basis for future laboratory experiments.
The use of three-dimensional (3D) printing in surgery is expanding and there is a focus on comprehensively evaluating the clinical impact of this technology. However, although additional costs are one of the main limitations to its use, little is known about its economic impact. The purpose of this systematic review is to identify the costs associated with its use and highlight the first quantitative data available.
Methods
A systematic literature review was conducted in the PubMed and Embase databases and in the National Health Service Economic Evaluation Database (NHS EED) at the University of York. Studies that reported an assessment of the costs associated with the use of 3D printing for surgical application and published between 2009 and 2019, in English or French, were included.
Results
Nine studies were included in our review. Nine types of costs were identified, the three main ones being printing material costs (n = 6), staff costs (n = 3), and operating room costs (n = 3). The printing cost ranged from less than U.S. dollars (USD) 1 to USD 146 (in USD 2019 values) depending on the criteria used to calculate this cost. Three studies evaluated the potential savings generated by the use of 3D printing technology in surgery, based on operating time reduction.
Conclusion
This literature review highlights the lack of reliable economic data on 3D printing technology. Nevertheless, this review makes it possible to identify expenditures or items that should be considered in order to carry out more robust studies.
This work demonstrates a double-step method, a simple chemical bath deposition and an in situ polymerization process, to synthesize the stable structure of a composite of Polyaniline/BiVO4/cellulose aerogel (PBC) in wastewater treatment. The poor stability of the carrier catalyst was improved significantly by forming a dense film of polyaniline (PANI) through polymerization on BiVO4/cellulose aerogel (BC). The developed three-dimensional porous structure enhanced photocatalytic stability. For instance, photocatalytic degradation of a dye, methylene blue, reached to 91.67% under the eight times successive irradiation of the visible light. The resulted fine performance could be owed to the strong adsorption of cellulose aerogel, uniform spreading of BiVO4, and the speedy electron separation efficiency of PBC. Moreover, the photocatalytic mechanisms including the role of the free radicals (•OH and •O2−) of the developed PBC were also discussed. The novel structure may present a new insight into the development of the carrier catalyst.
The fin-to-limb transition is heralded as one of the most important events in vertebrate evolution. Over the last few decades our understanding of how limbs evolved has significantly increased; but, hypotheses for why limbs evolved are still rather open. Fishes that engage their fins to ‘walk' along substrate may provide some perspective. The charismatic frogfishes are often considered to have the most limb-like fins, yet we still know little about their underlying structure. Here we reconstruct the pectoral fin musculoskeletal anatomy of the scarlet frogfish to identify adaptations that support fin-assisted walking behaviours. The data are compared to three additional anglerfish species: the oval batfish, which represents an independent acquisition of fin-assisted walking; and two pelagic deep-sea swimmers, the triplewart seadevil and ghostly seadevil. Our results clearly show broad musculoskeletal differences between the pectoral fins of swimming and walking anglerfish species. The frogfish and batfish have longer and more robust fins; larger, differentiated muscles; and better developed joints, including a reverse ball-and-socket glenoid joint and mobile ‘wrist'. Further, the frogfish and batfish show finer-scale musculoskeletal differences that align with their specific locomotor ecologies. Within, we discuss the functional significance of these anatomical features in relation to walking, the recurring evolution of similar adaptations in other substrate locomoting fishes, as well as the selective pressures that may underlie the evolution of limbs.
Three-dimensional (3D) reconstruction of a sample surface from scanning electron microscope (SEM) images taken at two perspectives has been known for decades. Nowadays, there exist several commercially available stereophotogrammetry software packages. For testing these software packages, in this study we used Monte Carlo simulated SEM images of virtual samples. A virtual sample is a model in a computer, and its true dimensions are known exactly, which is impossible for real SEM samples due to measurement uncertainty. The simulated SEM images can be used for algorithm testing, development, and validation. We tested two stereophotogrammetry software packages and compared their reconstructed 3D models with the known geometry of the virtual samples used to create the simulated SEM images. Both packages performed relatively well with simulated SEM images of a sample with a rough surface. However, in a sample containing nearly uniform and therefore low-contrast zones, the height reconstruction error was ≈46%. The present stereophotogrammetry software packages need further improvement before they can be used reliably with SEM images with uniform zones.
Objectives: The study aims to develop an understanding of the views of children and adolescents, parents, and professionals on upper limb prosthetic devices to develop and improve device design. Previous research has found that children are dissatisfied with prostheses but has relied heavily on parent proxy reports and quantitative measures (such as questionnaires) to explore their views.
Methods: Thirty-four participants (eight children aged 8–15 years with upper limb difference, nine parents, eight prosthetists, and nine occupational therapists) contributed to the development of new devices through the BRIDGE methodology of participatory design, using focus groups and interviews.
Results: The study identified areas for improving prostheses from the perspective of children and adolescents, developed prototypes based on these and gained feedback on the prototypes from the children and other stakeholders (parents and professionals) of paediatric upper limb prostheses. Future device development needs to focus on ease of use, versatility, appearance, and safety.
Conclusions: This study has demonstrated that children and adolescents can and should be involved as equal partners in the development of daily living equipment and that rapid prototyping (three-dimensional printing or additive manufacturing), used within a participatory design framework, can be a useful tool for facilitating this.
Robots will require some form of proximity sensing in order to perform many delicate exploration, assembly and manipulation tasks. This paper describes a novel articulated tactile probe which can locate and accurately measure the 3-dimensional surface contours of small objects. Although lacking the speed of data acquisition possible with vision and other non-contact sensors, the resulting data is easily processed to give useful information about an object.
A method based on the Eulerian two-phase flow theory to numerically simulate three-dimensional rime ice accretions on an aircraft wing is presented in this paper. The governing equations for supercooled droplet motion under Eulerian framework are established using the droplet pseudo-fluid model. A permeable wall boundary condition is proposed to simulate the phenomenon of droplets impinging on the wing in solving the governing equations for droplets. The local droplet collection efficiency is readily obtained from the droplet flowfield solution in the control volume adjacent to the wing surface. The rime ice accretion can be simulated under the assumption that the droplets freeze immediately as they impinge on the wing surface since the environment temperature is low enough (typically below –15°C). A method to build the ice shape is proposed based on the assumption that ice grows in the direction normal to the wing surface. The rime ice accretion on a GLC-305 swept wing model under some specific conditions has been simulated to validate the present method. Furthermore, different flight conditions, namely, different angles of attack and different angles of sideslip, have been dealt with to investigate their effects on rime ice accretion as well as the corresponding aerodynamic effects.
A balanced cavitation bubble is released near the rigid wall in the sound field generated by the incidence plane wave and its reflecting wave. With the modified boundary integral equation, the dynamics of bubble is solved considering the compressibility of fluid in this paper. Also the Bernoulli equation as the boundary condition for cavitation bubble in sound field is deduced using Euler equation. Since the arbitrary incidence angle of acoustic wave, the three-dimensional model is utilized. The bubble will expand or contract at first according to the initial phase of acting acoustic pressure on bubble surface. And during the contraction phase, the liquid jet with high speed will be generated pointing to rigid wall but be deflected to the incidence direction of acoustic wave. The oblique degree of jet will be affected by the incidence angle and initial distance between bubble center and rigid wall. The oscillation amplitude of bubble will be affected by the incidence amplitude and incidence frequency, but be limited by the rigid wall. Since the compressibility of fluid, the perturbation will propagate to the far-field. Thus the oscillation amplitude of bubble will be reduced.
In this article we detail the methodology developed to construct an efficient interface description technique — the robust conservative level set (RCLS) — to simulate multiphase flows on mixed-element unstructured meshes while conserving mass to machine accuracy. The approach is tailored specifically for industry as the three-dimensional unstructured approach allows for the treatment of very complex geometries. In addition, special care has been taken to optimise the trade-off between accuracy and computational cost while maintaining the robustness of the numerical method. This was achieved by solving the transport equations for the liquid volume fraction using a WENO scheme for polyhedral meshes and by adding a flux-limiter algorithm. The performance of the resulting method has been compared against established multiphase numerical methods and its ability to capture the physics of multiphase flows is demonstrated on a range of relevant test cases. Finally, the RCLS method has been applied to the simulation of the primary breakup of a flat liquid sheet of kerosene in co-flowing high-pressure gas. This quasi-DNS/LES computation was performed at relevant aero-engine conditions on a three-dimensional mixed-element unstructured mesh. The numerical results have been validated qualitatively against theoretical predictions and experimental data. In particular, the expected breakup regime was observed in the simulation results. Finally, the computation reproduced faithfully the breakup length predicted by a correlation based on experimental data. This constitutes a first step towards a quantitative validation.
Left ventricular twist results from the movement of two orthogonally oriented muscular bands of the helical myocardial structure, with a consequent clockwise rotation of the left ventricular base and counterclockwise rotation of the left ventricular apex. To the best of the authors’ knowledge, this is the first time that left ventricular “rigid body rotation”, the near absence of left ventricular twist in hypoplastic right-heart syndrome, has been demonstrated.
The study of spatial cognition has provided considerable insight into how animals (including humans) navigate on the horizontal plane. However, the real world is three-dimensional, having a complex topography including both horizontal and vertical features, which presents additional challenges for representation and navigation. The present article reviews the emerging behavioral and neurobiological literature on spatial cognition in non-horizontal environments. We suggest that three-dimensional spaces are represented in a quasi-planar fashion, with space in the plane of locomotion being computed separately and represented differently from space in the orthogonal axis – a representational structure we have termed “bicoded.” We argue that the mammalian spatial representation in surface-travelling animals comprises a mosaic of these locally planar fragments, rather than a fully integrated volumetric map. More generally, this may be true even for species that can move freely in all three dimensions, such as birds and fish. We outline the evidence supporting this view, together with the adaptive advantages of such a scheme.