Search Results (110)

Background: Borderline left ventricle represents a heterogeneous spectrum of congenital heart disease for which accurate prediction of suitability for biventricular versus univentricular circulation is often difficult. Serial fetal echocardiography may provide dynamic information to support postnatal decision-making. Case Presentation: We report the case of a fetus diagnosed at 32 weeks’ gestation with a borderline left ventricle, ventricular disproportion, hypoplastic left-sided structures, ductal-dependent systemic circulation, and a non-restrictive ostium secundum atrial septal defect. Serial fetal echocardiographic evaluations demonstrated stable left ventricular dimensions, preserved systolic function, impaired diastolic relaxation, and absence of endomyocardial fibroelastosis. Postnatal echocardiography confirmed hypoplastic aortic arch and coarctation. Following multidisciplinary evaluation, a biventricular repair strategy was selected. At 14 days of life, the patient underwent aortic arch reconstruction and partial atrial septal defect closure with preservation of a small therapeutic interatrial communication. Postoperative evolution was favorable, with progressive left ventricular growth and preserved function. At 2-year follow-up, echocardiography showed normalized mitral and aortic valve z-scores, good left ventricular systolic performance, and no evidence of myocardial fibrosis. Conclusions: This case highlights the value of serial fetal echocardiography in guiding individualized management of borderline left ventricle. Careful assessment of ventricular function and atrial septal physiology may support selection of a biventricular strategy in selected patients and contribute to favorable mid-term outcomes. Full article

Early recognition of vascular compromise is essential for reconstructive flap survival. In human surgery, local glucose monitoring is widely used as an objective indicator of perfusion, but its application in veterinary patients is still limited. This report describes postoperative glucose measurement as a simple and minimally invasive method for evaluating flap viability in two dogs. This report describes two prospectively observed clinical cases in which local glucose measurement was applied as an adjunctive monitoring tool during postoperative flap management. Local glucose values were measured with a handheld glucometer at predefined flap and control sites. Serial readings were compared with daily assessments of flap color, temperature, turgor, and wound integrity. A previously suggested threshold of 60–62 mg/dL was used as a reference for potential perfusion compromise. In Case 1, a phalangeal fillet flap showed a brief glucose decline on postoperative days 2–3, followed by normalization and uneventful healing. In Case 2, which underwent advancement flap reconstruction after wound dehiscence, glucose values remained persistently below 60 mg/dL and preceded visible ischemia and distal necrosis. Local glucose monitoring provided rapid and clinically meaningful information about flap perfusion. Transient decreases reflected reversible postoperative congestion, whereas persistent hypoglycemia indicated progressive ischemia. These findings support the use of glucose monitoring as an adjunct in small-animal reconstructive surgery. Full article

Digital technologies have improved the visualization of anatomical structures for veterinary education and clinical practice. In this study, a detailed three-dimensional anatomical model of the equine palmar metacarpal region was generated using E12-based epoxy sheet plastination combined with digital reconstruction in Amira^® V5.6 software. Serial cross-sections of the metacarpal region provided high-resolution visualization of bones, tendons, ligaments, nerves, vessels, fasciae, and synovial structures, with minimal shrinkage or deformation, ensuring improved anatomical accuracy. These sections were digitized, aligned, and manually segmented to accurately delineate anatomical boundaries, particularly in areas of low contrast. The resulting three-dimensional model represents the topographical relationships of key structures, including palmar nerves and vessels, the palmar fascia with the metacarpal flexor retinaculum (MFR), and the common synovial sheath (Vag. synovialis communis mm. flexorum, CSS). The model allows rotation and selective visualization of individual structures, facilitating examination from multiple perspectives. This combined plastination–digital approach provides an accurate anatomical reference with value for veterinary anatomy education, clinical training, surgical planning, and research on equine musculoskeletal disorders. Full article

High-speed data acquisition systems based on field-programmable gate arrays (FPGAs) often face synchronization challenges when interfacing with commercial analog-to-digital converters (ADCs), particularly under constrained hardware routing conditions and vendor-specific clocking assumptions. This work presents a vendor-independent FPGA–ADC synchronization architecture that enables reliable and repeatable high-speed data acquisition without relying on clock-capable input resources. Clock and frame signals are internally reconstructed and phase-aligned within the FPGA using mixed-mode clock management (MMCM) and input serializer/deserializer (ISERDES) resources, enabling time-sequential phase observation without the need for parallel snapshot or delay-line structures. Rather than targeting absolute metrological limits, the proposed approach emphasizes a reproducible and transparent data acquisition methodology applicable across heterogeneous FPGA–ADC platforms, in which clock synchronization is treated as a system-level design parameter affecting digital interface timing integrity and data reproducibility. Experimental validation using a custom Kintex-7 (XC7K325T) FPGA and an AFE7225 ADC demonstrates stable synchronization at sampling rates of up to 125 MS/s, with frequency-offset tolerance determined by the phase-tracking capability of the internal MMCM-based alignment loop. Consistent signal acquisition is achieved over the 100 kHz–20 MHz frequency range. The measured interface level timing uncertainty remains below 10 ps RMS, confirming robust clock and frame alignment. Meanwhile, the observed signal-to-noise ratio (SNR) performance, exceeding 80 dB, reflects the phase–noise-limited measurement quality of the system. The proposed architecture provides a cost-effective, scalable, and reproducible solution for experimental and research-oriented FPGA-based data acquisition systems operating under practical hardware constraints. Full article

Quantum communication presents new opportunities for overcoming the limitations of classical wireless systems, particularly those associated with noise, fading, and interference. Building upon the principles of classical orthogonal frequency division multi-plexing (OFDM), this work proposes a quantum OFDM architecture tailored for video transmission. In the proposed system, video sequences are first compressed using the versatile video coding (VVC) standard with different group of pictures (GOP) sizes. Each GOP size is processed through a channel encoder and mapped to multi-qubit states with various qubit configurations. The quantum-encoded data is converted from serial-to-parallel form and passed through the quantum Fourier transform (QFT) to generate mutually orthogonal quantum subcarriers. Following reserialization, a cyclic prefix is appended to mitigate inter-symbol interference within the quantum channel. At the receiver, the cyclic prefix is removed, and the signal is restored to parallel before the inverse QFT (IQFT) recovers the original quantum subcarriers. Quantum decoding, classical channel decoding, and VVC reconstruction are then employed to recover the videos. Experimental evaluations across different GOP sizes and channel conditions demonstrate that quantum OFDM provides superior resilience to channel noise and improved perceptual quality compared to classical OFDM, achieving peak signal-to-noise ratio (PSNR) up to 47.60 dB, structural similarity index measure (SSIM) up to 0.9987, and video multi-method assessment fusion (VMAF) up to 96.40. Notably, the eight-qubit encoding scheme consistently achieves the highest SNR gains across all channels, underscoring the potential of quantum OFDM as a foundation for future high-quality video transmission. Full article

This study introduces a novel, automated image-to-BIM (Building Information Modeling) workflow designed to generate semantically rich and geometrically useful BIM models directly from RGB images. Conventional scan-to-BIM often relies on specialized, costly, and time-intensive equipment, specifically if LiDAR is used to generate point clouds (PCs). Typical workflows are followed by a separate post-processing step for semantic segmentation recently performed by deep learning models on the generated PCs. Instead, the proposed method integrates vision language object detection (YOLOv8x-World v2) and vision based segmentation (SAM 2.1) with Neural Radiance Fields (NeRF) 3D reconstruction to generate segmented, color-labeled PCs directly from images. The key novelty lies in bypassing post-processing on PCs by embedding semantic information at the pixel level in images, preserving it through reconstruction, and encoding it into the resulting color labeled PC, which allows building elements to be directly identified and geometrically extracted based on color labels. Extracted geometry is serialized into a JSON format and imported into Revit to automate BIM creation for walls, windows, and doors. Experimental validation on BIM models generated from Unmanned Aerial Vehicle (UAV)-based exterior datasets and standard camera-based interior datasets demonstrated high accuracy in detecting windows and doors. Spatial evaluations yielded up to 0.994 precision and 0.992 Intersection over Union (IoU). NeRF and Gaussian Splatting models, Nerfacto, Instant-NGP, and Splatfacto, were assessed. Nerfacto produced the most structured PCs suitable for geometry extraction and Splatfacto achieved the highest image reconstruction quality. The proposed method removes dependency on terrestrial surveying tools and separate segmentation processes on PCs. It provides a low-cost and scalable solution for generating BIM models in aging or undocumented buildings and supports practical applications such as renovation, digital twin, and facility management. Full article

Background: Fournier’s gangrene is a rare and aggressive form of necrotizing fasciitis involving the perineal, genital, and perianal regions. Despite advances in critical care, early diagnosis and rapid surgical intervention remain crucial to reduce mortality and morbidity. Extensive debridement often leads to complex perineal defects that require reliable reconstructive options. This study presents a case highlighting the usefulness of the deep external pudendal artery perforator (DEPAP) flap in perineal reconstruction following Fournier’s gangrene. Methods: A 43-year-old male patient developed Fournier’s gangrene secondary to underlying colon cancer scheduled for chemotherapy. Following wide excision and serial debridement to remove necrotic tissue, reconstruction was performed using a DEPAP flap designed from the upper medial thigh region. The flap was elevated based on perforators identified by a handheld Doppler and rotated to cover the perineal defect. Results: The flap survived completely without any vascular compromise or wound complications. The patient achieved satisfactory functional recovery with stable wound healing and an acceptable cosmetic outcome. No recurrence or contracture was observed during the 9-month follow-up. Conclusions: Fournier’s gangrene associated with underlying colon cancer and subsequent chemotherapy presents additional challenges due to impaired wound healing and increased infection risk. In such complex cases, the deep external pudendal artery perforator (DEPAP) flap offers a reliable single-stage reconstructive option that ensures durable coverage, rapid recovery, and minimal donorsite morbidity. Our case demonstrates that even in immunocompromised or oncologic patients, the DEPAP flap provides stable wound healing and satisfactory functional and esthetic outcomes, supporting its usefulness in managing perineal defects after oncologic Fournier’s gangrene. Full article

Advanced TRIP steels offer an attractive combination of strength and ductility because of the transformation-induced plasticity (TRIP) phenomenon. The retained austenite (RA) embedded in quenched and partitioning (Q&P) 1180 steel provides vital ductility, relating to the propensity of these grains to transform under applied deformation. It is well known that the characteristics of the RA grains (size, shape, orientation, etc.) have a strong influence on their stability, but few studies consider the accurate 3-dimensional character of the grains, due to the cost of extracting 3D data. This study observes the characteristics of RA grains in Q&P 1180 steel before and after applying tensile deformation. EBSD maps of serial sectioned layers are reconstructed using DREAM3D. The influence of 3D morphology and other factors on transformation of RA is studied. Apart from relatively traditional metrics, a novel shear affinity factor is introduced as a metric to describe the ease of transformation for an RA grain. The 3D nature of the information collected allows accurate classification of grain shape into the traditional globular/spherical and lamellar/lath categories, along with disk and needle shapes, and enables quantification of the evolution of the shape distributions. Full article

This paper presents an efficient and high-order WENO-based Upwind Rotated Lattice Boltzmann Flux Solver (WENO-URLBFS) on graphics processing units (GPUs) for simulating three-dimensional (3D) compressible flow problems. The proposed approach extends the baseline Rotated Lattice Boltzmann Flux Solver (RLBFS) by redefining the interface tangential velocity based on the theoretical solution of the Euler equations. This improvement, combined with a weighted decomposition of the numerical fluxes in two mutually perpendicular directions, effectively reduces numerical dissipation and enhances solution stability. To achieve high-order accuracy, the WENO interpolation is applied in the characteristic space to reconstruct physical quantities on both sides of the interface. The density perturbation test is employed to assess the accuracy of the scheme, which demonstrates 5th- and 7th-order convergence as expected. In addition, this test case is also employed to confirm the consistency between the CPU serial and GPU parallel implementations of the WENO-URLBFS scheme and to assess the acceleration performance across different grid resolutions, yielding a maximum speedup factor of 1208.27. The low-dissipation property of the scheme is further assessed through the inviscid Taylor–Green vortex problem. Finally, a series of challenging three-dimensional benchmark cases demonstrate that the present scheme achieves high accuracy, low dissipation, and excellent computational efficiency in simulating strongly compressible flows with complex features such as strong shock waves and discontinuities. Full article

The integration of the Scalable Service-Oriented Middleware over IP (SOME/IP) within Automotive Ethernet enables efficient, service-oriented communication in vehicles. This study presents a video stream transmission library using SOME/IP to transfer pre-recorded video data between virtual Electronic Control Units (ECUs). Implemented with vsomeip, OpenCV, and Protocol Buffers, the system handles video serialization, Ethernet transmission, and reconstruction at the receiver side. Experimental evaluation with front and rear dashboard cameras (2560 × 1440 and 1920 × 1080 px) demonstrated that video resolution and file size directly affect processing duration. Optimized 1920 × 1080 videos achieved total processing times of about 400 ms, confirming the feasibility of near-real-time video transmission. A GUI application was also developed to simulate event-based communication by sending object detection updates after video transfer. The proposed framework provides a scalable and modular architecture that can be adapted to real ECU systems, establishing a foundation for future real-time video communication in automotive networks. Full article

Thraustochytrium aureum ssp. strugatskii, a marine protist belonging to the class Labyrinthulea, exhibits a complex life cycle characterized by alternating motile and vegetative phases. Using an integrative multimodal microscopy approach, we reconstructed its full developmental cycle and analyzed the coordination between cellular morphology, subcellular architecture, and population-level behavior. Transmission and scanning electron microscopy, combined with fluorescence and time-lapse imaging, revealed the dynamics of nuclear division, organelle rearrangement, and zoospore formation. Morphometric analysis of serial ultrathin sections demonstrated distinct changes in mitochondrial distribution, Golgi apparatus, and lipid droplet abundance during transitions between stages. We have shown that vegetative cells undergo synchronized karyokinesis coupled with stable nuclear-to-cytoplasmic ratios, leading to the emergence of multinucleate stages prior to zoospore formation. The integration of ultrastructural and dynamic data enabled us to propose a systems-level model linking metabolic state, morphogenesis, and population structure. This model highlights feedback regulation between nutrient availability, biomass accumulation, and developmental synchronization. Our results establish that T. aureum ssp. strugatskii has good potential to serve as a tractable model organism for systems-level studies of protists and provide an initial framework for predictive modeling of its life cycle under controlled conditions. Full article

Background and Objectives: Hamstring strength deficits are common after ACL reconstruction and may impair stability and increase reinjury risk. Despite structured rehabilitation, early postoperative asymmetries frequently persist. Platelet-rich plasma (PRP) has emerged as a potential biologic adjunct that may enhance tissue healing and facilitate muscle strength recovery. This study aimed to evaluate the efficacy of intra-articular PRP injections on hamstring strength restoration in non-professional athletes undergoing ACLR. Materials and Methods: This retrospective cohort study analyzed 68 non-professional athletes who underwent primary ACLR between 2020 and 2024. Participants followed a standardized, phase-appropriate rehabilitation program and were allocated to either a PRP group (n = 34; five intra-articular PRP injections every 4 weeks starting at week 4 postoperatively) or a control group (n = 34; rehabilitation alone). Data were analyzed with linear mixed-effects models to examine group, time, and group-by-time interactions. Results: Both groups improved over time, but PRP influenced faster hamstring strength recovery and greater symmetry. At 20 weeks, the PRP group achieved higher concentric strength (15.6 ± 4.3 vs. 13.6 ± 3.5; p = 0.040) and markedly reduced asymmetry (isometric: –1.1 vs. 0.6; p < 0.001; concentric: –0.6 vs. 1.9; p < 0.001). Conclusions: The addition of serial PRP injections to a structured rehabilitation protocol after ACLR influenced faster hamstring strength recovery and improved interlimb symmetry compared to rehabilitation alone. These findings suggest that PRP may serve as a potential biologic adjunct to optimize postoperative outcomes and facilitate a safer return to sport in non-professional athletes. Full article

Background: Non-transected and partially transected peripheral nerve injuries (neuromas-in-continuity) are relatively common but understudied. Their optimal surgical management and expected outcomes remain unclear. We conducted a literature review of surgical repairs in such lesions and illustrate a case to guide decision-making. Systematic searches of PubMed and Google Scholar identified 70 eligible reports (Level I = 2, Level II = 5, Level III = 37, Level IV = 20, Level V = 4). Across studies, neurolysis of NAP-positive lesions often restored antigravity strength, while direct repair or grafting of nonconductive segments yielded meaningful recovery in ~75%. After neurolysis or reconstruction, ~77–92% of brachial plexus/axillary neuromas-in-continuity reached LSUHSC Grade ≥3. Median/ulnar lesions treated with neurolysis, biologic/vascularized coverage, or reconstruction showed reliable pain relief but variable sensory/motor recovery. Radial/PIN lesions improved in some series irrespective of NAPs. Earlier intervention, shorter gaps, distal sites, and younger age correlated with superior outcomes. Meanwhile, prolonged observation risking end-organ atrophy degraded results. Adjuncts such as electrical stimulation and wraps may aid reinnervation or reduce scarring, though high-quality evidence is limited. Conclusions: For non-transected and partially transected PNIs, a pragmatic approach emerges: Observe low-grade injuries with serial examinations. Explore early if recovery stalls (≈3–6 months). Use NAP-guided neurolysis for conductive lesions. Perform tension-free repair or grafting for nonconductive segments, adding anti-adhesive coverage when appropriate. Standardized reporting and prospective trials are needed to refine timing, technique selection, and patient-reported outcomes. Full article

Background: The distal oblique bundle (DOB) of the interosseous membrane (IOM) has been recognized as an important stabilizer of the distal radioulnar joint (DRUJ). However, its prevalence, morphology, and distal attachments—particularly its relationship to the articular disc and the extensor carpi ulnaris (ECU) tendon sheath—remain inconsistently described. Clarifying these anatomical details is essential for understanding DRUJ stability and guiding surgical reconstruction. Methods: The distal IOM was examined in 48 specimens from 24 embalmed Korean cadavers. In 46 dissected specimens, the presence, morphology, and attachment sites of distal interosseous structures were documented, and attachment levels were measured. In 38 specimens, attachment to the articular disc was assessed. In addition, serial transverse sections from one cadaver were analyzed to confirm three-dimensional relationships. Results: Two morphological patterns were identified: a distinct DOB (21/46, 45.7%) and, when absent, a membranous thickening of the distal IOM (25/46, 54.3%). The mean attachment level was 39.1 ± 9.7 mm for the DOB and 25.4 ± 4.8 mm for the membranous thickening. Both structures assumed an oblique orientation, fanning palmarly toward the capsule and articular disc and dorsally toward the ECU tendon sheath and dorsal septum. In 26 of 38 specimens (68.4%), these structures attached to the proximal palmar portion of the articular disc. Serial transverse sections confirmed this oblique configuration, linking palmar and dorsal stabilizers of the DRUJ. Conclusions: The distal IOM consistently forms specialized structures—either a DOB or a membranous thickening—that integrate with the triangular fibrocartilage complex. By bridging palmar and dorsal stabilizers, these structures contribute to joint congruency and load transfer during forearm rotation. A refined anatomical understanding of these patterns provides clinically relevant insights for surgical preservation or reconstruction, with the potential to improve outcomes in patients with chronic DRUJ instability. Full article

Owing to the intrinsic sparsity of GNSS signals in the correlation domain, compressed sensing (CS) is attractive for the rapid acquisition of high-dynamic GNSS signals. However, the compressed measurement-associated noise folding inherently amplifies the pre-measurement noise, leading to an inevitable degradation of acquisition performance. In this paper, a novel CS-based GNSS signal acquisition algorithm is, for the first time, proposed with the efficient suppression of the amplified measurement noise and low computational complexities. The offline developed code phase and frequency bin-compressed matrices in the correlation domain are utilized to obtain a real-time observed matrix, from which the correlation matrix of the GNSS signal is rapidly reconstructed via a denoised back-projection and a non-iterative shrinkage-thresholding (NIST) operation. A detailed theoretical analysis and extensive numerical explorations are undertaken for the algorithm computational complexity, the achievable acquisition performance, and the algorithm performance robustness to various Doppler frequencies. It is shown that, compared with the classic orthogonal matching pursuit (OMP) reconstruction, the NIST reconstruction gives rise to a 3.3 dB improvement in detection sensitivity with a computational complexity increase of <10%. Moreover, the NIST-reconstructed CS acquisition algorithm outperforms the conventional CS acquisition algorithm with frequency serial search (FSS) in terms of both the acquisition performance and the computational complexity. In addition, a variation in the detection sensitivity is observed as low as 1.3 dB over a Doppler frequency range from 100 kHz to 200 kHz. Full article