An unclassified tibial plateau fracture: Reverse Schatzker type IV.

The most commonly accepted system of classification for tibia plateau fractures is that of Schatzker. Increasingly, both high energy injuries and atypical osteoporotic fragility failures have led to more complex, unusual and previously undescribed fracture patterns being recognized. We present a case of a patient with a previously unreported pattern of tibia plateau fracture and knee dislocation. We highlight the challenges confronted and present the management and the outcomes of his injury. A 28-year old male motorcyclist was involved in a head on collision with a truck and was transferred by helicopter to our level 1 major trauma centre emergency department. His injuries were a circumferential degloving injury to his left leg and a right lateral tibial plateau fracture/knee dislocation. The pattern of the lateral tibial plateau fracture was unique and did not fit any recognised classification system. The patient received a spanning external fixator initially and after latency of 12 days for soft tissue resuscitation he underwent definite fixation through an antero-lateral approach to the proximal tibia with two cannulated 6.5 mm partially threaded screws and an additional lateral proximal tibia plate in buttress mode. A hinged knee brace was applied with unrestricted range of motion post-operatively and free weight bearing were permitted post operatively. At the 6 months follow up, the patient walks without aids and with no limp. Examination revealed a stable joint and full range of motion. Plain radiographs revealed that the fracture healed with good alignment and the fixation remained stable. High energy injuries can lead to more complicated fracture patterns, which challenge the orthopaedic surgeons in their management. It is crucial to understand the individual fracture pattern and the possible challenges that may occur. This study reports a lateral tibia plateau fracture/dislocation which perhaps is best described as a reverse Schatzker IV type fracture

Surface electronic properties of undoped InAlN alloys

The variation in surface electronic properties of undoped c-plane InxAl1−xN alloys has been investigated across the composition range using a combination of high-resolution x-ray photoemission spectroscopy and single-field Hall effect measurements. For the In-rich alloys, electron accumulation layers, accompanied by a downward band bending, are present at the surface, with a decrease to approximately flatband conditions with increasing Al composition. However, for the Al-rich alloys, the undoped samples were found to be insulating with approximate midgap pinning of the surface Fermi level observed

Metabolomic analysis of salmonella enterica cells in vitro and in situ

In the present study a comparison of metabolomics, on laboratory medium, on rocket extract, of S. Tymphimurium (ST) CDC 6516-60, as well as on the developed biofilm on rocket tissue was investigated

Non-renormalization theorems without supergraphs: The Wess-Zumino model

The non-renormalization theorems of chiral vertex functions are derived on the basis of an algebraic analysis. The property, that the interaction vertex is a second supersymmetry variation of a lower dimensional field monomial, is used to relate chiral Green functions to superficially convergent Green functions by extracting the two supersymmetry variations from an internal vertex and transforming them to derivatives acting on external legs. The analysis is valid in the massive as well as in the massless model and can be performed irrespective of properties of the superpotential at vanishing momentum.Comment: 20 pages, Latex, added acknowledgment

Derivative expansion of quadratic operators in a general 't Hooft gauge

A derivative expansion technique is developed to compute functional determinants of quadratic operators, non diagonal in spacetime indices. This kind of operators arise in general 't Hooft gauge fixed Lagrangians. Elaborate applications of the developed derivative expansion are presented.Comment: 40 pages, to appear in Phys. Rev.

The Robustness of Quintessence

Recent observations seem to suggest that our Universe is accelerating implying that it is dominated by a fluid whose equation of state is negative. Quintessence is a possible explanation. In particular, the concept of tracking solutions permits to adress the fine-tuning and coincidence problems. We study this proposal in the simplest case of an inverse power potential and investigate its robustness to corrections. We show that quintessence is not affected by the one-loop quantum corrections. In the supersymmetric case where the quintessential potential is motivated by non-perturbative effects in gauge theories, we consider the curvature effects and the K\"ahler corrections. We find that the curvature effects are negligible while the K\"ahler corrections modify the early evolution of the quintessence field. Finally we study the supergravity corrections and show that they must be taken into account as $Q\approx m_{\rm Pl}$ at small red-shifts. We discuss simple supergravity models exhibiting the quintessential behaviour. In particular, we propose a model where the scalar potential is given by $V(Q)=\frac{\Lambda^{4+\alpha }}{Q^{\alpha}}e^{\frac{\kappa}{2}Q^2}$. We argue that the fine-tuning problem can be overcome if $\alpha \ge 11$. This model leads to $\omega_Q\approx -0.82$ for $\Omega_{\rm m}\approx 0.3$ which is in good agreement with the presently available data.Comment: 16 pages, 7 figure

Quantum Extremism: Effective Potential and Extremal Paths

The reality and convexity of the effective potential in quantum field theories has been studied extensively in the context of Euclidean space-time. It has been shown that canonical and path-integral approaches may yield different results, thus resolving the `convexity problem'. We discuss the transferral of these treatments to Minkowskian space-time, which also necessitates a careful discussion of precisely which field configurations give the dominant contributions to the path integral. In particular, we study the effective potential for the N=1 linear sigma model.Comment: 11 pages, 4 figure