Plasma antioxidants from chocolate

There is some speculation that dietary flavonoids from chocolate, in particular (-)epicatechin, may promote cardiovascular health as a result of direct antioxidant effects or through antithrombotic mechanisms. Here we show that consumption of plain, dark chocolate results in an increase in both the total antioxidant capacity and the (-)epicatechin content of blood plasma, but that these effects are markedly reduced when the chocolate is consumed with milk or if milk is incorporated as milk chocolate. Our findings indicate that milk may interfere with the absorption of antioxidants from chocolate in vivo and may therefore negate the potential health benefits that can be derived from eating moderate amounts of dark chocolate

Abnormal loading and functional deficits are present in both limbs before and after unilateral knee arthroplasty

Abstract Unilateral knee replacement is often followed by a contralateral replacement in time and the biomechanics of the other knee before and after knee replacement remains poorly understood. The aim of this paper is to distinguish the features of arthritic gait in the affected and unaffected legs relative to a normal population and to assess the objective recovery of gait function post-operatively, with the aim of defining patients at risk of poor post-operative function. Twenty patients with severe knee OA but no pain or deformity in any other lower limb joint were compared to twenty healthy subjects of the same age. Gait analysis was performed and quadriceps and hamstrings co-contraction was measured. Fifteen subjects returned 1 year following knee arthroplasty. Moments and impulses were calculated, principal component analysis was used to analyse the waveforms and a classification technique (the Cardiff Classifier) was used to select the most discriminant data and define functional performance. Comparing pre-operative function to healthy function, classification accuracies for the affected and unaffected knees were 95% and 92.5% respectively. Post-operatively, the affected limb returned to the normal half of the classifier in 8 patients, and 7 of those patients returned to normal function in the unaffected limb. Recovery of normal gait could be correctly predicted 13 out of 15 times at the affected knee, and 12 out of 15 times at the unaffected knee based on pre-operative gait function. Focused rehabilitation prior to surgery may be beneficial to optimise outcomes and protect the other joints following knee arthroplasty

An in vitro study into the accuracy of a novel method for recording the mandibular transverse horizontal axis.

OBJECTIVES: To assess the accuracy of a novel, non-invasive method for determining the axis of rotation of articulated dental study casts. METHOD: A 3D structured light scanner was constructed using a projector and two CMOS cameras. Dental stone casts were arbitrarily mounted on an average value articulator. With the teeth together, sets of 10 scans were taken from three different viewpoints. Each scan captured approximately six upper teeth and six lower teeth. The teeth were then propped open, creating 10mm of incisal separation, and the three sets of 10 scans were repeated. From each pair of scans an axis of rotation was calculated using custom software. A total of 900 axes were created this way. The locations of these axes were plotted in sagittal planes located 57.5mm left and right of the midline to represent the position of the temporo-mandibular joints (TMJs). The accuracy of axis location was then assessed. RESULTS: The average radius of error of the individual axes, compared to the real axis, was 2.65 ± 1.01 mm. 61.3% of the axes lay within 3mm of the true axis, and 99.2% of the axes lay within 5mm of the true axis. CONCLUSIONS: The accuracy of this method is clinically acceptable. Further studies are required to confirm the accuracy of the virtual inter-occlusal records at the level of the dentition. Clinical studies are then indicated to determine whether the transverse horizontal axis on a patient can similarly be determined

How common are vascular injuries in open tibial fractures? A prospective longitudinal cohort study.

BACKGROUND: Tibial fractures have an incidence of 15% of all adult fractures. They have been shown to have the highest incidence of non-union in long bone fractures and the highest incidence of vascular injury. Evidence from the literature suggests that a good vascular supply is important to ensure bone union. The aim of our study was to prospectively assess the incidence of vascular injuries in open tibial fractures and determine whether they were associated with an increased risk of non-union. METHODS: We performed a prospective study to investigate the incidence of arterial injuries with computed tomography angiography (CTA) in patients with Gustilo-Anderson grade I-III open tibial fractures between 2013 and 2015. CTA was performed with the trauma series at acute admission and reported by two independent musculoskeletal radiologists. Patients were followed up with clinical and radiographic assessment for 1 year. RESULTS: We recruited 77 patients into the study, and 56 patients (47 males, 9 females) were available for the final analysis, between 16 and 90 years of age. At the initial assessment, 29% had signs of arterial injury with active extravasation in 5%. The most common site of injury was in the diaphysis (87.5%), and the commonest mechanism was a road traffic accident. We found no significant relation between occult vascular injury and non-union (p > 0.05). CONCLUSION: The incidence of vascular injury in open tibial fractures is 29%, and CTA is therefore a useful test in identifying vascular injuries that may require vascular intervention

Operational temperatures of all-weather thoroughbred racetracks influence surface functional properties

The surface temperature of all-weather racetracks has previously been correlated to speed. However specific functional properties such as grip, cushioning and impact firmness have not been directly compared to environmental conditions. The objective of this study was to assess how temperature influences functional properties of racetracks, and categorise surface wax binders according to first thermal transition peak, and compare responses at different operational temperatures. Functional properties were determined for UK all-weather racetrack surfaces (n = 6) using mechanical testing equipment which assess the loads experienced by the forelimb at gallop (randomised block design). Tests were carried out using latex lined moulds, embedded within a test box with a predefined boundary at 0 °C, 20 °C and 40 °C. Wax binders underwent differential scanning calorimetry to identify thermal transition peaks. Changes in operational temperatures significantly influenced surface responses when a wax binder was part of the composition. Temperature was a factor that significantly contributed to the variation found in horizontal grip (F2, 237 = 65.69, P < 0.001), cushioning (F2, 237 = 58.24, P < 0.001), impact firmness (F2, 237 = 28.02, P < 0.001) and rotational grip (F12, 65 = 9.45, P < 0.001). Using a test box meant individual racetracks were generalised but this enabled conditions to be controlled. Colder temperatures demonstrated higher surface hardness and shear resistance that may increase risk of musculoskeletal injury although this was not measured here. Awareness of the effect temperature has on specific track behaviour allows maintenance protocols to be further developed to improve consistency when temperatures change, with the aim of improving safety

Labrador retrievers under primary veterinary care in the UK: demography, mortality and disorders

Abstract Background Labrador retrievers are reportedly predisposed to many disorders but accurate prevalence information relating to the general population are lacking. This study aimed to describe demography, mortality and commonly recorded diseases in Labrador retrievers under UK veterinary care. Methods The VetCompass™ programme collects electronic patient record data on dogs attending UK primary-care veterinary practices. Demographic analysis covered all33,320 Labrador retrievers in the VetCompass™ database under veterinary care during 2013 while disorder and mortality data were extracted from a random sample of 2074 (6.2%) of these dogs. Results Of the Labrador retrievers with information available, 15,427 (46.4%) were female and 15,252 (53.6%) were male. Females were more likely to be neutered than males (59.7% versus 54.8%, P <  0.001). The overall mean adult bodyweight was 33.0 kg (SD 6.1). Adult males were heavier (35.2 kg, SD 5.9 kg) than adult females (30.4 kg, SD 5.2 kg) (P <  0.001). The median longevity of Labrador retrievers overall was 12.0 years (IQR 9.9–13.8, range 0.0–16.0). The most common recorded colours were black (44.6%), yellow (27.8%) and liver/chocolate (reported from hereon as chocolate) (23.8%). The median longevity of non-chocolate coloured dogs (n = 139, 12.1 years, IQR 10.2–13.9, range 0.0–16.0) was longer than for chocolate coloured animals (n = 34, 10.7 years, IQR 9.0–12.4, range 3.8–15.5) (P = 0.028). Of a random sample of 2074 (6.2%) Labrador retrievers under care in 2013 that had full disorder data extracted, 1277 (61.6%) had at least one disorder recorded. The total number of dogs who died at any date during the study was 176. The most prevalent disorders recorded were otitis externa (n = 215, prevalence 10.4%, 95% CI: 9.1–11.8), overweight/obesity (183, 8.8%, 95% CI: 7.6–10.1) and degenerative joint disease (115, 5.5%, 95% CI: 4.6–6.6). Overweight/obesity was not statistically significantly associated with neutering in females (8.3% of entire versus 12.5% of neutered, P = 0.065) but was associated with neutering in males (4.1% of entire versus 11.4% of neutered, P < 0.001). The prevalence of otitis externa in black dogs was 12.8%, in yellow dogs it was 17.0% but, in chocolate dogs, it rose to 23.4% (P < 0.001). Similarly, the prevalence of pyo-traumatic dermatitis in black dogs was 1.1%, in yellow dogs it was 1.6% but in chocolate dogs it rose to 4.0% (P = 0.011). Conclusions The current study assists prioritisation of health issues within Labrador retrievers. The most common disorders were overweight/obesity, otitis externa and degenerative joint disease. Males were significantly heavier females. These results can alert prospective owners to potential health issues and inform breed-specific wellness checks

Lightweight BWT and LCP merging via the gap algorithm

Recently, Holt and McMillan [Bioinformatics 2014, ACM-BCB 2014] have proposed a simple and elegant algorithm to merge the Burrows-Wheeler transforms of a collection of strings. In this paper we show that their algorithm can be improved so that, in addition to the BWTs, it also merges the Longest Common Prefix (LCP) arrays. Because of its small memory footprint this new algorithm can be used for the final merge of BWT and LCP arrays computed by a faster but memory intensive construction algorithm