Is Greulich-Pyle age estimation applicable for determining maturation in male Africans?

Skeletal age estimation as a means of assessing development and skeletal maturation in children and adolescents is of great importance for clinical and forensic purposes. The skeletal age of a test population is estimated by comparison with established standards, the most common standards being those in the Radiographic atlas of skeletal development of the hand and wrist published by Greulich and Pyle in 1959. These standards are based on the assumption that skeletal maturity in male individuals is attained by the chronological age of 19 years. Although they have been widely tested, the applicability of these standards to contemporary populations has yet to be tested on a population of African biological origin living in South Africa. We therefore estimated the skeletal age of 131 male Africans aged between 13 and 21 years, using the Greulich-Pyle method which we applied to pre-existing hand-wrist radiographs. Estimated skeletal age was compared to the known chronological age for each radiograph. Skeletal age was on average approximately 6 months younger than chronological age. The Greulich-Pyle method underestimated skeletal age for approximately 74% of the sample and overestimated skeletal age for 26% of the sample. Skeletal maturity as characterised by complete epiphyseal fusion occurred approximately 2.1 years later than Greulich and Pyle's estimate of 19 years. Thus skeletal maturation was still in progress in a large proportion of the 20- and 21-year-old individuals in our study. The Greulich-Pyle method showed high precision but low accuracy and was therefore not directly applicable to African male individuals. Formulation of skeletal age estimation standards specific to South African populations is therefore recommended

Is Greulich-Pyle age estimation applicable for determining maturation in male Africans?

Skeletal age estimation as a means of assessing development and skeletal maturation in children and adolescents is of great importance for clinical and forensic purposes. The skeletal age of a test population is estimated by comparison with established standards, the most common standards being those in the Radiographic atlas of skeletal development of the hand and wrist published by Greulich and Pyle in 1959. These standards are based on the assumption that skeletal maturity in male individuals is attained by the chronological age of 19 years. Although they have been widely tested, the applicability of these standards to contemporary populations has yet to be tested on a population of African biological origin living in South Africa. We therefore estimated the skeletal age of 131 male Africans aged between 13 and 21 years, using the Greulich-Pyle method which we applied to pre-existing hand-wrist radiographs. Estimated skeletal age was compared to the known chronological age for each radiograph. Skeletal age was on average approximately 6 months younger than chronological age. The Greulich-Pyle method underestimated skeletal age for approximately 74% of the sample and overestimated skeletal age for 26% of the sample. Skeletal maturity as characterised by complete epiphyseal fusion occurred approximately 2.1 years later than Greulich and Pyle's estimate of 19 years. Thus skeletal maturation was still in progress in a large proportion of the 20- and 21-year-old individuals in our study. The Greulich-Pyle method showed high precision but low accuracy and was therefore not directly applicable to African male individuals. Formulation of skeletal age estimation standards specific to South African populations is therefore recommended

The Kato square root problem on vector bundles with generalised bounded geometry

We consider smooth, complete Riemannian manifolds which are exponentially locally doubling. Under a uniform Ricci curvature bound and a uniform lower bound on injectivity radius, we prove a Kato square root estimate for certain coercive operators over the bundle of finite rank tensors. These results are obtained as a special case of similar estimates on smooth vector bundles satisfying a criterion which we call generalised bounded geometry. We prove this by establishing quadratic estimates for perturbations of Dirac type operators on such bundles under an appropriate set of assumptions.Comment: Slight technical modification of the notion of "GBG constant section" on page 7, and a few technical modifications to Proposition 8.4, 8.6, 8.

"Pure shift" 1H NMR, a robust method for revealing heteronuclear couplings in complex spectra

We investigate the utility of “pure shift” techniques in revealing heteronuclear couplings in complex 1H NMR spectra. The results show the technique to be a robust and valuable complement to the standard 1H spectrum, and an attractive alternative to heteronuclear decoupling since the technique is independent of the size of the heteronuclear couplings and the chemical shift range(s) of the heteronuclei involved. We highlight some possible artefacts, and the subtle effects due to the presence of 13C nuclei in otherwise symmetric molecules when bilinear rotational decoupling (BIRD) elements are present in the pulse sequence

Molecular flexibility of citrus pectins by combined sedimentation and viscosity analysis

The flexibility/rigidity of pectins plays an important part in their structure-function relationship and therefore on their commercial applications in the food and biomedical industries. Earlier studies based on sedimentation analysis in the ultracentrifuge have focused on molecular weight distributions and qualitative and semi-quantitative descriptions based on power law and Wales-van Holde treatments of conformation in terms of "extended" conformations [Harding, S. E., Berth, G., Ball, A., Mitchell, J.R., & Garcìa de la Torre, J. (1991). The molecular weight distribution and conformation of citrus pectins in solution studied by hydrodynamics. Carbohydrate Polymers, 168, 1-15; Morris, G. A., Foster, T. J., & Harding, S.E. (2000). The effect of degree of esterification on the hydrodynamic properties of citrus pectin. Food Hydrocolloids, 14, 227-235]. In the present study, four pectins of low degree of esterification 17-27% and one of high degree of esterification (70%) were characterised in aqueous solution (0.1 M NaCl) in terms of intrinsic viscosity [η], sedimentation coefficient (s°20,w) and weight average molar mass (Mw). Solution conformation/flexibility was estimated qualitatively using the conformation zoning method [Pavlov, G.M., Rowe, A.J., & Harding, S.E. (1997). Conformation zoning of large molecules using the analytical ultracentrifuge. Trends in Analytical Chemistry, 16, 401-405] and quantitatively (persistence length Lp) using the traditional Bohdanecky and Yamakawa-Fujii relations combined together by minimisation of a target function. Sedimentation conformation zoning showed an extended coil (Type C) conformation and persistence lengths all within the range Lp=10-13 nm (for a fixed mass per unit length)

The physicochemical characterisation of pepsin degraded pig gastric mucin

Mucins are the main macromolecular components of the mucus secretions that cover the oral cavity, gastrointestinal and urogenital tracts of animals. The properties of the mucus secretions are therefore directly correlated with the physicochemical properties of mucin glycoproteins. In this study, mucins were obtained from pig gastric mucous after digestion with pepsin at 37 ⁰C for 4 hours, these mucins were characterised in terms of compositional and hydrodynamic properties. Compositional analysis showed that this mucin contains protein (15%), carbohydrates (55%) of which the constituents are: fucose (4%), galactose (9%), glucosamine (55%), glucosamine (33%) and sialic acid (2%). The latter component gives the mucin polymer a pH-dependant negative charge, with a -potential of -3 mV at pH 1.2 up to -11 mV at pH 7.4. The weight average molar mass was ~1 x 106 g/mol and intrinsic viscosity was ~0.42 dL/g although there was a small pH dependency due to the polyelectrolyte behaviour of the polymer. The measurements of viscosity versus shear rate showed shear thinning behaviour and the critical overlap concentration was determined to be 10-11% w/v indicating a compact structure. Knowledge of these properties is fundamental to the understanding interactions of mucins, with for example, novel drug delivery systems

Performance Evaluation of Adaptive Scientific Applications using TAU

Fueled by increasing processor speeds and high speed interconnection networks, advances in high performance computer architectures have allowed the development of increasingly complex large scale parallel systems. For computational scientists, programming these systems efficiently is a challenging task. Understanding the performance of their parallel applications i