Functional outcome of patients undergoing open rotator cuff repair

Background: Rotator cuff tears are a common source of shoulder pain. The incidence of rotator cuff damage increases with age and is most frequently due to degeneration of the tendon rather than injury from sports or trauma. Rotator cuff tear can be treated arthroscopically, arthroscopically assisted (mini-open) or by an open procedure. Because of the technical demands of arthroscopic repair many surgeons consider open repair for the treatment of rotator cuff tears. This study was done to evaluate the functional outcome of shoulder after open rotator cuff repair.Methods: 26 patients with partial and complete rotator cuff tears underwent open rotator cuff repair and acromioplasty. Cases were followed up at 3 months and 6 months intervals and shoulder function was assessed using Constant-Murley scoring system and compared with the preoperative scores and analyzed using SPSS software.Results: Mean preoperative constant score was 33.95±7.545 while the mean constant score at 6 months post-surgery was 79.83±8.51 which was highly significant according to paired t test. The difference between preoperative, 3 months and 6 months constant scores of complete and partial tear patients was found to be statistically significant.Conclusions: There was highly significant increase in Constant-Murley score after 6 months in patients treated by open rotator cuff repair. Open repair still stands as an effective treatment for rotator cuff tears and doing acromioplasty during the procedure adds to better outcome after surgery

Asbestos and cancer: An overview of current trends in Europe.

This review assesses the contribution of occupational asbestos exposure to the occurrence of mesothelioma and lung cancer in Europe. Available information on national asbestos consumption, proportions of the population exposed, and exposure levels is summarized. Population-based studies from various European regions on occupational asbestos exposure, mesothelioma, and lung cancer are reviewed. Asbestos consumption in 1994 ranged, per capita, between 0. 004 kg in northern Europe and 2.4 kg in the former Soviet Union. Population surveys from northern Europe indicate that 15 to 30% of the male (and a few percent of the female) population has ever had occupational exposure to asbestos, mainly in construction (75% in Finland) or in shipyards. Studies on mesothelioma combining occupational history with biologic exposure indices indicate occupational asbestos exposure in 62 to 85% of the cases. Population attributable risks for lung cancer among males range between 2 and 50% for definite asbestos exposure. After exclusion of the most extreme values because of methodologic aspects, most of the remaining estimates are within the range of 10 to 20%. Estimates of women are lower. Extrapolation of the results to national figures would decrease the estimates. Norwegian estimates indicate that one-third of expected asbestos-related lung cancers might be avoided if former asbestos workers quit smoking. The combination of a current high asbestos consumption per capita, high exposure levels, and high underlying lung cancer rates in Central Europe and the former Soviet Union suggests that the lung cancers will arise from the smoking-asbestos interaction should be a major concern

Investigation of passive atmospheric sounding using millimeter and submillimeter wavelength channels

Progress by the Georgia Institute of Technology's Laboratory for Radio-science and Remote Sensing in developing techniques for passive microwave retrieval of water vapor profiles and cloud and precipitation parameters using millimeter and submillimeter wavelength channels is reviewed. Channels of particular interest are in the tropospheric transmission windows at 90, 166, 220, 340, and 410 GHz and centered around the water vapor lines at 183 and 325 GHz. Collectively, these channels have potential application in high-resolution precipitation mapping (e.g., from geosynchronous orbit), remote sensing of cloud and precipitation parameters, including cirrus ice mass, and improved retrieval of water vapor profiles. During the period from January 1, 1994 through June 30, 1994 research activities focussed on calibrating and interpreting data from the Millimeter-Wave Imaging Radiometer (MIR). The MIR was deployed on the NASA ER-2 during the Convective Atmospheric Moisture Experiment (CAMEX, September-October 1993) to obtain the first submillimeter-wave tropospheric imagery of convective precipitations. A 325-GHz radiometer consisted of a submillimeter-wave DSB receiver with three IF channels at +/- 1, 3, and 8.5 GHz, and approximately 14 dB DSB noise figure was successfully operated during these experiments. Activities supported under this grant include a study of the impact of local oscillator reflections from the MIR calibration loads, the development of optimal gain and offset filters for radiometric calibration, and the modeling and interpretation of the MIR 325-GHz data over both clear and cloudy atmospheres. In addition, polarimetric radiometer measurements and modeling for ocean surface and atmospheric cloud-ice studies_were supported

Partition functions and double-trace deformations in AdS/CFT

We study the effect of a relevant double-trace deformation on the partition function (and conformal anomaly) of a CFT at large N and its dual picture in AdS. Three complementary previous results are brought into full agreement with each other: bulk and boundary computations, as well as their formal identity. We show the exact equality between the dimensionally regularized partition functions or, equivalently, fluctuational determinants involved. A series of results then follows: (i) equality between the renormalized partition functions for all d; (ii) for all even d, correction to the conformal anomaly; (iii) for even d, the mapping entails a mixing of UV and IR effects on the same side (bulk) of the duality, with no precedent in the leading order computations; and finally, (iv) a subtle relation between overall coefficients, volume renormalization and IR-UV connection. All in all, we get a clean test of the AdS/CFT correspondence beyond the classical SUGRA approximation in the bulk and at subleading O(1) order in the large-N expansion on the boundary.Comment: 18 pages, uses JHEP3.cls. Published JHEP versio

On the infimum attained by a reflected L\'evy process

This paper considers a L\'evy-driven queue (i.e., a L\'evy process reflected at 0), and focuses on the distribution of $M(t)$, that is, the minimal value attained in an interval of length $t$ (where it is assumed that the queue is in stationarity at the beginning of the interval). The first contribution is an explicit characterization of this distribution, in terms of Laplace transforms, for spectrally one-sided L\'evy processes (i.e., either only positive jumps or only negative jumps). The second contribution concerns the asymptotics of \prob{M(T_u)> u} (for different classes of functions $T_u$ and $u$ large); here we have to distinguish between heavy-tailed and light-tailed scenarios

BlueHealth: a study programme protocol for mapping and quantifying the potential benefits to public health and well-being from Europe's blue spaces

This is the final version of the article. Available from BMJ Publishing Group via the DOI in this record.INTRODUCTION: Proximity and access to water have long been central to human culture and accordingly deliver countless societal benefits. Over 200 million people live on Europe's coastline, and aquatic environments are the top recreational destination in the region. In terms of public health, interactions with 'blue space' (eg, coasts, rivers, lakes) are often considered solely in terms of risk (eg, drowning, microbial pollution). Exposure to blue space can, however, promote health and well-being and prevent disease, although underlying mechanisms are poorly understood. AIMS AND METHODS: The BlueHealth project aims to understand the relationships between exposure to blue space and health and well-being, to map and quantify the public health impacts of changes to both natural blue spaces and associated urban infrastructure in Europe, and to provide evidence-based information to policymakers on how to maximise health benefits associated with interventions in and around aquatic environments. To achieve these aims, an evidence base will be created through systematic reviews, analyses of secondary data sets and analyses of new data collected through a bespoke international survey and a wide range of community-level interventions. We will also explore how to deliver the benefits associated with blue spaces to those without direct access through the use of virtual reality. Scenarios will be developed that allow the evaluation of health impacts in plausible future societal contexts and changing environments. BlueHealth will develop key inputs into policymaking and land/water-use planning towards more salutogenic and sustainable uses of blue space, particularly in urban areas. ETHICS AND DISSEMINATION: Throughout the BlueHealth project, ethics review and approval are obtained for all relevant aspects of the study by the local ethics committees prior to any work being initiated and an ethics expert has been appointed to the project advisory board. So far, ethical approval has been obtained for the BlueHealth International Survey and for community-level interventions taking place in Spain, Italy and the UK. Engagement of stakeholders, including the public, involves citizens in many aspects of the project. Results of all individual studies within the BlueHealth project will be published with open access. After full anonymisation and application of any measures necessary to prevent disclosure, data generated in the project will be deposited into open data repositories of the partner institutions, in line with a formal data management plan. Other knowledge and tools developed in the project will be made available via the project website (www.bluehealth2020.eu). Project results will ultimately provide key inputs to planning and policy relating to blue space, further stimulating the integration of environmental and health considerations into decision-making, such that blue infrastructure is developed across Europe with both public health and the environment in mind.This work was supported by funding received from the European Union’s Horizon 2020 research and innovation programme under grant agreement no. 666773

Implied volatility of basket options at extreme strikes

In the paper, we characterize the asymptotic behavior of the implied volatility of a basket call option at large and small strikes in a variety of settings with increasing generality. First, we obtain an asymptotic formula with an error bound for the left wing of the implied volatility, under the assumption that the dynamics of asset prices are described by the multidimensional Black-Scholes model. Next, we find the leading term of asymptotics of the implied volatility in the case where the asset prices follow the multidimensional Black-Scholes model with time change by an independent increasing stochastic process. Finally, we deal with a general situation in which the dependence between the assets is described by a given copula function. In this setting, we obtain a model-free tail-wing formula that links the implied volatility to a special characteristic of the copula called the weak lower tail dependence function

Determinant and Weyl anomaly of Dirac operator: a holographic derivation

We present a holographic formula relating functional determinants: the fermion determinant in the one-loop effective action of bulk spinors in an asymptotically locally AdS background, and the determinant of the two-point function of the dual operator at the conformal boundary. The formula originates from AdS/CFT heuristics that map a quantum contribution in the bulk partition function to a subleading large-N contribution in the boundary partition function. We use this holographic picture to address questions in spectral theory and conformal geometry. As an instance, we compute the type-A Weyl anomaly and the determinant of the iterated Dirac operator on round spheres, express the latter in terms of Barnes' multiple gamma function and gain insight into a conjecture by B\"ar and Schopka.Comment: 11 pages; new comments and references added, typos correcte