National trends in total hip arthroplasty for traumatic hip fractures: An analysis of a nationwide all-payer database.

BACKGROUND: Hemiarthroplasty (HA) has traditionally been the treatment of choice for elderly patients with displaced femoral neck fractures. Ideal treatment for younger, ambulatory patients is not as clear. Total hip arthroplasty (THA) has been increasingly utilized in this population however the factors associated with undergoing HA or THA have not been fully elucidated. AIM: To examine what patient characteristics are associated with undergoing THA or HA. To determine if outcomes differ between the groups. METHODS: We queried the Nationwide Inpatient Sample (NIS) for patients that underwent HA or THA for a femoral neck fracture between 2005 and 2014. The NIS comprises a large representative sample of inpatient hospitalizations in the United States. International Classifications of Disease, Ninth Edition (ICD-9) codes were used to identify patients in our sample. Demographic variables, hospital characteristics, payer status, medical comorbidities and mortality rates were compared between the two procedures. Multivariate logistic regression analysis was then performed to identify independent risk factors of treatment utilized. RESULTS: Of the total 502060 patients who were treated for femoral neck fracture, 51568 (10.3%) underwent THA and the incidence of THA rose from 8.3% to 13.7%. Private insurance accounted for a higher percentage of THA than hemiarthroplasty. THA increased most in urban teaching hospitals relative to urban non-teaching hospitals. Mean length of stay (LOS) was longer for HA. The mean charges were less for HA, however charges decreased steadily for both groups. HA had a higher mortality rate, however, after adjusting for age and comorbidities HA was not an independent risk factor for mortality. Interestingly, private insurance was an independent predictor for treatment with THA. CONLUSION: There has been an increase in the use of THA for the treatment of femoral neck fractures in the United States, most notably in urban hospitals. HA and THA are decreasing in total charges and LOS

A fast, linear Boltzmann transport equation solver for computed tomography dose calculation (Acuros CTD)

Purpose To improve dose reporting of CT scans, patient‐specific organ doses are highly desired. However, estimating the dose distribution in a fast and accurate manner remains challenging, despite advances in Monte Carlo methods. In this work, we present an alternative method that deterministically solves the linear Boltzmann transport equation (LBTE), which governs the behavior of x‐ray photon transport through an object. Methods Our deterministic solver for CT dose (Acuros CTD) is based on the same approach used to estimate scatter in projection images of a CT scan (Acuros CTS). A deterministic method is used to compute photon fluence within the object, which is then converted to deposited energy by multiplying by known, material‐specific conversion factors. To benchmark Acuros CTD, we used the AAPM Task Group 195 test for CT dose, which models an axial, fan beam scan (10 mm thick beam) and calculates energy deposited in each organ of an anthropomorphic phantom. We also validated our own Monte Carlo implementation of Geant4 to use as a reference to compare Acuros against for other common geometries like an axial, cone beam scan (160 mm thick beam) and a helical scan (40 mm thick beam with table motion for a pitch of 1). Results For the fan beam scan, Acuros CTD accurately estimated organ dose, with a maximum error of 2.7% and RMSE of 1.4% when excluding organs with3provided marginal improvement to the accuracy for the cone beam scan but came at the expense of increased run time. Across the different scan geometries, run time of Acuros CTD ranged from 8 to 23 s. Conclusions In this digital phantom study, a deterministic LBTE solver was capable of fast and accurate organ dose estimates

Sensors Best Paper Award 2015

Since 2011, an annual award system was instituted to recognize outstanding Sensors papers that are related to sensing technologies and applications and meet the aims, scope and high standards of this journal [1–4]. This year, the winners were chosen by the Section Editor-in-Chiefs of Sensors from among all the papers published in 2011 to track citations. Reviews and full research articles were considered separately. We gladly announce that the following eight papers were awarded the Sensors Best Paper Award in 2015

IDR : a participatory methodology for interdisciplinary design in technology enhanced learning

One of the important themes that emerged from the CAL’07 conference was the failure of technology to bring about the expected disruptive effect to learning and teaching. We identify one of the causes as an inherent weakness in prevalent development methodologies. While the problem of designing technology for learning is irreducibly multi-dimensional, design processes often lack true interdisciplinarity. To address this problem we present IDR, a participatory methodology for interdisciplinary techno-pedagogical design, drawing on the design patterns tradition (Alexander, Silverstein & Ishikawa, 1977) and the design research paradigm (DiSessa & Cobb, 2004). We discuss the iterative development and use of our methodology by a pan-European project team of educational researchers, software developers and teachers. We reflect on our experiences of the participatory nature of pattern design and discuss how, as a distributed team, we developed a set of over 120 design patterns, created using our freely available open source web toolkit. Furthermore, we detail how our methodology is applicable to the wider community through a workshop model, which has been run and iteratively refined at five major international conferences, involving over 200 participants

Review of HBT or Bose-Einstein correlations in high energy heavy ion collisions

A brief review is given on the discovery and the first five decades of the Hanbury Brown - Twiss effect and its generalized applications in high energy nuclear and particle physics, that includes a meta-review. Interesting and inspiring new directions are also highlighted, including for example source imaging, lepton and photon interferometry, non-Gaussian shape analysis as well as many other new directions. Existing models are compared to two-particle correlation measurements and the so-called RHIC HBT puzzle is resolved. Evidence for a (directional) Hubble flow is presented and the conclusion is confirmed by a successful description of the pseudorapidity dependence of the elliptic flow as measured in Au+Au collisions by the PHOBOS Collaboration.Comment: 14 pages, 1 figure, 8 sub-figures, invited plenary talk at the ICPA-QGP 2005 conference in Kolkata, Indi

Centrality and sNNDependenceofthe\sqrt{s_{NN}} Dependence of the dE_{T}/d\etaand and dN_{ch}/d\eta$ in Heavy Ion Collisions at Mid-Rapidity

The PHENIX experiment at RHIC has measured transverse energy and charged particle multiplicity at mid-rapidity in Au + Au collisions at $\sqrt{s_{NN}}$ = 19.6, 130, 62.4 and 200 GeV as a function of centrality. The presented results are compared to measurements from other RHIC experiments, and experiments at lower energies. The $\sqrt{s_{NN}}$ dependence of $dE_{T}/d\eta$ and $dN_{ch}/d\eta$ per pair of participants is consistent with logarithmic scaling for the most central events. The centrality dependence of $dE_{T}/d\eta$ and $dN_{ch}/d\eta$ is similar at all measured incident energies. At RHIC energies the ratio of transverse energy per charged particle was found independent of centrality and growing slowly with $\sqrt{s_{NN}}$. A survey of comparisons between the data and available theoretical models is also presented.Comment: Proccedings of the Workshop: Focus on Multiplcity at Bari, Italy, June 17-19,2004. To be submitted to the Jornal of Physics, "Conference series". Includes: 20 Pages, 15 figures, 3 Tables, 80 Referencie

Preparation and Properties of Polymer-Wrapped Single-Walled Carbon Nanotubes

Intimate electrical contact occurs between a substituted poly(metaphenylenevinylene) (PmPV) and bundles of single‐walled nanotubes (SWNT) as evidenced by atomic force microscopy, optical, and electronic measurements carried out on single, isolated SWNT/PmPV structures (see picture). PmPV may provide a useful route toward “functionalizing” the SWNT without destroying their electrical character

Chromosomal-level assembly of the Asian Seabass genome using long sequence reads and multi-layered scaffolding

We report here the ~670 Mb genome assembly of the Asian seabass (Lates calcarifer), a tropical marine teleost. We used long-read sequencing augmented by transcriptomics, optical and genetic mapping along with shared synteny from closely related fish species to derive a chromosome-level assembly with a contig N50 size over 1 Mb and scaffold N50 size over 25 Mb that span ~90% of the genome. The population structure of L. calcarifer species complex was analyzed by re-sequencing 61 individuals representing various regions across the species' native range. SNP analyses identified high levels of genetic diversity and confirmed earlier indications of a population stratification comprising three clades with signs of admixture apparent in the South-East Asian population. The quality of the Asian seabass genome assembly far exceeds that of any other fish species, and will serve as a new standard for fish genomics