Kneeling ability after total knee replacement

Kneeling ability is consistently the poorest patient-rated outcome after total knee replacement (TKR), with 60–80% of patients reporting difficulty kneeling or an inability to kneel. Difficulty kneeling impacts on many activities and areas of life, including activities of daily living, self-care, leisure and social activities, religious activities, employment and getting up after a fall. Given the wide range of activities that involve kneeling, and the expectation that this will be improved with surgery, problems kneeling after TKR are a source of dissatisfaction and disappointment for many patients. Research has found that there is no association between range of motion and self-reported kneeling ability. More research is needed to understand if and how surgical factors contribute to difficulty kneeling after TKR. Discrepancies between patients’ self-reported ability to kneel and observed ability suggests that patients can kneel but elect not to. Reasons for this are multifactorial, including knee pain/discomfort, numbness, fear of harming the prosthesis, co-morbidities and recommendations from health professionals. There is currently no evidence that there is any clinical reason why patients should not kneel on their replaced knee, and reasons for not kneeling could be addressed through education and rehabilitation. There has been little research to evaluate the provision of healthcare services and interventions for patients who find kneeling problematic after TKR. Increased clinical awareness of this poor outcome and research to inform the provision of services is needed to improtzve patient care and allow patients to return to this important activity

The algebraic Bethe ansatz for open vertex models

We present a unified algebraic Bethe ansatz for open vertex models which are associated with the non-exceptional $A^{(2)}_{2n},A^{(2)}_{2n-1},B^{(1)}_n,C^{(1)}_n,D^{(1)}_{n}$ Lie algebras. By the method, we solve these models with the trivial K matrix and find that our results agree with that obtained by analytical Bethe ansatz. We also solve the $B^{(1)}_n,C^{(1)}_n,D^{(1)}_{n}$ models with some non-trivial diagonal K-matrices (one free parameter case) by the algebraic Bethe ansatz.Comment: Latex, 35 pages, new content and references are added, minor revisions are mad

Milling plant and soil material in plastic tubes over-estimates carbon and under-estimates nitrogen concentrations

Peer reviewedPostprin

Algebraic Bethe ansatz for the one-dimensional Hubbard model with open boundaries

The one-dimensional Hubbard model with open boundary conditions is exactly solved by means of algebraic Bethe ansatz. The eigenvalue of the transfer matrix, the energy spectrum as well as the Bethe ansatz equations are obtained.Comment: Only LaTex file; no figur

Comparison of Group-based Outpatient Physiotherapy With Usual Care After Total Knee Replacement: a Feasibility Study For a Randomized Controlled Trial

Objective: To evaluate the feasibility of conducting a randomized controlled trial comparing group-based outpatient physiotherapy with usual care in patients following total knee replacement. Design: A feasibility study for a randomized controlled trial. Setting: One secondary-care hospital orthopaedic centre, Bristol, UK. Participants: A total of 46 participants undergoing primary total knee replacement. Interventions: The intervention group were offered six group-based exercise sessions after surgery. The usual care group received standard postoperative care. Participants were not blinded to group allocation. Outcome measures: Feasibility was assessed by recruitment, reasons for non-participation, attendance, and completion rates of study questionnaires that included the Lower Extremity Functional Scale and Knee Injury and Osteoarthritis Outcome Score. Results: Recruitment rate was 37%. Five patients withdrew or were no longer eligible to participate. Intervention attendance was high (73%) and 84% of group participants reported they were ‘very satisfied’ with the exercises. Return of study questionnaires at six months was lower in the usual care (75%) than in the intervention group (100%). Mean (standard deviation) Lower Extremity Functional Scale scores at six months were 45.0 (20.8) in the usual care and 57.8 (15.2) in the intervention groups. Conclusion: Recruitment and retention of participants in this feasibility study was good. Group-based physiotherapy was acceptable to participants. Questionnaire return rates were lower in the usual care group, but might be enhanced by telephone follow-up. The Lower Extremity Functional Scale had high responsiveness and completion rates. Using this outcome measure, 256 participants would be required in a full-scale randomized controlled trial

Does nature conservation enhance ecosystem services delivery?

Whilst a number of studies have examined the effects of biodiversity conservation on the delivery of ecosystems, they have been often limited by the scope of the ecosystem services (ES) assessed and often suffer from confounding spatial issues. This paper examines the impacts of nature conservation (designation) on the delivery of a full suite of ES across nine case-studies in the UK, using expert opinion. The case-studies covered a range of habitats and explore the delivery of ES from a ‘protected site’ and a comparable ‘non-protected’ site. By conducting pair-wise comparisons between comparable sites our study is one of the first to attempt to mitigate confounding cause and effect factors in relation to spatial context in correlative studies. Protected sites delivered higher levels of ecosystem services than nonprotected sites, with the main differences being in the cultural and regulating ecosystem services. Against expectations, there was no consistent negative impact of protection on provisioning services across the case-studies. Whilst the analysis demonstrated general patterns and differences in ecosystem delivery between protected and non-protected sites, the individual responses in each case-study highlights the importance of the social, biophysical, economic and temporal context of individual protected areas and the associated management

Hasbara 2.0: Israel’s Public Diplomacy in the Digital Age

The Internet has been a counter-public space for Palestinian liberation politics for over a decade, and digital technologies have become an increasingly important tool for solidarity groups across the world. However, the Israeli state and Zionist supporters worldwide are harnessing the same technologies and platforms to mobilize technology primarily to increase pro-Israel sentiments. The aims of this article are to examine hasbara [Israeli public diplomacy] through an exploration of similar diplomacy programmes; to illustrate how social media have affected the basic algorithms of hasbara; and to probe the assertions of hasbara in the light of pro-Palestinian solidarity. Through a study of public diplomacy, this article critically analyzes hasbara as a site of contestation and a method that is hampered by contradictions. On the one hand, there has been a massive growth in hasbara in recent years—indicated by the increase in funding for it and by its professionalized and centralized character; and on the other hand, hasbara has attracted sharp critiques in Israel for its reputed failures. To understand this contradiction, hasbara must be placed within the context of Israel’s settler-colonialism, which sets the state apart from other ‘post-conflict’ states. This article reviews the methods utilized in hasbara, as well as their readjustment in the context of recent wars. Events in 2014 illustrate that hasbara actually destabilizes Israel’s diplomacy. Online journalism and the suppression of solidarity for Palestine together stimulate more criticism and, in turn, help to shift public opinion. Paradoxically, therefore, adjustments (‘hasbara 2.0’) have underlined the image of Israel as a colonial power engaged in violent occupation

Effective Lagrangian description of the lepton flavor violating decays Z-->li lj

A comprehensive analysis of the lepton flavor violating (LFV) decays Z-->li lj is presented within the effective Lagrangian approach. Both the decoupling and nondecoupling scenarios are explored. The experimental constraints from li --> lj lk \bar{lk} and li -->lj gamma as well as some relationships arising from the gauge invariance of the effective Lagrangian are used to put constraints on Z-->li lj. It is found that while current experimental data impose very strong constraints on Z-->mu e, the channel Z --> tau mu (e)still may be at the reach of the planned TESLA collider.Comment: References added, final version to appear in Physical Review

Proposed Measurement of an Effective Flux Quantum in the Fractional Quantum Hall Effect

We consider a channel of an incompressible fractional-quantum-Hall-effect (FQHE) liquid containing an island of another FQHE liquid. It is predicted that the resistance of this channel will be periodic in the flux through the island, with the period equal to an odd integer multiple of the fundamental flux quantum, $\phi_{0}=hc/e$. The multiplicity depends on the quasiparticle charges of the two FQHE liquids.Comment: Late