Short-segment posterior instrumentation combined with calcium sulfate cement vertebroplasty for thoracolumbar compression fractures: Radiographic outcomes including nonunion and other complications

AbstractObjectiveTo evaluate the radiographic outcomes of short-segment posterior instrumentation plus vertebroplasty using injectable calcium sulfate cement (CSC) for thoracolumbar compression fractures.Materials and methodsTwenty-eight patients with a single-level thoracolumbar compression fracture, who underwent short-segment pedicle screw fixation and CSC vertebroplasty, were included in the study. The anterior vertebral body height ratio, local kyphosis angle, and the height of the intervertebral disc adjacent to the fractured vertebra were used to evaluate the radiographic results. Complications including bone nonunion, instrument failure, cement leakage, and disc vacuum formation were also assessed.ResultsThe patients were followed up for an average of 24.20±5.40 months. The relative preoperative anterior body height was 55.71±15.29%, which improved to 94.93±5.39% immediately after surgery (P<0.001), and at final follow-up showed a 6.50±3.89% loss of height correction (P<0.001). The mean preoperative local kyphosis angle was 22.23±5.65°, which corrected to 2.67±4.43° immediately after surgery (P<0.001), but reverted to 6.71±4.95° at final follow-up, showing a 4.04±1.91° loss of correction (P<0.001). The mean height of the intervertebral disc proximal to the fractured vertebra was 9.87±0.91mm before surgery, 12.53±0.98mm after operation (P<0.001), and the loss of correction at final follow-up was 2.35±1.15mm with a significant difference compared to immediate postoperative values (P<0.001). Bone nonunion occurred in 7 patients, 2 patients had hardware failure, 9 patients had cement leakage, and 10 patients had disc vacuum phenomenon adjacent to the fractured vertebra.ConclusionsThe patients who underwent this procedure had a loss of correction of vertebral height and local kyphosis. Complications such as bone nonunion, instrument failure, cement leakage, and disc vacuum may occur. Rapid CSC resorption accounts for these radiographic outcomes and complications.Level of evidenceLevel IV, retrospective study

Guanxi in western context: intra-firm group dynamics and expatriate adjustment

Many scholars have addressed the important role that guanxi plays in the Chinese social-economic system. Guanxi is widely accepted in academia as an indigenous construct from China—deeply rooted in Chinese culture and reflected in the behaviour of Chinese people in both the social and institutional environment. During the growing globalisation of Chinese multinational companies, Chinese expatriates have increasingly taken up international assignments and inevitably carried Chinese guanxi to the host country. Research on guanxi in China has been intense. However, how the employees of Chinese multinational companies employ guanxi in the West, how Chinese expatriates develop and use guanxi in the host country, and how these behaviours affect their adjustment remain unclear. My dissertation contributes to this line of study in three ways. I first examined guanxi capitalism theoretically to highlight the features of China’s economic system embedded deeply in its cultural-social-political environment and to explore how guanxi emerged, evolved, and subsequently dominated the economic system in China. Based on this analysis, I developed a conceptual framework of the “Guanxi capitalism structure” to illustrate the fundamental role of guanxi as the “invisible hand” in China. Next, I examined empirically how guanxi practice affects intra-firm multicultural group dynamics involving Chinese expatriates, host-country nationals, and host-country Chinese in Chinese multinationals. My study shows how expatriates actively practice guanxi with their homeland counterparts, but they do not do so with host-country nationals and host-country Chinese, and it explores the implications of these dynamics. Finally, I examined the impact of guanxi building on Chinese expatriate adjustment. Based on my analysis, I developed a process model that illuminates that guanxi development alters expatriates’ adjustment curve significantly. My findings contribute more generally to shed light on cross-cultural management in terms of Chinese guanxi practice and the process of initiating, building, and utilizing guanxi in the Western context

A hybrid algorithm to improve the accuracy of support vector machines on skewed data-sets

Over the past few years, has been shown that generalization power of Support Vector Machines (SVM) falls dramatically on imbalanced data-sets. In this paper, we propose a new method to improve accuracy of SVM on imbalanced data-sets. To get this outcome, firstly, we used undersampling and SVM to obtain the initial SVs and a sketch of the hyperplane. These support vectors help to generate new artificial instances, which will take part as the initial population of a genetic algorithm. The genetic algorithm improves the population in artificial instances from one generation to another and eliminates instances that produce noise in the hyperplane. Finally, the generated and evolved data were included in the original data-set for minimizing the imbalance and improving the generalization ability of the SVM on skewed data-sets

Sign reversal of the Hall resistance in the mixed-state of La1.89_{1.89} Ce0.11_{0.11}CuO4_{4} and La1.89_{1.89}Ce0.11_{0.11}(Cu0.99_{0.99}Co0.01_{0.01})O4_{4} thin films

The transport properties of La$_{1.89}$Ce$_{0.11}$CuO$_{4}$(LCCO) and La$_{1.89}$Ce$_{0.11}$(Cu$_{0.99}$Co$_{0.01}$)O$_{4}$ (LCCO:Co) superconducting thin films are investigated. When the external field $\bf H$ is applied along the crystallographic c-axis, a double sign reversal of the Hall voltage in the mixed state of LCCO:Co thin films is observed whereas a single sign reversal is detected in LCCO. A double sign reversal of the Hall signal in LCCO can be recovered if the magnetic field is tilted away from the plane of the film. We find that the transition from one to two of the Hall sign reversal coincides with the change in the pinning from strong to weak. This temperature/field induced transition is caused either by the magnetic impurities in LCCO:Co or by the coupling between the pancake vortices and the in-plane Josephson vortices in LCCO. These results are in agreement with early theoretical and numerical predictions.Comment: 6 pages, 4 figures, the proceedings of VORTEX VII in Physica

First-in-class Microbial Ecosystem Therapeutic 4 (MET4) in combination with immune checkpoint inhibitors in patients with advanced solid tumors (MET4-IO trial)

Background: The intestinal microbiome has been associated with response to immune checkpoint inhibitors (ICIs) in humans and causally implicated in ICI responsiveness in animal models. Two recent human trials demonstrated that fecal microbiota transplant (FMT) from ICI responders can rescue ICI responses in refractory melanoma, but FMT has specific limitations to scaled use.Patients and methods: We conducted an early-phase clinical trial of a cultivated, orally delivered 30-species microbial consortium (Microbial Ecosystem Therapeutic 4, MET4) designed for co-administration with ICIs as an alternative to FMT and assessed safety, tolerability and ecological responses in patients with advanced solid tumors.Results: The trial achieved its primary safety and tolerability outcomes. There were no statistically significant differences in the primary ecological outcomes; however, differences in MET4 species relative abundance were evident after randomization that varied by patient and species. Increases in the relative abundance of several MET4 taxa, including Enterococcus and Bifidobacterium, taxa previously associated with ICI responsiveness, were observed and MET4 engraftment was associated with decreases in plasma and stool primary bile acids.Conclusions: This trial is the first report of the use of a microbial consortium as an alternative to FMT in advanced cancer patients receiving ICI and the results justify the further development of microbial consortia as a therapeutic co-intervention for ICI treatment in cancer

Direct Measurements of the Branching Fractions for D0→K−e+νeD^0 \to K^-e^+\nu_e and D0→π−e+νeD^0 \to \pi^-e^+\nu_e and Determinations of the Form Factors f+K(0)f_{+}^{K}(0) and f+π(0)f^{\pi}_{+}(0)

The absolute branching fractions for the decays $D^0 \to K^-e ^+\nu_e$ and $D^0 \to \pi^-e^+\nu_e$ are determined using $7584\pm 198 \pm 341$ singly tagged $\bar D^0$ sample from the data collected around 3.773 GeV with the BES-II detector at the BEPC. In the system recoiling against the singly tagged $\bar D^0$ meson, $104.0\pm 10.9$ events for $D^0 \to K^-e ^+\nu_e$ and $9.0 \pm 3.6$ events for $D^0 \to \pi^-e^+\nu_e$ decays are observed. Those yield the absolute branching fractions to be $BF(D^0 \to K^-e^+\nu_e)=(3.82 \pm 0.40\pm 0.27)$ and $BF(D^0 \to \pi^-e^+\nu_e)=(0.33 \pm 0.13\pm 0.03)$. The vector form factors are determined to be $|f^K_+(0)| = 0.78 \pm 0.04 \pm 0.03$ and $|f^{\pi}_+(0)| = 0.73 \pm 0.14 \pm 0.06$. The ratio of the two form factors is measured to be $|f^{\pi}_+(0)/f^K_+(0)|= 0.93 \pm 0.19 \pm 0.07$.Comment: 6 pages, 5 figure

Measurements of J/psi Decays into 2(pi+pi-)eta and 3(pi+pi-)eta

Based on a sample of 5.8X 10^7 J/psi events taken with the BESII detector, the branching fractions of J/psi--> 2(pi+pi-)eta and J/psi-->3(pi+pi-)eta are measured for the first time to be (2.26+-0.08+-0.27)X10^{-3} and (7.24+-0.96+-1.11)X10^{-4}, respectively.Comment: 11 pages, 6 figure

Search for the Rare Decays J/Psi --> Ds- e+ nu_e, J/Psi --> D- e+ nu_e, and J/Psi --> D0bar e+ e-

We report on a search for the decays J/Psi --> Ds- e+ nu_e + c.c., J/Psi --> D- e+ nu_e + c.c., and J/Psi --> D0bar e+ e- + c.c. in a sample of 5.8 * 10^7 J/Psi events collected with the BESII detector at the BEPC. No excess of signal above background is observed, and 90% confidence level upper limits on the branching fractions are set: B(J/Psi --> Ds- e+ nu_e + c.c.)<4.8*10^-5, B(J/Psi --> D- e+ nu_e + c.c.) D0bar e+ e- + c.c.)<1.1*10^-5Comment: 10 pages, 4 figure

Measurements of the observed cross sections for exclusive light hadron production in e^+e^- annihilation at \sqrt{s}= 3.773 and 3.650 GeV

By analyzing the data sets of 17.3 pb$^{-1}$ taken at $\sqrt{s}=3.773$ GeV and 6.5 pb$^{-1}$ taken at $\sqrt{s}=3.650$ GeV with the BESII detector at the BEPC collider, we have measured the observed cross sections for 12 exclusive light hadron final states produced in $e^+e^-$ annihilation at the two energy points. We have also set the upper limits on the observed cross sections and the branching fractions for $\psi(3770)$ decay to these final states at 90% C.L.Comment: 8 pages, 5 figur