A new mini-navigation tool allows accurate component placement during anterior total hip arthroplasty.

Introduction: Computer-assisted navigation systems have been explored in total hip arthroplasty (THA) to improve component positioning. While these systems traditionally rely on anterior pelvic plane registration, variances in soft tissue thickness overlying anatomical landmarks can lead to registration error, and the supine coronal plane has instead been proposed. The purpose of this study was to evaluate the accuracy of a novel navigation tool, using registration of the anterior pelvic plane or supine coronal plane during simulated anterior THA. Methods: Measurements regarding the acetabular component position, and changes in leg length and offset were recorded. Benchtop phantoms and target measurement values commonly seen in surgery were used for analysis. Measurements for anteversion and inclination, and changes in leg length and offset were recorded by the navigation tool and compared with the known target value of the simulation. Pearson\u27s Results: The device accurately measured cup position and leg length measurements to within 1° and 1 mm of the known target values, respectively. Across all simulations, there was a strong, positive relationship between values obtained by the device and the known target values ( Conclusion: The preliminary findings of this study suggest that the novel navigation tool tested is a potentially viable tool to improve the accuracy of component placement during THA using the anterior approach

Serum Ammonia and Folate Levels: Opportunities for High Value Care

High value care encompasses a variety of principles including ordering tests with high diagnostic yield, while reducing low value practice

Response to rapidly changing healthcare information regarding COVID-19 with virtual journal club

Virtual twice weekly COVID-19 journal club (JC) created to optimize residency and faculty education regarding COVID-19 management, critical appraisal of new literature, and improve departmental collaboration and connection

Exploring institutional structures for Tidal River Management in the Ganges-Brahmaputra Delta in Bangladesh

Tidal River Management (TRM) is a local adaptation strategy for coastal floodplains in the Ganges-Brahmaputra Delta in Bangladesh. TRM involves the periodic opening and closing of embankments to accelerate land accretion (or reclamation) in a floodplain. Although the approach is considered a promising adaptation strategy, there have been both positive and negative outcomes from recent TRM implementation. The aim of this study is consequently to explore the institutional (community, rules-in-use, and also biophysical) factors influencing successes and failures of TRM implementation for managing common-pool resources, as a basis for making recommendations on future institutional design. The Institutional Analysis and Development (IAD) framework, first developed by Ostrom (2010) and revised by Bisaro and Hinkel (2016), is therefore used to conduct comparative analysis of TRM institutional effectiveness in three Delta floodplains or beels: one led by a local community and the other two by national authorities. Our research employs a mixed method approach involving focus group discussions, stakeholder interviews, site visits, along with secondary literature analysis. The results of this assessment provide insights into coastal adaptation governance that could inform TRM implementation in Bangladesh and other similar contexts worldwide

Exploring institutional structures for Tidal River Management in the Ganges-Brahmaputra Delta in Bangladesh

Tidal River Management (TRM) is a local adaptation strategy for coastal floodplains in the Ganges-Brahmaputra Delta in Bangladesh. TRM involves the periodic opening and closing of embankments to accelerate land accretion (or reclamation) in a floodplain. Although the approach is considered a promising adaptation strategy, there have been both positive and negative outcomes from recent TRM implementation. The aim of this study is consequently to explore the institutional (community, rules-in-use, and also biophysical) factors influencing successes and failures of TRM implementation for managing common-pool resources, as a basis for making recommendations on future institutional design. The Institutional Analysis and Development (IAD) framework, first developed by Ostrom (2010) and revised by Bisaro and Hinkel (2016), is therefore used to conduct comparative analysis of TRM institutional effectiveness in three Delta floodplains or beels: one led by a local community and the other two by national authorities. Our research employs a mixed method approach involving focus group discussions, stakeholder interviews, site visits, along with secondary literature analysis. The results of this assessment provide insights into coastal adaptation governance that could inform TRM implementation in Bangladesh and other similar contexts worldwide

Process design for optimizing text-based communication between physicians and nurses

Background and Aim Communication between physicians and nurses is a cornerstone of high-quality inpatient care. HIPAA-compliant text-based methods offer an alternative to the pager for communication between nurses and physicians. While messaging is popular in the personal setting, text-based professional communication in hospitals may increase the number of messages without improving coordination between care providers. (1) In addition, urgent messages that are more appropriately calls could be missed by the physician, leading to a delay in action. Other institutions use triage systems to communicate a question or clinical change by the urgency of expected physician response, which have attempted to mitigate this issue. (2) We aimed to improve bidirectional communication between housestaff and nursing with a communication process developed jointly by both parties using QI methods such as stakeholder analysis and a structured Work-Out session to brainstorm solutions

Numerical assessment in the wild: insights from social carnivores

Playback experiments have proven to be a useful tool to investigate the extent to which wild animals understand numerical concepts and the factors that play into their decisions to respond to different numbers of vocalizing conspecifics. In particular, playback experiments have broadened our understanding of the cognitive abilities of historically understudied species that are challenging to test in the traditional laboratory, such as members of the Order Carnivora. Additionally, playback experiments allow us to assess the importance of numerical information versus other ecologically important variables when animals are making adaptive decisions in their natural habitats. Here, we begin by reviewing what we know about quantity discrimination in carnivores from studies conducted in captivity. We then review a series of playback experiments conducted with wild social carnivores, including African lions, spotted hyenas, and wolves, which demonstrate that these animals can assess the number of conspecifics calling and respond based on numerical advantage. We discuss how the wild studies compliment those conducted in captivity and allow us to gain insights into why wild animals may not always respond based solely on differences in quantity. We then consider the key role that individual discrimination and cross-modal recognition play in the ability of animals to assess the number of conspecifics vocalizing nearby. Finally, we explore new directions for future research in this area, highlighting in particular the need for further work on the cognitive basis of numerical assessment skills and experimental paradigms that can be effective in both captive and wild settings

Persistence and Availability of Web Services in Computational Biology

We have conducted a study on the long-term availability of bioinformatics Web services: an observation of 927 Web services published in the annual Nucleic Acids Research Web Server Issues between 2003 and 2009

Effect of changing window type and ventilation strategy on indoor thermal environment of existing garment factories in Bangladesh

This paper presents two workable solutions that can significantly improve the indoor thermal environment within workspaces in existing ready-made garment (RMG) factories in the tropical climatic context of Bangladesh. The research involved field studies in three multi-storey factory buildings, interviews with workers and owners and simulation studies. Field data indicated that the existing window configurations and limiting the ventilation strategy to occupied hours caused overheating of the indoor environment. Among a list of proposals, the building owners saw value in implementing two solutions (i.e. altering existing window type to one with a higher effective opening area and adopting a night-time ventilation strategy) in their existing buildings as well as proposed new buildings. To quantify the benefits, a validated simulation study was conducted. The findings confirm that these two interventions can provide reductions of up to 23% in overheated working hours and in so doing, improve workers’ thermal comfort and well-being

Tissue biopsy for the diagnosis of amyloidosis: experience from some centres

A reliable diagnosis of amyloidosis is usually based on a tissue biopsy. With increasing options for specific treatments of the different amyloid diseases, an exact and valid diagnosis including determination of the biochemical fibril nature is imperative. Biopsy sites as well as amyloid typing principles vary and this paper describes methods employed at some laboratories specialised in amyloidosis in Europe, Japan and USA