Principles of Hand Fracture Management

The hand is essential in humans for physical manipulation of their surrounding environment. Allowing the ability to grasp, and differentiated from other animals by an opposing thumb, the main functions include both fine and gross motor skills as well as being a key tool for sensing and understanding the immediate surroundings of their owner

The association between social capital and mental health and behavioural problems in children and adolescents: an integrative systematic review

Background Mental health is an important component of overall health and wellbeing and crucial for a happy and meaningful life. The prevalence of mental health problems amongst children and adolescent is high; with estimates suggesting 10-20% suffer from mental health problems at any given time. These mental health problems include internalising (e.g. depression and social anxiety) and externalising behavioural problems (e.g. aggression and anti-social behaviour). Although social capital has been shown to be associated with mental health/behavioural problems in young people, attempts to consolidate the evidence in the form of a review have been limited. This integrative systematic review identified and synthesised international research findings on the role and impact of family and community social capital on mental health/behavioural problems in children and adolescents to provide a consolidated evidence base to inform future research and policy development. Methods Nine electronic databases were searched for relevant studies and this was followed by hand searching. Identified literature was screened using review-specific inclusion/exclusion criteria, the data were extracted from the included studies and study quality was assessed. Heterogeneity in study design and outcomes precluded meta-analysis/meta-synthesis, the results are therefore presented in narrative form. Results After screening, 55 studies were retained. The majority were cross-sectional surveys and were conducted in North America (n = 33); seven were conducted in the UK. Samples ranged in size from 29 to 98,340. The synthesised results demonstrate that family and community social capital are associated with mental health/behavioural problems in children and adolescents. Positive parent–child relations, extended family support, social support networks, religiosity, neighbourhood and school quality appear to be particularly important. Conclusions To date, this is the most comprehensive review of the evidence on the relationships that exist between social capital and mental health/behavioural problems in children and adolescents. It suggests that social capital generated and mobilised at the family and community level can influence mental health/problem behaviour outcomes in young people. In addition, it highlights key gaps in knowledge where future research could further illuminate the mechanisms through which social capital works to influence health and wellbeing and thus inform policy development

Geochemical and Strontium Isotope Characterization of Produced Waters from Marcellus Shale Natural Gas Extraction

Extraction of natural gas by hydraulic fracturing of the Middle Devonian Marcellus Shale, a major gas-bearing unit in the Appalachian Basin, results in significant quantities of produced water containing high total dissolved solids (TDS). We carried out a strontium (Sr) isotope investigation to determine the utility of Sr isotopes in identifying and quantifying the interaction of Marcellus Formation produced waters with other waters in the Appalachian Basin in the event of an accidental release, and to provide information about the source of the dissolved solids. Strontium isotopic ratios of Marcellus produced waters collected over a geographic range of ∼375 km from southwestern to northeastern Pennsylvania define a relatively narrow set of values (εSr SW = +13.8 to +41.6, where εSr SW is the deviation of the 87Sr/86Sr ratio from that of seawater in parts per 104); this isotopic range falls above that of Middle Devonian seawater, and is distinct from most western Pennsylvania acid mine drainage and Upper Devonian Venango Group oil and gas brines. The uniformity of the isotope ratios suggests a basin-wide source of dissolved solids with a component that is more radiogenic than seawater. Mixing models indicate that Sr isotope ratios can be used to sensitively differentiate between Marcellus Formation produced water and other potential sources of TDS into ground or surface waters

Could a brief assessment of negative emotions and self-esteem identify adolescents at current and future risk of self-harm in the community? A prospective cohort analysis

Background: Self-harm is common in adolescents, but it is often unreported and undetected. Available screening tools typically ask directly about self-harm and suicidal ideation. Although in an ideal world, direct enquiry and open discussion around self-harm would be advocated, non-psychiatric professionals in community settings are often reluctant to ask about this directly and disclosure can be met with feeling of intense anxiety. Training non-specialist staff to directly ask about self-harm has limited effects suggesting that alternative approaches are required. This study investigated whether a targeted analysis of negative emotions and self-esteem could identify young adolescents at risk of self-harm in community settings. Methods: Data were collected as part of a clinical trial from young people in school years 8–11 (aged 12–16) at eight UK secondary schools (N = 4503 at baseline, N = 3263 in prospective analysis). The Short Mood and Feelings Questionnaire, Revised Child Anxiety and Depression Scale, Rosenberg Self-Esteem Scale, personal failure (Children’s Automatic Thoughts Scale), and two items on self-harm were completed at baseline, 6 and 12 months. Results: Following a process of Principal Components Analysis, item reduction, and logistic regression analysis, three internally reliable factors were identified from the original measures that were independently associated with current and future self-harm; personal failure (3 items), physical symptoms of depression/anxiety (6 items), positive self-esteem (5 items). The summed score of these 14 items had good accuracy in identifying current self-harm (AUC 0.87 girls, 0.81 boys) and at six months for girls (0.81), and fair accuracy at six months for boys (AUC 0.74) and 12 months for girls (AUC 0.77). Conclusions: A brief and targeted assessment of negative emotions and self-esteem, focusing on factors that are strongly associated with current and future self-harm, could potentially be used to help identify adolescents who are at risk in community settings. Further research should assess the psychometric properties of the items identified and test this approach in more diverse community contexts

Non-basaltic asteroidal magmatism during the earliest stages of solar system evolution: A view from Antarctic achondrites Graves Nunatak 06128 and 06129

The recently recovered paired Antarctic achondrites Graves Nunatak 06128 and 06129 (GRA) are meteorites that represent unique high-temperature asteroidal processes that are identified in only a few other meteorites. The GRA meteorites contain high abundances of sodic plagioclase, relatively Fe-rich pyroxenes and olivine, abundant phosphates, and low temperature alteration. They represent products of very early planetesimal melting (4565.9 ± 0.3 Ma) of an unsampled geochemical reservoir from an asteroid that has characteristics similar to the brachinite parent body. The magmatism represented by these meteorites is contrary to the commonly held belief that the earliest stages of melting on all planetary bodies during the first 2-30 Ma of solar system history were fundamentally basaltic in nature. These sodic plagioclase-rich rocks represent a series of early asteroidal high-temperature processes: (stage 1) melting and partial extraction of a low-temperature Fe-Ni-S melt, (stage 2) small degrees of disequilibrium partial melting of a sodium- or alkali-rich chondritic parent body with additional incorporation of Fe-Ni-S melt that was not fully extracted during stage 1, (stage 3) volatile-enhanced rapid extraction and emplacement of the Na-rich, high-normative plagioclase melt, (stage 4) final emplacement and accumulation of plagioclase and phosphates, (stage 5) subsolidus reequilibration of lithology between 962 and 600 °C at an fO2 of IW to IW + 1.1, and (stage 6) replacement of merrillite and pyroxene by Cl-apatite resulting from the interaction between magmatic minerals and a Cl-rich fluid/residuum melt. The subsolidus events started as early as 4561.1 Ma and may have continued for upwards of 144 million years. The existence of assemblages similar to GRA on several other planetary bodies with different geochemical characteristics (ureilite, winonaites, IAB irons) implies that this type of early asteroidal melting was not rare. Whereas, eucrites and angrites represent extensive melting of a parent body with low concentrations of moderately-volatile elements, GRA represents low-degrees of melting of a parent body with chondritic abundances of moderately volatile elements. The interpretation of the low-temperature mineral assemblage is somewhat ambiguous. Textural features suggest multiple episodes of alteration. The earliest stage follows the interaction of magmatic assemblages with a Cl-rich fluid. The last episode of alteration appears to cross-cut the fusion crust and earlier stages of alteration. Stable isotopic measurements of the alteration can be interpreted as indicating that an extraterrestrial volatile component was preserved in GRA