Operative Techniques for Cervical Radiculopathy and Myelopathy

The surgical treatment of cervical spondylosis and resulting cervical radiculopathy or myelopathy has evolved over the past century. Surgical options for dorsal decompression of the cervical spine includes the traditional laminectomy and laminoplasty, first described in Asia in the 1970's. More recently the dorsal approch has been explored in terms of minimally invasive options including foraminotomies for nerve root descompression. Ventral decompression and fusion techniques are also described in the article, including traditional anterior cervical discectomy and fusion, strut grafting and cervical disc arthroplasty. Overall, the outcome from surgery is determined by choosing the correct surgery for the correct patient and pathology and this is what we hope to explain in this brief review

Characterisation of dairy soiled water in a survey of 60 Irish dairy farms

peer-reviewedDairy farming in Ireland generates an effluent known as dairy soiled water (DSW), which consists of a relatively dilute mixture of cow faeces, urine, spilt milk and detergents that is typically applied to grassland. However, relatively little is known about the volumes generated, nutrient content and management factors that influence volume and concentration. Sixty dairy farms that had a separate storage tank for storing DSW were selected for this study. The spatial distribution of the farms reflected the spatial distribution of dairy cows across the 26 counties of the Republic of Ireland, with each farm representing between 10,000 and 20,000 dairy cows. Samples were analysed for biochemical oxygen demand (BOD), ammonium N (NH4-N), total nitrogen (TN), potassium (K), phosphorus (molybdate-reactive and total) (MRP and TP) and dry matter (DM) content. Management characteristics and parlour properties were quantified. Factors influencing volume and concentration of DSW were determined using mixed model multiple regression analysis. On average, 9784 l (standard error 209 l) of DSW, including rainfall, was produced cow−1 year−1 and this contained significant quantities of total N, P and K (587, 80 and 568 mg l−1, respectively). A typical Irish dairy farm stocked at 1.9 cows ha−1 could therefore supply approximately 13, 2 and 12 kg ha−1 of total N, P and K, respectively, across the farm, annually to meet some of the nutrient requirements for herbage production and potentially replace some of the synthetic fertilizer use. Seventy one percent of samples were within the regulated concentration limits of soiled water for BOD (<2500 mg l−1), rising to 87% during the closed period for slurry spreading (mid October to mid-late January), while 81% were within the concentration limits for DM (<1% DM), rising to 94% during the closed period. The efficiency of a milking parlour (cows per unit, time taken) plays a key role in determining the volume of DSW generated. This, in turn, also influences the concentration of nutrients and other chemicals. Large variability was found in nutrient concentrations and this presents a challenge for effective nutrient management to maximise the fertilizer replacement value of DSW

Controlling the uncontrolled: Are there incidental experimenter effects on physiologic responding?

The degree to which experimenters shape participant behavior has long been of interest in experimental social science research. Here, we extend this question to the domain of peripheral psychophysiology, where experimenters often have direct, physical contact with participants, yet researchers do not consistently test for their influence. We describe analytic tools for examining experimenter effects in peripheral physiology. Using these tools, we investigate nine data sets totaling 1,341 participants and 160 experimenters across different roles (e.g., lead research assistants, evaluators, confederates) to demonstrate how researchers can test for experimenter effects in participant autonomic nervous system activity during baseline recordings and reactivity to study tasks. Our results showed (a) little to no significant variance in participants' physiological reactivity due to their experimenters, and (b) little to no evidence that three characteristics of experimenters that are well known to shape interpersonal interactions-status (using five studies with 682 total participants), gender (using two studies with 359 total participants), and race (in two studies with 554 total participants)-influenced participants' physiology. We highlight several reasons that experimenter effects in physiological data are still cause for concern, including the fact that experimenters in these studies were already restricted on a number of characteristics (e.g., age, education). We present recommendations for examining and reducing experimenter effects in physiological data and discuss implications for replication

Mitral Annular and Coronary Artery Calcification Are Associated with Mortality in HIV-Infected Individuals.

BackgroundHIV infection increases cardiovascular risk. Coronary artery calcification (CAC) and mitral annular calcification (MAC) identify patients at risk for cardiovascular disease (CVD). The purpose of this study was to examine the association between MAC, CAC and mortality in HIV-infected individuals.Methods and resultsWe studied 152 asymptomatic HIV-infected individuals with transthoracic echocardiography (TTE) and computed tomography (CT). MAC was identified on TTE using standardized criteria. Presence of CAC, CAC score and CAC percentiles were determined using the modified Agatston criteria. Mortality data was obtained from the Social Security and National Death Indices (SSDI/NDI). The median age was 49 years; 87% were male. The median duration of HIV was 16 years; 84% took antiretroviral therapy; 64% had an undetectable viral load. CVD risk factors included hypertension (35%), smoking (62%) and dyslipidemia (35%). Twenty-five percent of individuals had MAC, and 42% had CAC. Over a median follow-up of 8 years, 11 subjects died. Subjects with CAC had significantly higher mortality compared to those with MAC only or no MAC. The Harrell's C-statistic of CAC was 0.66 and increased to 0.75 when MAC was added (p = 0.05). MAC, prior CVD, age and HIV viral load were independently associated with higher age- and gender-adjusted CAC percentiles in an adjusted model (p &lt; 0.05 for all).ConclusionIn HIV patients, the presence of MAC, traditional risk factors and HIV viral load were independently associated with CAC. Presence of CAC and MAC may be useful in identifying HIV-infected individuals at higher risk for death

Understanding how institutions may support the development of transdisciplinary approaches to sustainability research

This article analyses the approaches of academics seeking to engage with private, public and community-based stakeholders through transdisciplinary research about pressing sustainability challenges and, in particular, climate change; it outlines aspects of the institutional factors which influence transdisciplinary research. A qualitative approach was employed in conducting 10 semi-structured interviews to analyse the challenges and motivations of academic researchers when working with a range of other stakeholders through transdisciplinary practice. Two key contributions are made through this work. First, this article adds to the existing literature on motivations and challenges for undertaking research with private, public and community stakeholders in a cross-disciplinary manner. Second, the current institutional circumstances influencing such research practices are outlined, alongside potential ways forward. The research presented here has been undertaken in light of the experiences of the two lead co-authors as early career researchers coming from the disciplines of sociology and energy engineering, engaging in transdisciplinary research within a local community context in relation to a regional energy transition project

SEASONALITY OF BIRD STRIKES: TOWARDS A BEHAVIOURAL EXPLANATION

It is well known that, at least in the Northern Hemisphere, there is a strong seasonal element in the annual pattern of bird strikes. This study undertakes a statistical analysis of an 11year data set collected at Dublin Airport, Ireland. It attempts to identify statistically significant trends in the seasonal trajectories of bird strikes, both in general and in respect of individual species and in comparison with seasonal trends in the abundance of birds generally and at Dublin Airport in particular. Hypotheses relating to the idea of “open” (i.e. intervals of through-put of naïve and young birds) and “closed” (i.e. intervals when throughput is declining or at a minimum) periods are tested. The results are discussed in the context of the probable ability of birds to learn to avoid aircraft. If birds possess a spatio-temporal memory then it is likely that this ability, or the lack of it, may explain some of the observed trends in the seasonal distribution of bird strikes

USING BIRD STRIKE DATA TO MONITOR BIRD-HAZARD CONTROL

An effective definition of a bird strike is the basis for quantifying the scale of bird hazard problems. Here we present a working definition of a bird strike, which in turn forms the basis of an analysis of 32 years’ data collected at Dublin Airport, Ireland. A variety of datasets are analysed including the number of bird strikes per ten thousand aircraft movements, the mass of the bird species being struck, the time of year at which bird strikes occur and the dimensions of the aircraft utilising the airfield. In addition, we have analysed the mean number of strikes per year and the mean number of birds struck per bird strike. Following a very serious incident involving a Boeing 737-200 which struck a flock of gulls in the mid -1980’s, a new regime of control measures was put in place. Therefore our study permits us to evaluate the effectiveness of this management programme. The results suggest that the most significant impact of control measures is to reduce the number of birds being struck per bird strike