The effect of surgical approach on the histology of the femoral head following resurfacing of the hip : analysis of retrieval specimens

Objectives: We aimed to determine the effect of surgical approach on the histology of the femoral head following resurfacing of the hip. Methods: We performed a histological assessment of the bone under the femoral component taken from retrieval specimens of patients having revision surgery following resurfacing of the hip. We compared the number of empty lacunae in specimens from patients who had originally had a posterior surgical approach with the number in patients having alternative surgical approaches. Results: We found a statistically significant increase in the percentage of empty lacunae in retrieval specimens from patients who had the posterior approach compared with other surgical approaches (p < 0.001). Conclusions: This indicates that the vascular compromise that occurs during the posterior surgical approach does have long-term effects on the bone of the femoral head, even if it does not cause overt avascular necrosis

Online activation of L1 Danish orthography enhances spoken word recognition of Swedish

It has been reported that speakers of Danish understand more Swedish than vice versa. One reason for this asymmetry might be that spoken Swedish is closer to written Danish than vice versa. We hypothesise that literate speakers of Danish use their orthographic knowledge of Danish to decode spoken Swedish. To test this hypothesis, first-language (L1) Danish speakers were confronted with spoken Swedish in a translation task. Event-related brain potentials (ERPs) were elicited to study the online brain responses during decoding operations. Results showed that ERPs to words whose Swedish pronunciation was inconsistent with the Danish spelling were significantly more negative-going than ERPs to words whose Swedish pronunciation was consistent with the Danish spelling between 750 ms and 900 ms after stimulus onset. Together with higher word-recognition scores for consistent items, our data provide strong evidence that online activation of L1 orthography enhances word recognition of spoken Swedish in literate speakers of Danish

Evolution from a nodeless gap to d(x2-y2) form in underdoped La(2-x)SrxCuO4

Using angle-resolved photoemission (ARPES), it is revealed that the low-energy electronic excitation spectra of highly underdoped superconducting and non-superconducting La(2-x)SrxCuO4 cuprates are gapped along the entire underlying Fermi surface at low temperatures. We show how the gap function evolves to a d(x2-y2) form as increasing temperature or doping, consistent with the vast majority of ARPES studies of cuprates. Our results provide essential information for uncovering the symmetry of the order parameter(s) in strongly underdoped cuprates, which is a prerequisite for understanding the pairing mechanism and how superconductivity emerges from a Mott insulator.Comment: 5 pages, 4 figure

A qualitative study of clinicians’ experience of a clinical trial for displaced distal radius fractures

Aims: The aim of this study was to explore clinicians’ experience of a paediatric randomized controlled trial (RCT) comparing surgical reduction with non-surgical casting for displaced distal radius fractures. Methods: Overall, 22 staff from 15 hospitals who participated in the RCT took part in an interview. Interviews were informed by phenomenology and analyzed using thematic analysis. Results: Analysis of the findings identified the overarching theme of “overcoming obstacles”, which described the challenge of alleviating staff concerns about the use of non-surgical casting and recruiting families where there was treatment uncertainty. In order to embed and recruit to the Children’s Radius Acute Fracture Fixation Trial (CRAFFT), staff needed to fit the study within clinical practice, work together, negotiate treatment decisions, and support families. Conclusion: Recruiting families to this RCT was challenging because staff were uncertain about longer-term patient outcomes, and the difficulties were exacerbated by interdisciplinary tensions. Strong family and clinician beliefs, coupled with the complex nature of emergency departments and patient pathways that differed site-by-site, served as barriers to recruitment. Cementing a strong research culture, and exploring families’ treatment preferences, helped to overcome recruitment obstacles

Mitigating adolescent social anxiety symptoms : the effects of social support and social self-efficacy in findings from the Young-HUNT 3 study

Adolescents’ exposure to negative life events (NLEs) and potentially traumatic events is highly prevalent and increases their risk of developing psychological disorders considerably. NLE exposure has also been linked to the development of social anxiety disorder (SAD) among older children and young adolescents. Despite the relatively low treatment efficacy reported for children and adolescents suffering from SAD, few studies have addressed the extent to which resilience factors, such as social support and social self-efficacy, are associated with SAD symptoms. This study examined whether social support and social self-efficacy predict, and buffer against SAD symptoms using a large, population-based sample of adolescents, among whom a large proportion have experienced NLEs. The results reveal that NLEs are significantly associated with SAD symptoms, while social support and social self-efficacy are both negatively associated with SAD symptoms. Only the NLEs × social support interaction significantly predicted SAD symptoms, with social support attenuating the association between NLEs and SAD symptoms. Moreover, increases in both social self-efficacy and social support were associated with reduced SAD symptoms, over and above variance explained by social support alone. Our cumulative results suggest that interventions that can modify both social support and social self-efficacy may help reduce SAD symptoms in at-risk adolescents.publishedVersionUnit Licence Agreemen