Ankle fracture surgery on a pregnant patient complicated by intraoperative emergency caesarian section.

We report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor was used to assess fetal health during the procedure. During surgical incision, the fetus went into distress, and an emergency caesarian section was performed. After delivery of the infant and abdominal closer, surgery was completed. Due to a cohesive team effort, both the patient and her infant had excellent outcomes. There are many important considerations in the surgical management of the pregnant patient with traumatic orthopaedic injuries. Of especial importance to the orthopaedic surgeon is the impact of patient positioning on uteroplacental blood flow. This report discusses factors that should be taken into account by any orthopaedist who plans to operate on a pregnant patient

Intersession reliability of population receptive field estimates

Population receptive field (pRF) analysis is a popular method to infer spatial selectivity of voxels in visual cortex. However, it remains largely untested how stable pRF estimates are over time. Here we measured the intersession reliability of pRF parameter estimates for the central visual field and near periphery, using a combined wedge and ring stimulus containing natural images. Sixteen healthy human participants completed two scanning sessions separated by 10–114 days. Individual participants showed very similar visual field maps for V1-V4 on both sessions. Intersession reliability for eccentricity and polar angle estimates was close to ceiling for most visual field maps (r>.8 for V1-3). PRF size and cortical magnification (CMF) estimates showed strong but lower overall intersession reliability (r≈.4–.6). Group level results for pRF size and CMF were highly similar between sessions. Additional control experiments confirmed that reliability does not depend on the carrier stimulus used and that reliability for pRF size and CMF is high for sessions acquired on the same day (r>.6). Our results demonstrate that pRF mapping is highly reliable across sessions

Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section

We report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor was used to assess fetal health during the procedure. During surgical incision, the fetus went into distress, and an emergency caesarian section was performed. After delivery of the infant and abdominal closer, surgery was completed. Due to a cohesive team effort, both the patient and her infant had excellent outcomes. There are many important considerations in the surgical management of the pregnant patient with traumatic orthopaedic injuries. Of especial importance to the orthopaedic surgeon is the impact of patient positioning on uteroplacental blood flow. This report discusses factors that should be taken into account by any orthopaedist who plans to operate on a pregnant patient

Characteristics and robustness of Agulhas leakage estimates: an inter-comparison study of Lagrangian methods

The inflow of relatively warm and salty water from the Indian Ocean into the South Atlantic via Agulhas leakage is important for the global overturning circulation and the global climate. In this study, we analyse the robustness of Agulhas leakage estimates as well as the thermohaline property modifications of Agulhas leakage south of Africa. Lagrangian experiments with both the newly developed tool Parcels and the well established tool Ariane were performed to simulate Agulhas leakage in the eddy-rich ocean–sea-ice model INALT20 (1/20∘ horizontal resolution) forced by the JRA55-do atmospheric boundary conditions. The average transport, its variability, trend and the transit time from the Agulhas Current to the Cape Basin of Agulhas leakage is simulated comparably with both Lagrangian tools, emphasizing the robustness of our method. Different designs of the Lagrangian experiment alter in particular the total transport of Agulhas leakage by up to 2 Sv, but the variability and trend of the transport are similar across these estimates. During the transit from the Agulhas Current at 32∘ S to the Cape Basin, a cooling and freshening of Agulhas leakage waters occurs especially at the location of the Agulhas Retroflection, resulting in a density increase as the thermal effect dominates. Beyond the strong air–sea exchange around South Africa, Agulhas leakage warms and salinifies the water masses below the thermocline in the South Atlantic

Criticality and Condensation in a Non-Conserving Zero Range Process

The Zero-Range Process, in which particles hop between sites on a lattice under conserving dynamics, is a prototypical model for studying real-space condensation. Within this model the system is critical only at the transition point. Here we consider a non-conserving Zero-Range Process which is shown to exhibit generic critical phases which exist in a range of creation and annihilation parameters. The model also exhibits phases characterised by mesocondensates each of which contains a subextensive number of particles. A detailed phase diagram, delineating the various phases, is derived.Comment: 15 pages, 4 figure, published versi

Zero-range processes with saturated condensation: the steady state and dynamics

We study a class of zero-range processes in which the real-space condensation phenomenon does not occur and is replaced by a saturated condensation: that is, an extensive number of finite-size "condensates" in the steady state. We determine the conditions under which this occurs, and investigate the dynamics of relaxation to the steady state. We identify two stages: a rapid initial growth of condensates followed by a slow process of activated evaporation and condensation. We analyze these nonequilibrium dynamics with a combination of meanfield approximations, first-passage time calculations and a fluctuation-dissipation type approach.Comment: 21 pages, 12 figure

Cortical idiosyncrasies predict the perception of object size

Perception is subjective. Even basic judgments, like those of visual object size, vary substantially between observers and also across the visual field within the same observer. The way in which the visual system determines the size of objects remains unclear, however. We hypothesize that object size is inferred from neuronal population activity in V1 and predict that idiosyncrasies in cortical functional architecture should therefore explain individual differences in size judgments. Here we show results from novel behavioural methods and functional magnetic resonance imaging (fMRI) demonstrating that biases in size perception are correlated with the spatial tuning of neuronal populations in healthy volunteers. To explain this relationship, we formulate a population read-out model that directly links the spatial distribution of V1 representations to our perceptual experience of visual size. Taken together, our results suggest that the individual perception of simple stimuli is warped by idiosyncrasies in visual cortical organization

Visual working memory performance in aphantasia

Aphantasia, i.e., the congenital inability to experience voluntary mental imagery, offers a new model for studying the functional role of mental imagery in (visual) cognition. However, until now, there have been no studies investigating whether aphantasia can be linked to specific impairments in cognitive functioning. Here, we assess visual working memory performance in an aphantasic individual. We find that she performs significantly worse than controls on the most difficult (i.e., requiring the highest degree of precision) visual working memory trials. Surprisingly, her performance on a task designed to involve mental imagery did not differ from controls', although she lacked metacognitive insight into her performance. Together, these results indicate that although a lack of mental imagery can be compensated for under some conditions, mental imagery has a functional role in other areas of visual cognition, one of which is high-precision working memory

Forming Young Bulges within Existing Disks: Statistical Evidence for External Drivers

Contrary to traditional models of galaxy formation, recent observations suggest that some bulges form within preexisting disk galaxies. Such late-epoch bulge formation within disks seems to be linked to disk gas inflow and central star formation, caused by either internal secular processes or galaxy mergers and interactions. We identify a population of galaxies likely to be experiencing active bulge growth within disks, using the criterion that the color within the half-light radius is bluer than the outer disk color. Such blue-centered galaxies make up >10% of star-forming disk galaxies within the Nearby Field Galaxy Survey, a broad survey designed to represent the natural diversity of the low-z galaxy population over a wide range of luminosities and environments. Blue-centered galaxies correlate at 99% confidence with morphological peculiarities suggestive of minor mergers and interactions. From this and other evidence, we argue that external drivers rather than internal secular processes probably account for the majority of blue-centered galaxies. We go on to discuss quantitative plausibility arguments indicating that blue-centered evolutionary phases may represent an important mode of bulge growth for most disk galaxies, leading to significant changes in bulge-to-disk ratio without destroying disks. If this view is correct, bulge growth within disks may be a natural consequence of the repeated galaxy mergers and interactions inherent in hierarchical galaxy formation.Comment: 18 pages including 12 figures, AJ, accepte

Text-based vs. graphical information formats in sepsis prevention and early detection: A randomized controlled trial on informed choice

Sepsis is associated with 11 million global deaths annually. Although serious consequences of sepsis can generally be avoided with prevention and early detection, research has not yet addressed the efficacy of evidence-based health information formats for different risk groups. This study examines whether two evidence-based health information formats—text based and graphical—differ in how well they foster informed choice and risk and health literacy and in how well they support different sepsis risk groups. Based on a systematic literature review, two one-page educative formats on sepsis prevention and early detection were designed—one text based and one graphical. A sample of 500 German participants was randomly shown one of the two formats; they were then assessed on whether they made informed choices and on their risk and health literacy. For both formats, >70% of participants made informed choices for sepsis prevention and >75% for early detection. Compared with the graphical format, the text-based format was associated with higher degrees of informed choice (p = 0.012, OR = 1.818) and risk and health literacy (p = 0.032, OR = 1.710). Both formats can foster informed choices and risk and health literacy on sepsis prevention and early detection, but the text-based format appears to be more effective