Ulnar-sided wrist pain. II. Clinical imaging and treatment

Pain at the ulnar aspect of the wrist is a diagnostic challenge for hand surgeons and radiologists due to the small and complex anatomical structures involved. In this article, imaging modalities including radiography, arthrography, ultrasound (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography are compared with regard to differential diagnosis. Clinical imaging findings are reviewed for a more comprehensive understanding of this disorder. Treatments for the common diseases that cause the ulnar-sided wrist pain including extensor carpi ulnaris (ECU) tendonitis, flexor carpi ulnaris (FCU) tendonitis, pisotriquetral arthritis, triangular fibrocartilage complex (TFCC) lesions, ulnar impaction, lunotriquetral (LT) instability, and distal radioulnar joint (DRUJ) instability are reviewed

Identifying cost-effective invasive species control to enhance endangered species populations in the Grand Canyon, USA

Recovering endangered species populations when confronted with the threat of invasive species is an ongoing natural resource management challenge. While eradication of the invasive species is often the optimal economic solution, it may not be a feasible nor desirable management action in other cases. For example, when invasive species are desired in one area, but disperse into areas managed for endangered species, managers may be interested in persistent, but cost-effective means of managing dispersers rather than eradicating the source. In the Colorado River, a nonnative rainbow trout (Oncorhynchus mykiss) sport fishery is desired within Glen Canyon National Recreation Area, however, dispersal downriver into the Grand Canyon National Park is not desired as rainbow trout negatively affect endangered humpback chub (Gila cypha). Here, we developed a bioeconomic model incorporating population abundance goals and cost-effectiveness analyses to approximate the optimal control strategies for invasive rainbow trout conditional on achieving endangered humpback chub adult population abundance goals. Model results indicated that the most cost-effective approach to achieve target adult humpback chub abundance was a high level of rainbow trout control over moderately high rainbow trout population abundance. Adult humpback chub abundance goals were achieved at relatively low rainbow trout abundance and control measures were not cost-effective at relatively high rainbow trout abundance. Our model considered population level dynamics, species interaction and economic costs in a multi-objective decision framework to provide a preferred solution to long-run management of invasive and native species

Identifying cost-effective invasive species control to enhance endangered species populations in the Grand Canyon, USA

Recovering endangered species populations when confronted with the threat of invasive species is an ongoing natural resource management challenge. While eradication of the invasive species is often the optimal economic solution, it may not be a feasible nor desirable management action in other cases. For example, when invasive species are desired in one area, but disperse into areas managed for endangered species, managers may be interested in persistent, but cost-effective means of managing dispersers rather than eradicating the source. In the Colorado River, a nonnative rainbow trout (Oncorhynchus mykiss) sport fishery is desired within Glen Canyon National Recreation Area, however, dispersal downriver into the Grand Canyon National Park is not desired as rainbow trout negatively affect endangered humpback chub (Gila cypha). Here, we developed a bioeconomic model incorporating population abundance goals and cost-effectiveness analyses to approximate the optimal control strategies for invasive rainbow trout conditional on achieving endangered humpback chub adult population abundance goals. Model results indicated that the most cost-effective approach to achieve target adult humpback chub abundance was a high level of rainbow trout control over moderately high rainbow trout population abundance. Adult humpback chub abundance goals were achieved at relatively low rainbow trout abundance and control measures were not cost-effective at relatively high rainbow trout abundance. Our model considered population level dynamics, species interaction and economic costs in a multi-objective decision framework to provide a preferred solution to long-run management of invasive and native species

An assessment of the likely acceptability of vaginal microbicides for HIV prevention among women in rural Ghana.

BACKGROUND: The findings of the CAPRISA tenofovir studies have raised expectations that soon an approved microbicide would be available. However it is in only a limited number of countries in sub-Saharan Africa that the acceptability of microbicides has been evaluated. We conducted a study to assess the acceptability of vaginal microbicides among women in rural Ghana. METHODS: The study employs a mixed method design, using cross-sectional survey and focus group discussions to further understand issues related to awareness and attitudes towards microbicide development, acceptability and perceived partner attitudes among pregnant women attending antenatal clinic in two health facilities in the Kintampo North municipality of Ghana. We used logistic regression to identify possible predictors of microbicide acceptability among the women surveyed. RESULTS: Although only 2% of the 504 women were aware of the development of microbicides, 95% were willing to use one when it became available. The cost of a microbicide that will be considered affordable to 50% of women was US$0.75. Although there were concerns about possible wetting effect, gel or creams were the most preferred (68% of women) formulation. Although 71% thought their partners will find microbicide acceptable, apprehensions about the feasibility of and consequences of failed discreet use were evident. 49% of women were concerned about possible negative effect of microbicide on sexual pleasure. Perceived partner acceptability (O.R. =17.7; 95%C.I. 5.03-62.5) and possibility of discreet use (O.R. =8.9 95%C.I. 2.63-30.13) were the important predictors of microbicide acceptability. CONCLUSION: Achieving microbicide acceptability among male partners should be made a part of the promotive interventions for ensuring effective use among women in rural Ghana