Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients.

<p>Abstract</p> <p>Background</p> <p>The aims of this study were to evaluate the construct validity (known group), concurrent validity (criterion based) and test-retest (intra-rater) reliability of manual goniometers to measure passive hip range of motion (ROM) in femoroacetabular impingement patients and healthy controls.</p> <p>Methods</p> <p>Passive hip flexion, abduction, adduction, internal and external rotation ROMs were simultaneously measured with a conventional goniometer and an electromagnetic tracking system (ETS) on two different testing sessions. A total of 15 patients and 15 sex- and age-matched healthy controls participated in the study.</p> <p>Results</p> <p>The goniometer provided greater hip ROM values compared to the ETS (range 2.0-18.9 degrees; <it>P </it>< 0.001); good concurrent validity was only achieved for hip abduction and internal rotation, with intraclass correlation coefficients (ICC) of 0.94 and 0.88, respectively. Both devices detected lower hip abduction ROM in patients compared to controls (<it>P </it>< 0.01). Test-retest reliability was good with ICCs higher 0.90, except for hip adduction (0.82-0.84). Reliability estimates did not differ between the goniometer and the ETS.</p> <p>Conclusions</p> <p>The present study suggests that goniometer-based assessments considerably overestimate hip joint ROM by measuring intersegmental angles (e.g., thigh flexion on trunk for hip flexion) rather than true hip ROM. It is likely that uncontrolled pelvic rotation and tilt due to difficulties in placing the goniometer properly and in performing the anatomically correct ROM contribute to the overrating of the arc of these motions. Nevertheless, conventional manual goniometers can be used with confidence for longitudinal assessments in the clinic.</p

Old lineage on an old island : Pixibinthus, a new cricket genus endemic to New Caledonia shed light on gryllid diversification in a hotspot of biodiversity

Few studies have focused on the early colonization of New Caledonia by insects, after the re-emergence of the main island, 37 Myr ago. Here we investigate the mode and tempo of evolution of a new endemic cricket genus, Pixibinthus, recently discovered in southern New Caledonia. First we formally describe this new monotypic genus found exclusively in the open shrubby vegetation on metalliferous soils, named 'maquis minier', unique to New Caledonia. We then reconstruct a dated molecular phylogeny based on five mitochondrial and four nuclear loci in order to establish relationships of Pixibinthus within Eneopterinae crickets. Pixibinthus is recovered as thesister clade of the endemic genus Agnotecous, mostly rainforest-dwellers. Dating results show that the island colonization by their common ancestor occurred around 34.7 Myr, shortly after New Caledonia re-emergence. Pixibinthus and Agnotecous are then one of the oldest insect lineages documented so far for New Caledonia. This discovery highlights for the first time two clear-cut ecological specializations between sister clades, as Agnotecous is mainly found in rainforests with 19 species, whereas Pixibinthus is found in open habitats with a single documented species. The preference of Pixibinthus for open habitats and of Agnotecous for forest habitats nicely fits an acoustic specialization, either explained by differences in body size or in acoustic properties of their respective habitats. We hypothesize that landscape dynamics, linked to major past climatic events and recent change in fire regimes are possible causes for both present-day low diversity and rarity in genus Pixibinthus. The unique evolutionary history of this old New Caledonian lineage stresses the importance to increase our knowledge on the faunal biodiversity of 'maquis minier', in order to better understand the origin and past dynamics of New Caledonian biota

Infliximab: 12 years of experience

Rheumatoid arthritis (RA), ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are immune-mediated conditions that share an inflammatory mechanism fuelled by excessive cytokines, particularly TNF. Control of inflammation and rapid suppression of cytokines are important in treating these diseases. With this understanding and the corresponding advent of TNF inhibitors, RA patients, AS patients and PsA patients have found more choices than ever before and have greater hope of sustained relief. As a widely used TNF inhibitor, infliximab has a deep and established record of efficacy and safety data. Extensive evidence - from randomised controlled clinical trials, large registries and postmarketing surveillance studies - shows that infliximab effectively treats the signs and symptoms, provides rapid and prolonged suppression of inflammation, prevents radiologically observable disease progression and offers an acceptable safety profile in RA, AS and PsA. In very recent studies, investigators have observed drug-free remission in some patients. Additionally, infliximab may interfere with rapidly progressing disease in RA by early addition to methotrexate in patients with signs of an aggressive course. Finally, infliximab has been shown to reduce PsA clinical manifestations such as nail involvement. With our current understanding, substantial data and increasing confidence regarding use in practice, infliximab can be considered a well-known drug in our continued campaign against inflammatory rheumatic diseases

Optimal sound absorbing and manufacturable two-dimensional, hexagonal-like porous structure

International audienceResults from a numerical study examining micro-macro relations linking local geometry parameters to sound absorption properties are presented. For an hexagonal structure of solid fibers, the porosity Ф, the thermal characteristic length Λ', the static viscous permeability k0, the tortuosity α∞, the viscous characteristic length Λ, and the sound absorption coefficient are computed. Numerical solutions of the steady Stokes and electrical equations are employed to provide k0, α∞, and Λ. Hybrid estimates based on direct numerical evaluation of Ф, Λ', k0, α∞, Λ and the analytical model derived by Johnson, Allard, and Champoux are used to relate varying (i) throat size, (ii) pore size, and (iii) fibers cross-section shapes to the sound absorption spectrum. The result of this paper tends to demonstrate the important effect of throat size in the sound absorption level, cell size in the sound absorption frequency selectivity, fibers cross-section shape in the porous material weight reduction. In a hexagonal porous structure with solid fibers, the sound absorption level will tend to be maximized with a 48 ± 10μm throat size corresponding to an intermediate resistivity, a 13 ± 8 μm fiber radius associated with relatively small inter-fiber distances, and convex triangular cross-section shape fibers allowing weight reduction

Dynamic viscous permeability of an open-cell aluminum foam: Computations versus experiments

Copyright 2008 American Institute of Physics. This article may be downloaded for personal use only. Any other use requires prior permission of the author and the American Institute of Physics.International audienceIs it possible to find a two-dimensional (2D) periodic unit cell representative of the dynamic viscous dissipation properties of a real porous media? This is a challenging question addressed in this paper through a review of tools and methods of experimental and computational micro(poro)mechanics. The combination of advanced experimental imaging and numerical homogenization techniques provides a unique opportunity to understand and assess the limits of two-dimensional models of microstructures, as a potential basis for the engineering prediction of macroscopic properties of acoustical materials. This is illustrated for a real sample of open-cell aluminum foam. The conclusion, based on this analysis, is that the 2D periodic foam model geometry provides a reliable estimate of the dynamic permeability, except in the low frequency range. This is not surprising because in the 2D periodic foam model geometry, ligaments are always perpendicular to the flow direction, thus decreasing artificially the static permeability of the viscous flow

An overview of microstructural approaches for modelling and improving sound proofing properties of cellular foams: Developments and prospects

International audienceSignificant advances have been made over the last 15 years in the field of modelling the acoustic properties of foams from the description of their microstructures. It entails a multidisciplinary work at the junction between physico-chemistry and mechanics of porous media, which involves a dialogue between different disciplines and requires the joint development of several techniques (imaging, upscaling, numerical computations, and experimental identification). It seems to be of timely interest to take stock of the methodological developments that have provided guidance on how to manufacture the new generation of foams with enhanced properties and to identify possible future methodological developments

Le Bras (Hervé), Morgane Labbé — La planète au village. Migration et peuplement en France

Blum Alain. Le Bras (Hervé), Morgane Labbé — La planète au village. Migration et peuplement en France. In: Population, 49ᵉ année, n°1, 1994. pp. 268-270

Bottom-up approach for microstructure optimization of sound absorbing materials

Copyright 2008 Acoustical Society of America. This article may be downloaded for personal use only. Any other use requires prior permission of the author and the Acoustical Society of America.International audienceResults from a numerical study examining micro-/macrorelations linking local geometry parameters to sound absorption properties are presented. For a hexagonal structure of solid fibers, the porosity ϕ, the thermal characteristic length Λ′, the static viscous permeability k0, the tortuosity α∞, the viscous characteristic length Λ, and the sound absorption coefficient are computed. Numerical solutions of the steady Stokes and electrical equations are employed to provide k0, α∞, and Λ. Hybrid estimates based on direct numerical evaluation of ϕ, Λ′, k0, α∞, Λ, and the analytical model derived by Johnson, Allard, and Champoux are used to relate varying (i) throat size, (ii) pore size, and (iii) fibers' cross-section shapes to the sound absorption spectrum. The result of this paper tends to demonstrate the important effect of throat size in the sound absorption level, cell size in the sound absorption frequency selectivity, and fibers' cross-section shape in the porous material weight reduction. In a hexagonal porous structure with solid fibers, the sound absorption level will tend to be maximized with a 48±10 μm throat size corresponding to an intermediate resistivity, a 13±8 μm fiber radius associated with relatively small interfiber distances, and convex triangular cross-section shape fibers allowing weight reduction