Stress Fractures of the Elbow in the Throwing Athlete: A Systematic Review.

Background: Stress fractures of the elbow are rare in throwing athletes and present a challenge from both a management and rehabilitation perspective. Although the incidence of stress fractures of the elbow is increasing, there is a lack of data in the literature focused on throwers. Purpose: To evaluate studies regarding the management and outcomes of stress fractures of the elbow in throwing athletes. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was conducted by searching the Scopus, PubMed, and Cochrane Library electronic databases to identify studies reporting on the management and outcomes of stress fractures in overhead-throwing athletes. Management data included nonoperative and operative modalities, and outcome data included return to play, encompassing the timing and level of activity. Studies were excluded if the stress fracture of the elbow was not a result of a sport injury attributed to throwing or if the study failed to report whether an athlete returned to play. Results: Fourteen studies met the inclusion criteria and were included in this analysis. There were 52 patients in total (50 male, 2 female) with a mean age of 19.7 years (range, 13-29.1 years). The olecranon was the most common location of the stress fracture (51 patients; 98.1%), followed by the distal humerus (1 patient; 1.9%). The majority of patients (n = 40; 76.9%) were treated operatively. Of the 40 patients who were treated surgically, 14 (35.0%) underwent a period of conservative treatment preoperatively that ultimately failed because of persistent nonunion or continued elbow pain. A total of 50 patients (96.2%) returned to sport either at or above their preinjury level. Of the 2 patients (3.8%) who did not return to sport, 1 did not return because of continued elbow pain postoperatively, and the other was lost to follow-up. Complications occurred in 9 patients (17.3%), all of whom were treated surgically. Conclusion: On the basis of this systematic review, the majority of elbow stress fractures were treated operatively and approximately one-third after a period of failed nonoperative management. The return-to-sport rate was high. Further, higher level studies are needed to optimize management and return-to-sport rates in this population

Polymer Maximum Drag Reduction: A Unique Transitional State

The upper bound of polymer drag reduction is identified as a unique transitional state between laminar and turbulent flow corresponding to the onset of the nonlinear breakdown of flow instabilities

On-board processing for future satellite communications systems: Satellite-Routed FDMA

A frequency division multiple access (FDMA) 30/20 GHz satellite communications architecture without on-board baseband processing is investigated. Conceptual system designs are suggested for domestic traffic models totaling 4 Gb/s of customer premises service (CPS) traffic and 6 Gb/s of trunking traffic. Emphasis is given to the CPS portion of the system which includes thousands of earth terminals with digital traffic ranging from a single 64 kb/s voice channel to hundreds of channels of voice, data, and video with an aggregate data rate of 33 Mb/s. A unique regional design concept that effectively smooths the non-uniform traffic distribution and greatly simplifies the satellite design is employed. The satellite antenna system forms thirty-two 0.33 deg beam on both the uplinks and the downlinks in one design. In another design matched to a traffic model with more dispersed users, there are twenty-four 0.33 deg beams and twenty-one 0.7 deg beams. Detailed system design techniques show that a single satellite producing approximately 5 kW of dc power is capable of handling at least 75% of the postulated traffic. A detailed cost model of the ground segment and estimated system costs based on current information from manufacturers are presented

Dark-Matter Decays and Self-Gravitating Halos

We consider models in which a dark-matter particle decays to a slightly less massive daughter particle and a noninteracting massless particle. The decay gives the daughter particle a small velocity kick. Self-gravitating dark-matter halos that have a virial velocity smaller than this velocity kick may be disrupted by these particle decays, while those with larger virial velocities will be heated. We use numerical simulations to follow the detailed evolution of the total mass and density profile of self-gravitating systems composed of particles that undergo such velocity kicks as a function of the kick speed (relative to the virial velocity) and the decay time (relative to the dynamical time). We show how these decays will affect the halo mass-concentration relation and mass function. Using measurements of the halo mass-concentration relation and galaxy-cluster mass function to constrain the lifetime--kick-velocity parameter space for decaying dark matter, we find roughly that the observations rule out the combination of kick velocities greater than 100 km/s and decay times less than a few times the age of the Universe.Comment: 17 pages, 10 figures, replaced with published versio

Microlensing of the Lensed Quasar SDSS0924+0219

We analyze V, I and H band HST images and two seasons of R-band monitoring data for the gravitationally lensed quasar SDSS0924+0219. We clearly see that image D is a point-source image of the quasar at the center of its host galaxy. We can easily track the host galaxy of the quasar close to image D because microlensing has provided a natural coronograph that suppresses the flux of the quasar image by roughly an order of magnitude. We observe low amplitude, uncorrelated variability between the four quasar images due to microlensing, but no correlated variations that could be used to measure a time delay. Monte Carlo models of the microlensing variability provide estimates of the mean stellar mass in the lens galaxy (0.02 Msun < M < 1.0 Msun), the accretion disk size (the disk temperature is 5 x 10^4 K at 3.0 x 10^14 cm < rs < 1.4 x 10^15 cm), and the black hole mass (2.0 x 10^7 Msun < MBH \eta_{0.1}^{-1/2} (L/LE)^{1/2} < 3.3 x 10^8 Msun), all at 68% confidence. The black hole mass estimate based on microlensing is consistent with an estimate of MBH = 7.3 +- 2.4 x 10^7 Msun from the MgII emission line width. If we extrapolate the best-fitting light curve models into the future, we expect the the flux of images A and B to remain relatively stable and images C and D to brighten. In particular, we estimate that image D has a roughly 12% probability of brightening by a factor of two during the next year and a 45% probability of brightening by an order of magnitude over the next decade.Comment: v.2 incorporates referee's comments and corrects two errors in the original manuscript. 28 pages, 10 figures, published in Ap

Insulin expressing hepatocytes not destroyed in transgenic NOD mice

BACKGROUND: The liver has been suggested as a suitable target organ for gene therapy of Type 1 diabetes. However, the fundamental issue whether insulin-secreting hepatocytes in vivo will be destroyed by the autoimmune processes that kill pancreatic β cells has not been fully addressed. It is possible that the insulin secreting liver cells will be destroyed by the immune system because hepatocytes express major histocompatibility complex (MHC) class I molecules and exhibit constitutive Fas expression; moreover the liver has antigen presenting activity. Together with previous reports that proinsulin is a possible autoantigen in the development of Type 1 diabetes, the autoimmune destruction of insulin producing liver cells is a distinct possibility. METHODS: To address this question, transgenic Non-Obese Diabetic (NOD) mice which express insulin in the liver were made using the Phosphoenolpyruvate Carboxykinase (PEPCK) promoter to drive the mouse insulin I gene (Ins). RESULTS: The liver cells were found to possess preproinsulin mRNA, translate (pro)insulin in vivo and release it when exposed to 100 nmol/l glucagon in vitro. The amount of insulin produced was however significantly lower than that produced by the pancreas. The transgenic PEPCK-Ins NOD mice became diabetic at 20–25 weeks of age, with blood glucose levels of 24.1 ± 1.7 mmol/l. Haematoxylin and eosin staining of liver sections from these transgenic NOD PEPCK-Ins mice revealed the absence of an infiltrate of immune cells, a feature that characterised the pancreatic islets of these mice. CONCLUSIONS: These data show that hepatocytes induced to produce (pro)insulin in NOD mice are not destroyed by an ongoing autoimmune response; furthermore the expression of (pro)insulin in hepatocytes is insufficient to prevent development of diabetes in NOD mice. These results support the use of liver cells as a potential therapy for type 1 diabetes. However it is possible that a certain threshold level of (pro)insulin production might have to be reached to trigger the autoimmune response

Global fits of simplified models for dark matter with GAMBIT – II. Vector dark matter with an s-channel vector mediator

Global fits explore different parameter regions of a given model and apply constraints obtained at many energy scales. This makes it challenging to perform global fits of simplified models, which may not be valid at high energies. In this study, we derive a unitarity bound for a simplified vector dark matter model with an s-channel vector mediator and apply it to global fits of this model with GAMBIT in order to correctly interpret missing energy searches at the LHC. Two parameter space regions emerge as consistent with all experimental constraints, corresponding to different annihilation modes of the dark matter. We show that although these models are subject to strong validity constraints, they are currently most strongly constrained by measurements less sensitive to the high-energy behaviour of the theory. Understanding when these models cannot be consistently studied will become increasingly relevant as they are applied to LHC Run 3 data