How reliable is MRI in diagnosing cartilaginous lesions in patients with first and recurrent lateral patellar dislocations?

<p>Abstract</p> <p>Background</p> <p>Lateral dislocation of the patella (LPD) leads to cartilaginous injuries, which have been reported to be associated with retropatellar complaints and the development of patellofemoral osteoarthritis. Therefore, the purpose of this study was to determine the reliability of MRI for cartilage diagnostics after a first and recurrent LPD.</p> <p>Methods</p> <p>After an average of 4.7 days following an acute LPD, 40 patients (21 with first LPDs and 19 with recurrent LPDs) underwent standardized 1.5 Tesla MRI (sagittal T1-TSE, coronal STIR-TSE, transversal fat-suppressed PD-TSE, sagittal fat-suppressed PD-TSE). MRI grading was compared to arthroscopic assessment of the cartilage.</p> <p>Results</p> <p>Sensitivities and positive predictive values for grade 3 and 4 lesions were markedly higher in the patient group with first LPDs compared to the group with recurrent LPDs. Similarly, intra- and inter-observer agreement yielded higher kappa values in patients with first LPDs compared to those with recurrent LPDs. All grade 4 lesions affecting the subchondral bone (osteochondral defects), such as a fissuring or erosion, were correctly assessed on MRI.</p> <p>Conclusions</p> <p>This study demonstrated a comparatively good diagnostic performance for MRI in the evaluation of first and recurrent LPDs, and we therefore recommend MRI for the cartilage assessment after a LPD.</p

Environment and Time as Constraints on the Biogeographical Distribution of Gibbons

We develop a time budget model for the hylobatid family with the aim of assessing the extent to which their contemporary and historical biogeographic distributions might be explained by ecological constraints. The model uses local climate to predict time budgets, and from this the limiting size of social group that animals could manage at a given location. The model predicts maximum group sizes that vary between 3-15 within the taxon’s current distribution, indicating that the combination of their dietary and locomotor styles with the kinds of habitats they inhabit radically constrain group size. Beyond the edges of their current distribution, sustainable group size rapidly tends to zero, although if they had been able to bypass some of these areas, they would have found very suitable habitats in southern India and beyond the Wallace Line. While travel time would be a major constraint on group size at larger group sizes, as it is in great apes, the main factor limiting the gibbon’s current distribution is the time they need to spend resting that is imposed on them by the environment. The model also indicates that gibbons would not now be able to survive in regions of central and southeastern China where they are known to have occurred within historical times, perhaps because historical climate change following the Little Ice Age of the C18th made these regions uninhabitable for them. Finally, our results indicate that gibbons have the ecological capacity to live in larger groups than they do, making it unlikely that their adoption of monogamy reflects purely ecological constraints

Arthroscopy vs. MRI for a detailed assessment of cartilage disease in osteoarthritis: diagnostic value of MRI in clinical practice

<p>Abstract</p> <p>Background</p> <p>In patients with osteoarthritis, a detailed assessment of degenerative cartilage disease is important to recommend adequate treatment. Using a representative sample of patients, this study investigated whether MRI is reliable for a detailed cartilage assessment in patients with osteoarthritis of the knee.</p> <p>Methods</p> <p>In a cross sectional-study as a part of a retrospective case-control study, 36 patients (mean age 53.1 years) with clinically relevant osteoarthritis received standardized MRI (sag. T1-TSE, cor. STIR-TSE, trans. fat-suppressed PD-TSE, sag. fat-suppressed PD-TSE, Siemens Magnetom Avanto syngo MR B 15) on a 1.5 Tesla unit. Within a maximum of three months later, arthroscopic grading of the articular surfaces was performed. MRI grading by two blinded observers was compared to arthroscopic findings. Diagnostic values as well as intra- and inter-observer values were assessed.</p> <p>Results</p> <p>Inter-observer agreement between readers 1 and 2 was good (kappa = 0.65) within all compartments. Intra-observer agreement comparing MRI grading to arthroscopic grading showed moderate to good values for readers 1 and 2 (kappa = 0.50 and 0.62, respectively), the poorest being within the patellofemoral joint (kappa = 0.32 and 0.52). Sensitivities were relatively low at all grades, particularly for grade 3 cartilage lesions. A tendency to underestimate cartilage disorders on MR images was not noticed.</p> <p>Conclusions</p> <p>According to our results, the use of MRI for precise grading of the cartilage in osteoarthritis is limited. Even if the practical benefit of MRI in pretreatment diagnostics is unequivocal, a diagnostic arthroscopy is of outstanding value when a grading of the cartilage is crucial for a definitive decision regarding therapeutic options in patients with osteoarthritis.</p

JADES Initial Data Release for the Hubble Ultra Deep Field: Revealing the Faint Infrared Sky with Deep JWST NIRCam Imaging

JWST has revolutionized the field of extragalactic astronomy with its sensitive and high-resolution infrared view of the distant universe. Adding to the new legacy of JWST observations, we present the first NIRCam imaging data release from the JWST Advanced Deep Extragalactic Survey (JADES) providing 9 filters of infrared imaging of $\sim$25 arcmin$^2$ covering the Hubble Ultra Deep Field and portions of Great Observatories Origins Deep Survey (GOODS) South. Utilizing 87 on-sky dual-filter hours of exposure time, these images reveal the deepest ever near-infrared view of this iconic field. We supply carefully constructed 9-band mosaics of the JADES bands, as well as matching reductions of 5 additional bands from the JWST Extragalactic Medium-band Survey (JEMS). Combining with existing HST imaging, we provide 23-band space-based photometric catalogs and photometric redshifts for $\approx47,500$ sources. To promote broad engagement with the JADES survey, we have created an interactive {\tt FitsMap} website to provide an interface for professional researchers and the public to experience these JWST datasets. Combined with the first JADES NIRSpec data release, these public JADES imaging and spectroscopic datasets provide a new foundation for discoveries of the infrared universe by the worldwide scientific community.Comment: Several figures were modified to use better line styles. A brief comparison to IRAC Channel 1 photometry was added along with a few other clarifications. Paper has been accepted for publication in ApJ

[Proceedings of the symposium 'Molluscan Palaeontology' : 11th International Malacological Congress, Siena (Italy) 30th August - 5th September 1992 / A.W. Janssen and R. Janssen (editors)]: Trace fossils on molluscs from the Molluscan Clay (Late Oligocene, Egerian) — a comparison between two localities (Wind Brickyard, Eger, and Nyárjas Hill, Novaj, NE Hungary)

Trace fossils, found on shells of gastropods, bivalves and scaphopods from Molluscan Clay exposures (Oligocene, Egerian) at Eger (Wind brickyard) and Novaj (Nyárjas Hill) (NE Hungary), were studied. The relative abundance of different types of borings, traces of bioerosion and palaeopathological phenomena indicate micro-environmental differences between the two localities

PLC vezérelt kerti locsoló megtervezése

A szagdolgozat egy PLC vezérelt keri locsolóredszert mutat be. Megvizsgálja a mai technológiákat és javaslatot tesz egy automatikusan és manuálasian is működtethető automata monitorozó és beavatkozó rendszer kialakítására Siemens PLC és a Step 7 software segítségével.BSc/BAVillamosmérnö