Gamma and neutron dose measurements for a thermal tungsten nuclear rocket critical experiment

Measurements of gamma and neutron dose distributions in core of thermal tungsten nuclear rocket experimen

Tungsten nuclear rocket, phase I, part 1 Final report

Tungsten water moderated nuclear rocket reactor experiments and analyse

Computer-assisted versus non-computer-assisted preoperative planning of corrective osteotomy for extra-articular distal radius malunions: a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Malunion is the most common complication of distal radius fracture. It has previously been demonstrated that there is a correlation between the quality of anatomical correction and overall wrist function. However, surgical correction can be difficult because of the often complex anatomy associated with this condition. Computer assisted surgical planning, combined with patient-specific surgical guides, has the potential to improve pre-operative understanding of patient anatomy as well as intra-operative accuracy. For patients with malunion of the distal radius fracture, this technology could significantly improve clinical outcomes that largely depend on the quality of restoration of normal anatomy. Therefore, the objective of this study is to compare patient outcomes after corrective osteotomy for distal radius malunion with and without preoperative computer-assisted planning and peri-operative patient-specific surgical guides.</p> <p>Methods/Design</p> <p>This study is a multi-center randomized controlled trial of conventional planning versus computer-assisted planning for surgical correction of distal radius malunion. Adult patients with extra-articular malunion of the distal radius will be invited to enroll in our study. After providing informed consent, subjects will be randomized to two groups: one group will receive corrective surgery with conventional preoperative planning, while the other will receive corrective surgery with computer-assisted pre-operative planning and peri-operative patient specific surgical guides. In the computer-assisted planning group, a CT scan of the affected forearm as well as the normal, contralateral forearm will be obtained. The images will be used to construct a 3D anatomical model of the defect and patient-specific surgical guides will be manufactured. Outcome will be measured by DASH and PRWE scores, grip strength, radiographic measurements, and patient satisfaction at 3, 6, and 12 months postoperatively.</p> <p>Discussion</p> <p>Computer-assisted surgical planning, combined with patient-specific surgical guides, is a powerful new technology that has the potential to improve the accuracy and consistency of orthopaedic surgery. To date, the role of this technology in upper extremity surgery has not been adequately investigated, and it is unclear whether its use provides any significant clinical benefit over traditional preoperative imaging protocols. Our study will represent the first randomized controlled trial investigating the use of computer assisted surgery in corrective osteotomy for distal radius malunions.</p> <p>Trial registration</p> <p>NCT01193010</p

Setting conservation priorities in Fiji: Decision science versus additive scoring systems

There is a well-established scientific field - decision science - that can be used to rigorously set conservation priorities. Despite well-documented shortcomings, additive scoring approaches to conservation prioritization are still prevalent. This paper discusses the shortcomings and advantages of both approaches applied in Fiji to identify priorities for terrestrial protected areas. The two main shortcomings of using a scoring approach (discussed in Keppel (2014) [1]) that are resolved with decision science approaches (presented in Klein et al. (2014) [2]) in Fiji were (1) priorities did not achieve one of the most important stated conservation goals of representing ~40% of Fiji's major vegetation types and (2) the weighting of different selection criteria used was arbitrary. Both approaches considered expert knowledge and land-sea connections important to decision makers in Fiji, but only decision science can logically integrate both, in addition to other important considerations. Thus, decision makers are urged to use decision science and avoid additive scoring systems when prioritizing places for conservation. Fiji has the opportunity to be a global leader in using decision science to support integrated land-sea planning decisions

Predicting climate-sensitive water-related disease trends based on health, seasonality and weather data in Fiji

Leptospirosis, typhoid and dengue are three water-related diseases influenced by environmental factors. We examined whether seasonality and rainfall predict reported syndromes associated with leptospirosis, typhoid and dengue in Fiji. Poisson generalised linear models were fitted with s6 early warning, alert and response system (EWARS) syndromic conditions from March 2016 until December 2020, incorporating seasonality, temperature and rainfall. Watery diarrhoea, prolonged fever and suspected dengue displayed seasonal trends with peaks corresponding with the rainy season, while bloody diarrhoea, acute fever with rash and acute jaundice syndrome did not. Seasonality was the most common predictor for watery and bloody diarrhoea, prolonged fever, suspected dengue, and acute fever plus rash in those aged 5 and over, explaining between 0.4 % – 37.8 % of the variation across all conditions. Higher rainfall was the most common predictor for acute fever plus rash and acute jaundice syndrome in children under 5, explaining between 1.0 % – 7.6 % variation across all conditions. Each EWARS syndromic condition case peak was associated with a different rainfall lag, varying between 0 and 11 weeks. The relationships between EWARS, rainfall and seasonality show that it is possible to predict when outbreaks will occur by following seasonality and rainfall. Pre-positioning of diagnostic and treatment resources could then be aligned with seasonality and rainfall peaks to plan and address water-related disease outbreaks

Optimized fishing through periodically harvested closures

1. Periodically harvested closures (PHCs) are a traditional form of fisheries management that improve fishing efficiency during harvests, partly by reducing fish wariness to fishers during closed periods. However, whether PHCs also result in high yields and healthy marine ecosystems is unknown, even as PHCs are being promoted as a culturally appropriate management tool in the Indo-Pacific.2. We integrated field-derived estimates of change in fish wariness into a bioeconomic fisheries model to quantify to what degree PHCs can maximize harvest efficiency, fisheries yield and fish stock biomass.3. Our model indicated that PHCs that had a closure period of one to a few years between a single pulse harvest were able to generate equivalent fisheries yield and stock biomass levels, with greater harvest efficiency than was able to be achieved using permanent closures and other fisheries management tools.4. Fish life-history traits had little impact on the optimality of PHCs in maximizing the triple objective of harvest efficiency, fisheries yield and stock abundance, with overfishing similarly having little effect at anything under extreme levels. Under moderate overfishing, there was a trade-off between PHCs, which maximised harvest efficiency, and no-take permanent closures that maximised yield. However, the former outweighed the latter, and only at extreme levels of overfishing, where stock was reduced to < 18 % of unfished biomass, were permanent closures favoured over PHCs

Forest conservation delivers highly variable coral reef conservation outcomes

Coral reefs are threatened by human activities on both the land (e.g., deforestation) and the sea (e.g., overfishing). Most conservation planning for coral reefs focuses on removing threats in the sea, neglecting management actions on the land. A more integrated approach to coral reef conservation, inclusive of land–sea connections, requires an understanding of how and where terrestrial conservation actions influence reefs. We address this by developing a land–sea planning approach to inform fine-scale spatial management decisions and test it in Fiji. Our aim is to determine where the protection of forest can deliver the greatest return on investment for coral reef ecosystems. To assess the benefits of conservation to coral reefs, we estimate their relative condition as influenced by watershed-based pollution and fishing. We calculate the cost-effectiveness of protecting forest and find that investments deliver rapidly diminishing returns for improvements to relative reef condition. For example, protecting 2% of forest in one area is almost 500 times more beneficial than protecting 2% in another area, making prioritization essential. For the scenarios evaluated, relative coral reef condition could be improved by 8–58% if all remnant forest in Fiji were protected rather than deforested. Finally, we determine the priority of each coral reef for implementing a marine protected area when all remnant forest is protected for conservation. The general results will support decisions made by the Fiji Protected Area Committee as they establish a national protected area network that aims to protect 20% of the land and 30% of the inshore waters by 2020. Although challenges remain, we can inform conservation decisions around the globe by tackling the complex issues relevant to integrated land–sea planning

Treatment of distal humeral fractures using conventional implants. Biomechanical evaluation of a new implant configuration

<p>Abstract</p> <p>Background</p> <p>In the face of costly fixation hardware with varying performance for treatment of distal humeral fractures, a novel technique (U-Frame) is proposed using conventional implants in a 180° plate arrangement. In this in-vitro study the biomechanical stability of this method was compared with the established technique which utilizes angular stable locking compression plates (LCP) in a 90° configuration.</p> <p>Methods</p> <p>An unstable distal 3-part fracture (AO 13-C2.3) was created in eight pairs of human cadaveric humeri. All bone pairs were operated with either the "Frame" technique, where two parallel plates are distally interconnected, or with the LCP technique. The specimens were cyclically loaded in simulated flexion and extension of the arm until failure of the construct occurred. Motion of all fragments was tracked by means of optical motion capturing. Construct stiffness and cycles to failure were identified for all specimens.</p> <p>Results</p> <p>Compared to the LCP constructs, the "Frame" technique revealed significant higher construct stiffness in extension of the arm (P = 0.01). The stiffness in flexion was not significantly different (P = 0.16). Number of cycles to failure was found significantly larger for the "Frame" technique (P = 0.01).</p> <p>Conclusions</p> <p>In an in-vitro context the proposed method offers enhanced biomechanical stability and at the same time significantly reduces implant costs.</p