Unilateral aplasia of both cruciate ligaments

Aplasia of both cruciate ligaments is a rare congenital disorder. A 28-year-old male presented with pain and the feeling of instability of his right knee after trauma. The provided MRI and previous arthroscopy reports did not indicate any abnormalities except cruciate ligament tears. He was referred to us for reconstruction of both cruciate ligaments. The patient again underwent arthroscopy which revealed a hypoplasia of the medial trochlea and an extremely narrow intercondylar notch. The tibia revealed a missing anterior cruciate ligament (ACL) footprint and a single bump with a complete coverage with articular cartilage. There was no room for an ACL graft. A posterior cruciate ligament could not be identified. The procedure was ended since a ligament reconstruction did not appear reasonable. A significant notch plasty if not a partial resection of the condyles would have been necessary to implant a ligament graft. It is most likely that this would not lead to good knee stability. If the surgeon would have retrieved the contralateral hamstrings at the beginning of the planned ligament reconstruction a significant damage would have occurred to the patient. Even in seemingly clear diagnostic findings the arthroscopic surgeon should take this rare abdnormality into consideration and be familiar with the respective radiological findings. We refer the abnormal finding of only one tibial spine to as the "dromedar-sign" as opposed to the two (medial and a lateral) tibial spines in a normal knee. This may be used as a hint for aplasia of the cruciate ligaments

DNA methylation subgroups and the CpG island methylator phenotype in gastric cancer: A comprehensive profiling approach

10.1186/1471-230X-14-55BMC Gastroenterology141-BGMA

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Photon-tagged measurements of jet quenching with ATLAS

Events containing a high transverse momentum (pT) prompt photon offer a useful way to study the dynamics of the hot, dense medium produced in heavy ion collisions. Because photons do not carry color charge, they are unaffected by the medium, and thus provide information about the momentum, direction, and flavor (quark or gluon) of the asso- ciated hard-scattered parton before it begins to shower and become quenched. In particular, the presence of a high-pT photon can be used to select pp and Pb+Pb events with the same configuration before quenching, limiting the effects of quenching-induced selection biases present in other jet measurements. The large statistics pp and Pb+Pb data delivered by the LHC in 2015 allow for a detailed study of photon-tagged jet quenching effects, such as the overall parton energy loss and modified structure of the component of the shower which remains correlated with the initial parton direction (e.g. in cone). In this proceeding, photon-tagged measurements of jet quenching by ATLAS are reported

Attracting, training, and retaining high quality teachers : the effect of initial teacher education in enhancing student teacher motivation, achievement, and retention

A worldwide teacher shortage is forecasted due to teacher resignation and retirement, and declining enrollments in initial teacher education. At the same time, there is increasing acknowledgement of the importance of education to nations, and that quality teaching has a significant impact on students' cognitive, affective, and behavioral outcomes. Further, a positive relationship between years of teaching experience and quality teaching has been identified. Therefore, attracting suitable new aspirants (student teachers) to, and retaining them within, initial teacher education and the teaching profession is crucial for not only the personal aspirations of individuals but for the sound education of students, and the economic, political, and social health of nations