Arthroscopic isolated long head of biceps tenotomy in patients with degenerative rotator cuff tears:mid-term clinical results and prognostic factors

INTRODUCTION: The long head of biceps tendon is frequently involved in degenerative rotator cuff tears. Therefore, this study explored the clinical results of an isolated biceps tenotomy and identified prognostic factors for improvement in pain and function. MATERIALS AND METHODS: Between 2008 and 2017, an arthroscopic isolated biceps tenotomy was performed on 64 patients with a degenerative rotator cuff tear (> 65 years). Primary outcome was patient-perceived improvement in pain and function. Potential prognostic factors for improvement in pain and function were identified. RESULTS: A perceived improvement in pain was reported in 78% of the patients at three months after surgery and in 75% at a mean follow-up of 4.2 years (1-7 years; n = 55). A perceived improvement in function was observed in 49% of patients at three months and in 76% of patients at follow-up. Patients with a preoperatively normal acromiohumeral distance (> 10 mm) reported an improvement in pain and function significantly more often. Retraction of the supraspinatus tendon Patte 3 was significantly associated with worse functional outcome. CONCLUSIONS: A biceps tenotomy can be a reliable treatment option for patients with symptomatic degenerative cuff tears who fail conservative treatment and have a normal acromiohumeral distance (> 10 mm)

The Ecosystem Baseline for Particle Flux in the Northern Gulf of Mexico

Response management and damage assessment during and after environmental disasters such as the Deepwater Horizon (DWH) oil spill require an ecological baseline and a solid understanding of the main drivers of the ecosystem. During the DWH event, a large fraction of the spilled oil was transported to depth via sinking marine snow, a routing of spilled oil unexpected to emergency response planners. Because baseline knowledge of particle export in the Northern Gulf of Mexico and how it varies spatially and temporally was limited, we conducted a detailed assessment of the potential drivers of deep (~1400 m depth) particle fluxes during 2012–2016 using sediment traps at three contrasting sites in the Northern Gulf of Mexico: near the DWH site, at an active natural oil seep site, and at a site considered typical for background conditions. The DWH site, located ~70 km from the Mississippi River Delta, showed flux patterns that were strongly linked to the Mississippi nitrogen discharge and an annual subsequent surface bloom. Fluxes carried clear signals of combustion products, which likely originated from pyrogenic sources that were transported offshore via the Mississippi plume. The seep and reference sites were more strongly influenced by the open Gulf of Mexico, did not show a clear seasonal flux pattern, and their overall sedimentation rates were lower than those at the DWH site. At the seep site, based on polycyclic aromatic hydrocarbon data, we observed indications of three different pathways for “natural” oiled-snow sedimentation: scavenging by sinking particles at depth, weathering at the surface before incorporation into sinking particles, and entry into the food web and subsequent sinking in form of detritus. Overall, sedimentation rates at the three sites were markedly different in quality and quantity owing to varying degrees of riverine and oceanic influences, including natural seepage and contamination by combustion products

Marine snow formation in the aftermath of the Deepwater Horizon oil spill in the Gulf of Mexico

The large marine snow formation event observed in oil-contaminated surface waters of the Gulf of Mexico (GoM) after the Deepwater Horizon accident possibly played a key role in the fate of the surface oil. We characterized the unusually large and mucus-rich marine snow that formed and conducted roller table experiments to investigate their formation mechanisms. Once marine snow lost its buoyancy, its sinking velocity, porosity and excess density were then similar to those of diatom or miscellaneous aggregates. The hydrated density of the component particles of the marine snow from the GoM was remarkably variable, suggesting a wide variety of component types. Our experiments suggest that the marine snow appearing at the surface after the oil spill was formed through the interaction of three mechanisms: (1) production of mucous webs through the activities of bacterial oil-degraders associated with the floating oil layer; (2) production of oily particulate matter through interactions of oil components with suspended matter and their coagulation; and (3) coagulation of phytoplankton with oil droplets incorporated into aggregates. Marine snow formed in some, but not all, experiments with water from the subsurface plume of dissolved hydrocarbons, emphasizing the complexity of the conditions leading to the formation of marine snow in oil-contaminated seawater at depth

The Ecosystem Baseline For Particle Flux In the Northern Gulf of Mexico

Response management and damage assessment during and after environmental disasters such as the Deepwater Horizon (DWH) oil spill require an ecological baseline and a solid understanding of the main drivers of the ecosystem. During the DWH event, a large fraction of the spilled oil was transported to depth via sinking marine snow, a routing of spilled oil unexpected to emergency response planners. Because baseline knowledge of particle export in the Northern Gulf of Mexico and how it varies spatially and temporally was limited, we conducted a detailed assessment of the potential drivers of deep (~1400 m depth) particle fluxes during 2012–2016 using sediment traps at three contrasting sites in the Northern Gulf of Mexico: near the DWH site, at an active natural oil seep site, and at a site considered typical for background conditions. The DWH site, located ~70 km from the Mississippi River Delta, showed flux patterns that were strongly linked to the Mississippi nitrogen discharge and an annual subsequent surface bloom. Fluxes carried clear signals of combustion products, which likely originated from pyrogenic sources that were transported offshore via the Mississippi plume. The seep and reference sites were more strongly influenced by the open Gulf of Mexico, did not show a clear seasonal flux pattern, and their overall sedimentation rates were lower than those at the DWH site. At the seep site, based on polycyclic aromatic hydrocarbon data, we observed indications of three different pathways for “natural” oiled-snow sedimentation: scavenging by sinking particles at depth, weathering at the surface before incorporation into sinking particles, and entry into the food web and subsequent sinking in form of detritus. Overall, sedimentation rates at the three sites were markedly different in quality and quantity owing to varying degrees of riverine and oceanic influences, including natural seepage and contamination by combustion products

Observational Evidence from Supernovae for an Accelerating Universe and a Cosmological Constant

We present observations of 10 type Ia supernovae (SNe Ia) between 0.16 < z < 0.62. With previous data from our High-Z Supernova Search Team, this expanded set of 16 high-redshift supernovae and 34 nearby supernovae are used to place constraints on the Hubble constant (H_0), the mass density (Omega_M), the cosmological constant (Omega_Lambda), the deceleration parameter (q_0), and the dynamical age of the Universe (t_0). The distances of the high-redshift SNe Ia are, on average, 10% to 15% farther than expected in a low mass density (Omega_M=0.2) Universe without a cosmological constant. Different light curve fitting methods, SN Ia subsamples, and prior constraints unanimously favor eternally expanding models with positive cosmological constant (i.e., Omega_Lambda > 0) and a current acceleration of the expansion (i.e., q_0 < 0). With no prior constraint on mass density other than Omega_M > 0, the spectroscopically confirmed SNe Ia are consistent with q_0 <0 at the 2.8 sigma and 3.9 sigma confidence levels, and with Omega_Lambda >0 at the 3.0 sigma and 4.0 sigma confidence levels, for two fitting methods respectively. Fixing a ``minimal'' mass density, Omega_M=0.2, results in the weakest detection, Omega_Lambda>0 at the 3.0 sigma confidence level. For a flat-Universe prior (Omega_M+Omega_Lambda=1), the spectroscopically confirmed SNe Ia require Omega_Lambda >0 at 7 sigma and 9 sigma level for the two fitting methods. A Universe closed by ordinary matter (i.e., Omega_M=1) is ruled out at the 7 sigma to 8 sigma level. We estimate the size of systematic errors, including evolution, extinction, sample selection bias, local flows, gravitational lensing, and sample contamination. Presently, none of these effects reconciles the data with Omega_Lambda=0 and q_0 > 0.Comment: 36 pages, 13 figures, 3 table files Accepted to the Astronomical Journa

Constraints on Cosmological Models from Hubble Space Telescope Observations of High-z Supernovae

We have coordinated Hubble Space Telescope photometry with ground-based discovery for three supernovae: two SN Ia near z~0.5 (SN 1997ce, SN 1997cj) and a third event at z=0.97 (SN 1997ck). The superb spatial resolution of HST separates each supernova from its host galaxy and leads to good precision in the light curves. The HST data combined with ground-based photometry provide good temporal coverage. We use these light curves and relations between luminosity, light curve shape, and color calibrated from low-z samples to derive relative luminosity distances which are accurate to 10% at z~0.5 and 20% at z=1. The redshift-distance relation is used to place constraints on the global mean matter density, Omega_matter, and the normalized cosmological constant, Omega_Lambda. When the HST sample is combined with the distance to SN 1995K (z=0.48), analyzed by the same precepts, it suggests that matter alone is insufficient to produce a flat Universe. Specifically, for Omega_matter+Omega_Lambda=1, Omega_matter is less than 1 with >95% confidence, and our best estimate of Omega_matter is -0.1 +/- 0.5 if Omega_Lambda=0. Although the present result is based on a very small sample whose systematics remain to be explored, it demonstrates the power of HST measurements for high redshift supernovae.Comment: Submitted to ApJ Letters, 3 figures, 1 plate, additional tabl

Supernova Limits on the Cosmic Equation of State

We use Type Ia supernovae studied by the High-Z Supernova Search Team to constrain the properties of an energy component which may have contributed to accelerating the cosmic expansion. We find that for a flat geometry the equation of state parameter for the unknown component, alpha_x=P_x/rho_x, must be less than -0.55 (95% confidence) for any value of Omega_m and is further limited to alpha_x<-0.60 (95%) if Omega_m is assumed to be greater than 0.1 . These values are inconsistent with the unknown component being topological defects such as domain walls, strings, or textures. The supernova data are consistent with a cosmological constant (alpha_x=-1) or a scalar field which has had, on average, an equation of state parameter similar to the cosmological constant value of -1 over the redshift range of z=1 to the present. Supernova and cosmic microwave background observations give complementary constraints on the densities of matter and the unknown component. If only matter and vacuum energy are considered, then the current combined data sets provide direct evidence for a spatially flat Universe with Omega_tot=Omega_m+Omega_Lambda = 0.94 +/- 0.26 (1-sigma).Comment: Accepted for publication in ApJ, 3 figure