Arnotts Blending Project

Established and supported under the Australian Government’s Cooperative Research Centre Progra

A clinical pathway for total shoulder arthroplasty-a pilot study

BACKGROUND: Appropriate pain management after total shoulder arthroplasty (TSA) facilitates rehabilitation and may improve clinical outcomes.; QUESTIONS/PURPOSES: This prospective, observational study evaluated a multimodal analgesia clinical pathway for TSA.; METHODS: Ten TSA patients received an interscalene nerve block (25cm(3) 0.375% ropivacaine) with intraoperative general anesthesia. Postoperative analgesia included regularly scheduled non-opioid analgesics (meloxicam, acetaminophen, and pregabalin) and opioids on demand (oral oxycodone and intravenous patient-controlled hydromorphone). Patients were evaluated twice daily to assess pain, anterior deltoid strength, handgrip strength, and sensory function.; RESULTS: The nerve block lasted an average of 18h. Patients had minimal pain after surgery; 0 (median score on a 0-10 scale) in the Post-Anesthesia Care Unit (PACU) but increased on postoperative day (POD) 1 to 2.3 (0.0, 3.8; median (25%, 75%)) at rest and 3.8 (2.1, 6.1) with movement. Half of the patients activated the patient-controlled analgesia four or fewer times in the first 24h after surgery. Operative anterior deltoid strength was 0 in the PACU but returned to 68% by POD 1. Operative hand strength was 0 (median) in the PACU, but the third quartile (75%) had normalized strength 49% of preoperative value.; CONCLUSIONS: Patients did well with this multimodal analgesic protocol. Pain scores were low, half of the patients used little or no intravenous opiate, and some patients had good handgrip strength. Future research can focus on increasing duration of analgesia from the nerve block, minimizing motor block, lowering pain scores, and avoiding intravenous opioids

Pneumothorax as a Complication of Radiation Therapy for Primary Lung Cancer

A case of spontaneous pneumothorax complicating irradiation for bronchogenic carcinoma is presented. Pneumothorax developed in a collapsed lung caused by a central bronchogenic carcinoma. The cause is presumably secondary to either a bronchopleural fistula by tumour or sudden expansion of the lung following irradiation. Various tumours of the lung have been associated with spontaneous pneumothorax, including metastatic osteogenic sarcoma 12 , eosinophilic granuloma 4 , teratoma 11 , other metastatic sarcomas 3 , lymphoma following radiation therapy 8 , and primary bronchogenic carcinomas 1,2,3,5,6,7,9,10 . We have encountered a case of spontaneous pneumothorax complicating irradiation for bronchogenic carcinoma. To our knowledge, this is the first report in the English radiologic literature, and the second, in the English literature, of a case of spontaneous pneumothorax following radiation therapy for proven bronchogenic carcinoma.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75343/1/j.1440-1673.1976.tb02589.x.pd

Angular momentum dependence of complex fragment emission

Large fragment (A>4) production at high angular momentum is studied via the reaction, 200 MeV 45Sc + 65Cu. Comparisons of the fragment yields from this reaction (high angular momentum) to those from 93Nb + Be (low angular momentum) are used to verify the strong angular momentum dependence of large fragment production predicted by equilibrium models. Details of the coincident [gamma]-ray distributions not only confirm a rigidly rotating intermediate but also indicate that the widths of the primary L-wave distributions decrease with increasing symmetry in the decay channel. These data are used to test the asymmetry and L-wave dependence of emission barriers calculated from a rotating, finite range corrected, liquid drop model.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26579/1/0000118.pd

HydroMoth: Testing a prototype low‐cost acoustic recorder for aquatic environments

Passive acoustic monitoring (PAM) involves recording the sounds of animals and environments for research and conservation. PAM is used in a range of contexts across terrestrial, marine and freshwater environments. However, financial constraints limit applications within aquatic environments; these costs include the high cost of submersible acoustic recorders. We quantify this financial constraint using a systematic literature review of all ecoacoustic studies published in 2020, demonstrating that commercially available autonomous underwater recording units are, on average, five times more expensive than their terrestrial equivalents. This pattern is more extreme at the low end of the price range; the cheapest available aquatic autonomous units are over 40 times more expensive than their terrestrial counterparts. Following this, we test a prototype low-cost, low-specification aquatic recorder called the ‘HydroMoth’: this device is a modified version of a widely used terrestrial recorder (AudioMoth), altered to include a waterproof case and customisable gain settings suitable for a range of aquatic applications. We test the performance of the HydroMoth in both aquaria and field conditions, recording artificial and natural sounds, and comparing outputs with identical recordings taken with commercially available hydrophones. Although the signal-to-noise ratio and the recording quality of HydroMoths are lower than commercially available hydrophones, the recordings with HydroMoths still allow for the identification of different fish and marine mammal species, as well as the calculation of ecoacoustic indices for ecosystem monitoring. Finally, we outline the potential applications of low-cost, low-specification underwater sound recorders for bioacoustic studies, discuss their likely limitations, and present important considerations of which users should be aware. Several performance limitations and a lack of professional technical support mean that low-cost devices cannot meet the requirements of all PAM applications. Despite these limitations, however, HydroMoth facilitates underwater recording at a fraction of the price of existing hydrophones, creating exciting potential for diverse involvement in aquatic bioacoustics worldwide

Young masculinities, purity and danger: Disparities in framings of boys and girls in policy discourses of sexualisation

One of the reasons why it is ‘hard to explain’ the lack of attention to boys in discourses in sexualisation is that approached head-on, it appears that the focus on girls has no logic and is merely accidental. One might point to the research that is beginning to emerge on the increased visibility of the male body in visual cultures (e.g. Gill, 2009) and to boys’ fashion and embodiment (e.g. Vandenbosch and Eggermont, 2013). However, we propose that the tendency towards a problematisation of girls’ fashion and deportment and the invisibility of boys within policy and media discourses on ‘sexualisation’ is a systemic effect of constructions of gender and sexual subjectivity. In our society, we argue, signifiers of feminine purity operate as a form of symbolic capital, a construction that is not attributed to boys and which is integral scaffolding for the depiction of a subject as threatened by sexualisation. To illustrate our theorising regarding the ‘sexualisation of boys’, we shall examine an apparent exception to the rule: the Papadopoulos Review (2010), which explicitly attends to the sexualisation of boys and ends up re-emphasising rather than analysing the gendered and classed discourses of sexualisation. The Papadopolous Review indicates a moment at which a problematisation of the sexualisation of boys could have been triggered – since attention to both boys and girls was specifically part of the remit of the review – but was not, for specific sociological reasons to do with which subjects are assessed against the criterion of innocence