Supracondylar fractures of the humerus in children

Between 1970 and 1972, 231 children with supracondylar fractures of the humerus were treated at Groote Schuur Hospital. Of these, 225 had sustained an extension-type fracture. The fractures were graded according to their appearance on X-ray film into grades I, ll and lll according to their severity. A sample follow-up of children who had sustained grade I fractures was carried out, while 85% of the children with grade ll fractures and 80% of those with grade ll fractures were followed up. Results were classified as excellent, good, and unsatisfactory. The reasons for the unsatisfactory results were analysed.S. Afr. Med. J., 48, 1709 (1974)

Stochastic scheduling games with Markov Decision Arrival Processes

AbstractIn Hordijk and Koole [1,2], a new type of arrival process, the Markov Decision Arrival Process (MDAP), was introduced, which can be used to model certain dependencies between arrival streams and the system at which the arrivals occur. This arrival process was used to solve control problems with several controllers having a common objective, where the output from one controlled node is fed into a second one, as in tandems of multi-server queues. In the case that objectives of the controllers are different, one may choose a min-max (worst case) approach where typically a controller tries to obtain the best performance under the worst possible (unknown) strategies of the other controllers. We use the MDAP to model such situations, or situations of control in an unknown environment. We apply this approach to several scheduling problems, including scheduling of customers and scheduling of servers. We consider different information patterns including delayed information. For all these models, we obtain several structural results of the optimal policies

Proportion of various types of thyroid disorders among newborns with congenital hypothyroidism and normally located gland: A regional cohort study

Objective To determine the proportion of the various types of thyroid disorders among newborns detected by the neonatal TSH screening programme, with a normally located thyroid gland.Patients and methods Of the 882 575 infants screened in our centre between 1981 and 2002, 85 infants with a normally located gland had persistent elevation of serum TSH values (an incidence of 1/10 383). Six of these 85 patients were lost to follow-up and were therefore excluded from the study. During follow-up, patients were classified as having permanent or transient hypothyroidism.Results Among the 79 patients included in the study, transient (n = 30, 38% of cases) and permanent (n = 49, 62% of cases) congenital hypothyroidism (CH) was demonstrated during the follow-up at the age of 0.7 +/- 0.6 years and 2.6 +/- 1.8 years (P < 0.0001), respectively. The proportion of premature births was significantly higher in the group with transient CH (57%) than in the group with permanent CH (2%) (P < 0.0001). A history of iatrogenic iodine overload was identified during the neonatal period in 69% of transient cases. Among permanent CH cases (n = 49), patients were classified as having a goitre (n = 27, 55% of cases), a normal sized and shaped thyroid gland (n = 14, 29% of cases) or a hypoplastic gland (n = 8, 16% of cases). The latter patients demonstrated global thyroid hypoplasia (n = 3), a right hemithyroid (n = 2), hypoplasia of the left lobe (n = 2), or asymmetry in the location of the two lobes (n = 1). Patients with a normal sized and shaped thyroid gland showed a significantly less severe form of hypothyroidism than those with a goitre or a hypoplastic thyroid gland (P < 0.0002). Among permanent CH cases, those with a goitre (n = 27) had an iodine organification defect (n = 10), Pendred syndrome (n = 1), a defect of thyroglobulin synthesis (n = 8), or a defect of sodium iodine symporter (n = 1), and in seven patients no aetiology could be determined. Among permanent cases with a normal sized and shaped thyroid gland (n = 14), a specific aetiology was found in only one patient (pseudohypoparathyroidism) and two patients had Down's syndrome. Among those with a globally hypoplastic gland, a TSH receptor gene mutation was found in two patients.Conclusions A precise description of the phenotype can enhance our understanding of various forms of neonatal hypothyroidism as well as their prevalence and management. It also helps to identify cases of congenital hypothyroidism of unknown aetiology, which will need to be investigated in collaboration with molecular biologists

Non-western contexts: the invisible half

Like many other disciplines within the broad area of social sciences (e.g., anthropology, gender studies, psychology, sociology, etc.), consumer research is also highly navigated by scholars from Western countries. This, however, does not mean, by any means, that consumer research is devoted to studying Western contexts only. As evident from the ever-increasing number of regional conferences (e.g., Asia-Pacific and Latin American conferences of the Association for Consumer Research) and non-Western students' enrolment in doctoral programs at Western universities, there are many more researchers (from non-Western countries) who are entering the field and enriching it by their colourful contributions. Yet, given the low number of publications on consumer research in non-Western contexts, it seems that our current knowledge in these societies has a long way to go to flourish. More specifically, and in the domain of consumption culture research, this gap is even further widened by the fact that the culture of consumption in such contexts is largely interpreted with reference to the 'grand narratives' of Western scholars (e.g., Foucault, Mafessoli, Bourdieu, Deleuze, Baudrillard, Nietzsche, Durkheim, Derrida, etc.). Therefore, from an ontological perspective, it seems that our existing knowledge about non-Western societies lies heavily on the 'theoretical structures' that are 'constructed' by Western philosophy as a set of ideas, beliefs, and practices (Said, 1978). As Belk (1995) reminds us, consumption culture always existed in all human societies. What makes contemporary societies different from that of our predecessors' is not the fact that consumption culture did not exist in those societies, but that consumption culture has become a prevailing feature in modern society (Slater, 1997; Lury, 1996; Fırat and Venkatesh, 1995; McCracken, 1988). Therefore, the nature and dynamics of consumption culture in each society should be studied not only against the sociocultural, historical, and economic background of a given context (Western or non-Western) but also with reference to the philosophical and epistemological viewpoints that analyse and interpret cultural practices of that society from within that culture. Addressing such issues, this paper discusses some of the key reasons for lack of theory development in the field from non-western contexts. The paper invites scholars in non-Western contexts to introduce the less articulated, and sometime hidden, body of knowledge from their own contexts into the field of marketing in general and consumer research in particular

Pathways for nutrient loss to water with emphasis on phosphorus

Teagasc wishes to acknowledge the support of the Environmental Research Technological Development and Innovation (ERTDI) Programme under the Productive Sector Operational Programme which was financed by the Irish Government under the National Development Plan 2000-2006.End of project reportThe main objective of this project was to study phosphorus (P) loss from agricultural land under a range of conditions in Ireland, to quantify the main factors influencing losses and make recommendations on ways to reduce these losses. This report is a synthesis of the main conclusions and recommendations from the results of the studies. The final reports from the individual sub-projects in this project are available from the EPA (www.epa.ie).Environmental Protection Agenc

Progress with the LOFAR Imaging Pipeline

One of the science drivers of the new Low Frequency Array (LOFAR) is large-area surveys of the low-frequency radio sky. Realizing this goal requires automated processing of the interferometric data, such that fully calibrated images are produced by the system during survey operations. The LOFAR Imaging Pipeline is the tool intended for this purpose, and is now undergoing significant commissioning work. The pipeline is now functional as an automated processing chain. Here we present several recent LOFAR images that have been produced during the still ongoing commissioning period. These early LOFAR images are representative of some of the science goals of the commissioning team members.Comment: 11 pages, 6 figures. Accepted for publication in proceedings of "ISKAF2010 Science Meeting", PoS(ISKAF2010)05

Quantification of phosphorus loss from soil to water.

End of Project ReportThe methods, results and discussion of the project are in five separate sections, 4.1) Phosphorus (P) export from agricultural grassland with overland flow and drainage water (Johnstown Castle); 4.2) Phosphorus export from farm in Dripsey catchment, Co. Cork (NMP); 4.3) Hydrometeorological aspects of farm in Dripsey Catchment (NMP); 4.4) Phosphorus desorption from Irish soils; 4.5) National phosphorus model. Most of the field and laboratory studies were carried out at Johnstown Castle, at UCC and the field site in the Dripsey catchment. The main aim of the project was to quantify the loss of P from soil to water where point source contributions from farmyards were not high. This involved the construction of hydrologically isolated field sites where the quantity of overland flow and the P concentrations for different runoff events from the fields could be measured. In addition, 90 soil samples representative of Irish soils were collected and analysed for the different factors influencing soil adsorption and desorption of P. These results, in addition to catchment data, were used as a first attempt at developing a model that could be used to help predict P loss from soil to water at a catchment scale. The study in the Dripsey was on a farm where water flow and P levels at two points in a stream were measured. The hydrometeorology at this site was also studied. At Johnstown Castle, three overland flow sites, of the order of one hectare each, and one subsurface flow site were studied for P loss to water.Environmental Protection Agency

Post-earthquake Reconnaissance Report on Transportation Infrastructure Impact of the February 27, 2010, Offshore Maule Earthquake in Chile

This report documents the findings and lessons learned from the February 27, 2010, M8.8 offshore Maule earthquake in Chile. Fewer than 0.15 percent of the bridges in Chile\u27s inventory, most built after 1995, collapsed or suffered damage that rendered them useless. Many spans of precast prestressed discontinuous girder bridges with continuous decks fell off their supports, probably due to significant in-plane rotation of the superstructure as a result of severe shaking. Lateral steel stoppers used to provide both vertical and lateral restraints on girders were largely unsuccessful due to their inadequate connection detail to cap beams and abutments. Reinforced concrete shear keys performed well as fuses limiting the transfer of excessive seismic loads from the superstructure to the foundation of bridges even though they could be optimized for maximum energy dissipation as part of the lateral restraint system at the bottom flange of girders. Vertical seismic bars were widely used to restrain the vertical motion of decks, and they also performed well. Bridge substructures (foundation, column, and cap beam) generally behaved satisfactorily except for two columns that suffered shear failure due to ground settlement and lateral spreading. All mechanically stabilized earth walls exceeded the expected performance