Radiographic Features of Anterior Cruciate Ligament Reconstruction

Anterior cruciate ligament disruption is a common injury that occurs in contact sports such as football. The treating orthopedic surgeon may elect any of a variety of therapeutic options. Surgical management may consist of primary repair of the torn ligament or replacement of the torn ligament with graft material, known as anterior cruciate ligament reconstruction (ACER). Many physicians, including radiologists, are unfamiliar with the surgical procedure or the expected postoperative radiographic appearance of ACER. Assessment of radiographs following ACER, as with many surgical procedures, requires understanding of the surgical procedure. We present our experience in assessing the postoperative radiographs of 24 patients who underwent ACER. We describe the expected postoperative radiographic appearance, based on the particular type of ACER performed, which allows the recognition of normal postoperative radiographic anatomy as well as sequelae or complications of the procedure

A 10 Mb/s visible light communication system using a low bandwidth polymer light-emitting diode

In this paper we experimentally demonstrate a 10 Mb/s error free visible light communications (VLC) system using polymer light-emitting diodes (PLEDs) for the first time. The PLED under test is a blue emitter with ∼600 kHz bandwidth. Having such a low bandwidth means the introduction of an intersymbol interference (ISI) induced penalty at higher transmission speeds and thus the requirement for an equalizer. In this work we improve on previous literature by implementing a decision feedback equalizer, rather than a linear equalizer. Considering 7% and 20% forward error correction codes, transmission speeds up to ∼12 Mb/s can be supported

10 Mb/s visible light transmission system using a polymer light-emitting diode with orthogonal frequency division multiplexing

We present a newly designed polymer light-emitting diode with a bandwidth of ∼350 kHz for high-speed visible light communications. Using this new polymer light-emitting diode as a transmitter, we have achieved a record transmission speed of 10 Mb/s for a polymer light-emitting diode-based optical communication system with an orthogonal frequency division multiplexing technique, matching the performance of single carrier formats using multitap equalization. For achieving such a high data-rate, a power pre-emphasis technique was adopted

The Right Place at the Right Time: Seasonal Variation of Bacterial Communities in Arid Avicennia marina Soils in the Red Sea Is Specific to Its Position in the Intertidal

Mangrove forests play an important role in facilitating biogeochemical pathways and cycling acting as blue carbon sinks. These services are primarily regulated by the activity of the soil microbiome. However, there is still limited research into spatial and temporal variation patterns of bacterial community assemblages in mangrove soils. This study investigated important ecological scales of microprocesses that govern microbial communities in an arid mangrove ecosystem. Shifts in microbial community composition were influenced by fluctuations in environmental factors within the mangrove forests of the Red Sea influenced by seasonal changes in sea level. Notably, in summer microbial communities in shrub sites differed significantly from the fringe and the winter samples, with lower alpha diversity yet a higher dominance of specialized species capable of surviving in extreme conditions. The onset of dispersal limitation and heterogenous selection and the reduction of drift are likely the main forces shaping community assemblages. Specifically, in summer lower mean tidal levels eliminate tidal inundation creating a harsh high salinity and high temperature environment with no tidal connection thereby influencing the onset of dispersal limitation. An increased understanding of the spatial and temporal variation of bacterial communities is critical when assessing delivery of ecosystem services and their role in soil biogeochemical processes

Face processing: human perception and principal components analysis

Principal component analysis (PCA) of face images is here related to subjects' performance on the same images. In two experiments subjects were shown a set of faces and asked to rate them for distinctiveness. They were subsequently shown a superset of faces and asked to identify those which appeared originally. Replicating previous work, we found that hits and false positives (FPs) did not correlate: those faces easy to identify as being "seen" were unrelated to those faces easy to reject as being "unseen". PCA was performed on three data sets: (i) face images with eye-position standardised; (ii) face images morphed to a standard template to remove shape information; (iii) the shape information from faces only. Analyses based upon PCA of shape-free faces gave high predictions of FPs, while shape information itself contributed only to hits. Furthermore, while FPs were generally predictable from components early in the PCA, hits appear to be accounted for by later components. We conclude that shape and "texture" (the image-based information remaining after morphing) may be used separately by the human face processing system, and that PCA of images offers a useful tool for understanding this system

Between-group competition elicits within-group cooperation in children

Aggressive interactions between groups are frequent in human societies and can bear significant fitness costs and benefits (e.g. death or access to resources). During between-group competitive interactions, more cohesive groups (i.e. groups formed by individuals who cooperate in group defence) should out-perform less cohesive groups, other factors being equal (e.g. group size). The cost/benefit of between-group competition are thought to have driven correlated evolution of traits that favour between-group aggression and within-group cooperation (e.g. parochial altruism). Our aim was to analyse whether the proximate relationship between between-group competition and within-group cooperation is found in 3–10 years old children and the developmental trajectory of such a relationship. We used a large cohort of children (n = 120) and tested whether simulated between-group competition increased within-group cooperation (i.e. how much of a resource children were giving to their group companions) in two experiments. We found greater within-group cooperation when groups of four children were competing with other groups then in the control condition (no between-group competition). Within-group cooperation increased with age. Our study suggests that parochial altruism and in-group/out-group biases emerge early during the course of human development

An exploration of lifestyle beliefs and lifestyle behaviour following stroke: findings from a focus group study of patients and family members

<p>Abstract</p> <p>Background</p> <p>Stroke is a major cause of disability and family disruption and carries a high risk of recurrence. Lifestyle factors that increase the risk of recurrence include smoking, unhealthy diet, excessive alcohol consumption and physical inactivity. Guidelines recommend that secondary prevention interventions, which include the active provision of lifestyle information, should be initiated in hospital, and continued by community-based healthcare professionals (HCPs) following discharge. However, stroke patients report receiving little/no lifestyle information.</p> <p>There is a limited evidence-base to guide the development and delivery of effective secondary prevention lifestyle interventions in the stroke field. This study, which was underpinned by the Theory of Planned Behaviour, sought to explore the beliefs and perceptions of patients and family members regarding the provision of lifestyle information following stroke. We also explored the influence of beliefs and attitudes on behaviour. We believe that an understanding of these issues is required to inform the content and delivery of effective secondary prevention lifestyle interventions.</p> <p>Methods</p> <p>We used purposive sampling to recruit participants through voluntary sector organizations (29 patients, including 7 with aphasia; 20 family members). Using focus group methods, data were collected in four regions of Scotland (8 group discussions) and were analysed thematically.</p> <p>Results</p> <p>Although many participants initially reported receiving no lifestyle information, further exploration revealed that most had received written information. However, it was often provided when people were not receptive, there was no verbal reinforcement, and family members were rarely involved, even when the patient had aphasia. Participants believed that information and advice regarding healthy lifestyle behaviour was often confusing and contradictory and that this influenced their behavioural intentions. Family members and peers exerted both positive and negative influences on behavioural patterns. The influence of HCPs was rarely mentioned. Participants' sense of control over lifestyle issues was influenced by the effects of stroke (e.g. depression, reduced mobility) and access to appropriate resources.</p> <p>Conclusions</p> <p>For secondary prevention interventions to be effective, HCPs must understand psychological processes and influences, and use appropriate behaviour change theories to inform their content and delivery. Primary care professionals have a key role to play in the delivery of lifestyle interventions.</p

Uncovering treatment burden as a key concept for stroke care: a systematic review of qualitative research

&lt;b&gt;Background&lt;/b&gt; Patients with chronic disease may experience complicated management plans requiring significant personal investment. This has been termed ‘treatment burden’ and has been associated with unfavourable outcomes. The aim of this systematic review is to examine the qualitative literature on treatment burden in stroke from the patient perspective.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Methods and findings&lt;/b&gt; The search strategy centred on: stroke, treatment burden, patient experience, and qualitative methods. We searched: Scopus, CINAHL, Embase, Medline, and PsycINFO. We tracked references, footnotes, and citations. Restrictions included: English language, date of publication January 2000 until February 2013. Two reviewers independently carried out the following: paper screening, data extraction, and data analysis. Data were analysed using framework synthesis, as informed by Normalization Process Theory. Sixty-nine papers were included. Treatment burden includes: (1) making sense of stroke management and planning care, (2) interacting with others, (3) enacting management strategies, and (4) reflecting on management. Health care is fragmented, with poor communication between patient and health care providers. Patients report inadequate information provision. Inpatient care is unsatisfactory, with a perceived lack of empathy from professionals and a shortage of stimulating activities on the ward. Discharge services are poorly coordinated, and accessing health and social care in the community is difficult. The study has potential limitations because it was restricted to studies published in English only and data from low-income countries were scarce.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Conclusions&lt;/b&gt; Stroke management is extremely demanding for patients, and treatment burden is influenced by micro and macro organisation of health services. Knowledge deficits mean patients are ill equipped to organise their care and develop coping strategies, making adherence less likely. There is a need to transform the approach to care provision so that services are configured to prioritise patient needs rather than those of health care systems

Description and evaluation of the JULES-ES set-up for ISIMIP2b

Global studies of climate change impacts that use future climate model projections also require projections of land surface changes. Simulated land surface performance in Earth system models is often affected by the atmospheric models' climate biases, leading to errors in land surface projections. Here we run the Joint UK Land Environment Simulator Earth System configuration (JULES-ES) land surface model with the Inter-Sectoral Impact Model Intercomparison Project second-phase future projections (ISIMIP2b) bias-corrected climate model data from four global climate models (GCMs). The bias correction reduces the impact of the climate biases present in individual models. We evaluate the performance of JULES-ES against present-day observations to demonstrate its usefulness for providing required information for impacts such as fire and river flow. We include a standard JULES-ES configuration without fire as a contribution to ISIMIP2b and JULES-ES with fire as a potential future development. Simulations for gross primary productivity (GPP), evapotranspiration (ET) and albedo compare well against observations. Including fire improves the simulations, especially for ET and albedo and vegetation distribution, with some degradation in shrub cover and river flow. This configuration represents some of the most current Earth system science for land surface modelling. The suite associated with this configuration provides a basis for past and future phases of ISIMIP, providing a simulation set-up, postprocessing and initial evaluation, using the International Land Model Benchmarking (ILAMB) project. This suite ensures that it is as straightforward, reproducible and transparent as possible to follow the protocols and participate fully in ISIMIP using JULES.</p