Venous Thromboembolism Within Professional American Sport Leagues.

Background: Numerous reports have described players in professional American sports leagues who have been sidelined with a deep vein thrombosis (DVT) or a pulmonary embolism (PE), but little is known about the clinical implications of these events in professional athletes. Purpose: To conduct a retrospective review of injury reports from the National Hockey League (NHL), Major League Baseball (MLB), the National Basketball Association (NBA), and the National Football League (NFL) to take a closer look at the incidence of DVT/PE, current treatment approaches, and estimated time to return to play in professional athletes. Study Design: Descriptive epidemiology study. Methods: An online search of all team injury and media reports of DVT/PE in NHL, MLB, NBA, and NFL players available for public record was conducted by use of Google, PubMed, and SPORTDiscus. Searches were conducted using the professional team name combined with blood clot, pulmonary embolism, and deep vein thrombosis. Results: A total of 55 venous thromboembolism (VTE) events were identified from 1999 through 2016 (NHL, n = 22; MLB, n = 16; NFL, n = 12; NBA, n = 5). Nineteen athletes were reported to have an upper extremity DVT, 15 had a lower extremity DVT, 15 had a PE, and 6 had DVT with PE. Six athletes sustained more than 1 VTE. The mean age at time of VTE was 29.3 years (range, 19-42 years). Mean (±SD) time lost from play was 6.7 ± 4.9 months (range, 3 days to career end). Seven athletes did not return to play. Players with upper extremity DVT had a faster return to play (mean ± SD, 4.3 ± 2.7 months) than those with lower extremity DVT (5.9 ± 3.8 months), PE (10.8 ± 6.8 months), or DVT with PE (8.2 ± 2.6 months) (F = 5.69, P = .002). No significant difference was found regarding time of return to play between sports. Conclusion: VTE in professional athletes led to an average of 6.7 months lost from play. The majority of athletes were able to return to play after a period of anticoagulation or surgery. Those with an upper extremity DVT returned to play faster than those with other types of VTE. Further study is needed to look into modifiable risk factors for these events and to establish treatment and return-to-play guidelines to ensure the safety of these athletes

On the use of self-organizing maps to accelerate vector quantization

Self-organizing maps (SOM) are widely used for their topology preservation property: neighboring input vectors are quantified (or classified) either on the same location or on neighbor ones on a predefined grid. SOM are also widely used for their more classical vector quantization property. We show in this paper that using SOM instead of the more classical Simple Competitive Learning (SCL) algorithm drastically increases the speed of convergence of the vector quantization process. This fact is demonstrated through extensive simulations on artificial and real examples, with specific SOM (fixed and decreasing neighborhoods) and SCL algorithms.Comment: A la suite de la conference ESANN 199

An Analysis of Mothers and Fathers Who Kill Their Children: Examining Offense Characteristics and Adjudication Outcomes

Filicide is a crime that conflicts with nature in that it undermines our genetic fitness and parental investment and defies attachment theory. Yet, despite the crime of filicide being counterintuitive, the media frequently reports on cases involving parents who have killed their own child. This analysis involves examining open-source cases of 100 mothers and 100 fathers who have killed their children. Analyses will compare the differences between mothers and fathers in terms of offender and victim demographics, as well as mental health and criminal histories. Offense characteristics and adjudication outcomes will also be examined.https://scholarworks.waldenu.edu/symposium2019/1003/thumbnail.jp

Surgical Management of Calciphylaxis Associated with Primary Hyperparathyroidism: A Case Report and Review of the Literature

Calciphylaxis, or calcific uremic arteriolopathy, commonly affects people with end-stage renal disease and carries with it a high rate of morbidity and mortality. Here, we present the unusual case of a 56-year-old woman, with extensive medical problems, who developed calciphylaxis in the presence of primary hyperparathyroidism. Our patient initially presented with bilateral, exquisitely tender thigh lesions. The diagnosis of calciphylaxis was rendered histologically by extensive calcification of the subcutaneous blood vessels. Subsequent parathyroidectomy identified the presence of a hyperactive mediastinal parathyroid adenoma, weighing 0.62 grams. Postoperatively, the patient had normalization of hypercalcemia and parathyroid hormone levels, with subsequent healing of her thigh wounds. Currently, there have been sixteen cases described in the English literature, with only nine being offered a potentially therapeutic parathyroidectomy. It is contingent upon the vigilant physician to diagnose and properly manage this difficult yet treatable condition

Exactly solvable approximating models for Rabi Hamiltonian dynamics

The interaction between an atom and a one mode external driving field is an ubiquitous problem in many branches of physics and is often modeled using the Rabi Hamiltonian. In this paper we present a series of analytically solvable Hamiltonians that approximate the Rabi Hamiltonian and compare our results to the Jaynes-Cummings model which neglects the so-called counter-rotating term in the Rabi Hamiltonian. Through a unitary transformation that diagonlizes the Jaynes-Cummings model, we transform the counter-rotating term into separate terms representing several different physical processes. By keeping only certain terms, we can achieve an excellent approximation to the exact dynamics within specified parameter ranges

Landscape preservation under post‐European settlement alluvium in the south‐eastern Australian tablelands, inferred from portable OSL reader data

Human land‐use changes leading to widespread erosion and gully incision have been well studied, but the effects that erosion and sediment mixing, which accompany the deposition of post‐(European) settlement alluvium (PSA), have in valley bottoms and wetlands receive considerably less attention. PSA overlying pre‐disturbance swampy meadow (SM) wetland sediments is commonly exposed along incised stream channel gully walls throughout the south‐eastern Australian Tablelands, providing an ideal setting in which to assess and understand better how PSA deposition affects valley bottoms and the wetland environments that often occupy them. Portable optically stimulated luminescence (pOSL) reader data were measured on bulk sediment samples from SM‐PSA stratigraphies at 16 locations throughout the south‐eastern Australian Tablelands to assess the effects of erosion and sediment mixing at the SM‐PSA boundary. Trends of pOSL data with depth at each profile were used in conjunction with visual profile descriptions to identify the stratigraphic boundary between SM and PSA sediment and to infer the degree of valley bottom erosion and sediment mixing during PSA deposition. At most sites, SM sediments experienced minimal, if any, disturbance during PSA deposition, and we refer to these as non‐eroded sites. Many sites, however, experienced a significant degree of erosion and sediment mixing – eroded sites – often corresponding to visually diffuse sedimentary boundaries between the two stratigraphic units. Our findings demonstrate that SM landscapes in the Tablelands can be preserved with minimal disturbance under PSA at non‐eroded sites and are preserved beneath a mixing zone at all eroded sites. Copyright © 2016 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134129/1/esp3942.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134129/2/esp3942_am.pd

Genomic signature of adaptive divergence despite strong nonadaptive forces on Edaphic Islands: A case study of primulina juliae

Both genetic drift and divergent selection are expected to be strong evolutionary forces driving population differentiation on edaphic habitat islands. However, the relative contribution of genetic drift and divergent selection to population divergence has rarely been tested simultaneously. In this study, restriction-site associated DNA-based population genomic analyses were applied to assess the relative importance of drift and divergent selection on population divergence of Primulina juliae, an edaphic specialist fromsouthern China. All populations were found with low standing genetic variation, small effective population size (NE), and signatures of bottlenecks. Populations with the lowest genetic variation were most genetically differentiated from other populations and the extent of genetic drift increased with geographic distance fromother populations. Together with evidence of isolation by distance, these results support neutral drift as a critical evolutionary driver.Nonetheless, redundancy analysis revealed that genomic variation is significantly associated with both edaphic habitats and climatic factors independently of spatial effects. Moreover, more genomic variationwas explained by environmental factors than by geographic variables, suggesting that local adaptationmight have played an important role in driving population divergence. Finally, outlier tests and environment association analyses identified 31 singlenucleotide polymorphisms as candidates for adaptive divergence. Among these candidates, 26 single-nucleotide polymorphisms occur in/near genes that potentially play a role in adaptation to edaphic specialization. This study has important implications that improve our understanding of the joint roles of genetic drift and adaptation in generating population divergence and diversity of edaphic specialists

The aurora kinase AIR-2 functions in the release of chromosome cohesion in Caenorhabditis elegans meiosis

Accurate chromosome segregation during cell division requires not only the establishment, but also the precise, regulated release of chromosome cohesion. Chromosome dynamics during meiosis are more complicated, because homologues separate at anaphase I whereas sister chromatids remain attached until anaphase II. How the selective release of chromosome cohesion is regulated during meiosis remains unclear. We show that the aurora-B kinase AIR-2 regulates the selective release of chromosome cohesion during Caenorhabditis elegans meiosis. AIR-2 localizes to subchromosomal regions corresponding to last points of contact between homologues in metaphase I and between sister chromatids in metaphase II. Depletion of AIR-2 by RNA interference (RNAi) prevents chromosome separation at both anaphases, with concomitant prevention of meiotic cohesin REC-8 release from meiotic chromosomes. We show that AIR-2 phosphorylates REC-8 at a major amino acid in vitro. Interestingly, depletion of two PP1 phosphatases, CeGLC-7α and CeGLC-7β, abolishes the restricted localization pattern of AIR-2. In Ceglc-7α/β(RNAi) embryos, AIR-2 is detected on the entire bivalent. Concurrently, chromosomal REC-8 is dramatically reduced and sister chromatids are separated precociously at anaphase I in Ceglc-7α/β(RNAi) embryos. We propose that AIR-2 promotes the release of chromosome cohesion via phosphorylation of REC-8 at specific chromosomal locations and that CeGLC-7α/β, directly or indirectly, antagonize AIR-2 activity

High Entropy Rare Earth A2b2o7 Type Zirconates

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