Clinical and radiological outcome of the Chimaera short nailing system in inter- and subtrochanteric fractures.

cephalomedullary devices are popular treatment for femoral intertrochanteric or subtrochanteric fractures. Various complications include post-surgical lateral thigh pain and cut-out. To prevent those complications, a new concept cephalomedullary device system was designed (Chimaera, Orthofix®). This study aimed to evaluate the clinical and radiological outcomes in patients with femoral intertrochanteric or subtrochanteric fractures treated with the proximal femoral cephalomedullary device system. A prospective cohort study involved consecutive patients with Arbeitsgemeinschaft für Osteosynthesefragen/ Orthopaedic Trauma Association type 31-A1, 2, 3 fractures treated with the Chimaera short cephalomedullary device system from October 2016 to September 2017 at our level 1 trauma center. The Parker and Palmer mobility score and Jensen social function scores and post-surgical lateral thigh pain were assessed at 3 months post-operatively and compared to before surgery. Radiologic assessment consisted of controlling the position of the cephalic screw by using the tip-apex distance (TAD) and Cleveland zone as well as union and cut-out rates. We included 99 patients (79 women; 100 hips; one bilateral fracture 3 months after a first trochanteric fracture) with a mean follow-up of 2 years. The Parker and Palmer mobility score decreased by 22% at 3 months post-operatively as compared with the pre-fracture score (42/99 patients showed a return to their pre-injury level). The Jensen social function score increased by 16.5% at 3 months post-operatively as compared with the pre-fracture score (68/99 patients showed a return to their pre-injury level). No major intra-operative complication was recorded. Nine TAD scores were > 25 mm. The mean TAD was 16.5 mm (range 5-36), and the lag screw position was well positioned in most (95%) hips according to Cleveland zones. Three patients required revision surgery (one for cut-out of the lag screw, one for hip osteoarthritis and one for gluteus medius insufficiency). All patients but the one with the cut-out showed fracture union. The Chimaera short cephalomedullary device exhibited good mid-term functional and radiological outcomes

Fracturas epifisiolisis graves de la extremidad proximal del radio: resultado tras tratamiento quirúrgico

La fractura-epifisiolisis del cuello radial es una lesión grave que puede originar alteracione s en e l crecimiento epifisario. Presentamo s una seri e de 22 casos revisados con una antigüedad mínima de dos años. Fueron intervenidos 14 pacientes, de los que 10 estaban incluidos en el grupo III o en lesione s de Jeffery. Once enfermos fueron tratado s con cirugí a abierta. Cuando l a intervenció n consisti ó en reducció n abierta y osteosíntesis, los resultados clínicos fueron buenos en el 50%, pero cuando só- lo se practicó reducción cruenta sin asociar sistema estabilizador metálico, éstos llegaron al 100%. En cinco de los ocho paciente s del primer grupo se presentaron calcificacione s articulares y en dos, epifisiodesis. En el segundo grupo no aparecieron ninguna de éstas alteraciones. Creemos que en los casos de fracturas epifisiolisis del cuello radial en niños con gran desplazamiento, el tratamiento ideal es la cuidadosa reducción cruenta evitando fijación con aguja.The fracture epiphysiolysis of radial neck is a grave lesion which may induc e epiphysea l grown disturbances. A review of 22 case s suffering such fracture s was carried out with a mean follow-up of 2 years. Of the total, 14 cases wer e treated by surgery, 10 of thes e showing either type III or Jeffery's fractures. Eleven patients reequired open reduction. In 50% of the cases treated by open reduction and internal fixation, the clinical results wer e satisfactory. When internal fixation was not used, the satisfactory results reached 100%. Five of the 8 cases of the firt groups developed periarticular ossifications and 2 othe r showed epiphyseal closening. Thes e type of complications wer e not seen in the second group. For epiphysiolysis of the radial neck with sever e displacement. The ideal treatment seems to be a careful open reduction avoiding internal fixation

RIP2 plays a role in cardiac Ca2+ mishandling prompted by chronic kidney disease

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Application for the estimation of the standard citrus colour index (CCI) using image processing in mobile devices

[EN] The collection of oranges normally begins before they have reached the typical orange colour. Moreover, citrus fruits are subjected to certain degreening treatments that depend on the standard citrus colour index (CCI) at harvest. In order to facilitate the measure of this index, a free application that uses image processing techniques has been developed for Android-based mobile devices using the built-in camera of the device. The image analysis process is performed on all the images from the live input of the camera to obtain the CCI of such fruit using the open source OpenCV library. For this purpose, the RGB (red, green and blue colour coordinates) average value of a pre-selected area of the input image is calculated and then converted to HunterLab colour space to finally calculate the CCI. Several tests were carried out in the field with the fruit on the trees and under laboratory conditions with different varieties of oranges (Navel, Bonanza, Cram and Navelina) at different stages of maturity, and using different Android devices. The results were obtained for each device and condition in relation to the colour measured by a camera and compared with the performance of a panel of workers who evaluated the colour using the traditional methods. Best R-2 values obtained were 0.854 for outdoors conditions and 0.881 when measurements were done indoors.This work was partially funded by INIA and FEDER funds through research project RTA2015-00078-00-00.Cubero-García, S.; Albert Gil, FE.; Prats-Montalbán, JM.; Fernandez-Pacheco, DG.; Blasco Ivars, J.; Aleixos Borrás, MN. (2018). Application for the estimation of the standard citrus colour index (CCI) using image processing in mobile devices. Biosystems Engineering. 167:63-74. doi:10.1016/j.biosystemseng.2017.12.012S637416

Matching microscopic and macroscopic responses in glasses

We first reproduce on the Janus and Janus II computers a milestone experiment that measures the spin-glass coherence length through the lowering of free-energy barriers induced by the Zeeman effect. Secondly we determine the scaling behavior that allows a quantitative analysis of a new experiment reported in the companion Letter [S. Guchhait and R. Orbach, Phys. Rev. Lett. 118, 157203 (2017)]. The value of the coherence length estimated through the analysis of microscopic correlation functions turns out to be quantitatively consistent with its measurement through macroscopic response functions. Further, non-linear susceptibilities, recently measured in glass-forming liquids, scale as powers of the same microscopic length.Comment: 6 pages, 4 figure

Invasive micropapillary carcinoma of the breast overexpresses MUC4 and is associated with poor outcome to adjuvant trastuzumab in HER2-positive breast cancer

Invasive micropapillary carcinoma of the breast (IMPC) is a histological tumor variant that occurs with low frequency characterized by an inside-out formation of tumor clusters with a pseudopapillary arrangement. IMPC is an aggressive tumor with poor clinical outcome. In addition, this histological subtype usually expresses human epidermal growth factor receptor 2 (HER2) which also correlates with a more aggressive tumor. In this work we studied the clinical significance of IMPC in HER2-positive breast cancer patients treated with adjuvant trastuzumab. We also analyzed mucin 4 (MUC4) expression as a novel biomarker to identify IMPC.Fil: Mercogliano, María Florencia. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Inurrigarro, Gloria. Sanatorio Mater Dei Hermanas de María de Schoenstatt; ArgentinaFil: de Martino, Mara. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Venturutti, Leandro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Rivas, Martin Alfredo. Cornell University; Estados UnidosFil: Cordo Russo, Rosalia Ines. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Proietti Anastasi, Cecilia Jazmín. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Fernandez, Elmer Andres. Universidad Católica de Córdoba; ArgentinaFil: Frahm, Isabel. Sanatorio Mater Dei Hermanas de María de Schoenstatt; ArgentinaFil: Barchuk, Sabrina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos ; ArgentinaFil: Allemand, Daniel H.. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos ; ArgentinaFil: Figurelli, Silvina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos ; ArgentinaFil: Gil Deza, Ernesto. Instituto Oncológico Henry Moore; ArgentinaFil: Ares, Sandra. Instituto Oncológico Henry Moore; ArgentinaFil: Gercovich, Felipe G.. Instituto Oncológico Henry Moore; ArgentinaFil: Cortese, Eduardo. Ministerio de Defensa. Fuerza Aérea Argentina. Hospital Aeronáutico Central ; ArgentinaFil: Amasino, Matías. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Guzmán, Pablo. Universidad de La Frontera; ChileFil: Roa, Juan C.. Universidad de La Frontera; ChileFil: Elizalde, Patricia Virginia. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Schillaci, Roxana. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; Argentin

Autonomic nervous system assessment in critically ill patients undergoing a cognitive rehabilitation therapy

Recent clinical and electrophysiological studies reveal a high incidence of autonomic nervous system (ANS) dysfunction in patients treated in Intensive Care Units (ICUs). Cognitive rehabilitation (CR) is a behavioral therapy that has proven to be effective improving cognitive deficits in clinical populations with abnormalities in brain activation patterns. A total of 17 critically ill patients received CR aimed to improve the ANS status, which was quantified in terms of HRV. The CR included cognitive exercises aimed to improve prefrontal activation. HRV was obtained during pre-CR, CR and post-CR. Power in the low (PLF) and high (PHF) frequency bands related to sympathetic and parasympathetic systems was computed. PHF was obtained within a band centered at respiratory rate. Comparing with baseline values, 7 patients showed an increased PHF in post-CR, suggesting an increase of parasympathetic activity

The Mpemba effect in spin glasses is a persistent memory effect

The Mpemba effect occurs when a hot system cools faster than an initially colder one, when both are refrigerated in the same thermal reservoir. Using the custom built supercomputer Janus II, we study the Mpemba effect in spin glasses and show that it is a non-equilibrium process, governed by the coherence length \xi of the system. The effect occurs when the bath temperature lies in the glassy phase, but it is not necessary for the thermal protocol to cross the critical temperature. In fact, the Mpemba effect follows from a strong relationship between the internal energy and \xi that turns out to be a sure-tell sign of being in the glassy phase. Thus, the Mpemba effect presents itself as an intriguing new avenue for the experimental study of the coherence length in supercooled liquids and other glass formers.Comment: Version accepted for publication in PNAS. 6 pages, 7 figure

Investigation of the 6He cluster structures

The 4He+2n and t+t clustering of the 6He ground state were investigated by means of the transfer reaction 6He(p,t)4He at 25 MeV/nucleon. The experiment was performed in inverse kinematics at GANIL with the SPEG spectrometer coupled to the MUST array. Experimental data for the transfer reaction were analyzed by a DWBA calculation including the two neutrons and the triton transfer. The couplings to the 6He --> 4He + 2n breakup channels were taken into account with a polarization potential deduced from a coupled-discretized-continuum channels analysis of the 6He+1H elastic scattering measured at the same time. The influence on the calculations of the 4He+t exit potential and of the triton sequential transfer is discussed. The final calculation gives a spectroscopic factor close to one for the 4He+2n configuration as expected. The spectroscopic factor obtained for the t+t configuration is much smaller than the theoretical predictions.Comment: 10 pages, 11 figures, accepted in PR

The three dimensional Ising spin glass in an external magnetic field: the role of the silent majority

We perform equilibrium parallel-tempering simulations of the 3D Ising Edwards-Anderson spin glass in a field. A traditional analysis shows no signs of a phase transition. Yet, we encounter dramatic fluctuations in the behaviour of the model: Averages over all the data only describe the behaviour of a small fraction of it. Therefore we develop a new approach to study the equilibrium behaviour of the system, by classifying the measurements as a function of a conditioning variate. We propose a finite-size scaling analysis based on the probability distribution function of the conditioning variate, which may accelerate the convergence to the thermodynamic limit. In this way, we find a non-trivial spectrum of behaviours, where a part of the measurements behaves as the average, while the majority of them shows signs of scale invariance. As a result, we can estimate the temperature interval where the phase transition in a field ought to lie, if it exists. Although this would-be critical regime is unreachable with present resources, the numerical challenge is finally well posed.Comment: 42 pages, 19 figures. Minor changes and added figure (results unchanged