Effect of surgical experience and spine subspecialty on the reliability of the {AO} Spine Upper Cervical Injury Classification System

OBJECTIVE The objective of this paper was to determine the interobserver reliability and intraobserver reproducibility of the AO Spine Upper Cervical Injury Classification System based on surgeon experience (< 5 years, 5–10 years, 10–20 years, and > 20 years) and surgical subspecialty (orthopedic spine surgery, neurosurgery, and "other" surgery). METHODS A total of 11,601 assessments of upper cervical spine injuries were evaluated based on the AO Spine Upper Cervical Injury Classification System. Reliability and reproducibility scores were obtained twice, with a 3-week time interval. Descriptive statistics were utilized to examine the percentage of accurately classified injuries, and Pearson’s chi-square or Fisher’s exact test was used to screen for potentially relevant differences between study participants. Kappa coefficients (κ) determined the interobserver reliability and intraobserver reproducibility. RESULTS The intraobserver reproducibility was substantial for surgeon experience level (< 5 years: 0.74 vs 5–10 years: 0.69 vs 10–20 years: 0.69 vs > 20 years: 0.70) and surgical subspecialty (orthopedic spine: 0.71 vs neurosurgery: 0.69 vs other: 0.68). Furthermore, the interobserver reliability was substantial for all surgical experience groups on assessment 1 (< 5 years: 0.67 vs 5–10 years: 0.62 vs 10–20 years: 0.61 vs > 20 years: 0.62), and only surgeons with > 20 years of experience did not have substantial reliability on assessment 2 (< 5 years: 0.62 vs 5–10 years: 0.61 vs 10–20 years: 0.61 vs > 20 years: 0.59). Orthopedic spine surgeons and neurosurgeons had substantial intraobserver reproducibility on both assessment 1 (0.64 vs 0.63) and assessment 2 (0.62 vs 0.63), while other surgeons had moderate reliability on assessment 1 (0.43) and fair reliability on assessment 2 (0.36). CONCLUSIONS The international reliability and reproducibility scores for the AO Spine Upper Cervical Injury Classification System demonstrated substantial intraobserver reproducibility and interobserver reliability regardless of surgical experience and spine subspecialty. These results support the global application of this classification system

Dust environment and dynamical history of a sample of short-period comets: II. 81P/Wild 2 and 103P/Hartley 2

Aims. This paper is a continuation of the first paper in this series, where we presented an extended study of the dust environment of a sample of short-period comets and their dynamical history. On this occasion, we focus on comets 81P/Wild 2 and 103P/Hartley 2, which are of special interest as targets of the spacecraft missions Stardust and EPOXI. Methods. As in the previous study, we used two sets of observational data: a set of images, acquired at Sierra Nevada and Lulin observatories, and the Afρ data as a function of the heliocentric distance provided by the amateur astronomical association Cometas-Obs. The dust environment of comets (dust loss rate, ejection velocities, and size distribution of the particles) was derived from our Monte Carlo dust tail code. To determine their dynamical history we used the numerical integrator Mercury 6.2 to ascertain the time spent by these objects in the Jupiter family Comet region. Results. From the dust analysis, we conclude that both 81P/Wild 2 and 103P/Hartley 2 are dusty comets, with an annual dust production rate of 2.8 × 109 kg yr-1 and (0.4-1.5) × 109 kg yr-1, respectively. From the dynamical analysis, we determined their time spent in the Jupiter family Comet region as ~40 yr in the case of 81P/Wild 2 and ~1000 yr for comet 103P/Hartley 2. These results imply that 81P/Wild 2 is the youngest and the most active comet of the eleven short-period comets studied so far, which tends to favor the correlation between the time spent in JFCs region and the comet activity previously discussed

Comet 22P/Kopff: Dust environment and grain ejection anisotropy from visible and infrared observations

editorial reviewedWe present optical observations and Monte Carlo models of the dust coma, tail, and trail structures of comet 22P/Kopff during the 2002 and 2009 apparitions. Dust loss rates, ejection velocities, and powerlaw size distribution functions are derived as functions of the heliocentric distance using pre- and postperihelion imaging observations during both apparitions. The 2009 post-perihelion images can be accurately fitted by an isotropic ejection model. On the other hand, strong dust ejection anisotropies are required to fit the near-coma regions at large heliocentric distances (both inbound at rh=2.5 AU and outbound at rh=2.6 AU) for the 2002 apparition. These asymmetries are compatible with a scenario where dust ejection is mostly seasonally-driven, coming mainly from regions near subsolar latitudes at far heliocentric distances inbound and outbound. At intermediate to near-perihelion heliocentric distances, the outgassing would affect much more extended latitude regions, the emission becoming almost isotropic near perihelion. We derived a maximum dust production rate of 260 kg s-1 at perihelion, and an averaged production rate over one orbit of 40 kg s-1. An enhanced emission rate, accompanied also by a large ejection velocity, is predicted at rh >2.5 pre-perihelion. The model has also been extended to the thermal infrared in order to be applied to available trail observations with IRAS and ISO spacecrafts of this comet. The modeled trail intensities are in good agreement with those observations, which is remarkable taking into account that those data are sensitive to dust ejection patterns corresponding to several orbits before the 2002 and 2009 apparitions. A full paper describing the observations and models is given in [4]

Early Use of Sarilumab in Patients Hospitalized with COVID-19 Pneumonia and Features of Systemic Inflammation: the SARICOR Randomized Clinical Trial.

The objective of this study was to investigate the efficacy and safety of early treatment with sarilumab, added to standard of care (SOC), in hospitalized adults with COVID-19. Methods included phase II, open-label, randomized, controlled clinical trial of hospitalized patients with COVID-19 pneumonia and interleukin (IL)-6 levels ≥ 40 pg/mL and/or d-dimer > 1,500 ng/mL. Participants were randomized (1:1:1) to receive SOC (control group), SOC plus a single subcutaneous dose of sarilumab 200 mg (sarilumab-200 group), or SOC plus a single subcutaneous dose of sarilumab 400 mg (sarilumab-400 group). The primary outcome variable was the development of acute respiratory distress syndrome (ARDS) requiring high-flow nasal oxygenation (HFNO), non-invasive mechanical ventilation (NIMV) or invasive mechanical ventilation (IMV) at day 28. One-hundred and 15 participants (control group, n = 39; sarilumab-200, n = 37; sarilumab-400, n = 39) were included. At randomization, 104 (90%) patients had supplemental oxygen and 103 (90%) received corticosteroids. Eleven (28%) patients in the control group, 10 (27%) in sarilumab-200, and five (13%) in sarilumab-400 developed the primary outcome (hazard ratio [95% CI] of sarilumab-400 vs control group: 0.41 [0.14, 1.18]; P = 0.09). Seven (6%) patients died: three in the control group and four in sarilumab-200. There were no deaths in sarilumab-400 (P = 0.079, log-rank test for comparisons with the control group). In patients recently hospitalized with COVID-19 pneumonia and features of systemic inflammation, early IL-6 blockade with a single dose of sarilumab 400 mg was safe and associated with a trend for better outcomes. (This study has been registered at ClinicalTrials.gov under identifier NCT04357860.)

On the dust environment of comet C/2012 S1 (ISON) from 12 AU pre-perihelion to the end of its activity around perihelion

A Monte Carlo dust tail model has been applied to extract the dust environment parameters of the comet C/2012 S1 (ISON) from both Earth-based and SOHO LASCO C3 observations, performed from about six astronomical units (AU) inbound, to just after perihelion passage, when only a small portion of the original comet nucleus has survived in the form of a cloud of tiny particles. The early Afρ and image data are consistent with particle ejection from an extended active area located at latitudes 35°N to 90°N (for a prograde rotating nucleus), with the spin axis having a large obliquity (I 70°). This configuration nicely fits the early images and Afρ data until 3.9 AU inbound, when the emission should become isotropic in order to fit the data. The analysis of LASCO images reveals that, assuming an original nucleus of R N = 500 m with ρ = 1000 kg m-3, at least half of its mass was vaporized when the comet was at about 17 R ⊙ inbound. We conclude that at that time the nucleus suffered a cataclysmic fragmentation releasing a huge amount of material of 2.3 ×1011 kg, equivalent to a sphere of 380 m in radius with density 1000 kg m-3. The surviving material after perihelion passage consists of very small dust particles of 0.1-50 μm in radius with a total mass of just 6.7×10 8 kg. © 2014. The American Astronomical Society. All rights reserved

Dust environment and dynamical history of a sample of short-period comets

Aims. In this work, we present an extended study of the dust environment of a sample of short-period comets and their dynamical history. With this aim, we characterize the dust tails when the comets are active, and we make a statistical study to determine their dynamical evolution. The targets selected were 22P/Kopff, 30P/Reinmuth 1, 78P/Gehrels 2, 115P/Maury, 118P/Shoemaker-Levy 4, 123P/West-Hartley, 157P/Tritton, 185/Petriew, and P/2011 W2 (Rinner). Methods. We use two different observational data sets: a set of images taken at the Observatorio de Sierra Nevada and, the Afρ curves provided by the amateur astronomical association Cometas-Obs. To model these observations, we use our Monte Carlo dust tail code. From this analysis, we derive the dust parameters, which best describe the dust environment: dust loss rates, ejection velocities, and size distribution of particles. On the other hand, we use a numerical integrator to study the dynamical history of the comets, which allows us to determine with a 90% confidence level the time spent by these objects in the region of Jupiter family comets. Results. From the Monte Carlo dust tail code, we derived three categories according to the amount of dust emitted: weakly active (115P, 157P, and Rinner), moderately active (30P, 123P, and 185P), and highly active (22P, 78P, and 118P). The dynamical studies showed that the comets of this sample are young in the Jupiter family region, where the youngest ones are 22P (~100 yr), 78P (~500 yr), and 118P (~600 yr). The study points to a certain correlation between comet activity and time spent in the Jupiter family region, although this trend is not always fulfilled. The largest particle sizes are not tightly constrained, so that the total dust mass derived should be regarded as a lower limit. © 2014 ESO

The CARMENES search for exoplanets around M dwarfs. Two planets on opposite sides of the radius gap transiting the nearby M dwarf LTT 3780

We present the discovery and characterisation of two transiting planets observed by the Transiting Exoplanet Survey Satellite (TESS) orbiting the nearby (d[SUB]⋆[/SUB] ≈ 22 pc), bright (J ≈ 9 mag) M3.5 dwarf LTT 3780 (TOI-732). We confirm both planets and their association with LTT 3780 via ground-based photometry and determine their masses using precise radial velocities measured with the CARMENES spectrograph. Precise stellar parameters determined from CARMENES high-resolution spectra confirm that LTT 3780 is a mid-M dwarf with an effective temperature of T[SUB]eff[/SUB] = 3360 ± 51 K, a surface gravity of log g[SUB]⋆[/SUB] = 4.81 ± 0.04 (cgs), and an iron abundance of [Fe/H] = 0.09 ± 0.16 dex, with an inferred mass of M[SUB]⋆[/SUB] = 0.379 ± 0.016M[SUB]☉[/SUB] and a radius of R[SUB]⋆[/SUB] = 0.382 ± 0.012R[SUB]☉[/SUB]. The ultra-short-period planet LTT 3780 b (P[SUB]b[/SUB] = 0.77 d) with a radius of 1.35[SUB]-0.06[/SUB][SUP]+0.06[/SUP] R[SUB]⊕[/SUB], a mass of 2.34[SUP]-0.23[/SUP][SUB]+0.24[/SUB] M[SUB]⊕[/SUB], and a bulk density of 5.24[SUB]-0.81[/SUB][SUP]+0.94[/SUP] g cm[SUP]-3[/SUP] joins the population of Earth-size planets with rocky, terrestrial composition. The outer planet, LTT 3780 c, with an orbital period of 12.25 d, radius of 2.42[SUB]-0.10[/SUB][SUP]+0.10[/SUP] R[SUB]⊕[/SUB], mass of 6.29[SUB]-0.61[/SUB][SUP]+0.63[/SUP] M[SUB]⊕[/SUB], and mean density of 2.45[SUB]-0.37[/SUB][SUP]+0.44[/SUP] g cm[SUP]-3[/SUP] belongs to the population of dense sub-Neptunes. With the two planets located on opposite sides of the radius gap, this planetary system is anexcellent target for testing planetary formation, evolution, and atmospheric models. In particular, LTT 3780 c is an ideal object for atmospheric studies with the James Webb Space Telescope (JWST)

Anales de Edafología y Agrobiología Tomo 46 Número 7-12

l. Suelos.-Biología La lombriz de tierra (E. Foetida sav. y L. Rubellus Hoff). Biología y usos más importantes. Por M. T. Flores y P. Alvira.-- Composición qufmico-bromatológica y proporción de aminoácidos de la harina de la lombriz de tierra (E. Foetida sav. y L. Rubellus Hoff.). Por M. T. Flores y P. Alvira.-- Génesis, Clasificación y Cartografía Estudio edáfico de la Sierra de Cazorla. (Jaén). (III). Características de suelos con epipedón mollico. Por J. González Parra, C. González Huecas y A . López Lafuente.-- Suelos de la Rioja Alavesa: l. Entisoles y Aridisoles. Por A. J. Ocio, A. Guerra, R. Jiménez Ballesta y J. Batllé.-- Suelos de la rioja Alavesa: II. Inceptisoles. Por A. J. Ocio, R. Jiménez Ballesta, J. Batllé y A. Guerra.-- Caracterización de una toposecuencia en las naves (Dunas estabilizadas) del Parque Nacional de Doñana. Por P. Siljestrom Ribed y L. Clemente Salas.-- Evolución edafo-geomorfológica de las lagunas temporales del Parque Nacional de Doñana. Por P. Siljeström Ribed y L. Clemente Salas.-- Ordenación agronómica de un área de montaña de Galicia. l. Datos del medio fÍsico Por R. Blázquez, R. Calvo y F. Macías.-- Ordenación agronómica de un área de montaña en Galicia. II. Una alternativa de planificación. Por R. Calvo, R. Blázquez y F. Macías.-- Suelos de la Sierra del Maigmo (Alicante). II. Descripción de perfiles. Datos analíticos, clasificación y distribución. Por L. J. Alfas y A. de la Torre.--II. Biología Vegetal-Nutrición Estudio del poder fertilizante de un complejo de turba. l. Ensayo de fertilidad sobre suelo arcilloso. Por F. l. Pugnaire y C. García Izquierdo.-- Efecto de la relación N03 /NJtt en la composición mineral de plantas de tomate y pimiento cultivadas en ambiente controlado. Por J. Caselles, P. Zornoza y O. Carpena.-- Influencia de la fertilización nitrogenada en la evolución foliar de algunos nutrientes, ácidos y azúcares de la V. Vinifera "Pedro Ximénez". Por C. Aceituno, J. Mérida, J. L. González y M. Medina.-- Fisiología Effect of Sesbania mosaic virus on photosynthetic production of Dhaincha leaves. Por G.P. Rao, D. N. Shukla and K. Shukla.-- Influencia de almacenamiento en frío y tratamiento hormonal sobre el reposo de estaquillas de castaño. Por E. González, l. Iglesias, T. Díaz y J. L. G. Mantilla.-- Agrobiología. Viñedos Canarios. Zona de Acentejo. l. Climatologra. Por Ma E. Figueruelo O jeda, F. Gutiérrez Jérez y Mª I. Trujillo Jacinto del Castillo.-- Viñedos Canarios. Zona de Acentejo. II. Caracteristicas fÍsicas del suelo. Por F. Gutiérrez Jérez, l. Trujillo Jacinto del Castillo, E. Figueruelo Ojeda y C. Curbelo Mújica.-- III. Trabajos recapitulativos. El cobre como nutriente de la planta. Por O. Lastra, A. Chueca. C. González, M. Lachica y J. López Gorge. l. Suelos-Química. Problemas de caracterización del complejo de cambio en suelos de Galicia. Por R. M. Calvo de Anta y E. Alvarez Rodríguez.—Biología. Uso del violeta de Genciana en un medio de cultivo sintético que permite el desarrollo de bacterias aerobias Gram negativas del suelo. Por M. T. Pérez, M. A . Gómez y M. A. Sagardoy.-- Efecto de la temperatura sobre el comportamiento cinético de la actividad fj-D-Giucosidasa en una turba del Valle del Ebro (Burgos, España). Por S. González Carcedo, M. A . Arconada Varas y M. D. Luera.-- Génesis, Clasificación y Cartografía Suelos de la Rioja Alavesa: III. Mollisoles, Alfisoles y síntesis final. Por A. J. Ocio, R. Jiménez Ballesta, J. L. Martín de Vidales y A. Guerra.-- Morfología y evolución de Jos suelos de las lagunas permanentes del Parque Nacional de Doñana. Por P. Siljeström Ribed y L. Clemente Salas.-- Evolución edáfica en la vera arcillosa del Parque Nacional de Doñana. Por P. Siljeström Ribed y L. Clemente Salas.-- Suelos con horizontes arg!licos en el macizo de Ayllón y Sierra del Alto Rey (Sistema Central): Pautas de distribución en el paisaje. Por J. J. lbáñez, J. Gallardo y R. Jiménez Ballesta.—Fertilidad. Quelación por EDDHA de micronutrientes en suelos calizos: Ecuación modificada de Freundlich. Por J. Sánchez-Andréu, M. Juárez, L. Play J. Mataix .-- Estudio de la fertilidad de los suelos y nutrición mineral de la fresa en la Isla de Tenerife. Por A. Arévalo Morales, C. Martínez Barroso y C. E. Alvarez González.-- II. Biología Vegetal.-Nutrición Producción y contenido protéico de tallo y hoja de Cynodon dactylon en clima mediterráneo. Por M. C. Bergareche, M. J. López y E. Simón.-- Factores externos y nutrición mineral del trigo. Por L. Sánchez de la Puente y R. M.3 Belda Navarro.-- Balance de N. P, K y S en trigo de la región semiárida de la provincia de Buenos Aires, Argentina. Por R. A. Rosell, M. R. Landriscini, K. Ch. Sommer y A . Glave.-- Agrobiología Cinética del proceso de adsorción de TMTD sobre carbón activo y sepiolita. Por M. Socias Viciana, A. Valverde García, M. Villafranca Sánchez y E. González Pradas.-- Viñedos Canarios. Zona de Acentejo. III. Características químicas de los suelos. Por I. Trujillo Jacinto del Castillo, E. Figueruelo Ojeda, F. Gutiérrez Jérez y D. del Castillo Rodríguez.-- Relaciones suelo-pasto en superficies de tipo raña. Por A. García, J. J. lbáñez y J. Pastor.-- Estructura y distribución de bosques caducifolios sobre distintos sustratos en el Valle del V aldeón. Cordillera Cantábrica. Por A. García.-- III. Trabajos reacapitulativos. Interacción entre micorrizas VA y organismos patógenos de plantas. Por J. M. García-Garrido y J. A. Ocampo.-- Interaction of humic substances with microbes and enzymes in soil and possible implications for soil fertility. By Richard G. Burns.-- l. Suelos.Física. Osmo-Regulación en cultivares contrastantes de trigo y su relación con la etapa del desarrollo. Por N. L. García Girou y N. R. Curvetto.-- Estudio comparativo sobre diferentes métodos de valoración de la erosión hídrica en unas áreas piloto representativas de la provincia de Valencia. España. Por V. Bordas Valls y J. Sánchez Díaz.—Química. Adsorción de Malathion sobre sepiolita natural. Por E. González Paradas, M. Villafranca Sánchez, R. J. Plaza Capel, A. Valverde García, F. del Rey Bueno y A. García Rodríguez.-- Fertilidad- Nivel de fertilidad de los vertisoles de la provincia de Badajoz (España). l. Características generales de la capa arable. Por A García Navarro y A. López Piñeiro.-- Wheat soil Management and N fertilization in semiarid Argentina. Por R. A. Rosell, R. M. Martínez and K. Chr. Sommer.-- Modelos de comportamiento de la fertilidad de suelos calizos. Por l. Gómez, F. Burlo. B. Gómez y J. Mataix.-- Dinámica del fósforo en un suelo calizo. 11. Comparación de dos ritmos de abonado fosfórico y su incidencia en un cultivo de tomate. Por R. M. Cuesta, A. M. Ramón, J. J. Lucena y A. Gárate.-- Cantidades y formas de fósforo en suelos naturales de Galicia (Nw Spain). Por M.3 C. Trasar Cepeda, F. Gil Sotres y F. Guitián Ojea..-- II. Biología Vegetal. Nutrición Efectos del riego por goteo en la nutrición nitrogenada de la berenjena (Solanum melongena L.) cultivada en invernadero. Por S. Jaime, M. Casado y A. Aguilar.-- Nutrición mineral del níspero del Japón (Eriobotrya japonica L.) evolución anual de los macroelementos N, P, K, Ca y Mg. 8 años de observaciones. Por S. Jaime, J. M. Farré, J. M. Hermoso y A. Aguilar.-- Influencia de la fertilización nitrogenada en condiciones salinas en el cultivo de plantas de tomate y pepino. l. Rendimientos y calidad de fruto. Por V. Martínez y A. Cerdá.-- Influencia de la fertilización nitrogenada en condiciones salinas en el cultivo de plantas de tomate y pepino. ll. Composición mineral. Por V. Martínez y A. Cerdá.-- Distribución e interrelaciones de componentes metálicos en segmentos ecológicos. Por F. Romero, C. Elejalde y G. Gómez.-- Fisiología Germinación de semillas de Phaseolus vulgaris, L. var. Eagle. l. Papel del ácido gilberélico sobre la producción de etileno. Por l . M. Sánchez-Calle y A. J. Matilla.-- Influencia del pH del suelo sobre el desarrollo y producción de la piña tropical. II. Desarrollo vegetativo y medidas; acidez y producción del fruto. Por C. E. Alvarez González, A E. Carracedo Torres, C. García Corujo y M. Fernández Falcón.—Agro biología. Viñedos canarios. Zona de Acentejo. IV. Estudio estadístico de regresión y contraste de hipótesis de las propiedades físicas y Qufmicas de los suelos. Por l. Trujillo Jacinto del Castillo, E. Figueruelo Ojeda, F. Gutiérrez Jérez y J. Trujillo Jacinto del Castillo.-- Trabajos recapitulativos. El cloroplasto: composición, función y estructura. Por J. Val, L. Heras y E. Monge.-- IV. Bibliografía. Estudio de la producción científica española en el área de Geología. Por A. de Irazazabal Nerpell, S. Alvarez Borge, C. Ortiz González y J. Zarco Weidner.Peer reviewe