308 research outputs found

    Histologic Evaluation of the Efficacy of rhBMP-2 Compared With Autograft Bone in Sheep Spinal Anterior Interbody Fusion

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    Study Design. The sheep anterior lumbar spinal fusion model was used to study the efficacy of recombinant human bone morphogenetic protein-2 (rhBMP-2)–collagen composite in comparison with autograft to enhance spinal interbody fusion. Comparisons were drawn from temporal radiographic and end-point biomechanical and histologic data. Objective. To analyze histologically the ability of rhBMP-2 to achieve complete arthrodesis between vertebral bodies. Summary of Background Data. Studies using rhBMP for enhancement of anterior interbody fusion have used numerous endpoints. However, systematic histologic evaluation of the fusion has not been conducted. Methods. Twelve sheep underwent single-level anterior lumbar interbody fusion performed with a cylindrical fenestrated titanium interbody fusion device (INTER FIX, Medtronic Sofamor Danek, Inc., Memphis, TN). The device was filled either with rhBMP-2–collagen (n = 6) or autogenous iliac crest bone graft (n = 6). Radiologic evaluation was carried out at 2-month intervals, and all sheep were killed 6 months after surgery. Nondestructive biomechanical testing for stiffness to flexion, extension, and lateral bending moments, un-decalcified histology, and qualitative and quantitative histologic evaluation were performed. Results. Radiographs revealed a bony bridge anterior to the cage in five of six rhBMP-2-treated animals, whereas it was present only in one of five in the autogenous bone graft group. Segments treated with rhBMP-2 were 20% stiffer in flexion than autograft-treated segments at 6 months. Six of six in the rhBMP-2 group and two of six in the autograft group showed complete fusion. There was a significantly higher rate of bony continuity observed at the fenestrations of the rhBMP-2 group. Three times more number of cage fenestrations in the rhBMP-2 group demonstrated “all-bone” when compared with the autograft group (P \u3c 0.001). Further, the scar tissue in and around the autograft-treated cages was 16-fold more (P \u3c 0.01) than that seen for rhBMP-2-treated cages. Conclusions. The study demonstrates that rhBMP-2 can lead to earlier radiologic fusion and a more consistent increased stiffness of the segments when compared with autograft in sheep anterior lumbar interbody fusion. Furthermore, a three times higher histologic fusion rate is attainable with significantly reduced fibrous tissue around the implant when rhBMP-2 is used

    Cold-water coral growth under extreme environmental conditions, the Cape Lookout area, NW Atlantic

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    The Cape Lookout cold-water coral area off thecoast of North Carolina forms the shallowest and northernmostcold-water coral mound area on the Blake Plateau inthe NW Atlantic. Cold-water coral habitats near Cape Lookoutare occasionally bathed in the Gulf Stream, which is characterisedby oligotrophic warm water and strong surface currents.Here, we present the first insights into the mound distributionand morphology, sedimentary environment and coralcover and near-bed environmental conditions as recordedby bottom landers from this coral area. The mounds occurbetween 320 and 550m water depth and are characterisedby high acoustic backscatter indicating the presenceof hard structure. Three distinct mound morphologies wereobserved: (1) a mound with a flattened top at 320 m, (2)multi-summited mounds with a teardrop shape in the middlepart of the area and (3) a single mound at 540m water depth.Echosounder profiles show the presence of a strong reflectorunderneath all mound structures that forms the base of themounds. This reflector cropped out at the downstream side ofthe single mound and consists of carbonate slabs. Video analysisrevealed that all mounds are covered by Lophelia pertusaand that living colonies only occur close to the summitsof the SSW side of the mounds, which is the side that facesthe strongest currents. Off-mound areas were characterisedby low backscatter and sediment ripples, indicating the presenceof relatively strong bottom currents. Two bottom landerswere deployed amidst the coral mounds between December2009 and May 2010. Both landers recorded prominentevents, characterised by large fluctuations in environmentalconditions near the seabed as well as in the overlyingwater column. The period between December and April wascharacterised by several events of increasing temperature andsalinity, coinciding with increased flow and near-bed acousticbackscatter. During these events temperature fluctuatedby up to 9 ?C within a day, which is the largest temperaturevariability as measured so far in a cold-water coral habitat.Warm events, related to Gulf Stream meanders, had the durationof roughly 1 week and the current during these eventswas directed to the NNE. The consequences of such eventsmust be significant given the strong effects of temperature on the metabolism of cold-water corals. Furthermore, elevatedacoustic backscatter values and high mass fluxes werealso recorded during these events, indicating a second stressorthat may affect the corals. The abrasive nature of sand incombination with strong currents might sand blast the corals.We conclude that cold-water corals near Cape Lookout liveunder extreme conditions that limit mound growth at present

    Declines and recovery in endangered Galapagos pinnipeds during the El Niño event

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    Currently, the Galapagos sea lion (GSL, Zalophus wollebaeki) and Galapagos fur seal (GFS, Arctocephalus galapagoensis) are among the most important endemic species for conservation in the Galapagos Archipelago. Both are classified as “Endangered” since their populations have undergone drastic declines over the last several decades. In this study we estimated the abundance of both otariids, and their population trends based using counts conducted between 2014 and 2018 in all their rookeries, and we analyzed the influence of environmental variability on pup production. The GSL population size in 2018 in the archipelago was estimated to be between 17,000 to 24,000 individuals and has increased at an average annual rate of 1% over the last five years after applying correction factors. The highest number of GSL counted in the archipelago was in 2014 followed by a population decline of 23.8% in 2015 that was associated with the El Niño event that occurred during that year. Following this event, the population increased mainly in the northern, central and southeastern rookeries. The GSL pup abundance showed a decreasing trend with the increase in intensity of the El Niño. The GFS population in 2018 was counted in 3,093 individuals and has increased at an annual rate of 3% from 2014 to 2018. A high number of GFS counted in 2014 was followed by a population decrease of 38% in 2015, mainly in the western rookeries. There was interannual population fluctuations and different growth trends among regions of the archipelago. GSL and GFS pup abundance has a strong decreasing tendency with the increase in the subthermocline temperature (ST) and the El Niño 1 + 2 index. Our results provide evidence that both species are highly vulnerable to periodic oceanographic-atmospheric events in the Galapagos Archipelago which impact prey abundance and the flow of energy in the unique Galapagos ecosystem

    Annual and Seasonal Surface Circulation Over the Mid-Atlantic Bight Continental Shelf Derived From a Decade of High Frequency Radar Observations

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    A decade (2007–2016) of hourly 6-km-resolution maps of the surface currents across the Mid-Atlantic Bight (MAB) generated by a regional-scale High Frequency Radar network are used to reveal new insights into the spatial patterns of the annual and seasonal mean surface flows. Across the 10-year time series, temporal means and interannual and intra-annual variability are used to quantify the variability of spatial surface current patterns. The 10-year annual mean surface flows are weaker and mostly cross-shelf near the coast, increasing in speed and rotating to more alongshore directions near the shelfbreak, and increasing in speed and rotating to flow off-shelf in the southern MAB. The annual mean surface current pattern is relatively stable year to year compared to the hourly variations within a year. The 10-year seasonal means exhibit similar current patterns, with winter and summer more cross-shore while spring and fall transitions are more alongshore. Fall and winter mean speeds are larger and correspond to when mean winds are stronger and cross-shore. Summer mean currents are weakest and correspond to a time when the mean wind opposes the alongshore flow. Again, intra-annual variability is much greater than interannual, with the fall season exhibiting the most interseasonal variability in the surface current patterns. The extreme fall seasons of 2009 and 2011 are related to extremes in the wind and river discharge events caused by different persistent synoptic meteorological conditions, resulting in more or less rapid fall transitions from stratified summer to well-mixed winter conditions

    Next Steps for Human-Computer Integration

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    Human-Computer Integration (HInt) is an emerging paradigm in which computational and human systems are closely interwoven. Integrating computers with the human body is not new. however, we believe that with rapid technological advancements, increasing real-world deployments, and growing ethical and societal implications, it is critical to identify an agenda for future research. We present a set of challenges for HInt research, formulated over the course of a five-day workshop consisting of 29 experts who have designed, deployed and studied HInt systems. This agenda aims to guide researchers in a structured way towards a more coordinated and conscientious future of human-computer integration

    Characteristics of an Advective Marine Heatwave in the Middle Atlantic Bight in Early 2017

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    There has been wide interest in Marine Heatwaves and their ecological consequences in recent years. Most analyses have focused on remotely sensed sea surface temperature data due to the temporal and spatial coverage it provides in order to establish the presence and duration of Heatwaves. Using hydrographic data from a variety of sources, we show that an advective Marine Heatwave was initiated by an event in late December of 2016 south of New England, with temperature anomalies measuring up to 6°C and salinity anomalies exceeding 1 PSU. Similar features were observed off of New Jersey in February 2017, and are associated with the Shelfbreak Front migrating from its normal position to mid-shelf or further onshore. Shelf water of 34 PSU was observed just north of Cape Hatteras at the 30 m isobath and across the continental shelf in late April 2017. These observations reveal that the 2017 Marine Heatwave was associated with a strong positive salinity anomaly, that its total duration was approximately 4 months, and its advective path extended roughly 850 km along the length of the continental shelf in the Middle Atlantic Bight. The southward advective velocity implied by the arrival north of Cape Hatteras is consistent with previous estimates of alongshelf velocity for the region. The origin of this Marine Heatwave is likely related to cross-shelf advection driven by the presence of a Warm Core Ring adjacent to the shelfbreak south of New England
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