Analysis of shared heritability in common disorders of the brain

Paroxysmal Cerebral Disorder

The influence of tibial component fixation techniques on resorption of supporting bone stock after total knee replacement

Item does not contain fulltextPeriprosthetic bone resorption after tibial prosthesis implantation remains a concern for long-term fixation performance. The fixation techniques may inherently aggravate the "stress-shielding" effect of the implant, leading to weakened bone foundation. In this study, two cemented tibial fixation cases (fully cemented and hybrid cementing with cement applied under the tibial tray leaving the stem uncemented) and three cementless cases relying on bony ingrowth (no, partial and fully ingrown) were modelled using the finite element method with a strain-adaptive remodelling theory incorporated to predict the change in the bone apparent density after prosthesis implantation. When the models were loaded with physiological knee joint loads, the predicted patterns of bone resorption correlated well with reported densitometry results. The modelling results showed that the firm anchorage fixation formed between the prosthesis and the bone for the fully cemented and fully ingrown cases greatly increased the amount of proximal bone resorption. Bone resorption in tibial fixations with a less secure anchorage (hybrid cementing, partial and no ingrowth) occurred at almost half the rate of the changes around the fixations with a firm anchorage. The results suggested that the hybrid cementing fixation or the cementless fixation with partial bony ingrowth (into the porous-coated prosthesis surface) is preferred for preserving proximal tibial bone stock, which should help to maintain post-operative fixation stability. Specifically, the hybrid cementing fixation induced the least amount of bone resorption

Finite element modelling of glenohumeral kinematics following total shoulder arthroplasty

Due to the shallowness of the glenohumeral joint, a challenging but essential requirement of a glenohumeral prosthesis is theprevention of joint dislocation. Weak glenoid bone stock and frequent dysfunction of the rotator cuff, both of which are common with rheumatoid arthritis, make it particularly difficult to achieve this design goal. Although a variety of prosthetic designs are commercially available only a few experimental studies have investigated the kinematics and dislocation characteristics of design variations. Analytical or numerical methods, which are predictive and more cost-effective, are, apart from simple rigid-body analyses, non-existent. The current investigation presents the results of a finite element analysis of the kinematics of a total shoulder joint validated using recently published experimental data for the same prostheses. The finite element model determined the loading required to dislocate the humeral head, and the corresponding translations, to within 4% of the experimental data. The finite element method compared dramatically better to the experimental data (mean difference = 2.9%) than did rigid-body predictions (mean difference = 37%).The goal of this study was to develop an accurate method that in future studies can be used for further investigations of the effect of design parameters on dislocation, particularly in the case of a dysfunctional rotator cuff. Inherently, the method also evaluates the glenoid fixation stresses in the relatively weak glenoid bone stock. Hence, design characteristics can be simultaneously optimised against dislocation as well as glenoid loosening

Permafrost dynamics structure species compositions of oribatid mite (Acari: Oribatida) communities in sub-Arctic palsa mires

Palsa mires are sub-Arctic peatland complexes, vulnerable ecosystems with patches of permafrost. Permafrost thawing in palsa mires occurs throughout Fennoscandia, probably due to local climatic warming. In palsa mires, permafrost thaw alters hydrological conditions, vegetation structure and microhabitat composition with unknown consequences for invertebrate fauna. This study's objectives were to examine the role of microhabitat heterogeneity and the effects of permafrost dynamics and thaw on oribatid mite communities in palsa mires. Oribatid mites were sampled in two palsa mires in Finland and Norway. Three different types of microhabitats were examined: graminoid-dominated wet sites, herb-dominated small hummocks and evergreen shrub-dominated permafrost-underlain palsa hummocks. The results indicate that permafrost dynamics are an important factor structuring oribatid mite communities in palsa mires. The community composition of oribatid mites differed remarkably among microhabitats. Six species were significantly more abundant in permafrost-underlain microhabitats in relation to non-permafrost microhabitats. None of the species identified occurred exclusively in permafrost-underlain microhabitats. Findings suggest that permafrost thaw may not have an impact on species diversity but may alter community composition of oribatid mites in palsa mire ecosystems