Equivalent Mid-Term Results of Open vs Endoscopic Gluteal Tendon Tear Repair Using Suture Anchors in Forty-Five Patients.

BackgroundLittle is known about the relative efficacy of open (OGR) vs endoscopic (EGR) gluteal tendon repair of gluteal tendon tears in minimizing pain and restoring function. Our aim is to compare these 2 surgical techniques and quantify their impact on clinical outcomes.MethodsAll patients undergoing gluteal tendon tear repair at our institution between 2015 and 2018 were retrospectively reviewed. Pain scores, limp, hip abduction strength, and the use of analgesics were recorded preoperatively and at last follow-up. The Hip disability and Osteoarthritis Outcome Score Junior and Harris Hip Score Section1 were obtained at last follow-up. Fatty degeneration was quantified using the Goutallier-Fuchs Classification (GFC). Statistical analysis was conducted using one-way analysis of variance and t-tests.ResultsForty-five patients (mean age 66, 87% females) met inclusion criteria. Average follow-up was 20.3 months. None of the 10 patients (22%) undergoing EGR had prior surgery. Of 35 patients (78%) undergoing OGR, 12 (27%) had prior hip replacement (75% via lateral approach). The OGRs had more patients with GFC ≥2 (50% vs 11%, P = .02) and used more anchors (P = .03). Both groups showed statistical improvement (P ≤ .01) for all outcomes measured. GFC >2 was independently associated with a worst limp and Harris Hip Score Section 1 score (P = .05). EGR had a statistically higher opioid use reduction (P < .05) than OGR. Other comparisons between EGR and OGR did not reach statistical significance.ConclusionIn this series, open vs endoscopic operative approach did not impact clinical outcomes. More complex tears were treated open and with more anchors. Fatty degeneration adversely impacted outcomes. Although further evaluation of the efficacy of EGR in complex tears is indicated, both approaches can be used successfully

Multiple peak aggregations for the Keller-Segel system

In this paper we derive matched asymptotic expansions for a solution of the Keller-Segel system in two space dimensions for which the amount of mass aggregation is $8\pi N$, where $N=1,2,3,...$ Previously available asymptotics had been computed only for the case in which N=1

Internal kinematics of spiral galaxies in distant clusters III. Velocity fields from FORS2/MXU spectroscopy

(Abridged) We study the impact of cluster environment on the evolution of spiral galaxies by examining their structure and kinematics. Rather than two-dimensional rotation curves, we observe complete velocity fields by placing three adjacent and parallel FORS2 MXU slits on each object, yielding several emission and absorption lines. The gas velocity fields are reconstructed and decomposed into circular rotation and irregular motions using kinemetry. To quantify irregularities in the gas kinematics, we define three parameters: sigma_{PA} (standard deviation of the kinematic position angle), Delta phi (the average misalignment between kinematic and photometric position angles) and k_{3,5} (squared sum of the higher order Fourier terms). Using local, undistorted galaxies from SINGS, these can be used to establish the regularity of the gas velocity fields. Here we present the analysis of 22 distant galaxies in the MS0451.6-0305 field with 11 members at z=0.54. In this sample we find both field (4 out of 8) and cluster (3 out of 4) galaxies with velocity fields that are both irregular and asymmetric. We show that these fractions are underestimates of the actual number of galaxies with irregular velocity fields. The values of the (ir)regularity parameters for cluster galaxies are not very different from those of the field galaxies, implying that there are isolated field galaxies that are as distorted as the cluster members. None of the deviations in our small sample correlate with photometric/structural properties like luminosity or disk scale length in a significant way. Our 3D-spectroscopic method successfully maps the velocity field of distant galaxies, enabling the importance and efficiency of cluster specific interactions to be assessed quantitatively.Comment: accepted for publication in A&A, high resolution version available at http://www.astro.rug.nl/~kutdemir/papers

The effects of phosphatidylserine on endocrine response to moderate intensity exercise

Previous research has indicated that phosphatidylserine (PS) supplementation has the potential to attenuate the serum cortisol response to acute exercise stress. Equivocal findings suggest that this effect might be dose dependent. This study aimed to examine the influence of short-term supplementation with a moderate dose of PS (600 mg per day) on plasma concentrations of cortisol, lactate, growth hormone and testosterone before, during, and following moderate intensity exercise in healthy males. 10 healthy male subjects participated in the study. Each subject was assigned to ingest 600 mg PS or placebo per day for 10 days using a double-blind, placebo-controlled, crossover design. Serial venous blood samples were taken at rest, after a 15 minute moderate intensity exercise protocol on a cycle ergometer that consisted of five 3-minute incremental stages beginning at 65% and ending at 85% VO2 max, and during a 65 minute passive recovery. Plasma samples were assessed for cortisol, growth hormone, testosterone, lactate and testosterone to cortisol ratio for treatment (PS or placebo). Mean peak cortisol concentrations and area under the curve (AUC) were lower following PS (39 ± 1% and 35 ± 0%, respectively) when compared to placebo (p < 0.05). PS increased AUC for testosterone to cortisol ratio (184 ± 5%) when compared to placebo (p < 0.05). PS and placebo supplementation had no effect on lactate or growth hormone levels. The findings suggest that PS is an effective supplement for combating exercise-induced stress and preventing the physiological deterioration that can accompany too much exercise. PS supplementation promotes a desired hormonal status for athletes by blunting increases in cortisol levels

Precision Calculations for Future Colliders

I discuss the motivations for, and the status of, precision calculations for the Large Hadron Collider (LHC) and the planned International Linear Collider (ILC).Comment: latex, uses ws-ijmpe.cls, 19 pages, 9 figures, 1 table, based on a talk given at the symposium "50 Years of High Energy Physics at UB", to appear in International Journal of Modern Physics

Discovery of an Optical Jet in the BL Lac Object 3C 371

We have detected an optical jet in the BL Lac object 3C 371 that coincides with the radio jet in this object in the central few kpc. The most notable feature is a bright optical knot 3 arcsec (4 kpc) from the nucleus that occurs at the location where the jet apparently changes its direction by ~30 degrees. The radio, near-infrared and optical observations of this knot are consistent with a single power-law spectrum with a radio-optical spectral index alpha = -0.81. One possible scenario for the observed turn is that the jet is interacting with the material in the bridge connecting 3C 371 to nearby galaxies and the pressure gradient is deflecting the jet significantly.Comment: 11 pages, LaTeX, 4 figures (1 eps, 3 gifs), accepted for publication in ApJ Letter