The effects of monovision on distance stereopsis and driving performance

The effects of monovision on stereopsis and driving performance were evaluated on thirty-eight subjects (ages 22 to 55 years). Monovision performance was compared to the performance with distance contact lenses. Each subject had good ocular health, no apparent strabismus, and less than 1.00D of uncorrected astigmatism. Visual acuity and stereo acuity at 6m and 40cm, acuity suppression at 6m, and driving performance were measured for each condition. The results of the study indicated that mono vision reduced several aspects of visual performance. A significant difference (t=11.82, p=0.0001, df-=35) was present for distance visual acuity between the eye corrected for near compared to the eye corrected for distance. Near stereo acuity (t=3.16, p=0.0033, df=34) and distance stereo acuity (t=7.43, p=0.0001, df=20) were both significantly decreased with the monovision modality. The monovision lens showed a significant increase (t=-3.42, p=0.0016, df=35) in the amount of driving error. The statistical results were skewed because only those subject that were affected the least by monovision were analyzed. The subjects whose grossest level of stereo acuity and acuity suppression fell outside the measurable limits of the BVAT were excluded from the statistical analysis

Creep deformation and buttressing capacity of damaged ice shelves: theory and application to Larsen C ice shelf

Around the perimeter of Antarctica, much of the ice sheet discharges to the ocean through floating ice shelves. The buttressing provided by ice shelves is critical for modulating the flux of ice into the ocean, and the presently observed thinning of ice shelves is believed to be reducing their buttressing capacity and contributing to the acceleration and thinning of the grounded ice sheet. However, relatively little attention has been paid to the role that fractures play in the ability of ice shelves to sustain and transmit buttressing stresses. Here, we present a new framework for quantifying the role that fractures play in the creep deformation and buttressing capacity of ice shelves. We apply principles of continuum damage mechanics to derive a new analytical relation for the creep of an ice shelf that accounts for the softening influence of fractures on longitudinal deformation using a state damage variable. We use this new analytical relation, combined with a temperature calculation for the ice, to partition an inverse method solution for ice shelf rigidity into independent solutions for softening damage and stabilizing backstress. Using this new approach, field and remote sensing data can be utilized to monitor the structural integrity of ice shelves, their ability to buttress the flow of ice at the grounding line, and thus their indirect contribution to ice sheet mass balance and global sea level. We apply this technique to the Larsen C ice shelf using remote sensing and Operation IceBridge data, finding damage in areas with known crevasses and rifts. Backstress is highest near the grounding line and upstream of ice rises, in agreement with patterns observed on other ice shelves. The ice in contact with the Bawden ice rise is weakened by fractures, and additional damage or thinning in this area could diminish the backstress transmitted upstream. We model the consequences for the ice shelf if it loses contact with this small ice rise, finding that flow speeds would increase by 25% or more over an area the size of the former Larsen B ice shelf. Such a perturbation could potentially destabilize the northern part of Larsen C along pre-existing lines of weakness, highlighting the importance of the feedback between buttressing and fracturing in an ice shelf

The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication

Item does not contain fulltextINTRODUCTION AND HYPOTHESIS: The objective of this study is to evaluate cervical amputation with uterosacral ligament plication (modified Manchester) and compare it to vaginal hysterectomy with high uterosacral ligament plication procedure with special regard to the middle compartment. METHODS: Consecutive women with pelvic organ prolapse who underwent either vaginal hysterectomy or a modified Manchester procedure were included. Assessments were made preoperatively and at 1-year follow-up, including physical examination with pelvic organ prolapse quantification standardised questionnaires (incontinence impact questionnaire, urogenital distress inventory, and defaecatory distress inventory). RESULTS: Between 2002 and 2007, 156 patients were included. Ninety-eight patients returned for a 1-year follow-up. In the modified Manchester group, we found no middle compartment recurrence versus two (4%) in the vaginal hysterectomy group. Anterior and posterior compartment prolapse recurrences (stage >or=2) were similar (approximately 50%). Considering operating time and blood loss, modified Manchester was more favourable. There was no difference in the pre- and postoperative subjective scores. The overall functional outcome was acceptable. CONCLUSIONS: We found an excellent performance of both procedures regarding middle compartment recurrences

CosmoHub: Interactive exploration and distribution of astronomical data on Hadoop

We present CosmoHub (https://cosmohub.pic.es), a web application based on Hadoop to perform interactive exploration and distribution of massive cosmological datasets. Recent Cosmology seeks to unveil the nature of both dark matter and dark energy mapping the large-scale structure of the Universe, through the analysis of massive amounts of astronomical data, progressively increasing during the last (and future) decades with the digitization and automation of the experimental techniques. CosmoHub, hosted and developed at the Port d'Informació Científica (PIC), provides support to a worldwide community of scientists, without requiring the end user to know any Structured Query Language (SQL). It is serving data of several large international collaborations such as the Euclid space mission, the Dark Energy Survey (DES), the Physics of the Accelerating Universe Survey (PAUS) and the Marenostrum Institut de Ciències de l'Espai (MICE) numerical simulations. While originally developed as a PostgreSQL relational database web frontend, this work describes the current version of CosmoHub, built on top of Apache Hive, which facilitates scalable reading, writing and managing huge datasets. As CosmoHub's datasets are seldomly modified, Hive it is a better fit. Over 60 TiB of cataloged information and 50×10 astronomical objects can be interactively explored using an integrated visualization tool which includes 1D histogram and 2D heatmap plots. In our current implementation, online exploration of datasets of 10 objects can be done in a timescale of tens of seconds. Users can also download customized subsets of data in standard formats generated in few minutes.CosmoHub has been partially funded through projects of the Spanish national program “Programa Estatal de I + D + i” of the Spanish government. The support of the ERDF fund is gratefully acknowledged

The pectoralis minor length test: a study of the intra-rater reliability and diagnostic accuracy in subjects with and without shoulder symptoms

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedBackground. Postural abnormality and muscle imbalance are thought to contribute to pain and a loss of normal function in the upper body. A shortened pectoralis minor muscle is commonly identified as part of this imbalance. Clinical tests have been recommended to test for shortening of this muscle. The aim of this study was to evaluate the intra-rater reliability and diagnostic accuracy of the pectoralis minor length test. Methods. Measurements were made in 45 subjects with and 45 subjects without shoulder symptoms. Measurements were made with the subjects lying in supine. In this position the linear distance from the treatment table to the posterior aspect of the acromion was measured on two occasions (separated by a minimum of 30 minutes and additional data collection on other subjects to reduce bias) by one rater. The reliability of the measurements was analyzed using intraclass correlation coefficients (ICC), 95% confidence intervals (CI) and standard error of measurement (SEM). The diagnostic accuracy of the test was investigated by determining the sensitivity, specificity, positive and negative likelihood ratios of the test against a 'gold standard' reference. The assessor remained 'blinded' to data input and the measurements were staggered to reduce examiner bias. Results. The pectoralis minor length test was found to have excellent intra-rater reliability for dominant and non-dominant side of the subjects without symptoms, and for the painfree and painful side of the subjects with symptoms. The values calculated for the sensitivity, specificity, positive and negative likelihood ratios suggest this test performed in the manner investigated in this study and recommended in the literature, lacks diagnostic accuracy. Conclusion. The findings of this study suggest that although the pectoralis minor length test demonstrates acceptable clinical reliability, its lack of specificity suggests that clinicians using this test to inform the clinical reasoning process with regard treatment planning must do so with caution. Trial registration. National Research Register: N0060148286.Peer reviewe

The short-term effect of swimming training load on shoulder rotational range of motion, shoulder joint position sense and pectoralis minor length

Background: Shoulder pain or injury is the most common issue facing elite competitive swimmers and the most frequent reason for missed or modified training. Literature suggests that highly repetitive upper limb loading leads to inappropriate adaptations within the shoulder complex. The most likely maladaptations to occur are variations in shoulder rotational range of motion, reduction in joint position sense and shortened pectoralis minor length. This has yet to have been confirmed in experimental studies. The aim of this study was to investigate the short-term effects of swimming training load upon internal and external rotation range of motion, joint position sense and pectoralis minor length. Method: Sixteen elite swimmers training in the British Swimming World Class programme participated. Measures of internal and external range of motion, joint position sense error score and pectoralis minor length were taken before and after a typical 2h swimming session. Results: Following swimming training shoulder external rotation range of motion and pectoralis minor length reduced significantly (-3.4°,p=<0.001 and -0.7cm, p=<0.001, respectively), joint position sense error increased significantly (+2.0° error angle, p=<0.001). Internal rotation range of motion demonstrated no significant change (-0.6, p=0.53). Discussion: This study determined that elite level swimming training results in short-term maladaptive changes in shoulder performance that could potentially predispose them to injury

Results of the third Marine Ice Sheet Model Intercomparison Project (MISMIP+)

We present the result of the third Marine Ice Sheet Model Intercomparison Project, MISMIP+. MISMIP+ is intended to be a benchmark for ice-flow models which include fast sliding marine ice streams and floating ice shelves and in particular a treatment of viscous stress that is sufficient to model buttressing, where upstream ice flow is restrained by a downstream ice shelf. A set of idealized experiments first tests that models are able to maintain a steady state with the grounding line located on a retrograde slope due to buttressing and then explore scenarios where a reduction in that buttressing causes ice stream acceleration, thinning, and grounding line retreat. The majority of participating models passed the first test and then produced similar responses to the loss of buttressing. We find that the most important distinction between models in this particular type of simulation is in the treatment of sliding at the bed, with other distinctions - notably the difference between the simpler and more complete treatments of englacial stress but also the differences between numerical methods - taking a secondary role. © 2020 Wolters Kluwer Medknow Publications. All rights reserved

Results of the third Marine Ice Sheet Model Intercomparison Project (MISMIP+)

We present the result of the third Marine Ice Sheet Model Intercomparison Project, MISMIP+. MISMIP+ is intended to be a benchmark for ice-flow models which include fast sliding marine ice streams and floating ice shelves and in particular a treatment of viscous stress that is sufficient to model buttressing, where upstream ice flow is restrained by a downstream ice shelf. A set of idealized experiments first tests that models are able to maintain a steady state with the grounding line located on a retrograde slope due to buttressing and then explore scenarios where a reduction in that buttressing causes ice stream acceleration, thinning, and grounding line retreat. The majority of participating models passed the first test and then produced similar responses to the loss of buttressing. We find that the most important distinction between models in this particular type of simulation is in the treatment of sliding at the bed, with other distinctions – notably the difference between the simpler and more complete treatments of englacial stress but also the differences between numerical methods – taking a secondary role

The reliability of three-dimensional scapular attitudes in healthy people and people with shoulder impingement syndrome

<p>Abstract</p> <p>Background</p> <p>Abnormal scapular displacements during arm elevation have been observed in people with shoulder impingement syndrome. These abnormal scapular displacements were evaluated using different methods and instruments allowing a 3-dimensional representation of the scapular kinematics. The validity and the intrasession reliability have been shown for the majority of these methods for healthy people. However, the intersession reliability on healthy people and people with impaired shoulders is not well documented. This measurement property needs to be assessed before using such methods in longitudinal comparative studies. The objective of this study is to evaluate the intra and intersession reliability of 3-dimensional scapular attitudes measured at different arm positions in healthy people and to explore the same measurement properties in people with shoulder impingement syndrome using the Optotrak Probing System.</p> <p>Methods</p> <p>Three-dimensional scapular attitudes were measured twice (test and retest interspaced by one week) on fifteen healthy subjects (mean age 37.3 years) and eight subjects with subacromial shoulder impingement syndrome (mean age 46.1 years) in three arm positions (arm at rest, 70° of humerothoracic flexion and 90° of humerothoracic abduction) using the Optotrak Probing System. Two different methods of calculation of 3-dimensional scapular attitudes were used: relative to the position of the scapula at rest and relative to the trunk. Intraclass correlation coefficient (ICC) and standard error of measure (SEM) were used to estimate intra and intersession reliability.</p> <p>Results</p> <p>For both groups, the reliability of the three-dimensional scapular attitudes for elevation positions was very good during the same session (ICCs from 0.84 to 0.99; SEM from 0.6° to 1.9°) and good to very good between sessions (ICCs from 0.62 to 0.97; SEM from 1.2° to 4.2°) when using the method of calculation relative to the trunk. Higher levels of intersession reliability were found for the method of calculation relative to the trunk in anterior-posterior tilting at 70° of flexion compared to the method of calculation relative to the scapula at rest.</p> <p>Conclusion</p> <p>The estimation of three-dimensional scapular attitudes using the method of calculation relative to the trunk is reproducible in the three arm positions evaluated and can be used to document the scapular behavior.</p

Impact of movement training on upper limb motor strategies in persons with shoulder impingement syndrome

<p>Abstract</p> <p>Background</p> <p>Movement deficits, such as changes in the magnitude of scapulohumeral and scapulathoracic muscle activations or perturbations in the kinematics of the glenohumeral, sternoclavicular and scapulothoracic joints, have been observed in people with shoulder impingement syndrome. Movement training has been suggested as a mean to contribute to the improvement of the motor performance in persons with musculoskeletal impairments. However, the impact of movement training on the movement deficits of persons with shoulder impingement syndrome is still unknown. The aim of this study was to evaluate the short-term effects of supervised movement training with feedback on the motor strategies of persons with shoulder impingement syndrome.</p> <p>Methods</p> <p>Thirty-three subjects with shoulder impingement were recruited. They were involved in two visits, one day apart. During the first visit, supervised movement training with feedback was performed. The upper limb motor strategies were evaluated before, during, immediately after and 24 hours after movement training. They were characterized during reaching movements in the frontal plane by EMG activity of seven shoulder muscles and total excursion and final position of the wrist, elbow, shoulder, clavicle and trunk. Movement training consisted of reaching movements performed under the supervision of a physiotherapist who gave feedback aimed at restoring shoulder movements. One-way repeated measures ANOVAs were run to analyze the effect of movement training.</p> <p>Results</p> <p>During, immediately after and 24 hours after movement training with feedback, the EMG activity was significantly decreased compared to the baseline level. For the kinematics, total joint excursion of the trunk and final joint position of the trunk, shoulder and clavicle were significantly improved during and immediately after training compared to baseline. Twenty-four hours after supervised movement training, the kinematics of trunk, shoulder and clavicle were back to the baseline level.</p> <p>Conclusion</p> <p>Movement training with feedback brought changes in motor strategies and improved temporarily some aspects of the kinematics. However, one training session was not enough to bring permanent improvement in the kinematic patterns. These results demonstrate the potential of movement training in the rehabilitation of movement deficits associated with shoulder impingement syndrome.</p