Does lateral lift-off occur in static and dynamic activity in a medially spherical total knee arthroplasty? A pulsed-fluoroscopic investigation.

Objectives: The medially spherical GMK Sphere (Medacta International AG, Castel San Pietro, Switzerland) total knee arthroplasty (TKA) was previously shown to accommodate lateral rollback while pivoting around a stable medial compartment, aiming to replicate native knee kinematics in which some coronal laxity, especially laterally, is also present. We assess coronal plane kinematics of the GMK Sphere and explore the occurrence and pattern of articular separation during static and dynamic activities. Methods: Using pulsed fluoroscopy and image matching, the coronal kinematics and articular surface separation of 16 well-functioning TKAs were studied during weight-bearing and non-weight-bearing, static, and dynamic activities. The closest distances between the modelled articular surfaces were examined with respect to knee position, and proportions of joint poses exhibiting separation were computed. Results: Overall, 1717 joint poses were analyzed. At a 1.0 mm detection threshold, 37 instances of surface separation were observed in the lateral compartment and four medially (p < 0.001). Separation was activity-dependent, both laterally and medially (p < 0.001), occurring more commonly during static deep flexion in the lateral compartment, and during static rotation in the medial compartment. Lateral separation occurred more frequently than medial during kneeling (7/14 lateral vs 1/14 medial; p = 0.031) and stepping (20/1022 lateral vs 0/1022 medial; p < 0.001). Separation varied significantly between individuals during dynamic activities. Conclusion: No consistent association between closest distances of the articular surfaces and knee position was found during any activity. Lift-off was infrequent and depended on the activity performed and the individual knee. Lateral separation was consistent with the design rationale. Medial lift-off was rare and mostly in non-weight-bearing activities.Cite this article: S. Key, G. Scott, J.G. Stammers, M. A. R. Freeman†, V. Pinskerova, R. E. Field, J. Skinner, S. A. Banks. Does lateral lift-off occur in static and dynamic activity in a medially spherical total knee arthroplasty? A pulsed-fluoroscopic investigation. Bone Joint Res 2019;8:207-215. DOI: 10.1302/2046-3758.85.BJR-2018-0237.R1

The Dust Disk around the Vega-Excess Star SAO 26804

We present multiwaveband observations of the K2 Vega-excess star SAO 26804 (= HD 233517). These include James Clerk Maxwell Telescope millimeter-wave photometry, plus spectra in the 8-13 microns and 18-24 microns atmospheric windows, an image at a wavelength of 10 microns through a broadband N filter and near-IR (JHKLL'M) photometry all taken at the United Kingdom Infrared Telescope. The source is resolved at 10 microns, and we can confirm with these observations that the IR excess seen in IRAS observations of this source is associated with the optical star. The image is consistent with the dust being confined to a disk with Full Width at Half Maximum (FWHM) 1.5 sec on the major axis, with an inclination angle of less than 30 deg away from edge-on. This represents the first confirmation that the dust in a Vega-excess star other than beta Pic is confined to a disk geometry. We present models of the source which show that many of the properties of the disk and the dust in it are similar to those which we have previously derived for the disk around SAO 179815, but that there are some very small grains in the disk around the star which give around SAO 179815, but that there are some very small grains in the disk around the star which give rise to a very prominent and narrow silicate dust feature at 9.7 microns and to so-called unidentified infrared bands in the 10 micron region. The larger grains are composed of a mixture of amorphous carbon and silicate with an abundance ratio consistent with an interstellar origin. The total mass of dust in the disk is 3.0 x 10-7 solar mass. Finally, our model suggests that there may be a substantial UV and/or soft X-ray flux from SAO 26804, consistent with it being a very young and rather active star

SWCNT photocathodes sensitised with InP/ZnS core-shell nanocrystals

Increasing the light harvesting efficiency of photocathodes is an integral part of optimising the future efficiencies of solar technologies. In contrast to the more extensively studied photoanode systems, current state-of-the-art photocathodes are less efficient and are commonly replaced with rare and expensive materials such as platinum group metals. The significance of photocathodes is in the development of tandem electrodes, enhancing the performance of existing devices. Carbon nanotubes are promising candidates for photocathodes, which, in addition to their p-type conductivity and catalytic properties, possess a suite of unique optical and electrical attributes. This work describes the fabrication of single walled carbon nanotube (SWCNT) photocathodes sensitised with indium phosphide/zinc sulfide (InP/ZnS) core–shell nanocrystals (NCs). Under air mass (AM) 1.5 conditions, the sensitisation of SWCNT photocathodes with InP/ZnS NCs increased the photocurrent density by 350% of the unsensitised output. This significant enhancement of current density demonstrates the potential of InP/ZnS NCs as effective sensitisers to improve the performance of carbon-based photocathode thin films

The remarkable asymmetric outflow from the Cygnus Egg Nebula

We present ground based continuum images in the infrared, from 1.2 to 19µm, and an H2 2.122µm line emission image of the post-AGB star AFGL2688, the Cygnus Egg Nebula. We show that the standard model of this source, comprising a fast wind focussed by a dense, equatorial, dusty torus into a bipolar flow at position angle 15$^\circ$ and close to the plane of the sky, cannot explain the combination of kinematic information from previous studies and morphological information in our own observations. Nor are the images consistent with a classical bipolar flow, since the apex of the two lobes observed in scattered light in the visible and near-IR are offset in R.A. with respect to one another. We suggest a model which is physically similar, but substantially different geometrically, in which there is a bipolar flow at a position angle closer to 60$^\circ$, rather than 15$^\circ$, still collimated by a dense, equatorial, dusty torus, but the opening angle of the cones out of which the fast bipolar flow is directed is closer to 90$^\circ$, rather than 20$^\circ$ or so as previously suggested. The bipolar flow axis is inclined by about 20-30$^\circ$, rather than in the plane of the sky as in previous models. The dust distribution in the nebula has to be extremely clumpy, and there is evidence that large scale mass loss from the progenitor AGB star occurred in discrete phases, recurring on a timescale of $\sim$750 years. This model implies a much lower velocity for the 'fast' bipolar outflow than does the standard model, which is consistent with very recent Nobeyama Millimetre Array images in 13CO emission. In support of our new model, we present a full radiative transfer model for the source, in axial symmetry, which reveals that the final phase of heavy mass loss included a superwind phase which lasted about two hundred years and removed about 0.7 M$_{\odot}$ from the envelope of the progenitor AGB star. Our results imply that the progenitor star must have been a relatively high mass AGB star. Our radiative transfer model also demonstrates convincingly that, in contrast with previous models, the core of the nebula has to be exceptionally optically thick, with an optical depth greater than unity even at 10µm

GIVE: portable genome browsers for personal websites.

Growing popularity and diversity of genomic data demand portable and versatile genome browsers. Here, we present an open source programming library called GIVE that facilitates the creation of personalized genome browsers without requiring a system administrator. By inserting HTML tags, one can add to a personal webpage interactive visualization of multiple types of genomics data, including genome annotation, "linear" quantitative data, and genome interaction data. GIVE includes a graphical interface called HUG (HTML Universal Generator) that automatically generates HTML code for displaying user chosen data, which can be copy-pasted into user's personal website or saved and shared with collaborators. GIVE is available at: https://www.givengine.org/

Dominant role of greenhouse-gas forcing in the recovery of Sahel rainfall

Sahelian summer rainfall, controlled by the West African monsoon, exhibited large-amplitude multidecadal variability during the twentieth century. Particularly important was the severe drought of the 1970s and 1980s, which had widespread impacts1–6. Research into the causes of this drought has identified anthropogenic aerosol forcing3,4,7 and changes in sea surface temperatures (SSTs; refs 1,2,6,8–11) as the most important drivers. Since the 1980s, there has been some recovery of Sahel rainfall amounts2–6,11–14, although not to the pre-drought levels of the 1940s and 1950s. Here we report on experiments with the atmospheric component of a state-of-the-art global climate model to identify the causes of this recovery. Our results suggest that the direct influence of higher levels of greenhouse gases in the atmosphere was the main cause, with an additional role for changes in anthropogenic aerosol precursor emissions. We find that recent changes in SSTs, although substantial, did not have a significant impact on the recovery. The simulated response to anthropogenic greenhouse-gas and aerosol forcing is consistent with a multivariate fingerprint of the observed recovery, raising confidence in our findings. Although robust predictions are not yet possible, our results suggest that the recent recovery in Sahel rainfall amounts is most likely to be sustained or amplified in the near term

Transkingdom Networks: A Systems Biology Approach to Identify Causal Members of Host-Microbiota Interactions

Improvements in sequencing technologies and reduced experimental costs have resulted in a vast number of studies generating high-throughput data. Although the number of methods to analyze these "omics" data has also increased, computational complexity and lack of documentation hinder researchers from analyzing their high-throughput data to its true potential. In this chapter we detail our data-driven, transkingdom network (TransNet) analysis protocol to integrate and interrogate multi-omics data. This systems biology approach has allowed us to successfully identify important causal relationships between different taxonomic kingdoms (e.g. mammals and microbes) using diverse types of data

Does General Parenting Context Modify Adolescents' Appraisals and Coping with a Situation of Parental Regulation? The Case of Autonomy-Supportive Parenting

Theory and research suggest that adolescents differ in their appraisals and coping reactions in response to parental regulation. Less is known, however, about factors that determine these differences in adolescents’ responses. In this study, we examined whether adolescents' appraisals and coping reactions depend upon parents’ situation-specific autonomy-supportive or controlling communication style (i.e., the situation) in interaction with adolescents’ past experiences with general autonomy-supportive parenting (i.e., the parenting context). Whereas in Study 1 (N = 176) adolescents’ perceived general autonomy-supportive parenting context was assessed at one point in time, in Study 2 (N = 126) it was assessed multiple times across a 6-year period, allowing for an estimation of trajectories of perceived autonomy-supportive parenting context. In each study, adolescents read a vignette-based scenario depicting a situation of maternal regulation (i.e., a request to study more), which was communicated in either an autonomy-supportive or a controlling way. Following this scenario, they reported upon their appraisals and their anticipated coping reactions. Results of each study indicated that both the autonomy-supportive (relative to the controlling) situation and the perceived autonomy-supportive parenting context generally related to more positive appraisals (i.e., more autonomy need satisfaction, less autonomy need frustration), as well as to more constructive coping responses (i.e., less oppositional defiance and submission, more negotiation and accommodation). In addition, situation × context interactions were found, whereby adolescents growing up in a more autonomy-supportive context seemed to derive greater benefits from the exposure to an autonomy-supportive situation and reacted more constructively to a controlling situation

Intraventricular dyssynchrony in light chain amyloidosis: a new mechanism of systolic dysfunction assessed by 3-dimensional echocardiography

<p>Abstract</p> <p>Background</p> <p>Light chain amyloidosis (AL) is a rare but often fatal disease due to intractable heart failure. Amyloid deposition leads to diastolic dysfunction and often preserved ejection fraction. We hypothesize that AL is associated with regional systolic dyssynchrony. The aim is to compare left ventricular (LV) regional synchrony in AL subjects versus healthy controls using 16-segment dyssynchrony index measured from 3-dimension-al (3D) echocardiography.</p> <p>Methods</p> <p>Cardiac 3D echocardiography full volumes were acquired in 10 biopsy-proven AL subjects (60 ± 3 years, 5 females) and 10 healthy controls (52 ± 1 years, 5 females). The LV was subdivided into 16 segments and the time from end-diastole to the minimal systolic volume for each of the 16 segments was expressed as a percent of the cycle length. The standard deviations of these times provided a 16-segment dyssynchrony index (16-SD%). 16-SD% was compared between healthy and AL subjects.</p> <p>Results</p> <p>Left ventricular ejection fraction was comparable (control vs. AL: 62.4 ± 0.6 vs. 58.6 ± 2.8%, p = NS). 16-SD% was significantly higher in AL versus healthy subjects (5.93 ± 4.4 vs. 1.67 ± 0.87%, p = 0.003). 16-SD% correlated with left ventricular mass index (R 0.45, p = 0.04) but not to left ventricular ejection fraction.</p> <p>Conclusion</p> <p>Light chain amyloidosis is associated with left ventricular regional systolic dyssynchrony. Regional dyssynchrony may be an unrecognized mechanism of heart failure in AL subjects.</p

Reasons for compliance or noncompliance with advice to test for hepatitis C via an internet-mediated blood screening service: a qualitative study

<p>Abstract</p> <p>Background</p> <p>Hepatitis C virus (HCV) is mainly transmitted by exposure to infected blood, and can lead to liver cirrhosis and liver cancer. Since the onset of HCV and the development of liver cirrhosis usually are asymptomatic, many HCV-infected individuals are still undiagnosed. To identify individuals infected with HCV in the general population, a low threshold, internet-mediated blood testing service was set up. We performed a qualitative study examining reasons for compliance and noncompliance with advice to test for HCV via the online blood testing service.</p> <p>Methods</p> <p>Semistructured telephone interviews were conducted with 33 website visitors who had been advised to test for HCV (18 testers, 15 non-testers). Transcribed interviews were analyzed qualitatively and interpreted using psychosocial theories of health behavior.</p> <p>Results</p> <p>Reasons for testing pertaining to the online service were: the testing procedure is autonomous, personalized test advice is provided online, reminder emails are sent, and there is an online planning tool. Reasons for testing not specific to the online service were: knowing one's status can prevent liver disease and further transmission of HCV, HCV is curable, testing can provide reassurance, physical complaints are present, and there is liver disease in one's social environment. Service-related reasons for not testing pertained to inconvenient testing facilities, a lack of commitment due to the low threshold character of the service, computer/printing problems, and incorrectly interpreting an online planning tool. The reasons for not testing that are not specific to the online service were: the belief that personal risk is low, the absence of symptoms, low perceived urgency for testing and treatment, fear of the consequences of a positive test result, avoiding threatening information, and a discouraging social environment.</p> <p>Conclusions</p> <p>Features specific to the online service played a significant role in motivation to test for HCV above and beyond the more conventional perceived health benefits of HCV testing. However, some online specific features were considered problematic and need to be adapted. Methods and strategies for dealing with these impeding factors and for improving compliance with testing via the online service are outlined.</p