Ten-year follow-up of an anatomical hydroxyapatite-coated total hip prosthesis

We report our results after ten year follow-up of 107 consecutive ABG-I hip prostheses implanted between June 1990 and December 1992: Only 84 prostheses were still in the study after ten years, but only six patients had undergone surgical revision. We can consider our clinical outcomes as excellent, with a whole-implant survival rate greater than 96%, a mean Merle D’Aubigne and Postel score increasing from 7.97 before operation to 16.17 at ten year follow-up, and a personal subjective assessment as excellent or good in 82.14% of patients. However, radiographic outcomes are more worrying: around 90% of patients show a stress-shielding phenomenon and granulomatous lesions in the proximal femur, and more than 82% suffer polyethylene wear greater than one  millimetre (mean 1.68 mm). We think that zirconia stem heads and hooded antiluxation PE inserts are determining factors in the process of PE wear and, secondarily, in cancellous bone resorption and bone osteolysis

Mechanics of sucking: comparison between bottle feeding and breastfeeding

<p>Abstract</p> <p>Background</p> <p>There is very little evidence of the similarity of the mechanics of maternal and bottle feeding. We assessed the mechanics of sucking in exclusive breastfeeding, exclusive bottle feeding, and mixed feeding. The hypothesis established was that physiological pattern for suckling movements differ depending on the type of feeding. According to this hypothesis, babies with breastfeeding have suckling movements at the breast that are different from the movements of suckling a teat of babies fed with bottle. Children with mixed feeding mix both types of suckling movements.</p> <p>Methods</p> <p>Cross-sectional study of infants aged 21-28 days with only maternal feeding or bottle feeding (234 mother-infant pairs), and a randomized open cross-over field trial in newborns aged 21-28 days and babies aged 3-5 months with mixed feeding (125 mother-infant pairs). Primary outcome measures were sucks and pauses.</p> <p>Results</p> <p>Infants aged 21-28 days exclusively bottle-fed showed fewer sucks and the same number of pauses but of longer duration compared to breastfeeding. In mixed feeding, bottle feeding compared to breastfeeding showed the same number of sucks but fewer and shorter pauses, both at 21-28 days and at 3-5 months. The mean number of breastfeedings in a day (in the mixed feed group) was 5.83 ± 1.93 at 21-28 days and 4.42 ± 1.67 at 3-5 months. In the equivalence analysis of the mixed feed group, the 95% confidence interval for bottle feeding/breastfeeding ratio laid outside the range of equivalence, indicating 5.9-8.7% fewer suction movements, and fewer pauses, and shorter duration of them in bottle feeding compared with breastfeeding.</p> <p>Conclusions</p> <p>The mechanics of sucking in mixed feeding lay outside the range of equivalence comparing bottle feeding with breastfeeding, although differences were small. Children with mixed feeding would mix both types of sucking movements (breastfeeding and bottle feeding) during the learning stage and adopt their own pattern.</p

Improving water use efficiency of vineyards in semi-arid regions. A review

Water is critical for viticulture sustainability since grape production, quality and economic viability are largely dependent on water availability. The total water consumption of vineyards, 300 to 700 mm, is generally higher than the annual average precipitation in many viticultural areas, which induces a risk for sustainability of vineyards. Improving vineyard water use efficiency (WUE) is therefore crucial for a sustainable viticulture industry in semi-arid regions. Increased sustainability of water resources for vineyards can be achieved using both agronomical technology and cultivar selection. Here, we review advances in grapevine water use efficiency related to changes in agronomical practices and genetic improvements. Agronomical practices focus on increasing green water use by increasing soil water storage capacity, reducing direct soil water loss, or limiting early transpiration losses. Cover crops for semi-arid areas show a favorable effect, but careful management is needed to avoid excessive water consumption by the cover crop. Canopy management practices to reduce excessive water use are also analyzed. This is a genetic based review focused on identifying cultivars with higher WUE