Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures

Background and purpose Numerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically

Lakes beneath the ice sheet: The occurrence, analysis, and future exploration of Lake Vostok and other Antarctic subglacial lakes

Airborne geophysics has been used to identify more than 100 lakes beneath the ice sheets of Antarctica. The largest, Lake Vostok, is more than 250 km in length and 1 km deep. Subglacial lakes occur because the ice base is kept warm by geothermal heating, and generated meltwater collects in topographic hollows. For lake water to be in equilibrium with the ice sheet, its roof must slope ten times more than the ice sheet surface. This slope causes differential temperatures and melting/freezing rates across the lake ceiling, which excites water circulation. The exploration of subglacial lakes has two goals: to find and understand the life that may inhabit these unique environments and to measure the climate records that occur in sediments on lake floors. The technological developments required for in situ measurements mean, however, that direct studies of subglacial lakes may take several years to happen

Studies of Gauge Boson Pair Production and Trilinear Couplings

The gauge boson pair production processes Wg, WW, WZ, and Zg were studied using pbarp collisions corresponding to an integrated luminosity of ~14 pb-1 at a center-of-mass energy of sqrt(s) = 1.8 TeV. Analysis of Wg prod with subsequent W boson decay to lv (l=e,mu) is reported, including a fit to the pT spectrum of the photons which leads to limits on anomalous WWg couplings. A search for WW prod with subsequent decay to l-lbar-v-vbar (l=e,mu) is presented leading to an upper limit on the WW prod cross section and limits on anomalous WWg and WWZ couplings. A search for high pT W bosons in WW and WZ prod is described, where one W boson decays to an ev and the second W boson or the Z boson decays to two jets. A maximum likelihood fit to the pT spectrum of W bosons resulted in limits on anomalous WWg and WWZ couplings. A combined fit to the three data sets which provided the tightest limits on anomalous WWg and WWZ couplings is also described. Limits on anomalous ZZg and Zgg couplings are presented from an analysis of the photon ET spectrum in Zg events in the decay channels (ee, mu-mu, and v-vbar) of the Z boson.Comment: 77 Pages including 40 Figures. Submitted to PR

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

A review on regulations, current status, effects and reduction strategies of emissions for marine diesel engines

Marine diesel engines, which provide main power source for ships, mainly contribute to air pollution in ports and coastal areas. Thus there is an increasing demand on tightening the emission standards for marine diesel engines, which necessitates the research on various emission reduction strategies. This review covers emission regulations and emission factors (EFs), environmental effects and available emission reduction solutions for marine diesel engines. Not only the establishment of the emission control areas (ECAs) in the regulations but also many experiments show high concerns about the sulfur limits in fuels, sulfur oxides (SOx) and nitrogen oxides (NOx) emissions. Research results reveal that NOx emissions from marine diesel engines account for 50% of total NOx in harbors and coastal regions. Sulfur content in fuel oil is an important parameter index that determines the development direction of emission control technologies. Despites some issues, biodiesel, methanol and liquefied nature gas (LNG) play their important roles in reducing emissions as well as in replacing fossil energy, being promising fuels for marine diesel engines. Fuel-water emulsion (FWE) and exhaust gas recirculation (EGR) are effective treatment option for NOx emissions control. Common rail fuel injection is an effective fuel injection strategy to achieve simultaneous reductions in particulate matter (PM) and NOx. Selective catalytic reduction (SCR) and wet scrubbing are the most mature and effective exhaust aftertreatment methods for marine diesel engines, which show 90% De-NOx efficiency and 95% De-SOx efficiency. It can be concluded that the integrated multi-pollutant treatment for ship emissions holds great promise