2,938 research outputs found

    Correction effects of the ScoliOlogiC(® )„Chêneau light" brace in patients with scoliosis

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    BACKGROUND: Different bracing concepts are used today for the treatment of scoliosis. The plaster cast method worldwide seems to be the most practiced technique at the moment. CAD (Computer Aided Design) systems are on the market which allow brace adjustments without plaster. The latest development however, is the use of the ScoliOlogiC™ off the shelf system enabling the orthopaedic technician to construct a light brace for scoliosis correction from a variety of pattern specific shells to be connected to an anterior and a posterior upright. This „Chêneau light" brace, developed according to the Chêneau principle, promises a reduced impediment of quality of life in the brace. However, material reduction should not result in reduced effectiveness. Therefore the primary correction effect in the „Chêneau light" brace has been evaluated and compared with that of other braces used today. METHODS: The correction effects of the first 81 patients (main diagnosis Adolescent Idiopathic Scoliosis (AIS) [n = 64] or Early Onset Scoliosis (EOS) [n = 15]), treated according to the principle of the „Chêneau light" brace were evaluated after an average treatment time of 6 weeks by a full-body X-ray made in the standing position whilst wearing the brace and compared with the last X-ray before bracing. The average curvature angle of the whole group was 35,6°, the average age was 12,9 years (SD 1,9), average Risser sign was 1,3 (SD 1,5), average Tanner rating 2,75 (SD 0,7). RESULTS: The Cobb angle in the whole group was reduced by an average of 16,4°, which corresponds to a correction effect of 51%. The differences were highly significant in the T-test (T = 17,4; p < 0,001). The best correction effects reported in literature so far are about 40% in two different studies. The correction effect was highest in lumbar and thoracolumbar curve pattern (62 %; n = 18). In thoracic scoliosis the correction effect was 36 % (n = 41) and in double major curve pattern 50 % (n = 22). The correction effect correlated slightly negative with age (r = -0,24; p = 0,014), negatively with the Risser stage (-0,29; p = 0,0096) and correlated negatively with the Cobb angle measured before treatment (r = -0,43; p < 0,0001). CONCLUSION: The use of the „Chêneau light" brace leads to correction effects above average when compared to the correction effects of other braces described in literature. The reduction of material seems to affect the desired correction in a positive way

    PAR12: PROSPECTIVE USE OF WEB BASED TECHNOLOGY TO EVALUATE HEALTH OUTCOMES IN A LARGE COHORT OF SEVERE OR DIFFICULT TO TREAT ASTHMATICS

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    Charge qubit dynamics in a double quantum dot coupled to phonons

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    The dynamics of charge qubit in a double quantum dot coupled to phonons is investigated theoretically in terms of a perturbation treatment based on a unitary transformation. The dynamical tunneling current is obtained explicitly. The result is compared with the standard perturbation theory at Born-Markov approximation. The decoherence induced by acoustic phonons is analyzed at length. It is shown that the contribution from deformation potential coupling is comparable to that from piezoelectric coupling in small dot size and large tunneling rate case. A possible decoupling mechanism is predicted.Comment: 8 pages, 6 figure

    Rich interaction and feedback supported mammographic training: A trial of an augmented reality approach

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    The conventional ‘keyboard and workstation’ approach allows complex medical image presentation and manipulation during mammographic interpretation. Nevertheless, providing rich interaction and feedback in real time for navigational training or computer assisted detection of disease remains a challenge. Through computer vision and state of the art AR (Augmented Reality) technique, this study proposes an ‘AR mammographic workstation’ approach which could support workstation-independent rich interaction and real-time feedback. This flexible AR approach explores the feasibility of facilitating various mammographic training scenes via AR as well as its limitations

    Influence of an external magnetic field on the decoherence of a central spin coupled to an antiferromagnetic environment

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    Using the spin wave approximation, we study the decoherence dynamics of a central spin coupled to an antiferromagnetic environment under the application of an external global magnetic field. The external magnetic field affects the decoherence process through its effect on the antiferromagnetic environment. It is shown explicitly that the decoherence factor which displays a Gaussian decay with time depends on the strength of the external magnetic field and the crystal anisotropy field in the antiferromagnetic environment. When the values of the external magnetic field is increased to the critical field point at which the spin-flop transition (a first-order quantum phase transition) happens in the antiferromagnetic environment, the decoherence of the central spin reaches its highest point. This result is consistent with several recent quantum phase transition witness studies. The influences of the environmental temperature on the decoherence behavior of the central spin are also investigated.Comment: 29 preprint pages, 4 figures, to appear in New Journal of Physic

    Domestic chickens activate a piRNA defense against avian leukosis virus

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    PIWI-interacting RNAs (piRNAs) protect the germ line by targeting transposable elements (TEs) through the base-pair complementarity. We do not know how piRNAs co-evolve with TEs in chickens. Here we reported that all active TEs in the chicken germ line are targeted by piRNAs, and as TEs lose their activity, the corresponding piRNAs erode away. We observed de novo piRNA birth as host responds to a recent retroviral invasion. Avian leukosis virus (ALV) has endogenized prior to chicken domestication, remains infectious, and threatens poultry industry. Domestic fowl produce piRNAs targeting ALV from one ALV provirus that was known to render its host ALV resistant. This proviral locus does not produce piRNAs in undomesticated wild chickens. Our findings uncover rapid piRNA evolution reflecting contemporary TE activity, identify a new piRNA acquisition modality by activating a pre-existing genomic locus, and extend piRNA defense roles to include the period when endogenous retroviruses are still infectious. DOI: http://dx.doi.org/10.7554/eLife.24695.00

    Innovator resilience potential: A process perspective of individual resilience as influenced by innovation project termination

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    Innovation projects fail at an astonishing rate. Yet, the negative effects of innovation project failures on the team members of these projects have been largely neglected in research streams that deal with innovation project failures. After such setbacks, it is vital to maintain or even strengthen project members’ innovative capabilities for subsequent innovation projects. For this, the concept of resilience, i.e. project members’ potential to positively adjust (or even grow) after a setback such as an innovation project failure, is fundamental. We develop the second-order construct of innovator resilience potential, which consists of six components – self-efficacy, outcome expectancy, optimism, hope, self-esteem, and risk propensity – that are important for project members’ potential of innovative functioning in innovation projects subsequent to a failure. We illustrate our theoretical findings by means of a qualitative study of a terminated large-scale innovation project, and derive implications for research and management

    Application of different measures of skeletal maturity in initiating weaning from a brace for scoliosis: two case reports

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    <p>Abstract</p> <p>Introduction</p> <p>Various measures of skeletal maturity are used to initiate weaning from a brace in patients suffering from idiopathic scoliosis, resulting in different outcomes. We present two cases with double major curves, treated with the Rigo System Cheneau brace, and weaned using different criteria.</p> <p>Case presentation</p> <p>Case 1 was a South African, Caucasian girl who was initially treated with a brace at 14.75 years and who began weaning at 16.25 years on the basis of the Greulich and Pyle Index. She was out of her brace in 6 months, at least 11 months before reaching skeletal maturity as shown by the Risser Sign. Case 2 was a South African, Caucasian girl, initially treated with a brace at 14.25 years and who began the weaning process at 17.67 years on the basis of skeletal maturity according to the Risser Sign and static height for a period of 6 months. She was out of the brace 12 months later. In Case 1, the thoracic Cobb angle progressed during weaning and scoliometer readings deteriorated. The iliac apophysis fused 11 months after the wrist. In Case 2, the therapeutic gains made during the period of bracing were maintained during weaning, that is the improvement in the lumbar Cobb angle was maintained until the brace was removed, and scoliometer readings improved. The iliac apophysis fused 8.5 months after the wrist.</p> <p>Conclusions</p> <p>In patients with idiopathic scoliosis, it would seem to be more appropriate to base the timing of weaning on the Risser Sign and static height measurements rather than on traditional methods such as the Greulich and Pyle Index.</p
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