The use of Barthel index for the assessment of the functional recovery after osteoporotic hip fracture: One year follow-up

The Barthel index evolution was analyzed in a sample of older people with osteoporotic hip fracture in order to verify the influence of comorbidities and cognitive impairment on the physical recovery of those patients, during the first year following the fracture. A prospective observational study was carried out between October 1, 2012 and March 31, 2013. A sample of 247 individuals was initially selected. After a primary revision, 39 participants were excluded (clearly not meeting inclusion criteria, lack of data, or not agree to participate in the study), and finally a total of 208 participants were included in the analysis, 166 women, with an average age of 84.59 years, and 42 men, with an average age of 82.05. 54.80% of all cases were older than 85 years. The mean Barthel index value prior to fracture was 76.63, decreasing to 64.91 at one-year follow-up. Only 22.12% of patients achieved a full recovery for activities of daily living. A statistical analysis was performed by comparing Barthel index recovery depending on the values of Charlson and Pfeiffer indexes, respectively. The mean differences in Barthel index drop between the one-year follow-up and the hospital admission values were found statistical significant (p<0.01). These findings indicate that Charlson and Pfeiffer indexes clearly influence the Barthel index recovery. Low values of Charlson and Pfeiffer indexes resulted in better Barthel index recovery. In conclusion, the Barthel index is a good tool to evaluate the physical recovery after osteoporotic hip fracture

DIRECT Distances to Nearby Galaxies Using Detached Eclipsing Binaries and Cepheids. III. Variables in the Field M31C

We undertook a long term project, DIRECT, to obtain the direct distances to two important galaxies in the cosmological distance ladder -- M31 and M33 -- using detached eclipsing binaries (DEBs) and Cepheids. While rare and difficult to detect, DEBs provide us with the potential to determine these distances with an accuracy better than 5%. The extensive photometry obtained in order to detect DEBs provides us with good light curves for the Cepheid variables. These are essential to the parallel project to derive direct Baade-Wesselink distances to Cepheids in M31 and M33. For both Cepheids and eclipsing binaries, the distance estimates will be free of any intermediate steps. As a first step in the DIRECT project, between September 1996 and October 1997 we obtained 95 full/partial nights on the F. L. Whipple Observatory 1.2 m telescope and 36 full nights on the Michigan-Dartmouth-MIT 1.3 m telescope to search for DEBs and new Cepheids in the M31 and M33 galaxies. In this paper, third in the series, we present the catalog of variable stars, most of them newly detected, found in the field M31C [(alpha,delta)=(11.10, 41.42) deg, J2000.0}]. We have found 115 variable stars: 12 eclipsing binaries, 35 Cepheids and 68 other periodic, possible long period or non-periodic variables. The catalog of variables, as well as their photometry and finding charts, is available via anonymous ftp and the World Wide Web. The complete set of the CCD frames is available upon request.Comment: submitted to the Astronomical Journal, 39 pages, 27 figures; paper and data available at ftp://cfa-ftp.harvard.edu/pub/kstanek/DIRECT/ and through WWW at http://cfa-www.harvard.edu/~kstanek/DIRECT

Location and associated carbon storage of erosional escarpments of seagrass Posidonia mats

Seagrasses of the genus Posidonia can form an irregular seascape due to erosional processes exposing thick walls of organic matter-rich soils. However, little is known about the location and characteristics of these particular formations. Here we provide comprehensive estimates of organic carbon (Corg) storage in Posidonia oceanica and Posidonia australis meadows, while providing insight into their location and mechanisms of formation, and highlighting future research directions. Erosional reef escarpments are restricted to shallow highly productive P. oceanica meadows from the Mediterranean Sea and P. australis meadows from the Indian Ocean, and sustain the existence of Corg-rich deposits in surrounding meadows. The thickness of the mat escarpments can reach up to 3 m and their length can vary from few to hundreds of meters. Mechanisms of formation appear to differ among sites, from naturally-induced escarpments by wave action and/or tidal flow to human-induced escarpments by dredging activities. The inter-twined remains of seagrass shoots within the sediment matrix consolidate the sandy substrate and hold the exposed Posidonia mat escarpments together, maintaining a semi-rigid structure. This phenomenon is unusual but of exceptional importance in marine biogeochemical cycles, revealing the largest Corg sinks among seagrasses worldwide (ranging from 15 to 176 kg Corg m−2 in 2 m-thick mats accumulated at 2–249 g Corg m−2 yr−1 over 300–3000 yr)

Evaluation of Feeding Wet Distillers Grains with Solubles, Dry Distillers Grans with Solubles and Blood Meal to Growing Steers

A two-year study was conducted to determine the effect of feeding different protein sources on the performance of feeder cattle. During year 1 (Y1), 128 steers (506 ± 40 lb) were weighed and randomly allocated to 16 pens in a completely randomized design. Each pen was assigned to one of four treatment diets: 1) 20% soybean meal and corn (SBM); 2) 20% dried distillers grains with solubles (DDGS); 3) 20% wet distillers grains with solubles (WDGS); or 4) 20% blood meal, oil and corn (BM). In Y1, steers were fed a diet that consisted of 74% alfalfa/grass hay, 4% molasses and 2% supplement for the first 28 d and a diet that consisted of 50% alfalfa/grass hay, cracked corn, 4% molasses and 2% supplement for the remaining 56 d. During year 2 (Y2), 160 steers (535 ± 40 lb) were weighed and randomly allotted to 16 pens. Each pen was assigned to one of the four treatment diets used in Y1. The steers received the 50% alfalfa/grass hay based grower diet throughout the entire 57-d trial. Body weight was recorded prior to feeding at the start of the trial and every 28 d for both years. In Y1, ADG, DMI and G:F did not differ due to diet for the first 28 d and over the entire trial period. During the first 28 d of Y2, ADG, DMI and G:F was not affected by treatment; however, cumulative G:F of steers fed BM and WDGS were greater (P \u3c 0.05) than steers fed SBM or DDGS. In conclusion, feeding BM and WDGS during the growing phase resulted in the most efficient gains when steers were started on a higher energy diet. In addition, distillers grains with solubles was an effective alternative to soybean meal in growing diets

On the genealogy of the Orphan Stream

We use N-body simulations to explore the origin and a plausible orbit for the Orphan Stream, one of the faintest substructures discovered so far in the outer halo of our Galaxy. We are able to reproduce its position, velocity and distance measurements by appealing to a single wrap of a double-component satellite galaxy. We find that the progenitor of the Orphan Stream could have been an object similar to today's Milky Way dwarfs, such as Carina, Draco, Leo II or Sculptor; and unlikely to be connected to Complex A or Ursa Major II. Our models suggest that such progenitors, if accreted on orbits with apocenters smaller than ~35 kpc, are likely to give rise to very low surface brightness streams, which may be hiding in the outer halo and remain largely undetected with current techniques. The systematic discovery of these ghostly substructures may well require wide field spectroscopic surveys of the Milky Way's outer stellar halo.Comment: 9 pages, 5 figures, MNRAS in press. Accepted version with minor change

Study of the polycarbonate-urethane/metal contact in different positions during gait cycle

Nowadays, a growing number of young andmore active patients receive hip replacement.More strenuous activities in such patients involve higher friction and wear rates, with friction on the bearing surface being crucial to ensure arthroplasty survival in the long term. Over the last years, the polycarbonate-urethane has offered a feasible alternative to conventional bearings. A finite element model of a healthy hip joint was developed and adjusted to three gait phases (heel strike, mid-stance, and toe-off), serving as a benchmark for the assessment of the results of joint replacement model. Three equivalent models were made with the polycarbonate-urethane Tribofit system implanted, one for each of the three gait phases, after reproducing a virtual surgery over the respective healthy models. Standard body-weight loads were considered: 230% body-weight toe-off, 275% body-weight mid-stance, and 350% body-weight heel strike. Contact pressures were obtained for the different models. When comparing the results corresponding to the healthy model to polycarbonate-urethane joint, contact areas are similar and so contact pressures are within a narrower value range. In conclusion, polycarbonate-urethane characteristics are similar to those of the joint cartilage. So, it is a favorable alternative to traditional bearing surfaces in total hip arthroplasty, especially in young patients

The Blue Straggler Population in Dwarf Galaxies

In this chapter I review the recent developments regarding the study of Blue Stragglers (BSS) in dwarf galaxies. The loose density environment of dwarf galaxies resembles that of the Galactic Halo, hence it is natural to compare their common BSS properties. At the same time, it is unescapable to compare with the BSS properties in Galactic Globular clusters, which constitute the reference point for BSS studies. Admittedly, the literature on BSS in dwarf galaxies is not plentiful. The limitation is mostly due to the large distance to even the closest dwarf galaxies. Nevertheless, recent studies have allowed a deeper insight on the BSS photometric properties that are worth examining.Comment: Chapter 6, in Ecology of Blue Straggler Stars, H.M.J. Boffin, G. Carraro & G. Beccari (Eds), Astrophysics and Space Science Library, Springe

Comparative analysis of the biomechanical behavior of anterograde/retrograde nailing in supracondylar femoral fractures

Supracondylar femoral fractures account for a noticeable percentage of the femoral shaft fractures, affecting two etiological groups: high energy trauma in young men, with good bone quality, and older women with osteoporotic femur. Surgical treatment of those kind of fractures remains controversial, with different surgical options such as plate and sliding barrel locking condylar plate, less invasive stabilization system (LISS) or intramedullary nailing, which has emerged as a new fixation choice in the treatment of that type of fractures. The present work performs a comparative study about the biomechanical behavior of anterograde and retrograde nailing in supracondylar femoral fractures type A, in order to determine the best choice of nailing and locking configuration. A three-dimensional finite element model of the femur was developed, modeling femoral supracondylar fracture and different nailing configurations, both for anterograde and retrograde nails. The study was focused on the immediately post-operative stage, verifying the appropriate stability of the osteosynthesis. The obtained results show a better biomechanical behavior for anterograde nails, providing a better stability from the point of view of global movements, lower stresses in screws, and less stress concentration in cortical bone. So, for the analyzed fractures and osteosyntheses types, anterograde nailing has demonstrated to be a better surgical option, being an excellent indication in supracondylar fractures of femur, with clear benefits compared to retrograde nailing, providing a better stabilization which enables for a more satisfactory fracture healing