The popliteus tendon provides a safe and reliable location for all-inside meniscal repair device placement

Background: Tears of the posterior horn of the lateral meniscus are challenging to repair because, in contrast to medial meniscal repairs, the capsule and its attachment are thin. Purpose: To evaluate the clinical results of an arthroscopic all-inside repair technique for unstable, vertical, lateral meniscus tears, using a suture anchor device placed directly into the popliteus tendon. Study Design: Case Series; Level of evidence, 4. Methods: A retrospective analysis of prospectively collected data from the ***** database was performed. All patients who had undergone combined ACL reconstruction with lateral meniscus all-inside repair, using sutures placed in the popliteus tendon, between January 2011 and February 2015, were included. At final follow-up, all patients were contacted by telephone to identify if they underwent further surgery or had pain, locking or effusion. Symptomatic patients were recalled for clinical/imaging evaluation. Operative notes for those undergoing further surgery were reviewed and rates and type of re-operation, including for failed lateral meniscal repair were recorded. Results: Two hundred patients (mean age, 28.6 ± 10.2 years) with a mean follow-up of 45.5 ± 12.8 months (range, 24.7-75.2) were included. The mean Subjective International Knee Documentation Committee (IKDC) at final follow-up was 85.0 ± 11.3. The post-operative mean side-to-side laxity measured at one year was 0.6 ± 1.0 mm. Twenty-six patients underwent re-operation (13%) at a mean follow-up of 14.8 ± 7.8 months. The ACL graft rupture rate was 5.0%. Other causes for re-operation included medial meniscus tear (2.5%), cyclops lesion (1.5%) and septic arthritis (0.5%). The lateral meniscus repair failure rate was 3.5%. No specific complications relating to placement of suture anchors in the popliteusn tendon were identified. Conclusion: Arthroscopic all-inside repair of unstable, vertical, lateral meniscal tears using a suture anchor placed in the popliteus tendon is a safe, efficient and reproducible technique. It is associated with a very low failure rate without specific complications

Facilitating Pupil Thinking About Information Literacy

Whilst information literacy is frequently taught through the imposition on learners of an established framework, this paper suggests a different approach by taking a lead from James Herring’s ideas. Specifically, it provides guidance to school-based information professionals who would like to encourage their pupils to devise their own flexible, information literacy models which are unique to them. Drawing on existing material in information science and wider thought, it proposes areas for coverage and considers how information professionals may support the dynamic process of model construction. It is recommended that those who are intent on facilitating the creation of personal information literacy models help pupils to identify the roles they take on in their lives, to reflect on the information needs that result, to ascertain the information they require in particular situations, to explore their information-seeking activities, to consider means by which information can be captured and to give thought as to how the information they have accessed may be used. This framework is, however, by no means rigid and readers are, of course, free to make their own adjustments

European Project for Future Advances in Sciences and Technology for Nuclear Engineering Thermal-hydraulics (EUROFASTNET – 2001 activity)

A review of industrial needs for at least the next decade was performed and a list of 44 needs was established. The needs correspond to issues for which the industry has answers today but for which further R&D work is necessary for providing more accurate and/or more reliable answers. This list covers not only safety problems but also problems related to new reactor designs, reactor performance and availability, reactor ageing and extension of life. The State of the Art covered the physical and numerical modelling in present system codes and component codes and also some recent attempts to develop two-phase CFD type codes and advanced numerics. The available tools for uncertainty evaluation were also reviewed. Proposals for future R&D in 2-phase thermal-hydraulics were made, based on the review of the needs and on the State of the Art. They address the physical modelling, the numerics, the experiments and the uncertainty evaluation

Deliverable 1 of EUROFASTNET Project: Review of Industrial Needs

A review of industrial needs for at least the next decade was performed and a list of 44 needs was established. The needs correspond to issues for which the industry has answers today but for which further R&D work is necessary for providing more accurate and/or more reliable answers. This list covers not only safety problems but also problems related to new reactor designs, reactor performance and availability, reactor ageing and extension of life. The State of the Art covered the physical and numerical modelling in present system codes and component codes and also some recent attempts to develop two-phase CFD type codes and advanced numerics. The available tools for uncertainty evaluation were also reviewed. Proposals for future R&D in 2-phase thermal-hydraulics were made, based on the review of the needs and on the State of the Art. They address the physical modelling, the numerics, the experiments and the uncertainty evaluatio