Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications

Context: Fractures of proximal fifth metatarsal are one of the most common fractures of the foot. Evidence Acquisition: A search of PubMed for studies on proximal fifth metatarsal fracture and Jones fracture focusing on the classification and management was performed. The reference list of the retrieved articles was searched for additional related studies. Results: The vascular supply and soft tissue anatomy of the fifth metatarsal explains the increased risk of delayed union and non-union in fractures at the metaphyseal-diaphyseal junction. Lawrence and Botte classify proximal fifth metatarsal fractures according to their location: tuberosity avulsion fractures (zone 1), fractures at metaphyseal-diaphyseal junction extending into the fourth-fifth intermetatarsal joint (zone 2) and proximal diaphyseal fractures (zone 3). Zone 1 fractures are treated conservatively with functional immobilization and early mobilization with excellent outcome. For zone 2 and zone 3 fractures, acute forms can be treated conservatively but with a risk of delayed union time and time for return to function. Therefore, early surgical fixation with intramedullary screw is advised in athletic individuals. For cases presented with signs of delayed union and non-union, surgical treatment with or without bone grafting is recommended. Complications of these fractures and their management are discussed in this report. Conclusions: Lawrence and Botte’s classification of proximal fifth metatarsal fractures is recommended by experts, due to its implication on prognosis and treatment strategy. Zone 1 fractures should be treated conservatively due to their excellent healing potential. Early operative treatment is advised for zone 2 and zone 3 fractures, especially in the athletic group. Complications of delayed union, non-union and refractures should be treated by revision fixation and bone grafting

Semiconducting-to-metallic photoconductivity crossover and temperature-dependent Drude weight in graphene

We investigated the transient photoconductivity of graphene at various gate-tuned carrier densities by optical-pump terahertz-probe spectroscopy. We demonstrated that graphene exhibits semiconducting positive photoconductivity near zero carrier density, which crosses over to metallic negative photoconductivity at high carrier density. Our observations are accounted for by considering the interplay between photo-induced changes of both the Drude weight and the carrier scattering rate. Notably, we observed multiple sign changes in the temporal photoconductivity dynamics at low carrier density. This behavior reflects the non-monotonic temperature dependence of the Drude weight, a unique property of massless Dirac fermions

Traumatic Hallux Varus Treated by Minimally Invasive Extensor Hallucis Brevis Tenodesis

A case of traumatic hallux varus due to avulsion fracture of the lateral side of the base of proximal phalanx was reported. The lateral instability of the first metatarsophalangeal joint was believed to be due to the disruption of adductor hallucis function. It was successfully managed by minimally invasive extensor hallucis brevis tenodesis

A Neuroanatomical Signature for Schizophrenia Across Different Ethnic Groups

Schizophrenia is a disabling clinical syndrome found across the world. While the incidence and clinical expression of this illness are strongly influenced by ethnic factors, it is unclear whether patients from different ethnicities show distinct brain deficits. In this multicentre study, we used structural Magnetic Resonance Imaging to investigate neuroanatomy in 126 patients with first episode schizophrenia who came from 4 ethnically distinct cohorts (White Caucasians, African-Caribbeans, Japanese, and Chinese). Each patient was individually matched with a healthy control of the same ethnicity, gender, and age (±1 year). We report a reduction in the gray matter volume of the right anterior insula in patients relative to controls (P < .05 corrected); this reduction was detected in all 4 ethnic groups despite differences in psychopathology, exposure to antipsychotic medication and image acquisition sequence. This finding provides evidence for a neuroanatomical signature of schizophrenia expressed above and beyond ethnic variations in incidence and clinical expression. In light of the existing literature, implicating the right anterior insula in bipolar disorder, depression, addiction, obsessive-compulsive disorder, and anxiety, we speculate that the neuroanatomical deficit reported here may represent a transdiagnostic feature of Axis I disorders

Generator Coordinate Method Calculations for Ground and First Excited Collective States in 4^{4}He, 16^{16}O and 40^{40}Ca Nuclei

The main characteristics of the ground and, in particular, the first excited monopole state in the $^{4}$He, $^{16}$O and $^{40}$Ca nuclei are studied within the generator coordinate method using Skyrme-type effective forces and three construction potentials, namely the harmonic-oscillator, the square-well and Woods-Saxon potentials. Calculations of density distributions, radii, nucleon momentum distributions, natural orbitals, occupation numbers and depletions of the Fermi sea, as well as of pair density and momentum distributions are carried out. A comparison of these quantities for both ground and first excited monopole states with the available empirical data and with the results of other theoretical methods are given and discussed in detail.Comment: 15 pages, LaTeX, 6 Postscript figures, submitted to EPJ

Observation of suppressed terahertz absorption in photoexcited graphene

When light is absorbed by a semiconductor, photoexcited charge carriers enhance the absorption of far-infrared radiation due to intraband transitions. We observe the opposite behavior in monolayer graphene, a zero-gap semiconductor with linear dispersion. By using time domain terahertz (THz) spectroscopy in conjunction with optical pump excitation, we observe a reduced absorption of THz radiation in photoexcited graphene. The measured spectral shape of the differential optical conductivity exhibits non-Drude behavior. We discuss several possible mechanisms that contribute to the observed low-frequency non-equilibrium optical response of graphene.United States. Dept. of Energy. Office of Basic Energy Sciences (Grant DE-SC0006423)National Science Foundation (U.S.). Graduate Research Fellowship ProgramUnited States. Air Force Office of Scientific ResearchUnited States. Office of Naval Research. Multidisciplinary University Research Initiative. Graphene Approaches to Terahertz ElectronicsNational Science Foundation (U.S.) (Award DMR-0819762)National Science Foundation (U.S.) (Grant ECS-0335765

Numerical studies of the fractional quantum Hall effect in systems with tunable interactions

The discovery of the fractional quantum Hall effect in GaAs-based semiconductor devices has lead to new advances in condensed matter physics, in particular the possibility for exotic, topological phases of matter that possess fractional, and even non-Abelian, statistics of quasiparticles. One of the main limitations of the experimental systems based on GaAs has been the lack of tunability of the effective interactions between two-dimensional electrons, which made it difficult to stabilize some of the more fragile states, or induce phase transitions in a controlled manner. Here we review the recent studies that have explored the effects of tunability of the interactions offered by alternative two-dimensional systems, characterized by non-trivial Berry phases and including graphene, bilayer graphene and topological insulators. The tunability in these systems is achieved via external fields that change the mass gap, or by screening via dielectric plate in the vicinity of the device. Our study points to a number of different ways to manipulate the effective interactions, and engineer phase transitions between quantum Hall liquids and compressible states in a controlled manner.Comment: 9 pages, 4 figures, updated references; review for the CCP2011 conference, to appear in "Journal of Physics: Conference Series

Trion induced negative photoconductivity in monolayer MoS2

Optical excitation typically enhances electrical conduction and low-frequency radiation absorption in semiconductors. We have, however, observed a pronounced transient decrease of conductivity in doped monolayer molybdenum disulfide (MoS2), a two-dimensional (2D) semiconductor, under femtosecond laser excitation. In particular, the conductivity is reduced dramatically down to only 30% of its equilibrium value with high pump fluence. This anomalous phenomenon arises from the strong many-body interactions in the system, where photoexcited electron-hole pairs join the doping-induced charges to form trions, bound states of two electrons and one hole. The resultant increase of the carrier effective mass substantially diminishes the carrier conductivity

Photo-disintegration cross section measurements on 186^{186}W, 187^{187}Re and 188^{188}Os: Implications for the Re-Os cosmochronology

Cross sections of the $^{186}$W, $^{187}$Re, $^{188}$Os($\gamma,n$) reactions were measured using quasi-monochromatic photon beams from laser Compton scattering (LCS) with average energies from 7.3 to 10.9 MeV. The results are compared with the predictions of Hauser-Feshbach statistical calculations using four different sets of input parameters. In addition, the inverse neutron capture cross sections were evaluated by constraining the model parameters, especially the $E1$ strength function, on the basis of the experimental data. The present experiment helps to further constrain the correction factor $F_{\sigma}$ for the neutron capture on the 9.75 keV state in $^{187}$Os. Implications of $F_{\sigma}$ to the Re-Os cosmochronology are discussed with a focus on the uncertainty in the estimate of the age of the Galaxy.Comment: 11 page

The potential for operational monitoring of selectively logged forest using vegetation index in the brazilian Amazon.

This work presents a approach for monitoring forest degradation in the Brazilian Amazon using a multi-temporal dataset of Landsat-8 imagery. We use a Normalized Burned Ratio (NBR) for detecting selective logging in two differents areas in the Brazilian Amazon, Acre State and the Roraima State. The proposed approach can be used for monitoring forest degradation to availability the vegetation indice using the proposed method and facilitating the implementation of action of forest protection in the Brazilian Amazon.Editores: Douglas Francisco Marcolino Gherardi; Ieda Del'Arco Sanches; Luiz Eduardo Oliveira e Cruz de Aragão