1,038 research outputs found
Anesthetic management of a patient with prosthetic heart valve for non-cardiac surgery: A case report
Arthroscopic Treatment of Acetabular Retroversion With Acetabuloplasty and Subspine Decompression: A Matched Comparison With Patients Undergoing Arthroscopic Treatment for Focal Pincer-Type Femoroacetabular Impingement.
BackgroundGlobal acetabular retroversion is classically treated with open reverse periacetabular osteotomy. Given the low morbidity and recent success associated with the arthroscopic treatment of femoroacetabular impingement (FAI), there may also be a role for arthroscopic treatment of acetabular retroversion. However, the safety and outcomes after hip arthroscopic surgery for retroversion need further study, and the effect of impingement from the anterior inferior iliac spine (subspine) in patients with retroversion is currently unknown.HypothesisArthroscopic treatment for global acetabular retroversion will be safe, and patients will have similar outcomes compared with a matched group undergoing arthroscopic treatment for focal pincer-type FAI.Study designCohort study; Level of evidence, 2.MethodsPatients undergoing hip arthroscopic surgery for symptomatic global acetabular retroversion were prospectively enrolled and compared with a matched group of patients undergoing arthroscopic surgery for focal pincer-type FAI. Both groups underwent the same arthroscopic treatment protocol. All patients were administered patient-reported outcome (PRO) measures, including the 12-item Short-Form Health Survey (SF-12) Physical Component Summary (PCS) and a Mental Component Summary (MCS), modified Harris Hip Score (mHHS), Hip disability and Osteoarthritis Outcome Score (HOOS), and visual analog scale (VAS) for pain preoperatively and at 1 year postoperatively.ResultsThere were no differences in age, sex, or body mass index between 39 hips treated for global acetabular retroversion and 39 hips treated for focal pincer-type FAI. There were no major or minor complications in either group. Patients who underwent arthroscopic treatment for global acetabular retroversion demonstrated similar significant improvements in postoperative PRO scores (scores increased by 17 to 43 points) as patients who underwent arthroscopic treatment for focal pincer-type FAI. Patients treated for retroversion who also underwent subspine decompression had greater improvement than patients who did not undergo subspine decompression for the HOOS-Pain (33.7 ± 15.3 vs 22.5 ± 17.6, respectively; P = .046) and HOOS-Quality of Life (49.7 ± 18.8 vs 34.6 ± 22.0, respectively; P = .030) scores.ConclusionArthroscopic treatment for acetabular retroversion is safe and provides significant clinical improvement similar to arthroscopic treatment for pincer-type FAI. Patients with acetabular retroversion who also underwent arthroscopic subspine decompression demonstrated greater improvements in pain and quality of life outcomes than those who underwent arthroscopic treatment without subspine decompression
Therapeutic Radionuclides: Making the Right Choice
Recently, there has been a resurgence of interest in nuclear medicine therapeutic procedures. Using unsealed sources for therapy is not a new concept; it has been around since the beginnings of nuclear medicine. Treatment of thyroid disorders with radioiodine is a classic example. The availability of radionuclides with suitable therapeutic properties for specific applications, as well as methods for their selective targeting to diseased tissue have, however, remained the main obstacles for therapy to assume a more widespread role in nuclear medicine. Nonetheless, a number of new techniques that have recently emerged, (e.g., tumor therapy with radiolabeled monoclonal antibodies, treatment of metastatic bone pain, etc.) appear to have provided a substantial impetus to research on production of new therapeutic radionuclides. Although there are a number of new therapeutic approaches requiring specific radionuclides, only selected broad areas will be used as examples in this article
Tunable magnetic exchange interactions in manganese-doped inverted core/shell ZnSe/CdSe nanocrystals
Magnetic doping of semiconductor nanostructures is actively pursued for
applications in magnetic memory and spin-based electronics. Central to these
efforts is a drive to control the interaction strength between carriers
(electrons and holes) and the embedded magnetic atoms. In this respect,
colloidal nanocrystal heterostructures provide great flexibility via
growth-controlled `engineering' of electron and hole wavefunctions within
individual nanocrystals. Here we demonstrate a widely tunable magnetic sp-d
exchange interaction between electron-hole excitations (excitons) and
paramagnetic manganese ions using `inverted' core-shell nanocrystals composed
of Mn-doped ZnSe cores overcoated with undoped shells of narrower-gap CdSe.
Magnetic circular dichroism studies reveal giant Zeeman spin splittings of the
band-edge exciton that, surprisingly, are tunable in both magnitude and sign.
Effective exciton g-factors are controllably tuned from -200 to +30 solely by
increasing the CdSe shell thickness, demonstrating that strong quantum
confinement and wavefunction engineering in heterostructured nanocrystal
materials can be utilized to manipulate carrier-Mn wavefunction overlap and the
sp-d exchange parameters themselves.Comment: To appear in Nature Materials; 18 pages, 4 figures + Supp. Inf
Self-assembly of Microcapsules via Colloidal Bond Hybridization and Anisotropy
Particles with directional interactions are promising building blocks for new
functional materials and may serve as models for biological structures.
Mutually attractive nanoparticles that are deformable due to flexible surface
groups, for example, may spontaneously order themselves into strings, sheets
and large vesicles. Furthermore, anisotropic colloids with attractive patches
can self-assemble into open lattices and colloidal equivalents of molecules and
micelles. However, model systems that combine mutual attraction, anisotropy,
and deformability have---to the best of our knowledge---not been realized.
Here, we synthesize colloidal particles that combine these three
characteristics and obtain self-assembled microcapsules. We propose that mutual
attraction and deformability induce directional interactions via colloidal bond
hybridization. Our particles contain both mutually attractive and repulsive
surface groups that are flexible. Analogous to the simplest chemical bond,
where two isotropic orbitals hybridize into the molecular orbital of H2, these
flexible groups redistribute upon binding. Via colloidal bond hybridization,
isotropic spheres self-assemble into planar monolayers, while anisotropic
snowman-like particles self-assemble into hollow monolayer microcapsules. A
modest change of the building blocks thus results in a significant leap in the
complexity of the self-assembled structures. In other words, these relatively
simple building blocks self-assemble into dramatically more complex structures
than similar particles that are isotropic or non-deformable
Self-gravity as an explanation of the fractal structure of the interstellar medium
The gas clouds of the interstellar medium have a fractal structure, the
origin of which has generally been thought to lie in turbulence. The energy of
turbulence could come from galactic rotation at large-scale, then cascade down
to be dissipated on small-scales by viscosity; it has been suggested that such
turbulence helps to prevent massive molecular clouds from collapsing in
response to their own gravity. Here we show that, on the contrary, self-gravity
itself may be the dominant factor in making clouds fractal. We develop a
field-theory approach to the structure of clouds, assuming them to be
isothermal, and with only gravitational interactions; we find that the observed
fractal dimension of the clouds arise naturally from this approach. Although
this result does not imply that turbulence is not important, it does
demonstrate that the fractal structure can be understood without it.Comment: Latex file, four pages and two colour figures in .cps files. To
appear in Nature, 5 September 199
The inner centromere is a biomolecular condensate scaffolded by the chromosomal passenger complex.
The inner centromere is a region on every mitotic chromosome that enables specific biochemical reactions that underlie properties, such as the maintenance of cohesion, the regulation of kinetochores and the assembly of specialized chromatin, that can resist microtubule pulling forces. The chromosomal passenger complex (CPC) is abundantly localized to the inner centromeres and it is unclear whether it is involved in non-kinase activities that contribute to the generation of these unique chromatin properties. We find that the borealin subunit of the CPC drives phase separation of the CPC in vitro at concentrations that are below those found on the inner centromere. We also provide strong evidence that the CPC exists in a phase-separated state at the inner centromere. CPC phase separation is required for its inner-centromere localization and function during mitosis. We suggest that the CPC combines phase separation, kinase and histone code-reading activities to enable the formation of a chromatin body with unique biochemical activities at the inner centromere
Star forming dwarf galaxies
Star forming dwarf galaxies (SFDGs) have a high gas content and low
metallicities, reminiscent of the basic entities in hierarchical galaxy
formation scenarios. In the young universe they probably also played a major
role in the cosmic reionization. Their abundant presence in the local volume
and their youthful character make them ideal objects for detailed studies of
the initial stellar mass function (IMF), fundamental star formation processes
and its feedback to the interstellar medium. Occasionally we witness SFDGs
involved in extreme starbursts, giving rise to strongly elevated production of
super star clusters and global superwinds, mechanisms yet to be explored in
more detail. SFDGs is the initial state of all dwarf galaxies and the relation
to the environment provides us with a key to how different types of dwarf
galaxies are emerging. In this review we will put the emphasis on the exotic
starburst phase, as it seems less important for present day galaxy evolution
but perhaps fundamental in the initial phase of galaxy formation.Comment: To appear in JENAM Symposium "Dwarf Galaxies: Keys to Galaxy
Formation and Evolution", P. Papaderos, G. Hensler, S. Recchi (eds.). Lisbon,
September 2010, Springer Verlag, in pres
How do you say ‘hello’? Personality impressions from brief novel voices
On hearing a novel voice, listeners readily form personality impressions of that speaker. Accurate or not, these impressions are known to affect subsequent interactions; yet the underlying psychological and acoustical bases remain poorly understood. Furthermore, hitherto studies have focussed on extended speech as opposed to analysing the instantaneous impressions we obtain from first experience. In this paper, through a mass online rating experiment, 320 participants rated 64 sub-second vocal utterances of the word ‘hello’ on one of 10 personality traits. We show that: (1) personality judgements of brief utterances from unfamiliar speakers are consistent across listeners; (2) a two-dimensional ‘social voice space’ with axes mapping Valence (Trust, Likeability) and Dominance, each driven by differing combinations of vocal acoustics, adequately summarises ratings in both male and female voices; and (3) a positive combination of Valence and Dominance results in increased perceived male vocal Attractiveness, whereas perceived female vocal Attractiveness is largely controlled by increasing Valence. Results are discussed in relation to the rapid evaluation of personality and, in turn, the intent of others, as being driven by survival mechanisms via approach or avoidance behaviours. These findings provide empirical bases for predicting personality impressions from acoustical analyses of short utterances and for generating desired personality impressions in artificial voices
Bicuspid stenotic aortic valves: clinical characteristics and morphological assessment using MRI and echocardiography
Background Bicuspid aortic valve (BAV) is one of the most common congenital heart defects with a population prevalence of 0.5% to 1.3%. Identifying patients with BAV is clinically relevant because BAV is associated with aortic stenosis, endocarditis and ascending aorta pathology. Methods and Results Patients with severe aortic stenosis necessitating aortic valve replacement surgery were included in this study. All dissected aortic valves Were stored in the biobank of the University Medical Centre Utrecht. Additionally to the morphological assessment of the aortic valve by the surgeon and pathologist, echocardiographic and magnetic resonance imaging (MRI) images were evaluated. A total of 80 patients were included of whom 32 (40%) were diagnosed with BAV by the surgeon (gold standard). Patients with BAV were significantly younger (55 vs 71 years) and were more frequently male. Notably, a significant difference was found between the surgeon and pathologist in determining valve morphology. MRI was performed in 33% of patients. MRI could assess valve morphology in 96% vs 73% with echocardiography. The sensitivity of MRI for BAV in a population of patients with severe aortic stenosis was higher than echocardiography (75% vs 55%), whereas specificity was better with the latter (91% vs 79%). Typically, the ascending aorta was larger in patients with BAV. Conclusion Among unselected patients with severe aortic valve stenosis, a high percentage of patients with BAV were found. Imaging and assessment of the aortic valve morphology when stenotic is challengin
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