328 research outputs found

    Pelvic Morphology Differs in Rotation and Obliquity Between Developmental Dysplasia of the Hip and Retroversion

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    Background: Developmental dysplasia of the hip (DDH) and acetabular retroversion represent distinct acetabular pathomorphologies. Both are associated with alterations in pelvic morphology. In cases where direct radiographic assessment of the acetabulum is difficult or impossible or in mixed cases of DDH and retroversion, additional indirect pelvimetric parameters would help identify the major underlying structural abnormality. Questions/Purposes: We asked: How does DDH and retroversion differ with respect to rotation and coronal obliquity as measured by the pelvic width index, anterior inferior iliac spine (AIIS) sign, ilioischial angle, and obturator index? And what is the predictive value of each variable in detecting acetabular retroversion? Methods: We reviewed AP pelvis radiographs for 51 dysplastic and 51 retroverted hips. Dysplasia was diagnosed based on a lateral center-edge angle of less than 20° and an acetabular index of greater than 14°. Retroversion was diagnosed based on a lateral center-edge angle of greater than 25° and concomitant presence of the crossover/ischial spine/posterior wall signs. We calculated sensitivity, specificity, and area under the receiver operating characteristic (ROC) curve for each variable used to diagnose acetabular retroversion. Results: We found a lower pelvic width index, higher prevalence of the AIIS sign, higher ilioischial angle, and lower obturator index in acetabular retroversion. The entire innominate bone is internally rotated in DDH and externally rotated in retroversion. The areas under the ROC curve were 0.969 (pelvic width index), 0.776 (AIIS sign), 0.971 (ilioischial angle), and 0.925 (obturator index). Conclusions: Pelvic morphology is associated with acetabular pathomorphology. Our measurements, except the AIIS sign, are indirect indicators of acetabular retroversion. The data suggest they can be used when the acetabular rim is not clearly visible and retroversion is not obvious. Level of Evidence: Level III, diagnostic study. See Guidelines for Authors for a complete description of levels of evidenc

    Stand der Bekämpfung von Brandkrankheiten im ökologischen Getreidebau

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    With the aim to evaluate the effectiveness of techniques and measures for control of cereal bunts and smuts in organic farming systems, field trials were carried out in multiple locations from 2004 to 2006. The relevant fungal diseases included in the trials were common bunt (Tilletia tritici), dwarf bunt (T. controversa), loose smut (Usti-lago tritici, U. nuda), covered smut (U. hordei) and black loose smut (U. avenae). The following treatments were found to be effective. Common bunt: different physical methods, Tillecur, acetic acid. Loose smut of barley and wheat: warm and hot water treatment, seed treatment with ethanol (more trials needed). Covered smut of barley: warm water treatment, ethanol, Lebermooser. Loose smut of oats: hot water treat-ment, ethanol. Field resistant varieties are available (although in some cases only in limited number) for common bunt, loose smut of wheat and barley and covered smut. The status of varietal resistance against dwarf bunt is only insufficiently known. In case of black loose smut research on resistant varieties is currently being conducted

    Trapped radioactive isotopes for fundamental symmetry investigations:The TRIÎĽP Facility

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    Discrete symmetries tested in high precision atomic physics experiments provide guidance to model building beyond the Standard Model (SM). Here experimental opportunities arise for searches for permanent electric dipole moments (EDMs) and measurements of atomic parity violation (APV). Heavy atoms are favorable for such experiments since symmetry violating effects in atoms increase faster than the third power of the nuclear charge Z. Of special interest are isotopes of the heavy alkaline earth element radium (Z=88) since they offer large enhancement factors for EDMs and provide a new experimental road towards high precision measurements of atomic parity violation. These opportunities are exploited at the TRIÎĽP facility at KVI, Groningen

    Pelvic morphology differs in rotation and obliquity between developmental dysplasia of the hip and retroversion

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    Developmental dysplasia of the hip (DDH) and acetabular retroversion represent distinct acetabular pathomorphologies. Both are associated with alterations in pelvic morphology. In cases where direct radiographic assessment of the acetabulum is difficult or impossible or in mixed cases of DDH and retroversion, additional indirect pelvimetric parameters would help identify the major underlying structural abnormality

    Zebra dolomites of the Spessart, Germany: implications for hydrothermal systems of the European Zechstein Basin

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    Zebra dolomites have a distinctive texture and are a peculiar structural variety of dolostones often encountered in the vicinity of base metal deposits commonly in the Mississippi Valley-Type (MVT). We investigate origin and evolution of the zebra dolomites found in the region of the Spessart, northwestern Bavaria, Germany, through diagenetic and petrogenetic analysis using SEM, CL microscopy, O–C isotopes, and fluid inclusion micro-thermometry. Here, we aim to shed light on the nature of the fluids that altered the zebra dolomite of the Zechstein formation. We distinguish the geochemical signatures of two different fluid flow regimes post-dating texture formation, each characterized by specific homogenization temperatures and oxygen–carbon isotope ratios (Event 1: Th = 120 °C; δ18Ofluids = [0 to 2‰]; Event 2; Th = 300 °C; δ18Ofluids = 18‰). Comparison of these fluids and the associated mineralization with published regional fluid flow data support that the zebra dolomites in the Spessart most likely coincided with the Permian large-scale fluid flow event that occurred throughout the European Zechstein Basin

    Characterization of a continuous muon source for the Muon-Induced X-ray Emission (MIXE) Technique

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    The toolbox for material characterization has never been richer than today. Great progress with all kinds of particles and interaction methods provide access to nearly all properties of an object under study. However, a tomographic analysis of the subsurface region remains still a challenge today. In this regard, the Muon-Induced X-ray Emission (MIXE) technique has seen rebirth fueled by the availability of high intensity muon beams. We report here a study conducted at the Paul Scherrer Institute (PSI). It demonstrates that the absence of any beam time-structure leads to low pile-up events and a high signal-to-noise ratio (SNR) with less than one hour acquisition time per sample or data point. This performance creates the perspective to open this technique to a wider audience for the routine investigation of non-destructive and depth-sensitive elemental compositions, for example in rare and precious samples. Using a hetero-structured sample of known elements and thicknesses, we successfully detected the characteristic muonic X-rays, emitted during the capture of a negative muon by an atom, and the gamma-rays resulting from the nuclear capture of the muon, characterizing the capabilities of MIXE at PSI. This sample emphasizes the quality of a continuous beam, and the exceptional SNR at high rates. Such sensitivity will enable totally new statistically intense aspects in the field of MIXE, e.g. elemental 3D-tomography and chemical analysis. Therefore, we are currently advancing our proof-of-concept experiments with the goal of creating a full fledged permanently operated user station to make MIXE available to the wider scientific community as well as industry

    Circulating Tumor Cells Predict Survival in Early Average-to-High Risk Breast Cancer Patients

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    Background: Circulating tumor cells (CTCs) have been shown to predict reduced survival outcomes in metastatic breast cancer. Methods: CTCs were analyzed in 2026 patients with early breast cancer before adjuvant chemotherapy and in 1492 patients after chemotherapy using the CellSearch System. After immuno-magnetic enrichment for cells expressing the epithelial-cell adhesion molecule, CTCs were defined as nucleated cells expressing cytokeratin and lacking CD45. The patients were followed for a median of 35 months (range = 0–54). Kaplan–Meier analyses and the log-rank test were used for survival analyses. All statistical tests were two-sided. Results: Before chemotherapy, CTCs were detected in 21.5% of patients (n = 435 of 2026), with 19.6% (n = 136 of 692) of node-negative and 22.4% (n = 299 of 1334) of node-positive patients showing CTCs (P < .001). No association was found with tumor size, grading, or hormone receptor status. After chemotherapy, 22.1% of patients (n = 330 of 1493) were CTC positive. The presence of CTCs was associated with poor disease-free survival (DFS; P < .0001), distant DFS (P < .001), breast cancer-specific survival (P = .008), and overall survival (OS; P = .0002). CTCs were confirmed as independent prognostic markers in multivariable analysis for DFS (hazard ratio [HR] = 2.11; 95% confidence interval [CI] = 1.49 to 2.99; P < .0001) and OS (HR = 2.18; 95% CI = 1.32 to 3.59; P = .002). The prognosis was worst in patients with at least five CTCs per 30mL blood (DFS: HR = 4.51, 95% CI = 2.59 to 7.86; OS: HR = 3.60, 95% CI = 1.56 to 8.45). The presence of persisting CTCs after chemotherapy showed a negative influence on DFS (HR = 1.12; 95% CI = 1.02 to 1.25; P = .02) and on OS (HR = 1.16; 95% CI = 0.99 to 1.37; P = .06) Conclusions: These results suggest the independent prognostic relevance of CTCs both before and after adjuvant chemotherapy in a large prospective trial of patients with primary breast cancer
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