Femoral Stem Displacement in a Patient Suffering Recurrent Dislocations After Hip Hemiarthroplasty: Case Report

Displacement of the femoral component during attempt to closed reduction of a dislocated hip arthroplasty is an exceptionally rare, catastrophic event, which renders operative management obligatory. We report the proximal migration of a femoral stem during attempt to closed reduction in a patient with recurrent postoperative dislocations after hip hemiarthroplasty, and describe successful management by conversion to a standard total hip arthroplasty, retaining the same stem in the existing cement mantle. This illustrative case is reported not only as an extremely rare event, but also to highlight and discuss pitfalls and efficient measures in the management of this complex issue

The infrared structure of gauge theory amplitudes in the high-energy limit

We develop an approach to the high-energy limit of gauge theories based on the universal properties of their infrared singularities. Our main tool is the dipole formula, a compact ansatz for the all-order infrared singularity structure of scattering amplitudes of massless partons. By taking the high-energy limit, we show that the dipole formula implies Reggeization of infrared-singular contributions to the amplitude, at leading logarithmic accuracy, for the exchange of arbitrary color representations in the cross channel. We observe that the real part of the amplitude Reggeizes also at next-to-leading logarithmic order, and we compute the singular part of the two-loop Regge trajectory, which is universally expressed in terms of the cusp anomalous dimension. Our approach provides tools to study the high-energy limit beyond the boundaries of Regge factorization: thus we show that Reggeization generically breaks down at next-to-next-to-leading logarithmic accuracy, and provide a general expression for the leading Reggeization-breaking operator. Our approach applies to multiparticle amplitudes in multi-Regge kinematics, and it also implies new constraints on possible corrections to the dipole formula, based on the Regge limit

Bacterial Toxin–Antitoxin Systems: More Than Selfish Entities?

Bacterial toxin–antitoxin (TA) systems are diverse and widespread in the prokaryotic kingdom. They are composed of closely linked genes encoding a stable toxin that can harm the host cell and its cognate labile antitoxin, which protects the host from the toxin's deleterious effect. TA systems are thought to invade bacterial genomes through horizontal gene transfer. Some TA systems might behave as selfish elements and favour their own maintenance at the expense of their host. As a consequence, they may contribute to the maintenance of plasmids or genomic islands, such as super-integrons, by post-segregational killing of the cell that loses these genes and so suffers the stable toxin's destructive effect. The function of the chromosomally encoded TA systems is less clear and still open to debate. This Review discusses current hypotheses regarding the biological roles of these evolutionarily successful small operons. We consider the various selective forces that could drive the maintenance of TA systems in bacterial genomes

Degradation of haloaromatic compounds

An ever increasing number of halogenated organic compounds has been produced by industry in the last few decades. These compounds are employed as biocides, for synthetic polymers, as solvents, and as synthetic intermediates. Production figures are often incomplete, and total production has frequently to be extrapolated from estimates for individual countries. Compounds of this type as a rule are highly persistent against biodegradation and belong, as "recalcitrant" chemicals, to the class of so-called xenobiotics. This term is used to characterise chemical substances which have no or limited structural analogy to natural compounds for which degradation pathways have evolved over billions of years. Xenobiotics frequently have some common features. e.g. high octanol/water partitioning coefficients and low water solubility which makes for a high accumulation ratio in the biosphere (bioaccumulation potential). Recalcitrant compounds therefore are found accumulated in mammals, especially in fat tissue, animal milk supplies and also in human milk. Highly sophisticated analytical techniques have been developed for the detection of organochlorines at the trace and ultratrace level

Managing resilience to reverse phase shifts in coral reefs

Both coral-dominated and degraded reef ecosystems can be resistant to change. Typically, research and management have focused on maintaining coral dominance and avoiding phase shifts to other species compositions, rather than on weakening the resilience of already degraded reefs to re-establish coral dominance. Reversing degraded coral-reef states will involve reducing local chronic drivers like fishing pressure and poor water quality. Reversals will also require management of key ecological processes - such as those performed by different functional groups of marine herbivores - that both weaken the resilience of the degraded state and strengthen the coral-dominated state. If detrimental human impacts are reduced and key ecological processes are enhanced, pulse disturbances, such as extreme weather events, and ecological variability may provide opportunities for a return to a coral-dominated state. Critically, achieving these outcomes will necessitate a diverse range of integrated approaches to alter human interactions with reef ecosystems