The Effect of Teaching Methods on Examination Performance and Attitudes in an Introductory Financial Accounting Course

This article describes a study in which a group-Socratic teaching method and an interactive lecture style were compared for their effect on students\u27 examination performance in an introductory financial accounting course. The effect of teaching method on students\u27 attitudes toward the accounting profession and the course was also analyzed. An ANOVA design was used to test for differences between experimental and control groups of undergraduate students. The results provide no evidence that either method of instruction results in significantly higher scores on examinations; nor was there any statistically significant difference in attitudes toward the accounting profession or the course

Diabatic effects on the evolution of storm tracks

Despite the crucial role of moist diabatic processes in mid-latitude storm tracks and related model biases, we still lack a more complete theoretical understanding of how diabatic processes affect the evolution of storm tracks. To alleviate this shortcoming, we investigate the role of diabatic processes in the evolution of the northern hemispheric storm tracks using a framework based on the tendency of the slope of isentropic surfaces as a measure of baroclinic development. We identify opposing behaviours in the near-surface and free troposphere for the relationship between the flattening of the slope of isentropic surfaces and its restoration by diabatic processes. Near the surface (900–825 hPa), cold air advection associated with cold air outbreaks initially acts to flatten isentropic surfaces, with air–sea interactions ensuing to restore surface baroclinicity. In the free troposphere (750–350 hPa), on the other hand, the diabatic generation of the slope of isentropic surfaces precedes its depletion due to tilting by eddies, suggesting the primary importance of moist diabatic processes in triggering subsequent baroclinic development. The same phasing between diabatic and tilting tendencies of the slope is observed both in upstream and downstream sectors of the North Atlantic and North Pacific storm tracks. This suggests that the reversed behaviour between near-surface and free troposphere is a general feature of mid-latitude storm tracks. In addition, we find a correspondence between the diabatic generation of the slope of isentropic surfaces and enhanced precipitation as well as moisture availability, further underlining the crucial role of moisture and moist processes in the self-maintenance of storm tracks.</p

Multi-criteria approach for the environmental impact assessment of inland aquaculture

Trout farming, that represents the most important sector for aquaculture inland production in Italy, can cause negative effects on aquatic ecosystems. Recently, in the framework of Water Frame Directive 2000/60/EC and national law DL 152/2006, concerning the sustainable uses of water resources, multi-criteria approaches have been suggested to evaluate the impact of fish farming on aquatic ecosystems. In this study trout farms of central Italy were selected to investigate the effects of their effluents, on receiving water bodies using a multi-criteria approach based on physicochemical parameters, microbiological and macrobenthonic indicators, detected in sampling stations located upstream/downstream the trout farm. Moreover, antibiotic susceptibility against antibiotics allowed and/or forbidden by current law (D.lgs 193/56/06) was tested on E. coli strains. The results indicate variations of chemical parameters and biological indicators from upstream to downstream sites in some of the investigated farms. Antibiotic resistance of E. coli strains suggested a large use of tetracycline and a possible past use of chloramphenicol. This study represents a first contribute to the knowledge of fish farm impacts on aquatic systems in Central Italy

Custom-made implants for massive acetabular bone loss: accuracy with CT assessment

Background: Custom-made implants are a valid option in revision total hip arthroplasty to address massive acetabular bone loss. The aim of this study was to assess the accuracy of custom-made acetabular implants between preoperative planning and postoperative positioning using CT scans. Methods: In a retrospective analysis, three patients who underwent an acetabular custom-made prosthesis were identified. The custom-made designs were planned through 3D CT analysis considering surgical points of attention. The accuracy of intended implants positioning was assessed by comparing pre- and postoperative CT analyzing the center of rotation (CoR), anteversion, inclination, screws, and implant surface in contact with the bone. Results: The three cases presented satisfactory accuracy in positioning. A malpositioning in the third case was observed due to the posterization of the CoR of the implant of more than 10&nbsp;mm. The other CoR vectors considered in the third patient and all vectors in the other two cases fall within 10&nbsp;mm. All the cases were positioned with a difference of less than 10° of anteversion and inclination with respect to the planning. Conclusions: The current case series revealed promising accuracy in the positioning of custom-made acetabular prosthesis comparing the planned implant in preoperative CT with postoperative CT

Weight bearing versus conventional CT for the measurement of patellar alignment and stability in patients after surgical treatment for patellar recurrent dislocation

Purpose: To compare weight-bearing cone-beam computer tomography (CBCT) and conventional computer tomography (CT)-based measurements of patellofemoral alignment and stability in patients surgically treated for recurrent patellar dislocation. These scans implied respectively single-leg up-right posture, the knee flexed, and lower limb muscles activation, versus supine position with the knee extended. Methods: A total of 17 patients (11 males/6 females) after surgical reconstruction with fascia lata allograft for recurrent patellofemoral dislocation were analyzed at 60-month follow-up. Tilt and congruence angles and tibial tuberosity–trochlear groove (TT-TG) offset were measured on images obtained from CBCT and conventional CT scans by three independent and expert radiologists. Paired t tests were performed to compare measurements obtained from the two scans. Inter-rater reliability was assessed using a two-way mixed-effects model intra-class correlation coefficient (ICC). Results: Only TT-TG offset was found significantly smaller (p &lt; 0.001) in CBCT (mean 9.9 ± 5.3&nbsp;mm) than in conventional CT (mean 15.9 ± 4.9&nbsp;mm) scans. ICC for tilt and congruence angles and for TT-TG offset ranged between 0.80–0.94 with measurements in CBCT scans, between 0.52 and0.78 in conventional CT. Conclusion: In patients surgically treated for recurrent patellar dislocation, TT-TG offset was found overestimated with conventional CT. All measurements of patellofemoral stability and alignment were found more consistent when obtained with weight-bearing CBCT compared to conventional CT

Total knee arthroplasty in valgus knee deformity: is it still a challenge in 2021?

Total knee arthroplasty in valgus knee deformities continues to be a challenge for a surgeon. Approximately 10% of patients who undergo total knee arthroplasty have a valgus deformity. While performing total knee arthroplasty in a severe valgus knee, one should aware with the technical aspects of surgical exposure, bone cuts of the distal femur and proximal tibia, medial and lateral ligament balancing, flexion and extension gap balancing, creating an appropriate tibiofemoral joint line, balancing the patellofemoral joint, preserving peroneal nerve function, and selection of the implant regarding constraint. Restoration of neutral mechanical axis and correct ligament balance are important factors for stability and longevity of the prosthesis and for good functional outcome. Thus, our review aims to provide step by step comprehensive knowledge about different surgical techniques for the correction of severe valgus deformity in total knee arthroplasty

Exploiting Semantics in Neural Machine Translation with Graph Convolutional Network

Semantic representations have long been argued as potentially useful for enforcing meaning preservation and improving generalization performance of machine translation methods. In this work, we are the first to incorporate information about predicate-argument structure of source sentences (namely, semantic-role representations) into neural machine translation. We use Graph Convolutional Networks (GCNs) to inject a semantic bias into sentence encoders and achieve improvements in BLEU scores over the linguistic-agnostic and syntax-aware versions on the English–German language pair

Effect of medial patellofemoral ligament reconstruction method on patellofemoral contact pressures and kinematics.

Background: There remains a lack of evidence regarding the optimal method when reconstructing the medial patellofemoral ligament (MPFL) and whether some graft constructs can be more forgiving to surgical errors, such as overtensioning or tunnel malpositioning, than others. Hypothesis: The null hypothesis was that there would not be a significant difference between reconstruction methods (eg, graft type and fixation) in the adverse biomechanical effects (eg, patellar maltracking or elevated articular contact pressure) resulting from surgical errors such as tunnel malpositioning or graft overtensioning. Study Design: Controlled laboratory study. Methods: Nine fresh-frozen cadaveric knees were placed on a customized testing rig, where the femur was fixed but the tibia could be moved freely from 0\ub0 to 90\ub0 of flexion. Individual quadriceps heads and the iliotibial tract were separated and loaded to 205 N of tension using a weighted pulley system. Patellofemoral contact pressures and patellar tracking were measured at 0\ub0, 10\ub0, 20\ub0, 30\ub0, 60\ub0, and 90\ub0 of flexion using pressure-sensitive film inserted between the patella and trochlea, in conjunction with an optical tracking system. The MPFL was transected and then reconstructed in a randomized order using a (1) double-strand gracilis tendon, (2) quadriceps tendon, and (3) tensor fasciae latae allograft. Pressure maps and tracking measurements were recorded for each reconstruction method in 2 N and 10 N of tension and with the graft positioned in the anatomic, proximal, and distal femoral tunnel positions. Statistical analysis was undertaken using repeated-measures analyses of variance, Bonferroni post hoc analyses, and paired t tests. Results: Anatomically placed grafts during MPFL reconstruction tensioned to 2 N resulted in the restoration of intact medial joint contact pressures and patellar tracking for all 3 graft types investigated (P >.050). However, femoral tunnels positioned proximal or distal to the anatomic origin resulted in significant increases in the mean medial joint contact pressure, medial patellar tilt, and medial patellar translation during knee flexion or extension, respectively (P <.050), regardless of graft type, as did tensioning to 10 N. Conclusion: The importance of the surgical technique, specifically correct femoral tunnel positioning and graft tensioning, in restoring normal patellofemoral joint (PFJ) kinematics and articular cartilage contact stresses is evident, and the type of MPFL graft appeared less important. Clinical Relevance: The correct femoral tunnel position and graft tension for restoring normal PFJ kinematics and articular cartilage contact stresses appear to be more important than graft selection during MPFL reconstruction. These findings emphasize the importance of the surgical technique when undertaking this procedure