Neuropsychological Assessment of Battered Women

This study examined the effect of physical battering on the neuropsychological functioning of women. Twenty-five battered women and twenty-five non-battered women were administered a neuropsychological screening battery (11 separate tests, yielding 16 variables) to assess for possible deficits in the areas of attention/concentration, memory, visual-perceptual skills, sensory-motor skills, novel problem solving, and verbal fluency. All participants completed a demographic questionnaire, a post-concussive syndrome checklist, and a questionnaire evaluating for the presence of depressed mood and possible effects of depression. Potential participants with a history of previous head injury (occurring from a source other than battering) or other neurological disorders were excluded from the study. Groups were matched for age, level of education, and ethnicity. A Multivariate Analysis of Variance (MANOVA) was employed to test overall group differences considering all 16 neuropsychological variables collectively. The resulting analysis revealed significant group differences F(7,50) = 7.30, p\u3c.0001 (Wilks Lambda =.21). There was a significant difference between groups with regard to depressed mood, t(45) = 4:07, p\u3c.0001, with battered women obtaining higher scores on a depressed mood questionnaire. Therefore, a Multivariate Analysis of Covariance was performed on the 16 neuropsychological dependent variables, controlling for the effect of depressed mood. There was a significant difference between groups on 12 of the 16 variables. When applying clinical criteria, battered women exhibited impairment on a larger number of test than controls, F(1,49) = 72.14, p\u3c.0001. No significant correlation was found between the number of test on which battered women participants were impaired and the number of years in which the relationship was physically abusive, r = -.16. Similarly, the correlation between the number of battering episodes within the past month and number of measures on which a bettered women was impaired was not significant, r =.07. Battered women endorsed a greater number of symptoms on a postconcussive syndrome checklist than did control participants, t(48) = 4.48, p\u3c.0001

Personality traits of male intercollegiate swimmers

The purposes of this study were to compare the personality traits of outstanding and less outstanding male intercollegiate swimmers and male members of similar age in the normal population. [This is an excerpt from the abstract. For the complete abstract, please see the document.

A dc to dc converter

The object of the invention is to provide an improved converter for converting one direct current voltage to another. A plurality of phased square wave voltages are provided from a ring counter through amplifiers to a like plurality of output transformers. Each of these transformers has two windings, and S(1) winding and an S(2) winding. The S(1) windings are connected in series, then the S(2) windings are connected in series, and finally, the two sets of windings are connected in series. One of six SCRs is connected between each two series connected windings to a positive output terminal and one of diodes is connected between each set of two windings of a zero output terminal. By virtue of this configuration, a quite high average direct current voltage is obtained, which varies between full voltage and two-thirds full voltage rather than from full voltage to zero. Further, its variation, ripple frequency, is reduced to one-sixth of that present in a single phase system. Application to raising battery voltage for an ion propulsion system is mentioned

Evaluation of Performance Traits in Brahman Cattle: Blood Parameters, Calf Temperament, Residual Feed Intake, and Bull Reproductive Development

The objectives of these studies were (1) evaluate the relationship between temperament, blood parameters, and performance in Brahman calves (n = 300); (2) evaluate the relationship between residual feed intake (RFI) and reproductive development in Brahman bulls (n = 41). Serum was collected at 24 h and d 21 to 24, and analyzed for total protein (TP) immunoglobulin G (IgG), and cortisol (CS). Calves were weighed at 24 h, weighed and evaluated for temperament using exit velocity (EV) at d 21 to 24, and at 28 d intervals thereafter. Beginning 28 d prior to weaning, and at 28 d intervals through 56 d post-weaning calves were evaluated for pen score (PS) used to calculate temperament score (TS = (EV+PS)/2). The average TS from 28 d prior to weaning and weaning was used to generate temperament groups; calves 1 SD below the mean being calm, those 1 SD above the mean being temperamental and all remaining classified as intermediate. Calf TS influenced WW (P = 0.04) and ADG from birth to weaning (P = 0.03). Serum TP at 24 h affected (P < 0.05) WW and ADG from birth to weaning. Serum IgG at 24 h affected (P = 0.03) WW. Brahman bulls (n = 41) were evaluated for RFI, insulin-like growth factor I (IGF-I), temperament, reproductive development, and ultrasound carcass traits. Serum was collected at d 0 and d 70 of the feeding trial and analyzed for IGF-I. Bulls were classified as efficient, intermediate, or inefficient (RFI classification method I) and as efficient or inefficient (RFI classification method II). Bulls were evaluated for temperament at weaning using TS. Temperament influenced (P < 0.05) IGF-I concentrations at d 0. Reproductive development was not affected (P > 0.05) by TS. Residual feed intake classification did not influence (P > 0.05) age at reproductive milestones. Ultrasound carcass traits were not affected by TS or RFI. Serum TP at 24 h was a viable indicator of future growth performance. Temperamental animals had lower growth rates in both studies. Reproductive development was not affected by RFI. BW at reproductive milestones was lower in temperamental bulls

MRI hip morphology is abnormal in unilateral DDH and increased lateral limbus thickness is associated with residual DDH at minimum 10-year follow-up.

PURPOSE The purpose of the study was to compare the post-reduction magnetic resonance imaging morphology for hips that developed residual acetabular dysplasia, hips without residual dysplasia, and uninvolved contralateral hips in patients with unilateral developmental dysplasia of the hip undergoing closed or open reduction and had a minimum 10-year follow-up. METHODS Retrospective study of patients with unilateral dysplasia of the hip who underwent open/closed hip reduction followed by post-reduction magnetic resonance imaging. Twenty-eight patients with a mean follow-up of 13 ± 3 years were included. In the treated hips, residual dysplasia was defined as subsequent surgery for residual acetabular dysplasia or for Severin grade > 2 at latest follow-up. On post-reduction, magnetic resonance imaging measurements were performed by two readers and compared between the hips with/without residual dysplasia and the contralateral uninvolved side. Magnetic resonance imaging measurements included acetabular version, coronal/ axial femoroacetabular distance, acetabular depth-width ratio, osseous/cartilaginous acetabular indices, and medial/lateral (limbus) cartilage thickness. RESULTS Fifteen (54%) and 13 (46%) hips were allocated to the "no residual dysplasia" group and to the "residual dysplasia" group, respectively. All eight magnetic resonance imaging parameters differed between hips with residual dysplasia and contralateral uninvolved hips (all p < 0.05). Six of eight parameters differed (all p < 0.05) between hips with and without residual dysplasia. Among these, increased limbus thickness had the largest effect (odds ratio = 12.5; p < 0.001) for increased likelihood of residual dysplasia. CONCLUSIONS We identified acetabular morphology and reduction quality parameters that can be reliably measured on the post-reduction magnetic resonance imaging to facilitate the differentiation between hips that develop with/without residual acetabular dysplasia at 10 years postoperatively. LEVEL OF EVIDENCE level III, prognostic case-control study

Seismic attribute inversion for velocity and attenuation structure using data from the GLIMPCE Lake Superior experiment

A simultaneous inversion for velocity and attenuation structure using multiple seismic attributes has been applied to refraction data from the 1986 GLIMPCE Lake Superior experiment. The seismic attributes considered include envelope amplitude, instantaneous frequency, and travel time of first arrival data. Instantaneous frequency is converted to t* using a matching procedure which approximately removes the effects of the source spectra. The derived seismic attributes are then used in an iterative inversion procedure referred to as AFT inversion for amplitude, (instantaneous) frequency, and time. Uncertainties and resolution of the velocity and attenuation models are estimated using covariance calculations and checkerboard resolution maps. A simultaneous inversion of seismic attributes from the GLIMPCE data results in a velocity model similar to that of previous studies across Lake Superior. A central rift basin and a northern basin are the most prominent features with an increase in velocity near the Isle Royale fault. Although there is an indication of the central and northern basins in the attenuation model for depths greater than 4 km, the separation is not evident for shallower depths. This may result from microstructures masking compositional variations in the attenuation model for shallower depths. Attenuation Q values range from approximately 60 near the surface to ear 500 at 10 km depth. A relationship between inverse Q and velocity of Q¯¹=0.0210-0.0028*v was found between Q¯¹ and velocity beneath Lake Superior which supports previous laboratory results. The invereted velocity and attenuation models provide important constraints on the lithology and physical properties of the Midcontinent rift beneath Lake Superior.Copyrighted by American Geophysical Union

Does Weather Matter? The Effect of Weather Patterns and Temporal Factors on Pediatric Orthopedic Trauma Volume

Objectives: Orthopaedists often speculate how weather and school schedule may influence pediatric orthopedic trauma volume, but few studies have examined this. This study aims to determine: how do weather patterns, day, month, season and public school schedule influence the daily frequency of pediatric orthopedic trauma consults and admissions? Methods: With IRB approval, orthopedic trauma data from a level 1 pediatric trauma center, including number of daily orthopedic trauma consults and admissions, were collected from July 2009 to March 2012. Historical weather data (high temperatures, precipitation and hours of daylight), along with local public school schedule data were collected for the same time period. Univariate and multivariate regression models were used to show the average number of orthopedic trauma consults and admissions as a function of weather and temporal variables. Results: High temperature, precipitation, month and day of the week significantly affected the number of daily consults and admissions. The number of consults and admissions increased by 1% for each degree increase in temperature (p=0.001 and p<0.001, respectively), and decreased by 21% for each inch of precipitation (p<0.001, p=0.006). Daily consults on snowy days decreased by an additional 16% compared to days with no precipitation. November had the lowest daily consult and admission rate, while September had the highest. Daily consult rate was lowest on Wednesdays and highest on Saturdays. Holiday schedule was not independently significant. Conclusion: Pediatric orthopedic trauma consultations and admissions are highly linked to temperature and precipitation, as well as day of the week and time of year

Patient-reported outcomes of periacetabular osteotomy from the prospective ANCHOR cohort study

BACKGROUND: Current literature describing the periacetabular osteotomy (PAO) is mostly limited to retrospective case series. Larger, prospective cohort studies are needed to provide better clinical evidence regarding this procedure. The goals of the current study were to (1) report minimum 2-year patient-reported outcomes (pain, hip function, activity, overall health, and quality of life), (2) investigate preoperative clinical and disease characteristics as predictors of clinical outcomes, and (3) report the rate of early failures and reoperations in patients undergoing contemporary PAO surgery. METHODS: A large, prospective, multicenter cohort of PAO procedures was established, and outcomes at a minimum of 2 years were analyzed. A total of 391 hips were included for analysis (79% of the patients were female, and the average patient age was 25.4 years). Patient-reported outcomes, conversion to total hip replacement, reoperations, and major complications were documented. Variables with a p value of ≤0.10 in the univariate linear regressions were included in the multivariate linear regression. The backward stepwise selection method was used to determine the final risk factors of clinical outcomes. RESULTS: Clinical outcome analysis demonstrated major clinically important improvements in pain, function, quality of life, overall health, and activity level. Increasing age and a body mass index status of overweight or obese were predictive of improved results for certain outcome metrics. Male sex and mild acetabular dysplasia were predictive of lesser improvements in certain outcome measures. Three (0.8%) of the hips underwent early conversion to total hip arthroplasty, 12 (3%) required reoperation, and 26 (7%) experienced a major complication. CONCLUSIONS: This large, prospective cohort study demonstrated the clinical success of contemporary PAO surgery for the treatment of symptomatic acetabular dysplasia. Patient and disease characteristics demonstrated predictive value that should be considered in surgical decision-making. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence