Outcomes in patients sustaining complex periarticular fracture-dislocations of the elbow [abstract]

Periarticular fracture-dislocations (dislocations associated with one or more fractures) of the elbow are difficult injuries to treat. They have historically been associated with poor treatment strategies which resulted in abysmal outcomes for patients. We aimed to review our management strategies for these complex injuries and patient outcomes

Bose--Einstein solitons in highly asymmetric traps

We obtain analytic solutions to the Gross-Pitaevskii equation with negative scattering length in highly asymmetric traps. We find that in these traps the Bose--Einstein condensates behave like quasiparticles and do not expand when the trapping in one direction is eliminated. The results can be applicable to the control of the motion of Bose--Einstein condensates.Comment: 12 pages, Latex, Figures available under request on [email protected]

Identification of determinants for rescheduling travel mode choice and transportation policies to reduce car use in urban areas

[EN] This paper presents a qualitative analysis about the determinants related to rescheduling travel mode decisions during the activity scheduling process. Notably, we were interested to study changes between intention and behavior. Data used came from an in-depth Computer Assisted Telephone Interview (CATI) follow up survey to habitual drivers carried out during the implementation of a panel survey. An interpretative qualitative method based on Analytic Induction was used to cope with the complex nature of rescheduling decisions and the characteristics of the data. The Theory of Planned Behavior has been used to gain a better understanding of the reasons associated with rescheduling travel mode decisions and to obtain a possible explanation of the phenomena studied. In our sample, 12 codes were identified as the main determinants of travel mode changing. Main reasons for rescheduling a travel mode are different considering gender, age, and the type of travel mode change. Main reasons for changing a nonprivate preplanned travel mode to a private travel mode are different considering the type of travel mode preplanned. New determinants of rescheduling decisions different from those associated with other activity scheduling decisions previously identified emerge when analyzing travel mode changes. A number of important sustainable transportation policies to reduce car use in urban areas are derived from the results of this study.This research is partially funded by MINERVA project founded by the ICDCi National Program of Society Challenges of the Spanish Ministerio de Econom ıa, Industria y Competitividad (TRA2015-71184-C2-1-R).Mars, L.; Ruiz Sánchez, T.; Arroyo-López, MR. (2018). Identification of determinants for rescheduling travel mode choice and transportation policies to reduce car use in urban areas. International Journal of Sustainable Transportation. 1-11. https://doi.org/10.1080/15568318.2017.1416432S11

Cosmological consequences of particle creation during inflation

Particle creation during inflation is considered. It could be important for species whose interaction is of gravitational strength or weaker. A complete but economical formalism is given for spin-zero and spin-half particles, and the particle abundance is estimated on the assumption that the particle mass in the early universe is of order the Hubble parameter $H$. It is roughly the same for both spins, and it is argued that the same estimate should hold for higher spin particles in particular the gravitino. The abundance is bigger than that from the usual particle collision mechanism if the inflationary energy scale is of order $10^{16} GeV$, but not if it is much lower.Comment: 17 pages, no Figure

Recurrent early filter clotting during continuous veno-venous hemodialysis with regional citrate anticoagulation is linked to systemic thrombin generation and heparin induced thrombocytopenia type II: a retrospective analysis

OBJECTIVE: Regional citrate anticoagulation (RCA) for continuous renal replacement therapy (CRRT) is widely used and leads to an excellent clottingfree filter survival. Despite strict adherence to protocols, in some cases recurrent early filter-clotting occurs. The aim of this observational study was to evaluate the underlying causes and the efficacy of interventions in patients with early recurrent filter-clotting during RCA. METHODS: In a retrospective analysis of a cohort of 1183 patients treated with RCA-CRRT we detected 12 patients with early filter-clotting unrelated to protocol violation or any obvious technical or medical reason. RESULTS: All patients were systemically anticoagulated with low molecular weight or unfractionated heparin for at least 24h before initiation of Continuous Veno-Venous Hemodialysis with RCA (RCA-CVVHD). During RCA, all postfilter ionized calcium concentrations were in the target range (mean 0.33±0.05 mmol/L). At the time of the first clotting event, thrombocyte counts were 168±66/ nL. After the clotting events, the systemic anticoagulation was switched to argatroban in all patients. With systemic anticoagulation using argatroban filter lifetime of RCA-CVVHD increased significantly (p<0.001) and clotting-events decreased from 0.61 to 0.10 per 24h. All patients were tested for HIT and 5/12 (42%) had a positive test for hep-PF4-antibodies. Application of argatroban significantly reduced early filter-clotting both in HIT-positive patients as well as in HIT-negative patients. At the time of the first clotting event, no patient had clinical signs of thrombosis or thromboembolism. However, during follow up a thromboembolic event occurred in three patients. CONCLUSION: In patients with recurrent early filter-clotting despite strict adherence to the citrate protocol undetected HIT or other causes of thrombin activation may be present. Therefore, patients with recurrent early filter clotting in RCA-CVVHD should be screened for HIT or other conditions that may activate thrombin. A significant improvement of filter run-time can be achieved by systemic administration of a thrombin inhibitor both in patients with and without HIT

Isolated congenital tracheal stenosis in a preterm newborn

Severe tracheal stenosis, resulting in functional atresia of the trachea is a rare congenital malformation with an estimated occurrence of two in 100,000 newborns. If no esophagotracheal fistula is present to allow for spontaneous breathing, this condition is usually fatal. We report on a male infant born at 32 weeks of gestation. The patient presented with respiratory distress immediately after delivery due to severe congenital tracheal stenosis resulting in functional atresia of the trachea. Endotracheal intubation failed and even emergency tracheotomy did not allow ventilation of the patient lungs. The patient finally succumbed to prolonged hypoxia due to functional tracheal atresia. The etiology of tracheal atresia and tracheal stenosis is still unclear, but both conditions are frequently combined with other anomalies of the VACTERL (vertebral anomalies, anal atresia, cardiovascular anomalies, tracheoesophageal fistula, esophageal atresia, renal/radial anomalies and limb defects) and TACRD (tracheal agenesis, cardiac, renal and duodenal malformations) association. Conclusion Successful treatment of severe congenital tracheal stenosis and tracheal atresia depends on either prenatal diagnosis or recognition of this condition immediately after birth to perform tracheotomy without delay. Nevertheless, despite any efforts, the therapeutical results of severe tracheal stenosis and tracheal atresia are still unsatisfactory

Exploring marine ecosystems with elementary school Portuguese children: inquiry-based project activities focused on ‘real-life’ contexts

The purpose of the study was to investigate how young students engage in an inquirybased project driven by real-life contexts. Elementary school children were engaged in a small inquiry project centred on marine biodiversity and species adaptations. All activities included the exploration of an out-of-school setting as a learning context. A total of 49 students and 2 teachers were involved in the activities. The research methods included observation, document analysis and content analysis of the answers to a questionnaire and an interview. The results revealed that most of the students acquired scientific knowledge related to biological diversity and adaptations to habitat. Moreover, students progressively demonstrate greater autonomy, argumentative ability and decision-making. One implication of the present study is that elementary science curriculum could be better managed with inquiry projectbased activities that explore different types of resources and out-of-school settings.info:eu-repo/semantics/publishedVersio

A Bronze Age Round Barrow Cemetery, Pit Alignments, Iron Age Burials, Iron Age Copper Working, and Later Activity at Four Crosses, Llandysilio, Powys.

Excavation undertaken at the Upper Severn valley round barrow cemetery at Four Crosses, Llandysilio between 2004 and 2006 has increased the known barrows and ring-ditches to some 26 monuments, and revealed additional burials. Based on limited dating evidence, and the data from earlier excavations, the majority of the barrows are thought to be constructed in the Bronze Age. The barrows are part of a larger linear cemetery and the landscape setting and wider significance of this linear barrow cemetery are explored within this report. Dating suggests two barrows were later, Iron Age additions. The excavation also investigated Iron Age and undated pit alignments, Middle Iron Age copper working and a small Romano-British inhumation cemetery and field systems. Much of this evidence reflects the continuing importance of the site for ritual and funerary activity