An isolated proximal tibiofibular joint dislocation in a young male playing soccer: a case report

Isolated dislocation of the proximal tibiofibular joint is a rare injury. We present a 23-year-old caucasian man who sustained a traumatic anterolateral dislocation of the proximal tibiofibular joint. There is no consenus on definitive management, and we review the different published treatment and rehabilitation regimens for this injury. Our patient was successfully treated by open reduction and temporary Kirschner-wire fixation. The authors recommend their structured rehabilitation process involved using cast brace immobilization as allows for excellent soft tissue healing

Villagers at war: some Papua New Guinean experiences in WWII

Papua New Guinea was a theatre of warfare between the armed forces of the Allies and Japan from 4 January 1942 to 6 Sep tember 1945 . Three places - the Toaripi area , Hanuabada and Butibam - were studied in order to assess the impact o f the war on the lives of Papuans and New Guineans. The outline for this book is based on documentary sources , especially ANGAU patrol reports and the War Diary; it is fleshed out by oral evidence obtained during interviews with groups and individuals who took part in the war . The work of the Australian New Guinea Administrative Unit (ANGAU) which governed the Allied-occupied parts of Papua New Guinea during the war, its relations with the civilian population and its effect on their lives are also studied . The war enabled many Papuans and New Guineans to gain self-confidence, to see virtue in co-opera ion within ethnic groups and to set 'developmental' goals which could be attained by group effort

Pseudotumors due to pulmonary infarction

The preferred treatment of pulmonary infarction is nonoperative when the diagnosis can be established. In the present study, five cases are described in which failure of resolution or growth of a radiographic density resulted in eventual thoracotomy and pulmonary resection. Carcinoma was suspected in each case, and in one patient, unremitting hemoptysis was an additional indication for operation. It is thought that the infarction was due to an embolus in four patients and to pulmonary arterial thrombosis in the other. Only one of the patients had evidence of peripheral thrombophlebitis, and none had underlying cardiac disease. The infarcts involved the upper lobes in two patients, the lower lobes in two, and both the upper and lower lobes in one. The benign nature of the process was recognized at operation and conservative resections performed. The typical finding was atelectasis of the involved parenchyma with a central necrotic area. In two patients organizing pulmonary emboli were encountered when transecting the pulmonary arterial supply, and in one of these, pulmonary endarterectomy of the remaining vessel was successfully performed. The apparent ages of the infarcts ranged from two weeks to several months. After the diagnosis had been established at operation, prophylactic anticoagulant therapy was not given in four patients, and no recurrences were observed. In the fifth, bilateral superficial femoral vein ligation was performed, also with a good result. © 1963

Revisiting analytical solutions for steady interface flow in subsea aquifers: Aquitard salinity effects

© 2018 Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/ This author accepted manuscript is made available following 24 month embargo from date of publication (Jan 2018) in accordance with the publisher’s archiving policy.Existing analytical solutions for the distribution of fresh groundwater in subsea aquifers presume that the overlying offshore aquitard, represented implicitly, contains seawater. Here, we consider the case where offshore fresh groundwater is the result of freshwater discharge from onshore aquifers, and neglect paleo-freshwater sources. A recent numerical modeling investigation, involving explicit simulation of the offshore aquitard, demonstrates that offshore aquitards more likely contain freshwater in areas of upward freshwater leakage to the sea. We integrate this finding into the existing analytical solutions by providing an alternative formulation for steady interface flow in subsea aquifers, whereby the salinity in the offshore aquitard can be chosen. The new solution, taking the aquitard salinity as that of freshwater, provides a closer match to numerical modeling results in which the aquitard is represented explicitly

Investigating the effect of thermal gradients on stress in solid oxide fuel cell anodes using combined synchrotron radiation and thermal imaging

Thermal gradients can arise within solid oxide fuel cells (SOFCs) due to start-up and shut-down, non-uniform gas distribution, fast cycling and operation under internal reforming conditions. Here, the effects of operationally relevant thermal gradients on Ni/YSZ SOFC anode half cells are investigated using combined synchrotron X-ray diffraction and thermal imaging. The combination of these techniques has identified significant deviation from linear thermal expansion behaviour in a sample exposed to a one dimensional thermal gradient. Stress gradients are identified along isothermal regions due to the presence of a proximate thermal gradient, with tensile stress deviations of up to 75Â MPa being observed across the sample at a constant temperature. Significant strain is also observed due to the presence of thermal gradients when compared to work carried out at isothermal conditions

A Feasibility Study of Methodological Issues and Short-Term Outcomes in Seriously Injured Older Adults

Background: For any given traumatic injury, older adults experience a longer hospitalization, more complications, and higher mortality than do younger patients. Objectives: To prospectively identify problems in designing follow-up studies in seriously injured older adults without head injury and to examine outcomes after serious trauma in older adults who were sent to a level I trauma center. Methods: A short-term descriptive follow-up design was used in which each patient served as his or her baseline. Eligible patients had injuries that required admission to an intensive care unit, a hospital length of stay longer than 72 hours, or surgery. Patients with isolated hip fractures, central nervous system injuries, and burn injuries were excluded. Data were collected by using standardized instruments during the acute hospital stay and 3 months after discharge from the hospital. Results: During a representative 2-month period, 21% of a potential 77 subjects died in the hospital, 44% had cognitive impairment that precluded participation, and 17% declined to participate. Twenty older adults (mean age 73.5 years) who were injured in motor vehicle crashes (45%), falls (35%), or pedestrian accidents (15%) or who had gunshot wounds (5%) were enrolled. Ten percent died after discharge. Levels of physical disability at 3 months after discharge were higher than those before the injury (score on Sickness Impact Profile physical subscale 24.5 vs 10.9, P = .02), and psychological distress (Impact of Event Scale score 20.9) remained elevated. Conclusion: Mortality, disability, and posttraumatic psychological distress after discharge are problems in seriously injured older adults

Unicystic ameloblastoma with diverse mural proliferation - a hybrid lesion

A 46-year-old man was referred to our hospital for treatment, complaining of swelling on the right mandibular molar region. Radiographic examination revealed a well defined multilocular radiolucent lesion with root resorption of right lower anteriors and molars. Following biopsy, a diagnosis of unicystic ameloblastoma of mural type was made and hemimandibulectomy was performed under general anesthesia. Histopathological examination of the surgical specimen exhibited a unicystic ameloblastoma of luminal, intraluminal, and mural type. Intraluminal proliferation was of plexiform pattern and mural proliferation showed unusual histopathological findings, which revealed follicular, acanthomatous areas coexisted with desmoplastic areas. This mural picture was similar to the so-called 'hybrid lesion of ameloblastoma', whose biological profile is not elicited due to the lack of adequate published reports. Two years follow up till date has not revealed any signs of recurrence