Foot and ankle injuries during the Athens 2004 Olympic Games

<p>Abstract</p> <p>Background</p> <p>Major, rare and complex incidents can occur at any mass-gathering sporting event and team medical staff should be appropriately prepared for these. One such event, the Athens Olympic Games in 2004, presented a significant sporting and medical challenge. This study concerns an epidemiological analysis of foot and ankle injuries during the Games.</p> <p>Methods</p> <p>An observational, epidemiological survey was used to analyse injuries in all sport tournaments (men's and women's) over the period of the Games.</p> <p>Results</p> <p>A total of 624 injuries (525 soft tissue injuries and 99 bony injuries) were reported. The most frequent diagnoses were contusions, sprains, fractures, dislocations and lacerations. Significantly more injuries in male (58%) versus female athletes (42%) were recorded. The incidence, diagnosis and cause of injuries differed substantially between the team sports.</p> <p>Conclusion</p> <p>Our experience from the Athens Olympic Games will inform the development of public health surveillance systems for future Olympic Games, as well as other similar mass events.</p

Modified tension band wiring technique by safely inserting K-wires in olecranon fracture osteosynthesis

Aim: The present study presents the results of a modified tension band technique by surgically inserting K-wires to treat olecranon fractures. Materials and methods: The modification includes inserting the K-wires from the olecranon’s upper tip and directing them to the ulna’s dorsal surface. Twelve patients (three males and nine females) from 35 to 87 years of age were operated for olecranon fracture. After the standard approach, the olecranon was reduced and fixed with two K-wires from the tip to the dorsal ulnar cortex. Then the standard tension band technique was carried out. Results: The average operating time was 17.25±3.08 min. No image intensifier was used since the wires’ discharge was either visible, penetrating the dorsal cortex, or palpable through this area’s skin. The time needed for the bone union was six weeks. In one female patient, the wires were cut out. This patient showed a satisfactory painless range of motion (ROM) of the elbow but did not achieve full ROM. However, this particular patient had a previous removal of the radial head, and she spent some time in the ICU intubated. The modified technique used here is as stable as the classic operation, and it is safe since there is no risk of injuring the nerves and vessels of the olecranon fossa. There is less or no need for an image intensifier. Conclusion: The outcomes of the present study are entirely satisfactory. However, many patients and randomized studies are needed to establish this modified tension band wiring technique

Energy Optimization in Dual-RIS UAV-Aided MEC-Enabled Internet of Vehicles

Mobile edge computing (MEC) represents an enabling technology for prospective Internet of Vehicles (IoV) networks. However, the complex vehicular propagation environment may hinder computation offloading. To this end, this paper proposes a novel computation offloading framework for IoV and presents an unmanned aerial vehicle (UAV)-aided network architecture. It is considered that the connected vehicles in a IoV ecosystem should fully offload latency-critical computation-intensive tasks to road side units (RSUs) that integrate MEC functionalities. In this regard, a UAV is deployed to serve as an aerial RSU (ARSU) and also operate as an aerial relay to offload part of the tasks to a ground RSU (GRSU). In order to further enhance the end-to-end communication during data offloading, the proposed architecture relies on reconfigurable intelligent surface (RIS) units consisting of arrays of reflecting elements. In particular, a dual-RIS configuration is presented, where each RIS unit serves its nearby network nodes. Since perfect phase estimation or high-precision configuration of the reflection phases is impractical in highly mobile IoV environments, data offloading via RIS units with phase errors is considered. As the efficient energy management of resource-constrained electric vehicles and battery-enabled RSUs is of outmost importance, this paper proposes an optimization approach that intends to minimize the weighted total energy consumption (WTEC) of the vehicles and ARSU subject to transmit power constraints, timeslot scheduling, and task allocation. Extensive numerical calculations are carried out to verify the efficacy of the optimized dual-RIS-assisted wireless transmission