Pediatric DXA: technique and interpretation

This article reviews dual X-ray absorptiometry (DXA) technique and interpretation with emphasis on the considerations unique to pediatrics. Specifically, the use of DXA in children requires the radiologist to be a “clinical pathologist” monitoring the technical aspects of the DXA acquisition, a “statistician” knowledgeable in the concepts of Z-scores and least significant changes, and a “bone specialist” providing the referring clinician a meaningful context for the numeric result generated by DXA. The patient factors that most significantly influence bone mineral density are discussed and are reviewed with respect to available normative databases. The effects the growing skeleton has on the DXA result are also presented. Most important, the need for the radiologist to be actively involved in the technical and interpretive aspects of DXA is stressed. Finally, the diagnosis of osteoporosis should not be made on DXA results alone but should take into account other patient factors

Density-Independent Mortality and Increasing Plant Diversity Are Associated with Differentiation of Taraxacum officinale into r- and K-Strategists

Background: Differential selection between clones of apomictic species may result in ecological differentiation without mutation and recombination, thus offering a simple system to study adaptation and life-history evolution in plants. Methodology/Principal Findings: We caused density-independent mortality by weeding to colonizer populations of the largely apomictic Taraxacum officinale (Asteraceae) over a 5-year period in a grassland biodiversity experiment (Jena Experiment). We compared the offspring of colonizer populations with resident populations deliberately sown into similar communities. Plants raised from cuttings and seeds of colonizer and resident populations were grown under uniform conditions. Offspring from colonizer populations had higher reproductive output, which was in general agreement with predictions of r-selection theory. Offspring from resident populations had higher root and leaf biomass, fewer flower heads and higher individual seed mass as predicted under K-selection. Plants grown from cuttings and seeds differed to some degree in the strength, but not in the direction, of their response to the r- vs. K-selection regime. More diverse communities appeared to exert stronger K-selection on resident populations in plants grown from cuttings, while we did not find significant effects of increasing species richness on plants grown from seeds. Conclusions/Significance: Differentiation into r- and K-strategists suggests that clones with characteristics of r-strategists were selected in regularly weeded plots through rapid colonization, while increasing plant diversity favoured the selection of clones with characteristics of K-strategists in resident populations. Our results show that different selection pressures may result in a rapid genetic differentiation within a largely apomictic species. Even under the assumption that colonizer and resident populations, respectively, happened to be r- vs. K-selected already at the start of the experiment, our results still indicate that the association of these strategies with the corresponding selection regimes was maintained during the 5-year experimental period

Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis

Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain. Methods: An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis. Results: 23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7 – 571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1% - 14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3% - 8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4% - 28.0%). Conclusion: This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority

Vitamin D Deficiency in Children with a Chronic Illness-Seasonal and Age-Related Variations in Serum 25-hydroxy Vitamin D Concentrations

Peer reviewe

Higgs critical exponents and conformal bootstrap in four dimensions

Abstract: We investigate relevant properties of composite operators emerging in non-supersymmetric, four-dimensional gauge-Yukawa theories with interacting conformal fixed points within a precise framework. The theories investigated in this work are structurally similar to the standard model of particle interactions, but differ by developing perturbative interacting fixed points. We investigate the physical properties of the singlet and the adjoint composite operators quadratic in the Higgs field, and discover, via a direct computation, that the singlet anomalous dimension is substantially larger than the adjoint one. The numerical bootstrap results are, when possible, compared to our precise findings associated to the four dimensional conformal field theoretical results. To accomplish this, it was necessary to calculate explicitly the crossing symmetry relations for the global symmetry group SU(N) × SU(N)

The a theorem for gauge-Yukawa theories beyond Banks-Zaks fixed point

We investigate the a theorem for nonsupersymmetric gauge-Yukawa theories beyond the leading order in perturbation theory. The exploration is first performed in a model-independent manner and then applied to a specific relevant example. Here, a rich fixed point structure appears including the presence of a merging phenomenon between nontrivial fixed points for which the a theorem has not been tested so far. © 2013 American Physical Society

Standard model-like corrections to dilatonic dynamics

We examine the effects of standard model-like interactions on the near-conformal dynamics of a theory featuring a dilatonic state identified with the standard model-like Higgs. As template for near-conformal dynamics we use a gauge theory with fermionic matter and elementary mesons possessing the same non-abelian global symmetries as a technicolor-like theory with matter in a complex representation of the gauge group. We then embed the electroweak gauge group within the global flavor structure and add also quark-like states to mimic the effects of the top. We find that the induced standard model-like corrections modify the original phase diagram and the details of the dilatonic spectrum. In particular, we show that the corrected theory exhibits near-conformal behavior for a smaller range of flavors and colors. For this range of values, however, our results suggest that near conformal dynamics could accommodate Higgs-like properties. © SISSA 2013

Standard model vacuum stability and Weyl consistency conditions

At high energy the standard model possesses conformal symmetry at the classical level. This is reflected at the quantum level by relations between the different β functions of the model. These relations are known as the Weyl consistency conditions. We show that it is possible to satisfy them order by order in perturbation theory, provided that a suitable coupling constant counting scheme is used. As a direct phenomenological application, we study the stability of the standard model vacuum at high energies and compare with previous computations violating the Weyl consistency conditions. © 2013 SISSA, Trieste, Italy