TT-adic exponential sums of polynomials in one variable

The $T$-adic exponential sum of a polynomial in one variable is studied. An explicit arithmetic polygon in terms of the highest two exponents of the polynomial is proved to be a lower bound of the Newton polygon of the $C$-function of the T-adic exponential sum. This bound gives lower bounds for the Newton polygon of the $L$-function of exponential sums of $p$-power order

Partial rupture of the quadriceps muscle in a child

<p>Abstract</p> <p>Background</p> <p>The quadriceps femoris muscle ruptures usually occur in the middle-aged population. We present a 4-year-old patient with partial rupture of the quadriceps femoris muscle. To our knowledge, this is the youngest patient reported with a quadriceps femoris muscle rupture.</p> <p>Case Presentation</p> <p>A 4-year-old girl admitted to our clinic with left knee pain and limitation in knee movements. Her father reported that she felt pain while jumping on sofa. There was no direct trauma to thigh or knee. We located a palpable soft tissue swelling at distal anterolateral side of thigh. The history revealed that 10 days ago the patient was treated for upper tract respiratory infection with intramuscular Clindamycin for 7 days. When we consulted the patient with her previous doctor and nurse, we learnt that multiple daily injections might be injected to same side of left thigh. MRI showed a partial tear of vastus lateralis muscle matching with the injection sites. The patient treated with long leg half-casting for three weeks. Clinical examination and knee flexion had good results with conservative treatment.</p> <p>Conclusions</p> <p>Multiple intramuscular injections may contribute to damage muscles and make prone to tears with muscle contractions. Doctors and nurses must be cautious to inject from different parts of both thighs.</p

Differences in hip bone mineral density may explain the hip fracture pattern in osteoarthritic hips

Introduction In patients with osteoarthritis of the hip (OAH), trochanteric fractures are much more common than femoral neck fractures. One reason may be altered bone composition in the proximal femurs. OAH often leads to a fixed external rotation of the hip, leading to difficulties in positioning during DXA measurements. We compared BMD in OAH-affected legs and healthy legs

Are health systems interventions gender blind? examining health system reconstruction in conflict affected states

Background Global health policy prioritizes improving the health of women and girls, as evident in the Sustainable Development Goals (SDGs), multiple women’s health initiatives, and the billions of dollars spent by international donors and national governments to improve health service delivery in low-income countries. Countries recovering from fragility and conflict often engage in wide-ranging institutional reforms, including within the health system, to address inequities. Research and policy do not sufficiently explore how health system interventions contribute to the broader goal of gender equity. Methods This paper utilizes a framework synthesis approach to examine if and how rebuilding health systems affected gender equity in the post-conflict contexts of Mozambique, Timor Leste, Sierra Leone, and Northern Uganda. To undertake this analysis, we utilized the WHO health systems building blocks to establish benchmarks of gender equity. We then identified and evaluated a broad range of available evidence on these building blocks within these four contexts. We reviewed the evidence to assess if and how health interventions during the post-conflict reconstruction period met these gender equity benchmarks. Findings Our analysis shows that the four countries did not meet gender equitable benchmarks in their health systems. Across all four contexts, health interventions did not adequately reflect on how gender norms are replicated by the health system, and conversely, how the health system can transform these gender norms and promote gender equity. Gender inequity undermined the ability of health systems to effectively improve health outcomes for women and girls. From our findings, we suggest the key attributes of gender equitable health systems to guide further research and policy. Conclusion The use of gender equitable benchmarks provides important insights into how health system interventions in the post-conflict period neglected the role of the health system in addressing or perpetuating gender inequities. Given the frequent contact made by individuals with health services, and the important role of the health system within societies, this gender blind nature of health system engagement missed an important opportunity to contribute to more equitable and peaceful societies

Geometric Aspects of Dwork Theory

Aims and Scope This two-volume book collects the lectures given during the three months cycle of lectures held in Northern Italy between May and July of 2001 to commemorate Professor Bernard Dwork (1923 - 1998). It presents a wide-ranging overview of some of the most active areas of contemporary research in arithmetic algebraic geometry, with special emphasis on the geometric applications of thep-adic analytic techniques originating in Dwork's work, their connection to various recent cohomology theories and to modular forms. The two volumes contain both important new research and illuminating survey articles written by leading experts in the field. The book willprovide an indispensable resource for all those wishing to approach the frontiers of research in arithmetic algebraic geometry

Have your cake and eat it too: Remediation and restoration as drivers of an environmental cleanup in Anacortes, WA

The Custom Plywood project, a Puget Sound Initiative site, provided a rare opportunity to implement meaningful restoration of a historical industrial waterfront as part of broader site-wide cleanup action. Implementation was phased based on cleanup actions and available funding ultimately resulting in nearshore excavation and restoration in 2013. As part of these cleanup activities, Hart Crowser assisted in the design of a beach face that was not only protective of capped contamination remaining in the upland portion of the site, but also restored historical ecological function to the nearshore. The beach design promoted forage fish spawning and use by outmigrating salmonids, and restored emergent nearshore/wetland plants as part of a pocket estuary. Performance surveys over the past two years have quantitatively examined salmonid use, epibenthic zooplankton productivity, forage fish spawning occurrence/success, and wetland plant recruitment. The monitoring results show an increase in use, activity and productivity along the beach and within the estuary year to year compared to an adjacent unrestored shoreline. Not only did we remove contamination that was a potential human health risk but we also restored the physical and ecological processes at the beach. Our remediation design has restored ecological function to the Fidalgo Bay system which has experienced over a hundred years of industrial waterfront use