Evaluation and Management of Sleep Disorders in the Hand Surgery Patient.

Despite posing a significant public health threat, sleep disorders remain poorly understood and often underdiagnosed and mismanaged. Although sleep disorders are seemingly unrelated, hand surgeons should be mindful of these because numerous conditions of the upper extremity have known associations with sleep disturbances that can adversely affect patient function and satisfaction. In addition, patients with sleep disorders are at significantly higher risk for severe, even life-threatening medical comorbidities, further amplifying the role of hand surgeons in the recognition of this condition

Gross output and livestock sales modelling in Spanish extensive farms using PLSR

The aim of this paper is to model some production variables in extensive livestock farms located in the dehesa ecosystem. We intend to use not only purely economic variables in the construction of the model, but also structural variables in order to identify the characteristics of the farms that have the higher influence. Another objective is to be able to predict these variables at the farm level, using structural variables that are easy to measure. The data used in this work were obtained from a questionnaire survey to the holders/managers of a sample of 69 dehesa farms in Extremadura (SW Spain). The statistical methodology used for the construction of the model was Partial Least Square Regression (PLSR). It can be concluded that the variables relative to farm intensification, to labour and especially to Iberian pig breeding, are those that take part mainly in the model.dehesa, livestock farming systems, partial least square regression, gross output, Crop Production/Industries, Livestock Production/Industries, Research Methods/ Statistical Methods,

Online Community Learning: Why Does (Language) Learning Without Classroom Interest Students of All Disciplines? a Case Study

This case study explores the language learners' growing interest to express their shared interest in online-course-providing platforms. This study also inquires into the language learners' new forum called “online community” and its great influence on smart way teaching-learning process and classroom dynamics, technology enabled lifelong self study mode of learning, subject knowledge, learning centred curriculum, experience centred approach to the learning process, course material and soft/life skills delivered along the course as a value added package. This paper examines the way MOOCs have opened the gate way of learning to all sections of society free of cost with specific language skills focus – writing that interests students from all disciplines. This study suggests that the rising generation shows a growing, academic interest in online collaboration on the basis of any subject specific shared interest and this collective interest also addresses the concern about personal experiences with emotive foundation that will not have space in online teaching learning process

Evaluación corporal en atletas jóvenes de baloncesto femenino

El objetivo del presente estudio consistió en caracterizar la composición corporal en atletas jóvenes de baloncesto femenino. Como objetivo secundario se procuró verificar de que modo se correlacionaban los valores obtenidos para el índice de masa corporal, porcentaje de grasa y pliegues subcutáneos. Fueron estudiadas 11 jugadoras de Baloncesto del sexo femenino (15 y 16 años). La composición corporal fue calculada a través de la formula propuesta por Sloan - Weir y Brozek, a través de la recogida de datos relativos a los pliegues subcutáneos, y el índice de masa corporal fue calculado a través del peso y altura. Los resultados permitirán concluir que: (i) existen correlaciones significativas entre IMC y porcentaje de grasa; (ii) existen correlaciones significativas entre IMC y pliega tricipital; (iii) no existen correlaciones significativas entre IMC y pliegue suprailiaco. Los resultados del presente estudio solo se ajustan a la presente muestra debido que el número de sujetos estudiados no llegan a 30, no siendo posible así generalizar los resultados

The future of spaceborne altimetry. Oceans and climate change: A long-term strategy

The ocean circulation and polar ice sheet volumes provide important memory and control functions in the global climate. Their long term variations are unknown and need to be understood before meaningful appraisals of climate change can be made. Satellite altimetry is the only method for providing global information on the ocean circulation and ice sheet volume. A robust altimeter measurement program is planned which will initiate global observations of the ocean circulation and polar ice sheets. In order to provide useful data about the climate, these measurements must be continued with unbroken coverage into the next century. Herein, past results of the role of the ocean in the climate system is summarized, near term goals are outlined, and requirements and options are presented for future altimeter missions. There are three basic scientific objectives for the program: ocean circulation; polar ice sheets; and mean sea level change. The greatest scientific benefit will be achieved with a series of dedicated high precision altimeter spacecraft, for which the choice of orbit parameters and system accuracy are unencumbered by requirements of companion instruments

Geographic and Age-Based Variations in Medicare Reimbursement Among ASSH Members.

Background: The purpose of this study was to investigate how American Society for Surgery of the Hand (ASSH) members\u27 Medicare reimbursement depends on their geographical location and number of years in practice. Methods: Demographic data for surgeons who were active members of the ASSH in 2012 were obtained using information publicly available through the US Centers for Medicare and Medicaid Services (CMS). Hand-surgeons-per-capita and average reimbursement per surgeon were calculated for each state. Regression analysis was performed to determine a relationship between (1) each state\u27s average reimbursement versus the number of ASSH members in that state, (2) average reimbursement versus number of hand surgeons per capita, and (3) total reimbursement from Medicare versus number of years in practice. Analysis of variance (ANOVA) was used to detect a difference in reimbursement based on categorical range of years as an ASSH member. Results: A total of 1667 ASSH members satisfied inclusion in this study. Although there was significant variation among states\u27 average reimbursement, reimbursement was not significantly correlated with the state\u27s hand surgeons per capita or total number of hand surgeons in that given state. Correlation between years as an ASSH member and average reimbursement was significant but non-linear; the highest reimbursements were seen in surgeons who had been ASSH members from 8 to 20 years. Conclusions: Peak reimbursement from Medicare for ASSH members appears to be related to the time of surgeons\u27 peak operative volume, rather than any age-based bias for or against treating Medicare beneficiaries. In addition, though geographic variation in reimbursement does exist, this does not appear to correlate with density or availability of hand surgeons