Outcomes of intra-articular corticosteroid injections for adolescents with hip pain.

Intra-articular injection of corticosteroid and anesthetic (CSI) is a useful diagnostic tool for hip pain secondary to labral tears or femoroacetabular impingement (FAI). However, the effectiveness of CSI as a stand-alone treatment for hip pain in adolescents is unknown. The purpose of this study is to evaluate the use of CSI for the treatment of hip pain and determine factors that may affect outcomes after injection. Retrospective analysis of 18 patients and 19 hips that underwent fluoroscopic guided hip injection for the treatment of pain at a single institution from 2012 to 2015 was carried out in this study. Mean age at the time of injection was 15.1 years (range 13-17) with mean follow-up of 29.4 months. Fifty-two percent (10/19 hips) went on to surgery after the injection. Average time to surgical conversion was 12.8 months after CSI. Cam or pincer morphologies were present in 90% (9/10 hips) of the operative group. Patients with FAI were more likely to need surgery than patients without bony abnormalities (RR= 10, 95% CI 1.6-64.2, P = 0.0001). There was no difference in the presence of labral tears in the operative and non-operative groups (100% versus 89%, P = 0.47). For adolescents without bony abnormalities, 90% improved with CSI alone and did not require further treatment within 2.4 years. Fluoroscopic guided corticosteroid hip injection may have limited efficacy for the treatment of hip pain secondary to FAI in adolescents. However, for patients without osseous deformity, CSI may offer prolonged improvement of symptoms even in the presence of labral tears

\u27Sex\u27 and Religion after Bostock

This paper reviews the U.S. Supreme Court’s opinion in Bostock v. Clayton County. There, the Court held that by barring employer discrimination against any individual “because of such individual’s . . . sex,” Title VII of the Civil Rights Act of 1964 also bars employment discrimination because an individual is gay or transgender. The paper then speculates about how much Bostock will affect how likely lower court judges will read other “sex” discrimination prohibitions in the U.S. Code in the same way, in part based on a canvass of the text of about 150 of those prohibitions. The paper also discusses the religion-based defenses that defendants may raise in response under Title VII itself, the Religious Freedom Restoration Act, and the First Amendment of the U.S. Constitution. And the paper suggests how Bostock’s effect will likely vary with the influence of Trump-appointed federal judges

Accuracy, Scalability, and Efficiency of Mixed-Element USM3D for Benchmark Three-Dimensional Flows

The unstructured, mixed-element, cell-centered, finite-volume flow solver USM3D is enhanced with new capabilities including parallelization, line generation for general unstructured grids, improved discretization scheme, and optimized iterative solver. The paper reports on the new developments to the flow solver and assesses the accuracy, scalability, and efficiency. The USM3D assessments are conducted using a baseline method and the recent hierarchical adaptive nonlinear iteration method framework. Two benchmark turbulent flows, namely, a subsonic separated flow around a three-dimensional hemisphere-cylinder configuration and a transonic flow around the ONERA M6 wing are considered

Oculodentodigital Dysplasia: A Case Report and Major Review of the Eye and Ocular Adnexa Features of 295 Reported Cases

Oculodentodigital dysplasia (ODDD) is a rare genetic disorder associated with a characteristic craniofacial profile with variable dental, limb, eye, and ocular adnexa abnormalities. We performed an extensive literature review to highlight key eye features in patients with ODDD and report a new case of a female patient with a heterozygous missense GJA1 mutation (c.65G\u3eA, p.G22E) and clinical features consistent with the condition. Our patient presented with multiple congenital anomalies including syndactyly, microphthalmia, microcornea, retrognathia, and a small nose with hypoplastic alae and prominent columella; in addition, an omphalocele defect was present, which has not been reported in previous cases. A systematic review of the published cases to date revealed 91 literature reports of 295 individuals with ODDD. There were 73 different GJA1 mutations associated with these cases, of which the most common were the following missense mutations: c.605G\u3eA (p.R202H) (11%), c.389T\u3eC (p.I130T) (10%), and c.119C\u3eT (p.A40V) (10%). Mutations most commonly affect the extracellular-1 and cytoplasmic-1 domains of connexin-43 (gene product of GJA1), predominately manifesting in microphthalmia and microcornea. The syndrome appears with an approximately equal sex ratio. The most common eye features reported among all mutations were microcornea, microphthalmia, short palpebral fissures, and glaucoma

Paraconductivity of K-doped SrFe2As2 superconductor

Paraconductivity of the optimally K-doped SrFe2As2 superconductor is investigated within existing fluctuation mechanisms. The in-plane excess conductivity has been measured in high quality single crystals, with a sharp superconducting transition at Tc=35.5K and a transition width less than 0.3K. The data have been also acquired in external magnetic field up to 14T. We show that the fluctuation conductivity data in zero field and for temperatures close to Tc, can be explained within a three-dimensional Lawrence-Doniach theory, with a negligible Maki-Thompson contribution. In the presence of the magnetic field, it is shown that paraconductivity obeys the three-dimensional Ullah-Dorsey scaling law, above 2T and for H||c. The estimated upper critical field and the coherence length nicely agree with the available experimental data.Comment: 12 pages, 5 figure

Diferencijalni udarni presjeci za rašprsenje elektrona atomima iterbija

Electron scattering by ytterbium atom is studied at energies 10, 20, 40, 60 and 80 eV, by applying a parameter-free complex optical potential. The real part of the complex optical potential includes the static potential Vst(r), the polarization potential Vpol(r) that consists of the short range correlation and long-range polarization effects and Vex(r) term consisting of electron exchange interaction which is modelled by assuming the electron charge cloud as a free electron gas. The loss of flux into the inelastic channels is included via a phenomenological absorption potential. Our results are compared with the recent experimental measurements.Proučavamo raspršenje elektrona na enegijama 10, 20, 40, 60 i 80 eV primjenom bezparametarskog kompleksnog optičkog potencijala. Realni dio optičkog potencijala uključuje statički potencijal Vst(r), polarizacijski potencijal Vpol(r) koji se sastoji od kratko-dosežnih korelacija i dugo-dosežnih polarizacijskih efekata i član Vex(r) koji se sastoji od elektronskog međudjelovanja izmjene, a izražen je pretpostavivši oblak elektronskog naboja kao slobodan elektronski plin. Gubitak toka u neelastične kanale uključuje se preko fenomenološkog apsorpcijskog potencijala. Postignuti ishodi uspoređuju se s nedavnim eksperimentalnim podacima

Ukupni (elastični i neelastični) udarni presjeci raspršenja elektrona na molekulama N2O, CF4, NO I F2

Electron impact total (elastic + inelastic) cross sections and total ionization cross sections are calculated for N2O, CF4, NO and F2 molecules from the thresholds to 5 keV. A model complex optical potential is calculated for each collision system from the corresponding molecular wave function at the Hartree-Fock level. The resulting complex optical potential, free from any adjustable parameter, is treated exactly in a variable-phase approach to calculate scattering complex phase shifts and the total cross sections. The present results are found to be consistent with the existing experimental measurements.Izračunali smo ukupne elektronske sudarne (elastične i neelastične) i ukupne ionizacijske udarne presjeke za molekule N2O, CF4, NO i F2 za energije od praga do 5 keV. Modelske kompleksne optičke potencijale smo izračunali za svaki sustav na osnovi odgovarajućih molekulskih Hartree-Fockovih valnih funkcija. Postignute optičke potencijale, bez parametara za podešavanje, primijenili smo egzaktno s promjenljivim fazama u računima kompleksnih faznih pomaka i ukupnih udarnih presjeka. Ishodi računa su u skladu s dostupnim rezultatima mjerenja