Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Tracking eastern equine encephalitis virus perpetuation in the northeastern United States by phylogenetic analysis

Epidemics and epizootics of eastern equine encephalitis virus (EEEV) occur sporadically in temperate regions where transmission is seasonal from late summer to early fall. These outbreaks may derive from virus that overwinters locally or perhaps results from reintroduction of virus from other sites. To evaluate these possibilities, we compared the phylogenetic relationships of EEEV isolates obtained from mosquitoes collected during statewide arbo-virus surveillance in Connecticut, in addition to isolates from concurrent outbreaks in southern New Hampshire and upstate New York. In Connecticut, viral isolates grouped into temporally discrete clades by year of isolation or over 2 years of sampling. Two or more clades arose in 2000, 2001, 2003, 2004, and 2006, possibly the result of separate introduction events into the state, whereas viruses from upstate New York and New Hampshire segregated into single clades that persisted for 2 or more years. New Hampshire viruses shared recent common ancestry to those isolated in Connecticut suggesting viral dispersal among these regions. These results provide additional evidence for independent episodes of EEEV overwintering in northern foci. Copyright © 2008 by The American Society of Tropical Medicine and Hygiene

Life Cycle of Numerically Simulated Shallow Cumulus Clouds. Part I: Transport

This paper is the first in a two-part series in which the life cycles of numerically simulated shallow cumulus clouds are systematically examined. The life cycle data for six clouds with a range of cloud-top heights are isolated from an equilibrium trade cumulus field generated by a large-eddy simulation (LES) with a uniform resolution of 25 m. A passive subcloud tracer is used to partition the cloud life cycle transport into saturated and unsaturated components; the tracer shows that on average cumulus convection occurs in a region with time-integrated volume roughly 2 to 3 times that of the liquid-water-containing volume. All six clouds exhibit qualitatively similar vertical mass flux profiles with net downward mass transport at upper levels and net upward mass flux at lower levels. This downward mass flux comes primarily from the unsaturated cloud-mixed convective region during the dissipation stage and is evaporatively driven. Unsaturated negatively buoyant cloud mixtures dominate the buoyancy and mass fluxes in the upper portion of all clouds while saturated positively buoyant cloud mixtures dominate the fluxes at lower levels. Small and large clouds have distinct vertical profiles of heating/cooling and drying/moistening, with small clouds cooling and moistening throughout their depth, while larger clouds cool and moisten at upper levels and heat and dry at lower levels. The simulation results are compared to the predictions of conceptual models commonly used in shallow cumulus parameterizations. Copyright 2005 American Meteorological Society (AMS). Permission to use figures, tables, and brief excerpts from this work in scientific and educational works is hereby granted provided that the source is acknowledged. Any use of material in this work that is determined to be “fair use” under Section 107 of the U.S. Copyright Act or that satisfies the conditions specified in Section 108 of the U.S. Copyright Act (17 USC §108, as revised by P.L. 94-553) does not require the AMS’s permission. Republication, systematic reproduction, posting in electronic form, such as on a web site or in a searchable database, or other uses of this material, except as exempted by the above statement, requires written permission or a license from the AMS. Additional details are provided in the AMS Copyright Policy, available on the AMS Web site located at (http://www.ametsoc.org/) or from the AMS at 617-227-2425 or [email protected], Faculty ofEarth and Ocean Sciences, Department ofReviewedFacult

Kinetic studies of the reaction of hydroxyl radicals with trichloroethylene and tetrachloroethylene

Article on kinetic studies of the reaction of hydroxyl radicals with trichloroethylene and tetrachloroethylene

Measurement of Prandtl number as a function of Richardson number avoiding self-correlation

The empirical dependence of turbulence Prandtl number (Pr) on gradient Richardson number (Ri) is presented, derived so as to avoid the effects of self-correlation from common variables. Linear power relationships between the underlying variables that constitute both Pr and Ri are derived empirically from flux and profile observations. Pr and Ri are then reconstructed from these power laws, to indicate their interdependence whilst avoiding self-correlation. Data are selected according to the stability range prior to regression, and the process is iterated from neutral to higher stability until error analysis indicates the method is no longer valid. A Butterworth function is fitted to the resulting Pr (-1)(Ri) regression to give an empirical summary of the analysis. The form suggests that asymptotically Pr (-1) decreases as Ri (3/2). Scatter in the data increases above Ri similar to 1, however, indicating additional constraints to Pr are not captured by Ri alone in this high stability regime. The Butterworth function is analytic for all Ri > 0, and may be included in suitable boundary-layer parameterisation schemes where the turbulent diffusivity for heat is derived from the turbulent diffusivity for momentum