Baltic sprat larvae: coupling food availability, larval condition and survival

Eggs and larvae of Baltic sprat Sprattus sprattus L. were collected during 14 cruises covering the spawning season in 2002 in Bornholm Basin. Main egg and larval production was in April, with a second small peak in June 2002. The in situ larval abundance was corrected for transport processes by hydrodynamic model runs. Corrected larval abundance estimates were compared to initial larval production to derive an index of larval mortality. This index suggested a much higher survival of summer- over spring-born sprat larvae, with pronounced differences in survival for larvae >11 mm. Independent evidence for this survival pattern was gained by measured RNA:DNA ratios in sprat larvae hatched from April to July 2002 and was linked to temporal variability in potential prey abundance. We found higher mean but less variable RNA:DNA ratios in spring- than in summer-born larvae, indicating a strong selection for fast growth in April and May but a less selective environment in June and July. Zooplankton data revealed high naupliar concentrations of Acartia spp. (a key dietary component of sprat) in April and May, but very low concentrations of larger prey items such as copepodites or adults. In contrast, abundance of larger prey increased considerably in June and July. The results suggest that larger sprat (>11 mm) in April and May 2002 may have been food limited and, therefore, had lower rates of survival, supporting the underlying hypothesis of size-specific, temporally limited ‘windows of survival’ linked to the availability of suitable prey

Biomechanical concept and clinical outcome of dual mobility cups

Dual mobility cup systems in total hip arthroplasty consist of a metal back with a non-constrained liner, in which a constrained standard head articulates. While superior stability of such implants in comparison with standard total hip replacements is assumed, it is the purpose of this study to outline the biomechanical concept of dual mobility cups and to describe implant survival and dislocation rate based on the series published in the English-speaking and Francophone literature. A growing body of evidence indicates reduced dislocation rates in primary and revision total hip arthroplasty and in selected tumour cases. The limited availability of studies evaluating long-term implant survival and existing concerns with regard to increased wear rates and aseptic loosening, leads to the conclusion that such implants have to be used with prudence, particularly in standard primary hip arthroplasty and in young patient

Outcome after proximal femoral fractures during primary total hip replacement by the direct anterior approach

Background: The literature suggests that intraoperative fractures of the greater trochanter and the metaphysis are increased with uncemented stems and the direct anterior approach. This study aims to determine the incidence and assess the functional and radiological outcome after such fractures. Methods: 484 consecutive total hip replacements (THR) (64±12years) were analyzed. We treated trochanteric fractures conservatively without any further denuding, and secured metaphyseal fissures with cerclages. Postoperative X-rays and at the latest follow-up were compared to assess secondary fracture displacement and stem subsidence. Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores after 1year were analyzed. For each patient sustaining a fracture, two patients without fractures were matched in terms of age, body mass index and gender. Results: 13 (2.7%, 5 male, 68±9years) patients with intraoperative fractures of the greater trochanter (n=8) or the metaphysis (n=5) were analyzed. Consolidation was observed in 7/8 patients sustaining a trochanteric fracture while secondary displacement of the fragment occurred in one case. Stem subsidence was observed in 2/5 cases (5 and 7mm). Patients who sustained a fracture showed a trend towards poorer WOMAC scores at 1year postoperatively, compared to patients without fractures. A significantly increased joint stiffness was also observed. Conclusion: The intraoperative fracture risk in this series of THR through a direct anterior approach was 2.7%. Trochanteric fractures do heal without primary fixation. Metaphyseal fractures heal well if immediately stabilized with a cerclag

Does previous hip arthroscopy negatively influence the short term clinical result of total hip replacement?

Introduction: The risk that hip preserving surgery may negatively influence the performance and outcome of subsequent total hip replacement (THR) remains a concern. The aim of this study was to identify any negative impact of previous hip arthroscopy on THR. Methods: Out of 1271 consecutive patients who underwent primary THR between 2005 and 2009, 18 had previously undergone ipsilateral hip arthroscopy. This study group (STG) was compared with two control groups (CG, same approach, identical implants; MCG, paired group matched for age, BMI and Charnley categories). Operative time, blood loss, evidence of heterotopic bone and implant loosening at follow-up were compared between the STG and the MCG. Follow-up WOMAC were compared between the three groups. Results: Blood loss was not found to be significantly different between the STG and MCG. The operative time was significantly less (p<0.001) in the STG. There was no significant difference in follow-up WOMAC between the groups. No implant related complications were noted in follow-up radiographs. Two minor complications were documented for the STG and three for the MCG. Conclusion: We have found no evidence that previous hip arthroscopy negatively influences the performance or short-term clinical outcome of TH

Temperature dependence of the dielectric function in the spectral range (0.5–8.5) eV of an In2O3 thin film

We present the dielectric function of a bcc-In2O3 thin film in the wide spectral range from nearinfrared to vacuum-ultraviolet and for temperatures 10 K–300K, determined by spectroscopic ellipsometry. From the temperature dependence of electronic transition energies, we derive electron-phonon coupling properties and found hints that the direct parabolic band-band transitions involve In-d states. Further we discuss possible excitonic contributions to the dielectric function

Composite graft replacement of the aortic root in acute dissection

Objective: In acute type A dissection the indication for composite graft replacement of the aortic root and the optimal implantation technique are a matter of debate. In this study early and late results of root replacement in acute dissection are determined and compared with supracoronary graft replacement. Two implantation techniques (open vs. inclusion) are evaluated. Methods: Between 1985 and 1995, 207 consecutive patients (mean age 58±12 years, 78% men) were operated for acute type A dissection of the aorta. Root replacement in 50 patients (inclusion technique in 34/50 patients with Cabrol shunt in 15/34 patients, open technique in 16/50 patients) was compared with more conservative procedures in 157 patients: supracoronary graft replacement in 143 patients (with aortic valve replacement in 23 patients) and local repair without graft interposition in 14 patients. Preoperative risk factors, like hemodynamic instability, renal failure, neurologic disorder and coronary artery disease did not differ in the two treatment groups. Results: Early results, survival and reoperation-free survival after 5 years were insignificantly better after root replacement; mortality 10/50 (20%) vs. 38/157 (24%) P=n.s.; hemorrhage 10/50 (20%) vs. 39/157 (25%) P=n.s.; stroke 5/50 (10%) vs. 27/157 (17%) P=n.s.; survival 70±7% vs. 63±4%, reoperation free survival 92±6% vs. 78±5% P=0.0815). For the open technique, early mortality was 18.8 vs. 20.6%, P=n.s. and reoperation free survival at 5 years was 80.7 vs. 65.2%, P=n.s. Perioperative complications did not differ in the two technical groups and a single pseudoaneurysm occurred in the Bentall group. Conclusion: In acute dissection composite graft replacement of the aortic root can be carried out with good early and late results not inferior to more conservative procedures. The open technique is the implantation method of choice and the modified Bentall technique is indicated in situations with increased risk of bleedin

Surgery for acute type a aortic dissection: comparison of techniques

Objective: In order to determine the optimal surgical strategy for acute ascending aortic dissection, the graft inclusion technique was compared with the open resection technique. Methods: Between 1985 and 1995 a consecutive series of 193 patients (77% male, mean age 58 years) had emergency surgery during a mean interval of 13.2 h after onset of symptoms. Graft replacement of the ascending aorta was performed in all patients (supracoronary graft 143/193=74%, aortic root replacement 50/193=26%, aortic valve replacement 73/193=38%, arch replacement 44/193=20%) The open resection technique was applied in 93 patients and the inclusion technique in 100 patients with a Cabrol-shunt in 26%. Preoperative risk factors were equally distributed between groups (inclusion technique vs. open technique): left ventricular ejection fraction≪45% (13 vs. 2%, not significant (n.s.)), neurological deficit (31 vs. 25%; n.s.), systolic blood pressure≪90 mmHg (20 vs. 15%, n.s.) pericardial tamponade (25 vs. 9%, n.s.), renal failure (6 vs. 4%; n.s.). Results: The overall early mortality was 24%. Following graft inclusion it was 31% compared with 16% in the open technique group (P=0.0154). Postoperative complications (graft inclusion vs. open technique): myocardial infarction (9 vs. 12%, n.s.), low cardiac output (40 vs. 32%, n.s.), reexploration for hemorrhage (23 vs. 25%, n.s.). Survival at 8 years was significantly increased in the open technique group (P=0.0300). Pseudoaneurysm formation occurred in 3% of patients and only after graft inclusion. Freedom from reoperation was 80% at 8 years and did not differ between groups. Graft inclusion was an independent significant predictor of early (P=0.0069; relative risk=2.3673) and late mortality (P=0.0119; relative risk=2.0981). Conclusions: Surgery of acute ascending aortic dissection still carries a considerable early mortality whereas the late outcome is satisfactory. The open resection technique is the method of choice showing superior early and late results and avoiding pseudoaneurysm formation. The inclusion technique may be indicated in situations with increased risk of bleeding. A consequent decompression of the perigraft-space could reduce the rate of pseudoaneurysm