A BIOMECHANICAL AND KINESIOLOGICAL APPROACH IN THE TEACHING OF EFFICIENT SURGICAL SKILLS TO MEDICAL STUDENTS

A competency-based surgery residents teaching and training program including a biomechanical and kinesiological approach was developed in order to improve procedural learning and mastery of invasive skills. Principles of biomechanics and kinesiology have been taught and applied to many aspects of surgical tasks, including instrument holding and manipulation, body positioning and posture, segments alignment. Results demonstrate more precise movements and more efficient performance of surgical tasks in residents participating in the program

Lateral landfill gas migration : characterization and preliminary modeling results

International audienceLateral landfill gas migration occurs in the surroundings of a MSW landfill with capped old waste cells. Three areas were identified by poor vegetation growth. Methane flux chamber measures confirm the extent of these areas, as observed in the cultivated land. These measures and some complementary physical measures were used to build a conceptual model of lateral landfill gas migration in the geological layer. Prior to drilling new boreholes on the site, a preliminary simplified model will be built with the numerical code TOUGH2-LGM. A description of the geological units, methane flux and the results of the preliminary modeling are presented. The aim of this work is to identify the key parameters used to predict the travel distance of landfill gas

3-D Imaging Applied To Foot Structures In Walking

Pedagogic and coaching experiments have demonstrated that learning and training difficulties encountered by physical education students, athletes and coaches are frequently related to poor or inadequate 3-D visual representation of human body structures and movement. In order to counteract this important shortcoming, a low cost computer platform including an Amiga 3000T computer, preparation software (Imagine and DCTV) and presentation software, has been developed. The purpose of this study was to generate 3-D objects of the ankle-foot structures and to animate these objects in order to accurately illustrate plantar flexion, dorsiflexion, supination and pronation of the foot as a function of the walking cycle. Using anatomical and biomechanical informations available in literature, this 3-D imaging study has succeeded in producing an interactive software permitting individual as well as large group visualisation (with the use of a video projector) of tibia and fibula interactions with talus, as well as movements of tarsal and metatarsal bones during the different support phases in walking. Positions and roles of ligaments have also been illustrated. Subsequent laboratory experiments have demonstrated that intermediate-term retention of knowledge is favored in teaching when using this computer-assisted technique. Actually, in a test-retest situation, intermediate retention decreased by 10.87% when using traditional teaching; the decrease in retention was only a slight 0.450 /0 when using this 3-D imaging program as a visualisation aid. Sports training and coaching have also benefitted from the use of this tool

A utilitarian antagonist: the zombie in popular video games

This article takes as its starting point the prevalence of the zombie in video games. I argue that, although the zombie games often superficially resemble filmic texts in their use of aesthetic and narrative, they must be understood, less as a set of conventions and thematic metaphors in the way that the zombie text has been read in film and television scholarship, and more as a utilisation of the zombie as a utilitarian antagonist that facilitates and permits the pleasures of violence and fantasy in video game play. Beginning with the Resident Evil and Left 4 Dead series of games I examine the way that games necessarily update the notion zombie as mass antagonist via the need to vary gameplay activity through different styles of adversary for players. At the same time I will demonstrate that, far from simply being the province of the survival horror genre, the zombie appears across an array of game forms, game cultures and game productions. The zombie highlights the participatory nature of game culture in the array of zombie 'mods' that users create to transform existing games into zombie based games, in particular in relation to titles such as the Call of Duty series. At the other end of the production spectrum the zombie features heavily in the little studied area of online flash games where the zombie can be found in a variety of game genres and forms. The zombie here often operates as a pastiche of popular zombie narratives in survival games (The Last Stand), parodic engagements with zombie conventions (Jetpacks and Zombies) or play with the notion of zombie pandemics (the Infectionator games). Here I situate the zombie game as a aesthetic genre that works to provide an easily understandable context for such interactive genres as survival horror, text adventures, shooting games, physics games and driving games, with the popularity of these enough to drive numerous dedicated hosting and link sites such as zombiegames.net. The pastiche element of these games extends into gamers social engagement with games. Online debates over the the appropriate actions or preparation for a zombie holocaust are commonplace on the internet in such spaces as Zombieresearch.net. Whilst many of these sites feature decidedly tongue in cheek engagement with the notion of the zombie apocalypse, the users of fora for games like Left 4 Dead and Dead Island tend to debate this directly in the terms of the games themselves, discussing their relative merits or realism. Some of these games also highlight the specific pleasures of identifying the zombie as protagonist of sorts. In discussing this I will return to online gaming and the Left 4 Dead games in which players may compete online as part of the zombie horde. Such games raise major questions for the issues of identification and immersion that are said to be at the centre of the game experience. I will also explore the parodic pleasures of many flash games that situate the player in the role of spreading zombie infections. Throughout this article I aim to demonstrate that the zombie in game culture is less a cultural metaphor than a combination of utilitarian antagonist and a persistent aesthetic; a means of providing style or pleasure to many games that relies on the intertextual and flexible nature of the zombie as popular cultural phenomenon

Simulating Fully‐Integrated Hydrological Dynamics in Complex Alpine Headwaters: Potential and Challenges

Highly simplified approaches continue to underpin hydrological climate change impact assessments across the Earth's mountainous regions. Fully-integrated surface-subsurface models may hold far greater potential to represent the distinctive regimes of steep, geologically-complex headwater catchments. However, their utility has not yet been tested across a wide range of mountainous settings. Here, an integrated model of two adjacent calcareous Alpine headwaters that accounts for two-dimensional surface flow, three-dimensional (3D) variably-saturated groundwater flow, and evapotranspiration is presented. An energy balance-based representation of snow dynamics contributed to the model's high-resolution forcing data, and a sophisticated 3D geological model helped to define and parameterize its subsurface structure. In the first known attempt to calibrate a catchment-scale integrated model of a mountainous region automatically, numerous uncertain model parameters were estimated. The salient features of the hydrological regime could ultimately be satisfactorily reproduced – over an 11-month evaluation period, the Nash-Sutcliffe efficiency of simulated streamflow at the main gauging station was 0.76. Spatio-temporal visualization of the forcing data and simulated responses further confirmed the model's broad coherence. Presumably due to unresolved local subsurface heterogeneity, closely replicating the somewhat contrasting groundwater level signals observed near to one another proved more elusive. Finally, we assessed the impacts of various simplifications and assumptions that are commonly employed in physically-based modeling – including the use of spatially uniform forcings, a vertically limited model domain, and global geological data products – on key simulated outputs, finding strongly affected model performance in many cases. Although certain outstanding challenges must be overcome if the uptake of integrated models in mountain regions around the world is to increase, our work demonstrates the feasibility and benefits of their application in such complex systems

An Allosteric Inhibitory Site Conserved in the Ectodomain of P2X Receptor Channels

P2X receptors constitute a gene family of cation channels gated by extracellular ATP. They mediate fast ionotropic purinergic signaling in neurons and non-excitable cell types in vertebrates. The highly calcium-permeable P2X4 subtype has been shown to play a significant role in cardiovascular physiology, inflammatory responses and neuro-immune communication. We previously reported the discovery of a P2X4-selective antagonist, the small organic compound BX430, with submicromolar potency for human P2X4 receptors and marked species-dependence (Ase et al., 2015). The present study investigates the molecular basis of P2X4 inhibition by the non-competitive blocker BX430 using a structural and functional approach relying on mutagenesis and electrophysiology. We provide evidence for the critical contribution of a single hydrophobic residue located in the ectodomain of P2X4 channel subunits, Ile312 in human P2X4, which determines blockade by BX430. We also show that the nature of this extracellular residue in various vertebrate P2X4 orthologs underlies their specific sensitivity or resistance to the inhibitory effects of BX430. Taking advantage of high-resolution crystallographic data available on zebrafish P2X4, we used molecular dynamics simulation to model the docking of BX430 on an allosteric binding site around Ile315 (zebrafish numbering) in the ectodomain of P2X4. We also observed that the only substitution I312D (human numbering) that renders P2X4 silent by itself has also a profound silencing effect on all other P2X subtypes tested when introduced at homologous positions. The generic impact of this aspartate mutation on P2X function indicates that the pre-TM2 subregion involved is conserved functionally and defines a novel allosteric inhibitory site present in all P2X receptor channels. This conserved structure-channel activity relationship might be exploited for the rational design of potent P2X subtype-selective antagonists of therapeutic value

Designing supramolecular liquid-crystalline hybrids from pyrenyl-containing dendrimers and arene ruthenium metallacycles

YesThe association of the arene ruthenium metallacycle [Ru4(p-cymene)4(bpe)2(donq)2][DOS]4 (bpe = 1,2-bis(4-pyridyl)ethylene, donq = 5,8-dioxydo-1,4-naphtoquinonato, DOS = dodecyl sulfate) with pyrenyl-functionalized poly(arylester) dendrimers bearing cyanobiphenyl end-groups is reported. The supramolecular dendritic systems display mesomorphic properties as revealed by polarized optical microscopy, differential scanning calorimetry and small-angle X-ray scattering measurements. The multicomponent nature of the dendrimers and of the corresponding host–guest supramolecules (i.e., end-group mesogens, dendritic core, pyrene unit, aliphatic spacers, and metallacycle) leads to the formation of highly segregated mesophases with a complex multilayered structure due to the tendency of the various constitutive building-blocks to separate in different organized zones. The pyrenyl dendrimers exhibit a multilayered smectic A-like phase, thereafter referred to as LamSmA phase to emphasize this unaccustomed morphology. As for the corresponding Ru4–metallacycle adducts, they self-organize into a multicontinuous thermotropic cubic phase with the Im3̅m space group symmetry. This represents a unique example of liquid-crystalline behavior observed for such large and complex supramolecular host–guest assemblies. Models of their supramolecular organizations within both mesophases are proposed.R.D. thanks the Swiss National Science Foundation (Grant No 200020-140298) for financial support

Eggshell geochemistry reveals ancestral metabolic thermal regulation in Dinosauria

Studying the origin of avian thermoregulation is complicated by a lack of reliable methods to measure body temperatures in extinct dinosaurs. Evidence from bone histology and stable isotope analysis often relies on uncertain assumptions about the relationship between growth rate and body temperature, or the isotopic composition (δ18O) of body water. By contrast, clumped isotope (Δ47) paleothermometry, which relies on the binding of 13C to 18O, provides a robust tool for determining the body temperatures of dinosaurs, but has yet to be applied across a broad phylogenetic range while accounting for the influence of paleoenvironmental conditions. Applying this method to well-preserved fossil eggshells, we find that the three major clades of dinosaurs, Ornithischia, Sauropodomorpha, and Theropoda, were characterized by warm body temperatures. Dwarf titanosaurs may have exhibited similar body temperatures to larger sauropods, although these conclusions are provisional in light of uncertainties in the taxonomic assignment of dwarf titanosaur eggshell. Regardless, our results reveal that metabolically controlled thermoregulation was the ancestral condition for Dinosauria

Eggshell geochemistry reveals ancestral metabolic thermoregulation in Dinosauria.

Studying the origin of avian thermoregulation is complicated by a lack of reliable methods for measuring body temperatures in extinct dinosaurs. Evidence from bone histology and stableisotopes often relies on uncertain assumptions about the relationship between growth rate and body temperature, or the isotopic composition (δ18O) of body water. Clumped isotope (Δ47) paleothermometry, based on binding of 13C to 18O, provides a more robust tool, but has yet to be applied across a broad phylogenetic range of dinosaurs while accounting for paleoenvironmental conditions. Applying this method to well-preserved fossil eggshells demonstrates that the three major clades of dinosaurs, Ornithischia, Sauropodomorpha, and Theropoda, were characterized by warm body temperatures. Dwarf titanosaurs may have exhibited similar body temperatures to larger sauropods, although this conclusion isprovisional, given current uncertainties in taxonomic assignment of dwarf titanosaur eggshell. Our results nevertheless reveal that metabolically controlled thermoregulation was the ancestral condition for Dinosauria