377 research outputs found

    Single-level degenerative cervical disc disease and driving disability: Results from a prospective, randomized trial

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    Study Design Post hoc analysis of prospective, randomized trial. Objective To investigate the disability associated with driving and single-level degenerative, cervical disc disease and to investigate the effect of surgery on driving disability. Methods Post hoc analysis of data obtained from three sites participating in a multicenter, randomized, controlled trial comparing cervical disc arthroplasty (TDA) with anterior cervical discectomy and fusion (ACDF). The driving subscale of the Neck Disability Index (NDI) was analyzed for all patients. A dichotomous severity score was created from the NDI. Statistical comparisons were made within and between groups. Results Two-year follow-up was available for 118/135 (87%) patients. One half of the study population (49.6%) reported moderate or severe preoperative driving difficulty. This disability associated with driving was similar among the two groups (ACDF: 2.5 ± 1.1, TDA: 2.6 ± 1.0, p = 0.646). The majority of patients showed improvement, with no or little driving disability, at the sixth postoperative week (ACDF: 75%, TDA: 90%, p = 0.073). At no follow-up point did a difference exist between groups according to the severity index. Conclusions Many patients suffering from radiculopathy or myelopathy from cervical disc disease are limited in their ability to operate an automobile. Following anterior cervical spine surgery, most patients are able to return to comfortable driving at 6 weeks

    Lexan Linear Shaped Charge Holder with Magnets and Backing Plate

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    A method was developed for cutting a fabric structural member in an inflatable module, without damaging the internal structure of the module, using linear shaped charge. Lexan and magnets are used in a charge holder to precisely position the linear shaped charge over the desired cut area. Two types of charge holders have been designed, each with its own backing plate. One holder cuts fabric straps in the vertical configuration, and the other charge holder cuts fabric straps in the horizontal configuration

    Upper ocean momentum balances in the western equatorial Pacific on the intraseasonal time scale

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    Author Posting. © The Authors, 2004. This is the author's version of the work. It is posted here by permission of Elsevier B. V. for personal use, not for redistribution. The definitive version was published in Deep Sea Research Part I: Oceanographic Research Papers 52 (2005): 749-765, doi:10.1016/j.dsr.2004.12.004.Surface Meteorology, upper ocean current, and hydrographic measurements, collected along a repeated survey pattern and from a central mooring in the western equatorial Pacific during late 1992 to early 1993, were used to analyse upper ocean momentum balances on the intraseasonal time scale. Wind stresses derived from meteorological measurements were compared with numerical weather prediction products. Advection terms in the momentum equations were estimated by planar fits to the current and hydrographic data. Pressure gradient terms were derived from planar fits to the dynamic heights calculated from the hydrographic data, referenced by balancing the momentum equation in a selected layer below the mixed layer. Under prevailing westerly winds, westward pressure gradient forcings of 2x10-7 m s-2 were set up in the western equatorial Pacific, countering the surface wind, while the total advection tended to accelerate the eastward momentum in the surface layer. During both calm wind and westerly wind burst periods, zonal turbulent momentum fluxes estimated from the ocean budgets were comparable with those estimated from microstructure dissipation rate measurements and with zonal wind stresses, so that the zonal momentum could be balanced within error bars. The meridional momentum balances were noisier, which might be due to the fact that the short meridional length scale of the equatorial inertial-gravity waves could contaminate the dynamic signals in the mixed temporal/spatial sampling data, so that the meridional gradient estimates from the planar fits could be biased.MF acknowledges the support of Strategic Research Fund for Marine Environment. RL and PH were supported by NSF grant OCE-9525986. RW and AP were supported by NSF Grants OCE- 9110559 and OCE-9110554, respectively

    Faulting and hydration of the Juan de Fuca plate system

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    Author Posting. © Elsevier B.V., 2009. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Earth and Planetary Science Letters 284 (2009): 94-102, doi:10.1016/j.epsl.2009.04.013.Multichannel seismic observations provide the first direct images of crustal scale normal faults within the Juan de Fuca plate system and indicate that brittle deformation extends up to ~200 km seaward of the Cascadia trench. Within the sedimentary layering steeply dipping faults are identified by stratigraphic offsets, with maximum throws of 110±10 m found near the trench. Fault throws diminish both upsection and seaward from the trench. Long-term throw rates are estimated to be 13±2 mm/kyr. Faulted offsets within the sedimentary layering are typically linked to larger offset scarps in the basement topography, suggesting reactivation of the normal fault systems formed at the spreading center. Imaged reflections within the gabbroic igneous crust indicate swallowing fault dips at depth. These reflections require local alteration to produce an impedance contrast, indicating that the imaged fault structures provide pathways for fluid transport and hydration. As the depth extent of imaged faulting within this young and sediment insulated oceanic plate is primarily limited to approximately Moho depths, fault- controlled hydration appears to be largely restricted to crustal levels. If dehydration embrittlement is an important mechanism for triggering intermediate-depth earthquakes within the subducting slab, then the limited occurrence rate and magnitude of intraslab seismicity at the Cascadia margin may in part be explained by the limited amount of water imbedded into the uppermost oceanic mantle prior to subduction. The distribution of submarine earthquakes within the Juan de Fuca plate system indicates that propagator wake areas are likely to be more faulted and therefore more hydrated than other parts of his plate system. However, being largely restricted to crustal levels, this localized increase in hydration generally does not appear to have a measurable effect on the intraslab seismicity along most of the subducted propagator wakes at the Cascadia margin.Supported by the Doherty Foundation and the National Science 449 Foundation under grants OCE002488 and OCE0648303 to SMC and MR
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