The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases

BACKGROUND Ankle sprains are common in sports and can sometimes result in a persistent pain condition. PURPOSE Primarily to evaluate clinical symptoms, signs, diagnostics and outcomes of surgery for symptomatic chondral injuries of the talo crural joint in athletes. Secondly, in applicable cases, to evaluate the accuracy of MRI in detecting these injuries. Type of study: Prospective consecutive series. METHODS Over around 4 years we studied 61 consecutive athletes with symptomatic chondral lesions to the talocrural joint causing persistent exertion ankle pain. RESULTS 43% were professional full time athletes and 67% were semi-professional, elite or amateur athletes, main sports being soccer (49%) and rugby (14%). The main subjective complaint was exertion ankle pain (93%). Effusion (75%) and joint line tenderness on palpation (92%) were the most common clinical findings. The duration from injury to arthroscopy for 58/61 cases was 7 months (5.7–7.9). 3/61 cases were referred within 3 weeks from injury. There were in total 75 cartilage lesions. Of these, 52 were located on the Talus dome, 17 on the medial malleolus and 6 on the Tibia plafond. Of the Talus dome injuries 18 were anteromedial, 14 anterolateral, 9 posteromedial, 3 posterolateral and 8 affecting mid talus. 50% were grade 4 lesions, 13.3% grade 3, 16.7% grade 2 and 20% grade 1. MRI had been performed pre operatively in 26/61 (39%) and 59% of these had been interpreted as normal. Detection rate of cartilage lesions was only 19%, but subchondral oedema was present in 55%. At clinical follow up average 24 months after surgery (10–48 months), 73% were playing at pre-injury level. The average return to that level of sports after surgery was 16 weeks (3–32 weeks). However 43% still suffered minor symptoms. CONCLUSION Arthroscopy should be considered early when an athlete presents with exertion ankle pain, effusion and joint line tenderness on palpation after a previous sprain. Conventional MRI is not reliable for detecting isolated cartilage lesions, but the presence of subchondral oedema should raise such suspicion

Overestimation of Vitamin a Supplementation Coverage from District Tally Sheets Demonstrates Importance of Population-Based Surveys for Program Improvement: Lessons from Tanzania.

Tanzania has conducted a national twice-yearly Vitamin A supplementation (VAS) campaign since 2001. Administrative coverage rates based on tally sheets consistently report >90% coverage; however the accuracy of these rates are uncertain due to potential errors in tally sheets and their aggregation, incomplete or inaccurate reporting from distribution sites, and underestimating the target population. The post event coverage survey in Mainland Tanzania sought to validate tally-sheet based national coverage estimates of VAS and deworming for the June 2010 mass distribution round, and to characterize children missed by the national campaign. WHO/EPI randomized cross-sectional cluster sampling methodology was adapted for this study, using 30 clusters by 40 individuals (n = 1200), in addition to key informant interviews. Households with children 6-59 months of age were included in the study (12-59 months for deworming analysis). Chi-squared tests and logistic regression analysis were used to test differences between children reached and not reached by VAS. Data was collected within six weeks of the June 2010 round. A total of 1203 children, 58 health workers, 30 village leaders and 45 community health workers were sampled. Preschool VAS coverage was 65% (95% CI: 62.7-68.1), approximately 30% lower than tally-sheet coverage estimates. Factors associated with not receiving VAS were urban residence [OR = 3.31; p = 0.01], caretakers who did not hear about the campaign [OR = 48.7; p<0.001], and Muslim households [OR<3.25; p<0.01]. There were no significant differences in VAS coverage by child sex or age, or maternal age or education. Coverage estimation for vitamin A supplementation programs is one of most powerful indicators of program success. National VAS coverage based on a tally-sheet system overestimated VAS coverage by ∼30%. There is a need for representative population-based coverage surveys to complement and validate tally-sheet estimates

Solid state conversion of olanzapine during tableting

Abstract of poster presented at the 12th PBP World Meeting on Pharmaceutics, Biopharmaceutics and Pharmaceutical Technology, Wien, Austria, 11-14 May 2021 (virtual Meeting)N/

Seasonality, density dependence, and spatial population synchrony

Studies of spatial population synchrony constitute a central approach for understanding the drivers of ecological dynamics. Recently, identifying the ecological impacts of climate change has emerged as a new important focus in population synchrony studies. However, while it is well known that climatic seasonality and sequential density dependence influences local population dynamics, the role of season-specific density dependence in shaping large-scale population synchrony has not received attention. Here, we present a widely applicable analytical protocol that allows us to account for both season and geographic context-specific density dependence to better elucidate the relative roles of deterministic and stochastic sources of population synchrony, including the renowned Moran effect. We exemplify our protocol by analyzing time series of seasonal (spring and fall) abundance estimates of cyclic rodent populations, revealing that season-specific density dependence is a major component of population synchrony. By accounting for deterministic sources of synchrony (in particular season-specific density dependence), we are able to identify stochastic components. These stochastic components include mild winter weather events, which are expected to increase in frequency under climate warming in boreal and Arctic ecosystems. Interestingly, these weather effects act both directly and delayed on the vole populations, thus enhancing the Moran effect. Our study demonstrates how different drivers of population synchrony, presently altered by climate warming, can be disentangled based on seasonally sampled population time-series data and adequate population models

Soil organic carbon dynamics along chrono-sequence land-use systems in the highlands of Ethiopia

Soil organic carbon (SOC) dynamics along land-use changes influences the terrestrial and global carbon cycle, the climate, soil fertility, agricultural productivity, and food security. Taking soils under native forests as an appropriate ecological reference, we studied changes in soil organic carbon stock along eight land-use types in the highlands of Ethiopia. The general objective of the study was to investigate the dynamics of SOC stock following chrono-sequence land-use/cover systems in the highlands of Ethiopia. The specific objectives were to: (1) analyze loss due to land degradation; (2) analyze gain due to land restoration; and (3) estimate partial balance of SOC stock for the highlands of Ethiopia. The study followed the principle of the Forest Transition Theory (FTT). Eleven sub-areas were considered from the highlands of Ethiopia. A total of 241 auger composite samples from the topsoil (0−20 cm depth) were collected during December 2017 to June 2018, and analyzed at CropNut soil lab in Nairobi. The study results revealed that there were statistically significant variations (P < 0.05) across the land-use types with the mean stocks ranging from 31.4 Mg SOC ha−1 in soils of intensively grazed lands to 145.0 Mg SOC ha−1 in soils of guasa grasslands. Soils of natural/pristine vegetation and protected guasa grasslands contain the highest amount of SOC stock. Therefore, there should be more aggressive efforts towards an effective protection of these ecosystems. Soils under intensively used croplands and intensively grazed lands lost, respectively, 64.95% and 78.16%, SOC stocks originally accumulated in the top surface layers of the pristine forests. This points for the need to adopt locally feasible land management practices that lead to increased SOC stock and simultaneously reduced CO2 and greenhouse gas emissions from croplands and intensively grazed lands of the highlands of Ethiopia. Compared to stocks of SOC of intensively grazed lands (31.44 Mg SOC ha−1 ), the annual stock gains in soils of controlled grazing lands (4.60 Mg ha−1 ) were > gains in soils of enclosures (3.17 Mg ha−1 ) > gains in soils of afforestation (2.35 Mg SOC ha−1 ), which signifies that converting degraded lands to either controlled grazing lands, enclosures, or afforestation would be a promising practice for an enhanced carbon sequestration across the highlands of Ethiopia. This practice is in line with the United Nations’ Sustainable Development Goals. The estimated regional partial stock balance revealed that the loss and gain ratio was 35.1 in 1991, and it declined to 15.4 in 2001, 2.2 in 2011 and 1.8 in 2015. These decreasing ratios indicate the possibility of closing the gap between the losses and the gains in the near future, and eventually shifting to higher rates of gains than losses. It is also important to note that determined efforts towards the effective protection of natural forests and the creation of enclosures and reforestation areas by local communities for enhanced carbon sequestration will benefit them from payments of carbon emission reduction (CER) credits

Litter decomposition and Ectomycorrhiza in Amazonian forests. 1. A comparison of litter decomposing and ectomycorrhizal Basidiomycetes in latosol-terra-firme rain forest and white podzol campinarana

Application of a mycosociological method (adaptation of the Lange method) in Central Amazonia produced the following resultsIn the white-sand podzol campinarana type of forests the dominant trees are obligatorily ectotrophically mycorrhizal; litter is accumulated as raw humus as a consequence of ectotroph dominance; fewer leaf inhabiting litter fungi occur in the dry as well as the wet seasons than are counted in the latosol terra-firme rain forest, and the fungi of that category are most strongly represented F-dominance") by other species here than in the terra-firme stands tested. The ectomycorrhizal trees and fungi are enumerated. On the other hand, in the terra-firme forest, ectotrophically mycorrhizal fungi did not occur in the test plots. The trees are almost all non-ectomycorrhizal in primary terra-firme forest; here, litter does not appreciably accumulate as a deep raw humus layer because the considerably higher number of leaf inhabiting litter fungi (ratios of 4:1 to 4.2:1 in favor cf terra-firme) and greater diversification (a larger number of species) is potentially capable of reducing more than the yearly leaf-fall. In this study, a group of fungi was mainly considered which is not represented in laboratory litter decomposition experiments. However, a comparison with unpublished and published data shows that our results satisfactorily match the experimental and phyto-sociological data obtained both with other classes of microorganisms and with observations in other regions. The quantity of litter decomposing fungi in the foliicolous group depends mainly on the amount of precipitation during the last few days before counting. This does not hold for all lignicolous fungi. The reasons for this as well as the mechanisms by which the ectomycorrhizas may reduce litter decomposition rates and influence the nutrient cycling patterns are discussed. The most important genera of Basidiomycetes involved in litter decomposition in the Lower Rio Negro forest associations are enumerated. Possible economic significance of introducing ectotrophs in the terra-firme forest is indicated.A aplicação de um método micossociológico (adaptação do método de Lange) na Amazônia Central produziu os seguintes resultados: Na campinarana, tipo de floresta sobre podzol de areia branca, as árvores dominantes são, obrigatoriamente, ectotroficamente micorrizais; a liteira é acumulada como humus em consequência da dominancia de ectótrofos; tanto na estação seca bem como na úmida, o número de folhas habitadas por fungos da liteira é menor do que o número encontrado na floresta úmida de terra firme sobre latossol e os fungos dessa categoria são aqui, mais fortemente representados F-dominància") por outras espécies do que nas áreas testados de terra firme. As árvores ectomicorrizais e fungos são enumerados. Por outro lado, na floresta de terra firme, não ocorreram fungos ectotroficamente micorrizais nas áreas testadas. Na floresta primária de terra firme, quase todas as árvores não são ectomicorrizais; a liteira não é apreciavelmente acumulada como uma camada profunda de humus porque o considerável número de fungos habitantes das folhas da liteira (relação de 4:1 a 4.2:1 em favor da terra firme) e a grande diversidade (um grande número de espécies) permitem que a decomposição seja, potencialmente, maior do que a quantidade de folhas que cai anualmente. Neste estudo, um grupo de fungos que não é representado em experimentos de decomposição da liteira em laboratório, foi principalmente enfocado. Contudo, uma comparação com dados publicados e não publicados mostra que os nossos resultados igualaram satisfatoriamente os dados obtidos com outras classes de microrganismos e observações em outras regiões. No grupo folícola, a quantidade de fungos decomposilores da liteira depende, principalmente, da precipitação durante os dias anteriores à contagem. Isto não é válido para todos os fungos lignícolas. As razões para isso, bem como o mecanismo pelo qual os fungos ectomicorrizais podem reduzir a taxa de decomposição da liteira e influenciar os padrões dos ciclos de nutrientes, são discutidos. Os mais importantes gêneros de Basidiomycetes envolvidos na decomposição da liteira nas associações florestais do baixo rio Negro são enumerados. A possível significação económica de introdução de ectótrofos na floresta de terra firme é indicada

Using camera traps to monitor cyclic vole populations

Camera traps have become popular labor-efficient and non-invasive tools to study animal populations. The use of camera trap methods has largely focused on large animals and/or animals with identifiable features, with less attention being paid to small mammals, including rodents. Here we investigate the suitability of camera-trap-based abundance indices to monitor population dynamics in two species of voles with key functions in boreal and Arctic ecosystems, known for their high-amplitude population cycles. The targeted species—gray-sided vole (Myodes rufocanus) and tundra vole (Microtus oeconomus)—differ with respect to habitat use and spatial-social organization, which allow us to assess whether such species traits influence the accuracy of the abundance indices. For both species, multiple live-trapping grids yielding capture-mark-recapture (CMR) abundance estimates were matched with single tunnel-based camera traps (CT) continuously recording passing animals. The sampling encompassed 3 years with contrasting abundances and phases of the population cycles. We used linear regressions to calibrate CT indices, based on species-specific photo counts over different time windows, as a function of CMR-abundance estimates. We then performed inverse regression to predict CMR abundances from CT indices and assess prediction accuracy. We found that CT indices (for windows maximizing goodness-of-fit of the calibration models) predicted adequately the CMR-based estimates for the gray-sided vole, but performed poorly for the tundra vole. However, spatially aggregating CT indices over nearby camera traps enabled reliable abundance indices also for the tundra vole. Such species differences imply that the design of camera trap studies of rodent population dynamics should be adapted to the species in focus, and adequate spatial replication must be considered. Overall, tunnel-based camera traps yield much more temporally resolved abundance metrics than alternative methods, with a large potential for revealing new aspects of the multi-annual population cycles of voles and other small mammal species they interact with

Efeito do pH e da temperatura nas atividades da peroxidase e polifenoloxidase do pericarpo de lichia

After harvesting litchi, the red color of the fruit pericarp is rapidly lost resulting in discoloration and browning during storage and marketing. The loss of the red color is caused by the degradation or loss of stability of anthocyanins. The action of peroxidase and polyphenoloxidase is usually related to the browning and discoloration of fruits of various species. This study aimed to evaluate the influence of pH and temperature on peroxidase and polyphenoloxidase activities, in a partially purified preparation of pericarp of the litchi cultivar Bengal. Fruits were harvested at the ripe stage and polyphenoloxidase was partially purified by sequential saturation in 80% ammonium sulfate. At concentrations of 40-50% and 60-70% ammonium sulfate the activities of polyphenoloxidase and peroxidase were, respectively, 124 times and 158 times higher than in the crude extract. The activity of peroxidase and polyphenoloxidase was maximum at pH 6.5 and 7.0, respectively, and no activity was detected at pH 2.5 and 9.5. Pre-incubation of the enzyme extract for 45 min at pH 2.5 or 9.5 completely inactivated the enzymes, with the highest degree of efficiency at pH 2.5. Peroxidase activity was highest at 70ºC and remained active for a period of 120 min at 70 and 80ºC. Peroxidase became completely inactive when maintained at 90ºC for 10 min or 1 min at 100ºC. Polyphenoloxidase activity was highest at 20ºC and remained active for a period of 120 min at 40 and 50ºC and was inactivated after 10 min at 60ºC. Due to the high temperature of inactivation of the peroxidase and polyphenoloxidase activities, the enzymes can be inactivated more easily in fruits using acid or alkaline solutions.Após a colheita do fruto, a cor vermelha do pericarpo da lichia é rapidamente perdida, o que resulta em descoloração e escurecimento durante o armazenamento e comercialização. A perda da cor vermelha é devido à degradação de antocianinas ou à perda de sua estabilidade. Usualmente, a ação da peroxidase e polifenoloxidase está relacionada ao escurecimento e à descoloração de várias frutas. Avaliou-se a influência do pH e da temperatura na atividade da peroxidase e polifenoloxidase em uma preparação purificada parcial de pericarpo de cultivar Bengal. Os frutos foram colhidos no estádio vermelho maduro. A polifenoloxidase foi parcialmente purificada por saturação seqüencial até 80% de sulfato de amônio. Na concentração de 40-50% e de 60-70% de sulfato de amônio, a atividade da polifenoloxidase e peroxidase foi 124 e 158 vezes maior vezes maior do que a encontrada no extrato cru. A peroxidase e polifenoloxidase apresentaram ótima atividade em pH 6,5 e 7,0 e nenhuma atividade foi detectada a pH 2,5 e 9,5. A pré-incubação do extrato das enzimas até 45 min a pH 2,5 ou 9,5 inativou completamente as enzimas, sendo que o maior grau de eficiência ocorreu em pH 2,5. A peroxidase apresentou maior atividade a 70ºC, permanecendo ativa durante um período de 120 min a 70 e 80ºC. A peroxidase tornou-se completamente inativa, quando aquecida durante 10 min a 90ºC ou durante 1 min a 100ºC. A polifenoloxidase apresentou maior atividade a 20ºC, permanecendo ativa durante um período de 120 min a 40 e 50ºC e inativada aos 10 min a 60ºC. Devido à alta temperatura para inativação, a atividade da peroxidase e polifenoloxidase pode ser reduzida, imergindo os frutos em soluções ácidas ou alcalinas