Legg-Calvé-Perthes disease and the risk of injuries requiring hospitalization

Background and purpose Previous studies have suggested that Legg-Calvé-Perthes disease (LCPD) is associated with repetitive trauma, coagulation problems and anatomical abnormalities of the blood supply to the femoral head. The hypothesis that repetitive trauma can affect the blood supply of the femoral head, leading to LCPD, is supported by an animal model. For evidence of an increased risk of repetitive trauma, we investigated whether patients with LCPD have a higher risk for severe injuries requiring hospitalization. Patients and methods We identified 2579 patients with LCPD in Sweden during the period 1964-2005. 13,748 individuals without LCPD were randomly selected from the Swedish general population, matched by year of birth, sex and region (control group). Cox proportional hazard regression estimated the risks. Results Compared to the control group, patients with LCPD had a modestly raised hazard ratio (HR) of 1.2 (95% CI 1.1-1.3) for injury requiring hospitalization. The risks were slightly higher for soft tissue injuries (HR = 1.3, 95% CI:1.1-1.4) than for fractures (HR = 1.1, 95% CI: 1.0-1.3) and more pronounced among females. Compared to the control group, the higher risk for injury only applied to the lower extremities (HR = 1.2, 95% CI: 1.0-1.4) in patients with LCPD. Interpretation Patients with LCPD are vulnerable to injuries which could be interpreted as a marker of hyperactive behavior. It could also implicate that anatomical changes in the bone formation or blood supply of the femoral head - increasing its sensibility for trauma - contribute to the etiology of LCPD. © Copyright: ©Nordic Orthopaedic Federation

On cross-beam monitoring of atmospheric winds and turbulence with two orbiting telescopes

Crossed beam monitoring of atmospheric winds and turbulence with two orbiting astronomical telescopes mounted on single spacecraf

Chow's theorem and universal holonomic quantum computation

A theorem from control theory relating the Lie algebra generated by vector fields on a manifold to the controllability of the dynamical system is shown to apply to Holonomic Quantum Computation. Conditions for deriving the holonomy algebra are presented by taking covariant derivatives of the curvature associated to a non-Abelian gauge connection. When applied to the Optical Holonomic Computer, these conditions determine that the holonomy group of the two-qubit interaction model contains $SU(2) \times SU(2)$. In particular, a universal two-qubit logic gate is attainable for this model.Comment: 13 page

Driving in ZZ Ceti stars - Problem solved?

There is a fairly tight correlation between the pulsation periods and effective temperatures of ZZ Ceti stars (cooler stars have longer periods). This seems to fit the theoretical picture, where driving occurs in the partial ionization zone, which lies deeper and deeper within the star as it cools. It is reasonable to assume that the pulsation periods should be related to the thermal timescale in the region where driving occurs. As that region sinks further down below the surface, that thermal timescale increases. Assuming this connection, the pulsation periods could provide an additional way to determine effective temperatures, independent of spectroscopy. We explore this idea and find that in practice, things are not so simple.Comment: 4 pages, 3 figure

Haptic feedback in the training of veterinary students

This paper reports on an initial study into the use of haptic (or touch) technology in the training of veterinary students. One major problem faced in veterinary education is that animals can be harmed by inexperienced students who are trying to learn the skills they need. The aim of the work described here is to provide haptic models to simulate internal examinations of horses so that students can learn the basic skills required on computer and then transfer to real animals with much less risk of doing them injury

Consanguineous marriage, prepregnancy maternal characteristics and stillbirth risk: A population-based case-control study

Introduction. Consanguineous marriage is associated with increased risks for congenital anomalies, low birthweight, and other adverse perinatal outcomes. In this population-based, case-control study we investigated the association between consanguineous marriage (first-cousin marriage) and stillbirth risk, using prospectively collected information from prepregnancy visits. Material and methods. From 2007 to 2009, we identified 283 stillbirths (cases) and 2088 randomly selected live control births through prepregnancy visits in rural Golestan, Iran. The associations between consanguinity and prepregnancy maternal characteristics and stillbirth risk were examined using multivariate logistic regression. Results. The rate of consanguineous marriage was 19.4% among cases and 13.6% among controls. Consanguinity was associated with increased stillbirth risk [odds ratio (OR) 1.53; 95% CI 1.10-2.14]. The association was significantly increased for preterm stillbirth (< 37 gestational weeks) (OR 2.43; 95% CI 1.46-4.04) but not for term stillbirth (≥ 37 weeks) (OR 1.14; 95% CI 0.75-1.74). Low and high maternal age, underweight, obesity, nulliparity, a history of infertility or miscarriage, previous obstetric complications (preeclampsia, preterm delivery, and stillbirth in previous pregnancies) were also associated with increased stillbirth risks. Conclusions. Consanguineous marriage is associated with increased risk of stillbirth, particularly preterm stillbirth. Findings for other maternal risk factors for stillbirth in rural Iran are consistent with previously reported findings from high-income countries. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology

Mortality following a brain tumour diagnosis in patients with multiple sclerosis

Objectives: As brain tumours and their treatment may theoretically have a poorer prognosis in inflammatory central nervous system diseases such as multiple sclerosis (MS), all-cause mortality following a brain tumour diagnosis was compared between patients with and without MS. The potential role of age at tumour diagnosis was also examined. Setting: Hospital inpatients in Sweden with assessment of mortality in hospital or following discharge. Participants: Swedish national registers identified 20 543 patients with an MS diagnosis (1969-2005) and they were matched individually to produce a comparison cohort of 204 163 members of the general population without MS. Everyone with a primary brain tumour diagnosis was selected for this study: 111 with MS and 907 without MS. Primary and secondary outcome measures: 5-year mortality risk following brain tumour diagnosis and age at brain tumour diagnosis. Results: A non-statistically significant lower mortality risk among patients with MS (lower for those with tumours of high-grade and uncertain-grade malignancy and no notable difference for low-grade tumours) produced an unadjusted HR (and 95% CI) of 0.75 (0.56 to 1.02). After adjustment for age at diagnosis, grade of malignancy, sex, region of residence and socioeconomic index, the HR is 0.91 (0.67-1.24). The change in estimate was largely due to adjustment for age at brain tumour diagnosis, as patients with MS were on average 4.7 years younger at brain tumour diagnosis than those in the comparison cohort (p<0.001). Conclusions: Younger age at tumour diagnosis may contribute to mortality reduction in those with highgrade and uncertain-grade brain tumours. Survival following a brain tumour is not worse in patients with MS; even after age at brain tumour diagnosis and grade of malignancy are taken into account

Investigation of Hamamatsu H8500 phototubes as single photon detectors

We have investigated the response of a significant sample of Hamamatsu H8500 MultiAnode PhotoMultiplier Tubes (MAPMTs) as single photon detectors, in view of their use in a ring imaging Cherenkov counter for the CLAS12 spectrometer at the Thomas Jefferson National Accelerator Facility. For this, a laser working at 407.2nm wavelength was employed. The sample is divided equally into standard window type, with a spectral response in the visible light region, and UV-enhanced window type MAPMTs. The studies confirm the suitability of these MAPMTs for single photon detection in such a Cherenkov imaging application

Velocity field distributions due to ideal line vortices

We evaluate numerically the velocity field distributions produced by a bounded, two-dimensional fluid model consisting of a collection of parallel ideal line vortices. We sample at many spatial points inside a rigid circular boundary. We focus on ``nearest neighbor'' contributions that result from vortices that fall (randomly) very close to the spatial points where the velocity is being sampled. We confirm that these events lead to a non-Gaussian high-velocity ``tail'' on an otherwise Gaussian distribution function for the Eulerian velocity field. We also investigate the behavior of distributions that do not have equilibrium mean-field probability distributions that are uniform inside the circle, but instead correspond to both higher and lower mean-field energies than those associated with the uniform vorticity distribution. We find substantial differences between these and the uniform case.Comment: 21 pages, 9 figures. To be published in Physical Review E (http://pre.aps.org/) in May 200