51 research outputs found
Fijador externo como tratamiento definitivo de fractura de diáfisis femoral en Enfermedad de Paget
El tratamiento de las fracturas en la enfermedad de Paget presenta dificultades para el cirujano,
debido a las características patológicas del hueso en este tipo de pacientes. La opción terapéutica de elección
en fracturas de diáfisis femoral es el enclavado endomedular, pero a menudo encontramos en esta enfermedad
complicaciones que dificultan la técnica quirúrgica. Presentamos el caso de una paciente con fractura de diáfisis
femoral en hueso con características pagéticas, en el que por la estrechez del canal y la dureza de las corticales no
fue posible realizar en enclavado endomedular, y se optó por el fijador externo como tratamiento definitivo, con
buenos resultados radiográficos y funcionales. Tras el primer año de evolución, observamos una buena consoli
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dación ósea en la radiografía, y la paciente deambula sin ayuda.The treatment of fractures in Paget's disease presents difficulties for the surgeon because of the
pathological features of bone in these patients. The treatment of choice for femoral shaft fractures is intrame
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dullary nailing, but often found in this disease, complications that hinder the surgical technique. We report the
case of a patient with femoral shaft fracture in bone with pagetic characteristics, in which because of the narrow
canal and the hardness of the cortical, intamedullary nailing was not possible. We opted for the external fixator as
definitive treatment, with good radiographic and functional results. After the first year of follow up, we see good
bone healing on X-ray and the patient ambulate without help
How to use mixed precision in ocean models : Exploring a potential reduction of numerical precision in NEMO 4.0 and ROMS 3.6
ceived funding from the EU ESiWACE H2020 Framework Programme under grant agreement no. 823988, from the Severo Ochoa (SEV-2011-00067) program of the Spanish Government and from the Ministerio de Economia y Competitividad under contract TIN2017-84553-C2-1-R.Mixed-precision approaches can provide substantial speed-ups for both computing- and memory-bound codes with little effort. Most scientific codes have overengineered the numerical precision, leading to a situation in which models are using more resources than required without knowing where they are required and where they are not. Consequently, it is possible to improve computational performance by establishing a more appropriate choice of precision. The only input that is needed is a method to determine which real variables can be represented with fewer bits without affecting the accuracy of the results. This paper presents a novel method that enables modern and legacy codes to benefit from a reduction of the precision of certain variables without sacrificing accuracy. It consists of a simple idea: we reduce the precision of a group of variables and measure how it affects the outputs. Then we can evaluate the level of precision that they truly need. Modifying and recompiling the code for each case that has to be evaluated would require a prohibitive amount of effort. Instead, the method presented in this paper relies on the use of a tool called a reduced-precision emulator (RPE) that can significantly streamline the process. Using the RPE and a list of parameters containing the precisions that will be used for each real variable in the code, it is possible within a single binary to emulate the effect on the outputs of a specific choice of precision. When we are able to emulate the effects of reduced precision, we can proceed with the design of the tests that will give us knowledge of the sensitivity of the model variables regarding their numerical precision. The number of possible combinations is prohibitively large and therefore impossible to explore. The alternative of performing a screening of the variables individually can provide certain insight about the required precision of variables, but, on the other hand, other complex interactions that involve several variables may remain hidden. Instead, we use a divide-and-conquer algorithm that identifies the parts that require high precision and establishes a set of variables that can handle reduced precision. This method has been tested using two state-of-the-art ocean models, the Nucleus for European Modelling of the Ocean (NEMO) and the Regional Ocean Modeling System (ROMS), with very promising results. Obtaining this information is crucial to build an actual mixed-precision version of the code in the next phase that will bring the promised performance benefits
Nanoscale imaging of buried topological defects with quantitative X-ray magnetic microscopy
This work is licensed under a Creative Commons Attribution 4.0
International License.-- et al.Advances in nanoscale magnetism increasingly require characterization tools providing detailed descriptions of magnetic configurations. Magnetic transmission X-ray microscopy produces element specific magnetic domain images with nanometric lateral resolution in films up to ∼100 nm thick. Here we present an imaging method using the angular dependence of magnetic contrast in a series of high resolution transmission X-ray microscopy images to obtain quantitative descriptions of the magnetization (canting angles relative to surface normal and sense). This method is applied to 55-120 nm thick ferromagnetic NdCo 5 layers (canting angles between 65° and 22°), and to a NdCo 5 film covered with permalloy. Interestingly, permalloy induces a 43° rotation of Co magnetization towards surface normal. Our method allows identifying complex topological defects (merons or 1/2 skyrmions) in a NdCo 5 film that are only partially replicated by the permalloy overlayer. These results open possibilities for the characterization of deeply buried magnetic topological defects, nanostructures and devices.Work supported by Spanish MINECO under grant FIS2013-45469. A. Hierro-Rodriguez acknowledges support from FCT of Portugal (Grant SFRH/BPD/90471/2012). C. Blanco-Roldán thanks support from CSIC JAE Predoc Program.Peer Reviewe
Causes of Morbidity in Wild Raptor Populations Admitted at a Wildlife Rehabilitation Centre in Spain from 1995-2007: A Long Term Retrospective Study
Background: Morbidity studies complement the understanding of hazards to raptors by identifying natural or anthropogenic factors. Descriptive epidemiological studies of wildlife have become an important source of information about hazards to wildlife populations. On the other hand, data referenced to the overall wild population could provide a more accurate assessment of the potential impact of the morbidity/mortality causes in populations of wild birds. Methodology/Principal Findings: The present study described the morbidity causes of hospitalized wild raptors and their incidence in the wild populations, through a long term retrospective study conducted at a wildlife rehabilitation centre of Catalonia (1995-2007). Importantly, Seasonal Cumulative Incidences (SCI) were calculated considering estimations of the wild population in the region and trend analyses were applied among the different years. A total of 7021 birds were analysed: 7 species of Strigiformes (n = 3521) and 23 of Falconiformes (n = 3500). The main causes of morbidity were trauma (49.5%), mostly in the Falconiformes, and orphaned/young birds (32.2%) mainly in the Strigiformes. During wintering periods, the largest morbidity incidence was observed in Accipiter gentillis due to gunshot wounds and in Tyto alba due to vehicle trauma. Within the breeding season, Falco tinnunculus (orphaned/young category) and Bubo bubo (electrocution and metabolic disorders) represented the most affected species. Cases due to orphaned/young, infectious/parasitic diseases, electrocution and unknown trauma tended to increase among years. By contrast, cases by undetermined cause, vehicle trauma and captivity decreased throughout the study period. Interestingly, gunshot injuries remained constant during the study period. Conclusions/Significance: Frequencies of morbidity causes calculated as the proportion of each cause referred to the total number of admitted cases, allowed a qualitative assessment of hazards for the studied populations. However, cumulative incidences based on estimated wild raptor population provided a more accurate approach to the potential ecological impact of the morbidity causes in the wild populations
Minimising Mortality in Endangered Raptors Due to Power Lines: The Importance of Spatial Aggregation to Optimize the Application of Mitigation Measures
Electrocution by power lines is one of the main causes of non-natural mortality in birds of prey. In an area in central Spain, we surveyed 6304 pylons from 333 power lines to determine electrocution rates, environmental and design factors that may influence electrocution and the efficacy of mitigation measures used to minimise electrocution cases. A total of 952 electrocuted raptors, representing 14 different species, were observed. Electrocuted raptors were concentrated in certain areas and the environmental factors associated with increased electrocution events were: greater numbers of prey animals; greater vegetation cover; and shorter distance to roads. The structural elements associated with electrocutions were shorter strings of insulators, one or more phases over the crossarm, cross-shaped design and pylon function. Of the 952 carcasses found, 148 were eagles, including golden eagle (Aquila chrysaetos), Spanish imperial eagle (Aquila adalberti) and Bonelli's eagle (Aquila fasciata). Electrocuted eagles were clustered in smaller areas than other electrocuted raptors. The factors associated with increased eagle electrocution events were: pylons function, shorter strings of insulators, higher slopes surrounding the pylon, and more numerous potential prey animals. Pylons with increased string of insulators had lower raptor electrocution rates than unimproved pylons, although this technique was unsuccessful for eagles. Pylons with cable insulation showed higher electrocution rates than unimproved pylons, both for raptors and eagles, despite this is the most widely used and recommended mitigation measure in several countries. To optimize the application of mitigation measures, our results recommend the substitution of pin-type insulators to suspended ones and elongating the strings of insulators
The EC-Earth3 Earth system model for the Coupled Model Intercomparison Project 6
The Earth system model EC-Earth3 for contributions to CMIP6 is documented here, with its flexible coupling framework, major model configurations, a methodology for ensuring the simulations are comparable across different high-performance computing (HPC) systems, and with the physical performance of base configurations over the historical period. The variety of possible configurations and sub-models reflects the broad interests in the EC-Earth community. EC-Earth3 key performance metrics demonstrate physical behavior and biases well within the frame known from recent CMIP models. With improved physical and dynamic features, new Earth system model (ESM) components, community tools, and largely improved physical performance compared to the CMIP5 version, EC-Earth3 represents a clear step forward for the only European community ESM. We demonstrate here that EC-Earth3 is suited for a range of tasks in CMIP6 and beyond.Peer reviewe
Incurvaciones congénitas de tibia : revisión de 15 casos
15 patients with Congenital Kyphoscoliotic tibia are colected, with a follow up until 18 years. The authors used a prognosis criteria to classify and stablished the problem from every one on the groups in order to prognosis, evolutive and treatment. Key Words
Artropatía neuropática diabética del tobillo
An unusual localisation of Charcot's joint disease is the ankle. A 31 year old patient developped a Charcot's joint after a trivial trauma, the spontaneus fracture of the tallus was followed by a quick joint destroy
Displasia espondiloepifisaria tarda : presentación familiar
Los autores presentan un caso de Displasia Espondiloepifisaria Tarda, de presentación familiar y afectando sólo a las mujeres. Se revisa las principales manifestaciones clínicas y radiográficas. El estudio citogenético revela que se trata de una forma de transmisión diferente a la considerada clásica por la mayoría de autores
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