Cognitive improvement following repair of a basal encephalocele.

We report the case of a 55-year-old woman presenting with progressive memory impairment secondary to a transsphenoidal encephalocele involving her dominant medial temporal lobe. Her clinical deterioration was accompanied by radiological progression in the encephalocele's size and associated encephalomalacia. Through a temporal craniotomy, her encephalocele was resected and the defect closed. Baseline neuropsychological assessment indicated global cognitive impairment, but post-operatively, she reported improved memory and concentration. Standardized assessment reflected an improvement in perceptual skills and an associated improved recall of a complex figure. This is the first case report to date of a patient's memory improving following treatment of a basal encephalocele

Australian orthopaedic surgeons and social media: The future of education and communication?

BackgroundFor health care professionals, utilisation of social media provides numerous potentially useful opportunities. To the author’s knowledge, no study to date has quantified the use of social media among orthopaedic surgeons in Australia.AimsTo assess the use of popular social media platforms by all practicing orthopaedic surgeons in Australia and determine other potential correlations.Methods Orthopaedic surgeons currently practicing in Australia as of November 2019 were identified using the Australia Orthopaedic Association (AOA) surgeon directory. A comprehensive search of websites and social media platforms including Facebook, Twitter, LinkedIn, ResearchGate, Instagram and YouTube was undertaken to assess the level of uptake of these platforms for each surgeon. Further analysis in relation to surgeon gender, geographical location, and ‘years in practice’ was also undertaken.Results A total of 1039 Australian orthopaedic surgeons were included in the study, of which 776 (74.4 per cent) had at least one type of social media account. Overall, 10 surgeons (0.96 per cent) were found to have accounts on all six social media platforms investigated. LinkedIn proved the most popular platform, with a total of 637 (60.3 per cent) surgeons having accounts on the platform, followed by Facebook (463 (44.5 per cent)) and Twitter (210 (20.2 per cent)). There was no statistically significant correlation between surgeon gender and uptake of social media platforms.ConclusionThe uptake of social media platforms by Australian orthopaedic surgeons is varied. As the role of these platforms becomes increasingly relevant years to come, it is important for surgeons to remain aware of the guidelines governing the utilisation of these platforms

A surface-aware projection basis for quasigeostrophic flow

Recent studies indicate that altimetric observations of the ocean's mesoscale eddy field reflect the combined influence of surface buoyancy and interior potential vorticity anomalies. The former have a surface-trapped structure, while the latter have a more grave form. To assess the relative importance of each contribution to the signal, it is useful to project the observed field onto a set of modes that separates their influence in a natural way. However, the surface-trapped dynamics are not well-represented by standard baroclinic modes; moreover, they are dependent on horizontal scale. Here we derive a modal decomposition that results from the simultaneous diagonalization of the energy and a generalisation of potential enstrophy that includes contributions from the surface buoyancy fields. This approach yields a family of orthonomal bases that depend on two parameters: the standard baroclinic modes are recovered in a limiting case, while other choices provide modes that represent surface and interior dynamics in an efficient way. For constant stratification, these modes consist of symmetric and antisymmetric exponential modes that capture the surface dynamics, and a series of oscillating modes that represent the interior dynamics. Motivated by the ocean, where shears are concentrated near the upper surface, we also consider the special case of a quiescent lower surface. In this case, the interior modes are independent of wavenumber, and there is a single exponential surface mode that replaces the barotropic mode. We demonstrate the use and effectiveness of these modes by projecting the energy in a set of simulations of baroclinic turbulence

IMPACT: The Journal of the Center for Interdisciplinary Teaching and Learning. Volume 12, Issue 1, Summer 2023

The essays in this issue explore how to enhance teaching and student learning in the classroom. Our first contributor argues that providing students the opportunity to write questions about course material is a fruitful way to address students’ reticence about asking questions during class and also may result in students performing better on testable material. Moreover, instructors benefit from having students’ questions because the written questions can also be used by the instructor to know better what students are and are not understanding about course material and alerts instructors to where they can further explain or clarify course material. Finally, our first contributor also suggests that students in interdisciplinary classrooms might especially benefit from writing their questions, while instructors of interdisciplinary courses may find the flexibility with using technology to address the written questions in “real time” via the use of technology especially beneficial. In our second contribution, the author argues that pre-service teachers’ educational curriculum should address the academic literature that links poor musical-rhythmic tendencies with reading struggles for reading learners. The author also argues that the rhythm-reading connection is applicable to interdisciplinary educators because it asks those educators to reflect on possible connections between the body and the acquisition of skills that are usually considered purely intellectual. Our Impact book reviewers cover a varied set of interesting and important topics in this issue. One reviewer informs readers about a handbook on community psychology that prioritizes applied and interdisciplinary work; another reviewer details an author’s synthesis of what contemporary archaeology has now come to understand about Maya civilization’s resilient and complex society through time and within their varied mosaic of managed environments; a different reviewer delves into an author’s exploration of how digital media platforms generate novel opportunities for sufferers of trauma to make sense of their experience, and our final reviewer details an author’s accounting of the history, origins, and evolution of the Camp Fire Girls, one of America’s longest-serving girls’ youth movements, its impact on girls’ lives, and how the organization adapted to and resisted dominant ideologies about girls, culture, and race across time

Delivery of health care for cardiovascular and metabolic diseases among people living with HIV/AIDS in African countries: a systematic review protocol

Background: People living with HIV (PLHIV) in African countries are living longer due to the rollout of antiretroviral drug therapy programs, but they are at increasing risk of non-communicable diseases (NCDs). However, there remain many gaps in detecting and treating NCDs in African health systems, and little is known about how NCDs are being managed among PLHIV. Developing integrated chronic care models that effectively prevent and treat NCDs among PLHIV requires an understanding of the current patterns of care delivery and the major barriers and facilitators to health care. We present a systematic review protocol to synthesize studies of healthcare delivery for an important subset of NCDs, cardiovascular and metabolic diseases (CMDs), among African PLHIV. Methods/design: We plan to search electronic databases and reference lists of relevant studies published in African settings from January 2003 to the present. Studies will be considered if they address one or both of our major objectives and focus on health care for one or more of six interrelated CMDs (ischemic heart disease, stroke, heart failure, hypertension, diabetes, and hyperlipidemia) in PLHIV. Our first objective will be to estimate proportions of CMD patients along the “cascade of care”—i.e., screened, diagnosed, aware of the diagnosis, initiated on treatment, adherent to treatment, and with controlled disease. Our second objective will be to identify unique barriers and facilitators to health care faced by PLHIV in African countries. For studies deemed eligible for inclusion, we will assess study quality and risk of bias using previously published criteria. We will extract study data using standardized instruments. We will meta-analyze quantitative data at each level of the cascade of care for each CMD (first objective). We will use meta-synthesis techniques to understand and integrate qualitative data on health-related behaviors (second objective). Discussion: CMDs and other NCDs are becoming major health concerns for African PLHIV. The results of our review will inform the development of research into chronic care models that integrate care for HIV/AIDS and CMDs among PLHIV. Our findings will be highly relevant to health policymakers, administrators, and practitioners in African settings

Mapping policies and programmes: the use of GIS to communicate spatial relationships in England

It has long been acknowledged that there is a gap between the advancement of GIS in the research field and its application in planning practice. This paper demonstrates the potential for employing simple GIS mapping overlays as a way of communicating complex planning issues in a ‘language’ that is easily understandable and effective at stimulating policy debate, critical thinking and learning. The analysis focuses on capturing the synergies and conflicts in two key planning challenges in England, progrowth and housing delivery agendas. In a political context where spatial evidencebased policymaking has been eroded in recent years, the analysis demonstrates the need for policymakers to ‘think spatially, act spatially’ when developing different policies and programmes. The paper concludes that only by making spatial relationships of policies and programmes explicit in a manner that is easily understood by a range of actors, can different spatial scenarios and metaphors of future opportunities and challenges be developed to inform long-range development and planning

Chelating N-heterocyclic carbene-carboranes offer flexible ligand coordination to IrIII, RhIII and RuII: effect of ligand cyclometallation in catalytic transfer hydrogenation

Imidazolium salts linked by an ethyl tether to closo-dicarbadodecaboranes were reacted with [IrCp*Cl2]2, [RhCp*Cl2]2 or [Ru(p-cymene)Cl2]2 in the presence of Ag2O to prepare complexes of the type [MCp*(NHC)Cl2] (M = Ir, Rh; NHC = N-heterocyclic carbene) or [Ru(p-cymene)(NHC)Cl2]. When the NHC contained an N-tBu substituent, C–H activation of the tBu and subsequent alkyl coordination was observed at Ir. Coordination of the closo-dicarbadodecaborane moiety to Ir was possible to give 7-membered metallacycles, coordinated through the carbenic carbon of the NHC and either a carbon atom or a boron atom of the carborane. Examination of the Ir complexes in the transfer hydrogenation of acetophenone to 1-phenylethanol reveals that cyclometallation of the carborane moiety is important for catalytic efficacy, indicating a bifunctional mechanism and involvement of the dicarbadodecaborane anion

A Description of Local and Nonlocal Eddy–Mean Flow Interaction in a Global Eddy-Permitting State Estimate

The assumption that local baroclinic instability dominates eddy–mean flow interactions is tested on a global scale using a dynamically consistent eddy-permitting state estimate. Interactions are divided into local and nonlocal. If all the energy released from the mean flow through eddy–mean flow interaction is used to support eddy growth in the same region, or if all the energy released from eddies through eddy–mean flow interaction is used to feed back to the mean flow in the same region, eddy–mean flow interaction is local; otherwise, it is nonlocal. Different regions have different characters: in the subtropical region studied in detail, interactions are dominantly local. In the Southern Ocean and Kuroshio and Gulf Stream Extension regions, they are mainly nonlocal. Geographical variability of dominant eddy–eddy and eddy–mean flow processes is a dominant factor in understanding ocean energetics.Woods Hole Oceanographic InstitutionUnited States. National Aeronautics and Space Administration (Grant NNX09AI87G)United States. National Aeronautics and Space Administration (Grant NNX08AR33G

Mass transfer in the lower crust: Evidence for incipient melt assisted flow along grain boundaries in the deep arc granulites of Fiordland, New Zealand

Knowledge of mass transfer is critical in improving our understanding of crustal evolution, however mass transfer mechanisms are debated, especially in arc environments. The Pembroke Granulite is a gabbroic gneiss, passively exhumed from depths of >45 km from the arc root of Fiordland, New Zealand. Here, enstatite and diopside grains are replaced by coronas of pargasite and quartz, which may be asymmetric, recording hydration of the gabbroic gneiss. The coronas contain microstructures indicative of the former presence of melt, supported by pseudosection modeling consistent with the reaction having occurred near the solidus of the rock (630–710°C, 8.8–12.4 kbar). Homogeneous mineral chemistry in reaction products indicates an open system, despite limited metasomatism at the hand sample scale. We propose the partial replacement microstructures are a result of a reaction involving an externally derived hydrous, silicate melt and the relatively anhydrous, high-grade assemblage. Trace element mapping reveals a correlation between reaction microstructure development and bands of high-Sr plagioclase, recording pathways of the reactant melt along grain boundaries. Replacement microstructures record pathways of diffuse porous melt flow at a kilometer scale within the lower crust, which was assisted by small proportions of incipient melt providing a permeable network. This work recognizes melt flux through the lower crust in the absence of significant metasomatism, which may be more common than is currently recognized. As similar microstructures are found elsewhere within the exposed Fiordland lower crustal arc rocks, mass transfer of melt by diffuse porous flow may have fluxed an area >10,000 km2