Direct and indirect orthotic management of medial compartment osteoarthritis of the knee

Osteoarthritis (OA) is a painful condition and affects approximately 80% of individuals by the age of 55 [1], with knee OA occurring two times more frequently than OA of the hand or hip [2].The condition is more prevalent in the medial compartment and restricts the daily lives of individuals due to pain and a lack of functional independence. Patients with medial compartment osteoarthritis often have a varus alignment, with the mechanical axis and load bearing passing through this compartment with a greater adduction moment leading to greater pain and progression of osteoarthritis [3]. Surgery for the condition is possible although in some cases, particularly younger patients or those not yet requiring surgery, clinical management remains a challenge. Before surgery is considered, however, conservative management is advocated, though no one treatment has been shown to be most effective, and there are few quality biomechanical or clinical studies. Of the conservative approaches the principal orthotic treatments are valgus knee braces and laterally wedged foot inlays. Studies of knee valgus bracing have consistently demonstrated an associated decreased pain and improved function [4], and greater confidence [5]. A laterally wedged foot inlay has a thicker lateral border and applies a valgus moment to the heel. It is theorised that by changing the position of the ankle and subtalar joints during weight-bearing [6] the lateral wedges may apply a valgus moment across the knee as well as the rearfoot, with the assumed reduction on load in the medial knee compartment [7]. However, there has been no study to directly compare these orthotic treatments in the same study. The aim of this research is to investigate the efficacy of valgus knee braces and laterally wedged foot inlays in reducing the varus knee moment

Effects of shoot tipping on development and yield of the tuber crop Plectranthus edulis

Plectranthus edulis (Vatke) Agnew is one of the tuber crops of the genus Plectranthus that is widely cultivated in Africa and Asia. P. edulis produces below-ground tubers on stolons originating from the stems, comparable to the potato (Solanum tuberosum L.). Farmers apply several laborious cultural practices to enhance shoot growth and yield, among which shoot tipping is very common. Tipping (pinching) is the removal of the shoot apex with one or two pairs of leaves from the main stems and branches. The rationale of this practice, especially when repeated more than once during one cropping season, is not fully understood. One similar experiment with two cultivars was carried out at two locations (Awassa and Wondogenet) in Ethiopia to assess and analyse the effects of shoot tipping and its frequency on crop development and tuber production. Tipping treatments included zero tipping, tipping once, tipping twice and tipping thrice, with the first tipping taking place 68 days after planting (DAP), a stage at which most of the stems reached a height of about 0·15 m, and the remainder following at intervals of 44–46 days. Tipping stimulated stem branching; it significantly increased the number of primary, secondary and tertiary stems in both experiments. Soil cover increased with an increase in the frequency of the tipping in Awassa, because of the tipping effects on the different canopy development variables. Tipping also enhanced the soil cover in Wondogenet, but the crop did not gain any extra benefit from a third tipping. Tipping enhanced early stolon formation, but did not consistently affect the number of stolons per hole later in the growing season. The number of tubers increased with an increase in the frequency of tipping in both cultivars in Wondogenet and in one cultivar in Awassa. Tuber dry matter yield increased with an increase in the frequency of tipping at both sites. Fresh tuber yield in the final harvest at 208 DAP was c. 1·9 kg/m2. Tipping on average increased fresh tuber yield by 17% in Wondogenet, whereas the difference was not detectable in Awassa. Because senescence was delayed slightly by tipping, yield effects of tipping might be larger when harvesting later. In general, there was a positive effect of tipping on canopy development and tuber yield

Glacial to Holocene terrigenous organic matter input to sediments from Orca Basin, Gulf of Mexico — A combined optical and biomarker approach

In this study we assessed changes in the contribution of terrigenous organic matter (OM) to the Gulf of Mexico over the course of the last deglaciation (the last 25 kyr). To this end, we combined optical kerogen analyses with bulk sedimentary, biomarker, and compound-specific carbon isotope analyses. Samples were obtained from core MD02-2550 from Orca Basin (2249 m water depth at 26°56.77N, 91°20.74W) with temporal resolution ranging from multi-decadal to millennial-scale, depending on the proxy. All proxies confirmed larger terrigenous input during glacial times compared to the Holocene. In addition, the kerogen analyses suggest that much of the glacial OM is reworked (at least 50% of spores and pollen grains and 40% of dinoflagellate cysts). The Holocene sediments, in contrast, contain mainly marine OM, which is exceptionally well preserved. During the deglaciation, terrigenous input was generally high due to large meltwater fluxes, whereby discrepancies between different proxies call for additional influences, such as the change in distance to the river mouth, local productivity changes, and hydrodynamic particle sorting. It is possible that kerogen particles and the terrigenous biomarkers studied here represent distinct pools of land-derived OM with inputs varying independently

Size Doesn't Matter: Towards a More Inclusive Philosophy of Biology

notes: As the primary author, O’Malley drafted the paper, and gathered and analysed data (scientific papers and talks). Conceptual analysis was conducted by both authors.publication-status: Publishedtypes: ArticlePhilosophers of biology, along with everyone else, generally perceive life to fall into two broad categories, the microbes and macrobes, and then pay most of their attention to the latter. ‘Macrobe’ is the word we propose for larger life forms, and we use it as part of an argument for microbial equality. We suggest that taking more notice of microbes – the dominant life form on the planet, both now and throughout evolutionary history – will transform some of the philosophy of biology’s standard ideas on ontology, evolution, taxonomy and biodiversity. We set out a number of recent developments in microbiology – including biofilm formation, chemotaxis, quorum sensing and gene transfer – that highlight microbial capacities for cooperation and communication and break down conventional thinking that microbes are solely or primarily single-celled organisms. These insights also bring new perspectives to the levels of selection debate, as well as to discussions of the evolution and nature of multicellularity, and to neo-Darwinian understandings of evolutionary mechanisms. We show how these revisions lead to further complications for microbial classification and the philosophies of systematics and biodiversity. Incorporating microbial insights into the philosophy of biology will challenge many of its assumptions, but also give greater scope and depth to its investigations

US Cosmic Visions: New Ideas in Dark Matter 2017: Community Report

This white paper summarizes the workshop "U.S. Cosmic Visions: New Ideas in Dark Matter" held at University of Maryland on March 23-25, 2017

Beam spin asymmetry measurements of deeply virtual π0 production with CLAS12

The new experimental measurements of beam spin asymmetry were performed for the deeply virtual exclusive pi0 production in a wide kinematic region with the photon virtualities Q2 up to 6.6 GeV2 and the Bjorken scaling variable xB in the valence regime. The data were collected by the CEBAF Large Acceptance Spectrometer (CLAS12) at Jefferson Lab with longitudinally polarized 10.6 GeV electrons scattered on an unpolarized liquid-hydrogen target. Sizable asymmetry values indicate a substantial contribution from transverse virtual photon amplitudes to the polarized structure functions. The interpretation of these measurements in terms of the Generalized Parton Distributions (GPDs) demonstrates their sensitivity to the chiral-odd GPD ET, which contains information on quark transverse spin densities in unpolarized and polarized nucleons and provides access to the nucleon's transverse anomalous magnetic moment. Additionally, the data were compared to a theoretical model based on a Regge formalism that was extended to the high photon virtualities

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Numerical simulation of fully-developed compressible flows over wavy surfaces

Rough surfaces are common on high-speed vehicles, for example on heat shields, but compressibility isnot usually taken into account in the flow modelling other than through the mean density. In the presentstudy, supersonic fully-developed turbulent rough wall channel flows are simulated using direct numericalsimulation to investigate whether strong compressibility effects significantly alter the mean flow andturbulence properties across the channel. The simulations were run for three different Mach numbersM = 0.3, 1.5 and 3.0 over a range of wall amplitude-to-wavelength ratios from 0.01 to 0.08, correspondingto transitionally and fully rough cases respectively. The velocity deficit values are found to decrease withincreasing Mach number. It is also found that at Mach 3.0 significant differences occur in the mean flowand turbulence statistics throughout the channel and not just in a roughness sublayer. These differencesare found to be due to the presence of strong shock waves created by the peaks of the roughnesselements