Tratamiento quirúrgico de las roturas del manguito de los rotadores: estudio retrospectivo de 30 casos

Se presenta un estudio retrospectivo de 30 casos de rotura del manguito de los rotadores tratadas quirúrgicamente. Las décadas más frecuentemente afectadas fueron la 5.a y la 6.a . Veinte casos fueron tratados mediante acromioplastia y reparación abierta, 5 con acromioplastia abierta y los 5 restantes con sutura simple. El tiempo de seguimiento fue de 4 años y 3 meses. Los resultados se valoraron según la escala de Wülker respecto al dolor, la función y la estabilidad. Los mejores resultados se obtuvieron cuando se realizó simultáneamente la acromioplastia y reparación del manguito, en los pacientes con roturas simples, en los de menor edad y cuando se realizó una rehabilitación precoz. En tres casos se pudo comprobar una rotura secundaria.The authors present a retrospective study of 30 patients with tears of the rotator cuff treated surgically. The ages of the patients were distributed mainly among the 5th and 6th decades of life. Twenty cases were treated with anterior acromioplasty and open reparation, 5 of them with open acromioplasty and the othen 5 with single suture. The follow-up time was 4 years and 3 months. The clinical result was graded according to Wülker's scala used in various shoulder conditions (Pain, function and stability). Singles tears in the youngest. In the best results were obtained with acromioplasty and the rotator cuffs reparation simultaneously, together with an early phisical rehabilitation. In 3 cases, a recurrent rotator cuff tear it could be prove

Optimizing strategies for meningococcal C disease vaccination in Valencia (Spain)

BackgroundMeningococcal C (MenC) conjugate vaccines have controlled invasive diseases associated with this serogroup in countries where they are included in National Immunization Programs and also in an extensive catch-up program involving subjects up to 20 years of age. Catch-up was important, not only because it prevented disease in adolescents and young adults at risk, but also because it decreased transmission of the bacteria, since it was in this age group where the organism was circulating. Our objective is to develop a new vaccination schedule to achieve maximum seroprotection in these groups.MethodsA recent study has provided detailed age-structured information on the seroprotection levels against MenC in Valencia (Spain), where vaccination is routinely scheduled at 2 months and 6 months, with a booster dose at 18 months of age. A complementary catch-up campaign was also carried out in n for children from 12 months to 19 years of age. Statistical analyses of these data have provided an accurate picture on the evolution of seroprotection in the last few years.ResultsAn agent-based model has been developed to study the future evolution of the seroprotection histogram. We have shown that the optimum strategy for achieving high protection levels in all infants, toddlers and adolescents is a change to a 2 months, 12 months and 12 years of age vaccination pattern. If the new schedule were implemented in January 2014, high-risk subjects between 15-19 years of age would have very low seroprotection for the next 6 years, thereby threatening the program.ConclusionsHigh protection levels and a low incidence of meningococcal C disease can be achieved in the future by means of a cost-free change in vaccination program. However, we recommend a new catch-up program simultaneous to the change in regular vaccination program

Linear and nonlinear optical properties of carbon nanotube-coated single-mode optical fiber gratings

This paper was published in OPTICS LETTERS and is made available as an electronic reprint with the permission of OSA. The paper can be found at the following URL on the OSA website: http://dx.doi.org/10.1364/OL.36.002104. Systematic or multiple reproduction or distribution to multiple locations via electronic or other means is prohibited and is subject to penalties under law[EN] Single-wall carbon nanotube deposition on the cladding of optical fibers has been carried out to fabricate an all-fiber nonlinear device. Two different nanotube deposition techniques were studied. The first consisted of repeatedly immersing the optical fiber into a nanotube supension, increasing the thickness of the coating in each step. The second deposition involved wrapping a thin film of nanotubes around the optical fiber. For both cases, interaction of transmitted light through the fiber core with the external coating was assisted by the cladding mode resonances of a tilted fiber Bragg grating. Ultrafast nonlinear effects of the nanotube-coated fiber were measured by means of a pump-probe pulses experiment. © 2011 Optical Society of America.This work was financially supported by the European Commission under the FP7 EURO-FOS Network of Excellence (ICT-2007-2-224402), the Ministerio de Educación y Ciencia SINADEC project (TEC2008-06333), and the Natural Sciences and Engineering Research Council of Canada (NSERC). The work of G. E. Villanueva was supported by the Ministerio de Educación y Ciencia Formación de Profesorado Universitario programs. The work of P. Pérez-Millán was supported by the Juan de la Cierva program, JCI-2009-05805.Villanueva Ibáñez, GE.; Jakubinek, M.; Simard, B.; Oton Nieto, CJ.; Matres Abril, J.; Shao, L.; Pérez Millán, P.... (2011). Linear and nonlinear optical properties of carbon nanotube-coated single-mode optical fiber gratings. Optics Letters. 36(11):2104-2106. https://doi.org/10.1364/OL.36.002104S210421063611Sakakibara, Y., Rozhin, A. G., Kataura, H., Achiba, Y., & Tokumoto, M. (2005). Carbon Nanotube-Poly(vinylalcohol) Nanocomposite Film Devices: Applications for Femtosecond Fiber Laser Mode Lockers and Optical Amplifier Noise Suppressors. Japanese Journal of Applied Physics, 44(4A), 1621-1625. doi:10.1143/jjap.44.1621Chow, K. K., Yamashita, S., & Song, Y. W. (2009). A widely tunable wavelength converter based on nonlinear polarization rotation in a carbon-nanotube-deposited D-shaped fiber. Optics Express, 17(9), 7664. doi:10.1364/oe.17.007664Set, S. Y., Yaguchi, H., Tanaka, Y., & Jablonski, M. (2004). Ultrafast Fiber Pulsed Lasers Incorporating Carbon Nanotubes. IEEE Journal of Selected Topics in Quantum Electronics, 10(1), 137-146. doi:10.1109/jstqe.2003.822912Chow, K. K., Tsuji, M., & Yamashita, S. (2010). Single-walled carbon-nanotube-deposited tapered fiber for four-wave mixing based wavelength conversion. Applied Physics Letters, 96(6), 061104. doi:10.1063/1.3304789Chow, K. K., & Yamashita, S. (2009). Four-wave mixing in a single-walled carbon-nanotube-deposited D-shaped fiber and its application in tunable wavelength conversion. Optics Express, 17(18), 15608. doi:10.1364/oe.17.015608Choi, S. Y., Rotermund, F., Jung, H., Oh, K., & Yeom, D.-I. (2009). Femtosecond mode-locked fiber laser employing a hollow optical fiber filled with carbon nanotube dispersion as saturable absorber. Optics Express, 17(24), 21788. doi:10.1364/oe.17.021788Chan, C.-F., Chen, C., Jafari, A., Laronche, A., Thomson, D. J., & Albert, J. (2007). Optical fiber refractometer using narrowband cladding-mode resonance shifts. Applied Optics, 46(7), 1142. doi:10.1364/ao.46.001142Kingston, C. T., Jakubek, Z. J., Dénommée, S., & Simard, B. (2004). Efficient laser synthesis of single-walled carbon nanotubes through laser heating of the condensing vaporization plume. Carbon, 42(8-9), 1657-1664. doi:10.1016/j.carbon.2004.02.020Jakubinek, M. B., Johnson, M. B., White, M. A., Guan, J., & Simard, B. (2010). Novel Method to Produce Single-Walled Carbon Nanotube Films and Their Thermal and Electrical Properties. Journal of Nanoscience and Nanotechnology, 10(12), 8151-8157. doi:10.1166/jnn.2010.3014Vallaitis, T., Koos, C., Bonk, R., Freude, W., Laemmlin, M., Meuer, C., … Leuthold, J. (2008). Slow and fast dynamics of gain and phase in a quantum dot semiconductor optical amplifier. Optics Express, 16(1), 170. doi:10.1364/oe.16.00017

8000 years of environmental evolution of barrier–lagoon systems emplaced in coastal embayments (NW Iberia)

The rocky and indented coast of NW Iberia is characterized by the presence of highly valuable and vulnerable, small and shallow barrier– lagoon systems structurally controlled. The case study was selected to analyse barrier–lagoon evolution based on detailed sedimentary architecture, chronology, geochemical and biological proxies. The main objective is to test the hypothesis of structural control and the significance at regional scale of any highenergy event recorded. This work is also aimed at identifying general patterns and conceptualizing the formation and evolution of this type of coastal systems. The results allowed us to establish a conceptual model of Holocene evolution that applies to rock-bounded barrier–lagoon systems. The initial stage (early Holocene) is characterized by freshwater peat sedimentation and ended by marine flooding. The timing of the marine flooding depends on the relation between the elevation of the basin and the relative mean sea-level position; the lower the topography, the earlier the marine inundation. Thus, the age of basin inundation ranged from 8 to 4 ka BP supporting significant structural differences. Once marine inundation occurred, all systems followed similar evolutionary patterns characterized by a phase of landward barrier migration and aeolian sedimentation towards the back-barrier (i.e. retrogradation) that extended circa 3.5 ka BP. The later phases of evolution are characterized by a general trend to the stabilization of the barriers and the infilling of the lagoons. This stabilization may be temporally interrupted by episodes of enhanced storminess or sediment scarcity. In this regard, washover deposits identified within the sedimentary architecture of the case study explored here suggest pervasive high-energy events coeval with some of the cooling events identified in the North Atlantic during the mid- to late Holocene

8000 years of environmental evolution of barrier–lagoon systems emplaced in coastal embayments (NW Iberia)

The rocky and indented coast of NW Iberia is characterized by the presence of highly valuable and vulnerable, small and shallow barrier– lagoon systems structurally controlled. The case study was selected to analyse barrier–lagoon evolution based on detailed sedimentary architecture, chronology, geochemical and biological proxies. The main objective is to test the hypothesis of structural control and the significance at regional scale of any highenergy event recorded. This work is also aimed at identifying general patterns and conceptualizing the formation and evolution of this type of coastal systems. The results allowed us to establish a conceptual model of Holocene evolution that applies to rock-bounded barrier–lagoon systems. The initial stage (early Holocene) is characterized by freshwater peat sedimentation and ended by marine flooding. The timing of the marine flooding depends on the relation between the elevation of the basin and the relative mean sea-level position; the lower the topography, the earlier the marine inundation. Thus, the age of basin inundation ranged from 8 to 4 ka BP supporting significant structural differences. Once marine inundation occurred, all systems followed similar evolutionary patterns characterized by a phase of landward barrier migration and aeolian sedimentation towards the back-barrier (i.e. retrogradation) that extended circa 3.5 ka BP. The later phases of evolution are characterized by a general trend to the stabilization of the barriers and the infilling of the lagoons. This stabilization may be temporally interrupted by episodes of enhanced storminess or sediment scarcity. In this regard, washover deposits identified within the sedimentary architecture of the case study explored here suggest pervasive high-energy events coeval with some of the cooling events identified in the North Atlantic during the mid- to late Holocene

Adductor squeeze test and groin injuries in elite football players: A prospective study

during the competitive season of professional football teams. Design: Prospective Cohort study. Setting: Controlled laboratory environment. Participants: Seventy-one players volunteered to participate. Main outcome measures: In the pre-season, maximal hip adductor strength was measured by means of the isometric adductor squeeze test. Hip adductor strength, normalized by body mass, was compared between players who suffered a groin injury (n ¼ 18) vs uninjured players (n ¼ 53). Risk ratios (RR) were used to evaluate the likelihood of players to suffer this type of injury. Results: Most of the reported groin injuries occurred during competitive matches (5.5 per 1000 match hours). Maximal isometric hip adductor strength was lower in the groin-injured group compared with their uninjured counterparts (429.8 ± 100 vs 564 ± 58.7 N, d¼ 1.58 and 5.40 ± 1.27 vs 7.71 ± 0.89 N/kg, d¼ 1.88, respectively). Results revealed that values of maximal isometric adductor strength lower than 465.33 N increased the probability to suffer a groin injury by 72%. Furthermore, values of force relative to body mass lower than 6.971 N/kg increased the probability to suffer a groin injury by 83%. Conclusion: The assessment of Hip adductor strength, in addition to other measurements, might help practitioners to determine the probability of suffering an overuse groin injuries in elite football players.info:eu-repo/semantics/publishedVersio

Developing a genetic approach to target cyanobacterial producers of heterocyte glycolipids in the environment

Heterocytous cyanobacteria are important players in the carbon and nitrogen cycle. They can fix dinitrogen by using heterocytes, specialized cells containing the oxygen-sensitive nitrogenase enzyme surrounded by a thick polysaccharide and glycolipid layer which prevents oxygen diffusion and nitrogenase inactivation. Heterocyte glycolipids can be used to detect the presence of heterocytous cyanobacteria in present-day and past environments, providing insight into the functioning of the studied ecosystems. However, due to their good preservation throughout time, heterocyte glycolipids are not ideal to detect and study living communities, instead methods based on DNA are preferred. Currently cyanobacteria can be detected using untargeted genomic approaches such as metagenomics, or they can be specifically targeted by, for example, the use of primers that preferentially amplify their 16S rRNA gene or their nifH gene in the case of nitrogen fixing cyanobacteria. However, since not all cyanobacterial nitrogen fixers are heterocytous, there is currently no fast gene-based method to specifically detect and distinguish heterocytous cyanobacteria. Here, we developed a PCR-based method to specifically detect heterocytous cyanobacteria by designing primers targeting the gene (hglT) encoding the enzyme responsible for the last step in the biosynthesis of heterocyte glycolipid (i.e., a glycosyltransferase). We designed several primer sets using the publicly available sequences of 23 heterocytous cyanobacteria, after testing them on DNA extracts of 21 heterocyte-forming and 7 non-heterocyte forming freshwater cyanobacteria. The best primer set was chosen and successfully used to confirm the presence of heterocytous cyanobacteria in a marine environmental sample

Consistent Probabilistic Description of the Neutral Kaon System

The neutral Kaon system has both CP violation in the mass matrix and a non-vanishing lifetime difference in the width matrix. This leads to an effective Hamiltonian which is not a normal operator, with incompatible (non-commuting) masses and widths. In the Weisskopf-Wigner Approach (WWA), by diagonalizing the entire Hamiltonian, the unphysical non-orthogonal "stationary" states $K_{L,S}$ are obtained. These states have complex eigenvalues whose real (imaginary) part does not coincide with the eigenvalues of the mass (width) matrix. In this work we describe the system as an open Lindblad-type quantum mechanical system due to Kaon decays. This approach, in terms of density matrices for initial and final states, provides a consistent probabilistic description, avoiding the standard problems because the width matrix becomes a composite operator not included in the Hamiltonian. We consider the dominant-decay channel to two pions, so that one of the Kaon states with definite lifetime becomes stable. This new approach provides results for the time dependent decay rates in agreement with those of the WWA.Comment: 10 pages latex, non-trivial observations and clarifications made compared to previous version, concerning interpretation of results (relevant parametrization) which leads to agreement of time-dependent rates with those of WWA. References added. Matches version to appear in Phys. Lett.