Posterior Malleolus Arthroscopic Reduction and Internal Fixation Technique

Adequate reduction of posterior malleolar fractures leads to better outcomes. Arthroscopic reduction and internal fixation presents an opportunity for excellent reduction with a minimally invasive approach. Herein, we present a technique with some discussion on outcomes

MODEL REDUCTION FOR LARGE-SCALE SYSTEMS WITH HIGH-DIMENSIONAL PARAMETRIC INPUT SPACE

A model-constrained adaptive sampling methodology is proposed for the reduction of large-scale systems with high-dimensional parametric input spaces. Our model reduction method uses a reduced basis approach, which requires the computation of high-fidelity solutions at a number of sample points throughout the parametric input space. A key challenge that must be addressed in the optimization, control, and probabilistic settings is the need for the reduced models to capture variation over this parametric input space, which, for many applications, will be of high dimension. We pose the task of determining appropriate sample points as a PDE-constrained optimization problem, which is implemented using an efficient adaptive algorithm that scales well to systems with a large number of parameters. The methodology is demonstrated using examples with parametric input spaces of dimension 11 and 21, which describe thermal analysis and design of a heat conduction fin, and compared with statistically based sampling methods. For these examples, the model-constrained adaptive sampling leads to reduced models that, for a given basis size, have error several orders of magnitude smaller than that obtained using the other methods.National Science Foundation (DDDAS grant CNS-0540372)Air Force Office of Sponsored Research (grant FA9550-06-0271)Universal Technology Corporation (contract 04-S530-0022-07-C1)Singapore-MIT Alliance Computational Engineering Programm

Testing a global standard for quantifying species recovery and assessing conservation impact.

Recognizing the imperative to evaluate species recovery and conservation impact, in 2012 the International Union for Conservation of Nature (IUCN) called for development of a "Green List of Species" (now the IUCN Green Status of Species). A draft Green Status framework for assessing species' progress toward recovery, published in 2018, proposed 2 separate but interlinked components: a standardized method (i.e., measurement against benchmarks of species' viability, functionality, and preimpact distribution) to determine current species recovery status (herein species recovery score) and application of that method to estimate past and potential future impacts of conservation based on 4 metrics (conservation legacy, conservation dependence, conservation gain, and recovery potential). We tested the framework with 181 species representing diverse taxa, life histories, biomes, and IUCN Red List categories (extinction risk). Based on the observed distribution of species' recovery scores, we propose the following species recovery categories: fully recovered, slightly depleted, moderately depleted, largely depleted, critically depleted, extinct in the wild, and indeterminate. Fifty-nine percent of tested species were considered largely or critically depleted. Although there was a negative relationship between extinction risk and species recovery score, variation was considerable. Some species in lower risk categories were assessed as farther from recovery than those at higher risk. This emphasizes that species recovery is conceptually different from extinction risk and reinforces the utility of the IUCN Green Status of Species to more fully understand species conservation status. Although extinction risk did not predict conservation legacy, conservation dependence, or conservation gain, it was positively correlated with recovery potential. Only 1.7% of tested species were categorized as zero across all 4 of these conservation impact metrics, indicating that conservation has, or will, play a role in improving or maintaining species status for the vast majority of these species. Based on our results, we devised an updated assessment framework that introduces the option of using a dynamic baseline to assess future impacts of conservation over the short term to avoid misleading results which were generated in a small number of cases, and redefines short term as 10 years to better align with conservation planning. These changes are reflected in the IUCN Green Status of Species Standard