Evolution of Compact Stars and Dark Dynamical Variables

This work is aimed to explore the dark dynamical effects of $f(R,T)$ modified gravity theory on the dynamics of compact celestial star. We have taken the interior geometry as spherical star which is filled with imperfect fluid distribution. The modified field equations are explored by taking a particular form of $f(R,T)$ model, i.e., $f(R,T)=f_1(R)+f_2(R)f_3(T)$. These equations are then utilized to formulate the well-known structure scalars under the dark dynamical effects of this higher order gravity theory. Also, the evolution equations for expansion and shear are formulated with the help of these scalar variables. Further, all this analysis have been made under the condition of constant $R$ and $T$. We found a crucial significance of dark source terms and dynamical variables on the evolution and density inhomogeneity of compact objects.Comment: 18 pages, 4 figures, version accepted for publication in European Physical Journal

Influence of f(R)f(R) Models on the Existence of Anisotropic Self-Gravitating Systems

This paper aims to explore some realistic configurations of anisotropic spherical structures in the background of metric $f(R)$ gravity, where $R$ is the Ricci scalar. The solutions obtained by Krori and Barua are used to examine the nature of particular compact stars with three different modified gravity models. The behavior of material variables is analyzed through plots and the physical viability of compact stars is investigated through energy conditions. We also discuss the behavior of different forces, equation of state parameter, measure of anisotropy and Tolman-Oppenheimer-Volkoff equation in the modeling of stellar structures. The comparison from our graphical representations may provide evidences for the realistic and viable $f(R)$ gravity models at both theoretical and astrophysical scale.Comment: 23 pages, 13 figures, version accepted for publication in European Physical Journal

AIN to Ulnar Motor Nerve Transfer Meta Analysis

Background: There are currently few comprehensive studies of end-to-end and “supercharged” reverse end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfers for treatment of ulnar neuropathy. The authors performed a literature review existing published literature to evaluate the indications for, and utility of, AIN-ulnar nerve transfer as a treatment method and to inform future treatment decisions. Methods: A literature review was performed based on the following inclusion criteria: inclusion of anterior interosseous nerve or AIN, ulnar nerve or ulnar motor nerve, transfer or nerve transfer, and outcome, motor, clinical, ulnar neuropathies, ulnar nerve paralysis, treatment or function. Exclusion criteria included animal studies or studies not in English. Results were analyzed based on the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire scores, grip and key pinch strength, and interosseous Medical Research Council (MRC) graded strength. Preoperative and postoperative differences were evaluated by independent t-test and Mann-Whitney U-test. Results: Literature search identified 103 unique articles. Following screening, 13 full-text articles were reviewed. 9 articles met the inclusion criteria, of which 5 pertained to the reverse end-to-side (SETS) technique and 4 pertained to the end-to-end technique. 130 patients (mean age, 40.8 +/- 12.8 years) were included overall, and 114 patients had sufficient follow-up to evaluate functional outcomes. The mean time to surgery was 5.4 +/- 2.2 months and the mean follow-up period was 18.2 +/- 27.0 months. Injuries to the ulnar nerve and diagnoses varied, but all patients had preoperative clinical evidence of ulnar weakness, and the majority of patients (70%) had documented preoperative decreased grip or key pinch strength and/or motor MRC grade. Other indices included weak index crossover, interosseous atrophy, and denervation evidenced by electromyography of the first dorsal interosseous (FDI) muscle. Motor MRC grade, DASH score, and grip and key pinch strength all improved significantly from their preoperative baseline. Conclusion: Both end-to-end and SETS nerve transfer produced significant improvement in motor function. Nerve transfer is an effective treatment method of both transection and compression injuries, with outcomes comparable to or better than traditional nerve grafts

A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery.

PURPOSE: Prescription opioid misuse has become increasingly prevalent in the United States. Preoperative opioid counseling has been proposed to decrease opioid consumption after surgery. This study aimed to evaluate the effect of preoperative opioid counseling on patients\u27 pain experience and opioid consumption after carpal tunnel release (CTR) surgery. METHODS: A prospective comparison of consecutive patients scheduled to undergo CTR surgery was conducted. Patients were randomized to receive either formal preoperative opioid counseling or no counseling. All operations were performed with the same miniopen CTR surgical technique, and the same number of opioids were prescribed after surgery. Daily opioid pill consumption, pain levels, and any adverse reactions were recorded. RESULTS: During the day of surgery and the first day following surgery, patients in the group with counseling reported significantly fewer prescribed opioid pills consumed compared with patients in the group without counseling, while experiencing no significant difference in pain level experience. In addition, patients in the group with counseling reported a significantly lower number of total pain pills consumed over the course of the study than the group without counseling. No major adverse reactions were noted in either group. CONCLUSIONS: Preoperative opioid counseling was found to result in a significant decrease in overall opioid consumption after surgery. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic II

Existence of Compact Structures in f(R,T)f(R,T) Gravity

The present paper is devoted to investigate the possible emergence of relativistic compact stellar objects through modified $f(R,T)$ gravity. For anisotropic matter distribution, we used Krori and Barura solutions and two notable and viable $f(R,T)$ gravity formulations. By choosing particular observational data, we determine the values of constant in solutions for three relativistic compact star candidates. We have presented some physical behavior of these relativistic compact stellar objects and some aspects like energy density, radial as well as transverse pressure, their evolution, stability, measure of anisotropy and energy conditions.Comment: 27 pages, 13 figures, version accepted for publication in European Physical Journal

Complications Associated with Volar Locking Plate Fixation of Distal Radial Fractures.

Volar locked plating is the most frequently utilized method for internal fixation of distal radial fractures. The overall complication rate for volar plating of distal radial fractures appears to be relatively low compared with other operative fixation methods. Carpal tunnel syndrome is the most commonly reported complication. However, this may occur after a distal radial fracture regardless of treatment method, with reported rates ranging from 0% to 20% with conservative management and 0% to 14% with volar plating. Extensor tendon rupture has been reported at rates of 0% to 4% and is the most frequent complication requiring plate removal. Variable-angle volar locking plates may be associated with fewer implant-related complications as a result of their greater degree of screw placement customization compared with fixed-angle volar locking plates