Femoral Neck Stress Fracture: Early Identification and Treatment

CLINICAL PRESENTATION & EXAM: Femoral neck stress fractures have devastating consequences if not detected and treated early, since as much as 60% of athletes diagnosed fail to return to pre-injury performance levels. Patients’ histories identify dull aching pains aggravated by high-impact or weight-bearing activity, and is alleviated with rest. Patients often recall an uncharacteristic increase in exercise intensity; e.g. marathon training. The pain is poorly localized to the lateral thigh, hip, or groin. An antalgic gait and non-capsular pattern of limitation of hip motion is observed. Pain and a marked decrease in mobility is noted at the end range of motion for hip abduction, flexion, and external rotation. Physical examination reveals extreme muscle tenderness in the anterior superior iliac spine, and deep palpitation elicits pain. Passive straight leg raise, thigh log roll, single leg hop, rectus femoris stretch (Ely’s test), and Thomas tests confirm localization and pain. ANATOMY & PATHOLOGY: The femoral neck connects the femoral head and shaft and serves as a muscular junction for major hip motion muscles. The femoral circumflex arteries supply blood through the femoral neck to the femoral head and upper hip bone. Damage to the femoral neck hinders blood flow, potentially leading to avascular necrosis (AVN) of the hip and other issues. The femoral neck absorbs 3-5 times the body weight when running. Continual loading of the femoral neck through rhythmic activity without rest initiates microscopic fractures, and without time for proper healing mechanisms, a stress fracture propagates. Weight-bearing loads create compressive forces on the inferior-medial aspect and tensile forces on the superior-lateral aspect of the femoral neck. There are 3 classifications of femoral neck stress fractures. Compression fractures are less severe and can be managed conservatively for full recovery while tension fractures are more severe and have greater risk of displacement. Displacement fractures result from unchecked progression of compression or tension fractures. DIAGNOSTIC TESTING & CONSIDERATIONS: Plain X-ray films usually yield negative results until 3 weeks after fracture onset. MRIs locate and differentiate between fractures types and determine severity. Bone scintigraphy further confirms the fracture. CT scans provide 3-D imaging if surgery is considered. Laboratory blood tests for metabolic abnormalities in calcium or phosphate levels indicate whether low bone density is a cause of fracture. Holistic assessment of diet, training regimen, gait biomechanics, baseline fitness, and medication should be performed. TREATMENT & RETURN TO ACTIVITY: Treatment options vary based on femoral neck stress fracture type and severity. Incomplete compression fractures, or50%, surgical fixation with dynamic hip screws is necessary. Tension or displacement fractures require immediate surgical fixation. Regardless of fracture type, non-weight bearing status should be maintained until relatively pain-free activity in the hip region. Physical therapy and cross-training can be introduced to regain flexibility and strength. Increase weight bearing activity, with no more than a 10% increase in strenuous volume per week, until full-weight bearing capability. Additional radiography during recovery ensures no fracture redevelopment or complications like AVN

Realization and application of a 111 million pixel backside-illuminated detector and camera

A full-wafer, 10,580 $\times$ 10,560 pixel (95 $\times$ 95 mm) CCD was designed and tested at Semiconductor Technology Associates (STA) with 9 um square pixels and 16 outputs. The chip was successfully fabricated in 2006 at DALSA and some performance results are presented here. This program was funded by the Office of Naval Research through a Small Business Innovation in Research (SBIR) program requested by the U.S. Naval Observatory for its next generation astrometric sky survey programs. Using Leach electronics, low read-noise output of the 111 million pixels requires 16 seconds at 0.9 MHz. Alternative electronics developed at STA allow readout at 20 MHz. Some modifications of the design to include anti-blooming features, a larger number of outputs, and use of p-channel material for space applications are discussed.Comment: 8 pages, 5 figures, accepted for SPIE conference 669

Multi-step Reinforcement Learning: A Unifying Algorithm

Unifying seemingly disparate algorithmic ideas to produce better performing algorithms has been a longstanding goal in reinforcement learning. As a primary example, TD($\lambda$) elegantly unifies one-step TD prediction with Monte Carlo methods through the use of eligibility traces and the trace-decay parameter $\lambda$. Currently, there are a multitude of algorithms that can be used to perform TD control, including Sarsa, $Q$-learning, and Expected Sarsa. These methods are often studied in the one-step case, but they can be extended across multiple time steps to achieve better performance. Each of these algorithms is seemingly distinct, and no one dominates the others for all problems. In this paper, we study a new multi-step action-value algorithm called $Q(\sigma)$ which unifies and generalizes these existing algorithms, while subsuming them as special cases. A new parameter, $\sigma$, is introduced to allow the degree of sampling performed by the algorithm at each step during its backup to be continuously varied, with Sarsa existing at one extreme (full sampling), and Expected Sarsa existing at the other (pure expectation). $Q(\sigma)$ is generally applicable to both on- and off-policy learning, but in this work we focus on experiments in the on-policy case. Our results show that an intermediate value of $\sigma$, which results in a mixture of the existing algorithms, performs better than either extreme. The mixture can also be varied dynamically which can result in even greater performance.Comment: Appeared at the Thirty-Second AAAI Conference on Artificial Intelligence (AAAI-18

Asteroid Distributions in the Ecliptic

We present analysis of the asteroid surface density distribution of main belt asteroids (mean perihelion $\Delta \simeq 2.404$ AU) in five ecliptic latitude fields, -17 \gtsimeq \beta(\degr) \ltsimeq +15, derived from deep \textit{Large Binocular Telescope} (LBT) $V-$band (85% completeness limit $V = 21.3$ mag) and \textit{Spitzer Space Telescope} IRAC 8.0 \micron (80% completeness limit $\sim 103 \mu$Jy) fields enabling us to probe the 0.5--1.0 km diameter asteroid population. We discovered 58 new asteroids in the optical survey as well as 41 new bodies in the \textit{Spitzer} fields. The derived power law slopes of the number of asteroids per square degree are similar within each $\sim 5$\degr{} ecliptic latitude bin with a mean value of $-0.111 \pm 0.077$. For the 23 known asteroids detected in all four IRAC channels mean albedos range from $0.24 \pm 0.07$ to $0.10 \pm 0.05$. No low albedo asteroids ($p_{V}$ \ltsimeq 0.1) were detected in the \textit{Spitzer} FLS fields, whereas in the SWIRE fields they are frequent. The SWIRE data clearly samples asteroids in the middle and outer belts providing the first estimates of these km-sized asteroids' albedos. Our observed asteroid number densities at optical wavelengths are generally consistent with those derived from the Standard Asteroid Model within the ecliptic plane. However, we find an over density at \beta \gtsimeq 5\degr{} in our optical fields, while the infrared number densities are under dense by factors of 2 to 3 at all ecliptic latitudes.Comment: 35 pages including 5 figures, accepted to The Astronomical Journa

A Two Micron All-Sky Survey View of the Sagittarius Dwarf Galaxy: II. Swope Telescope Spectroscopy of M Giant Stars in the Dynamically Cold Sagittarius Tidal Stream

We present moderate resolution (~6 km/s) spectroscopy of 284 M giant candidates selected from the Two Micron All Sky Survey photometry. Radial velocities (RVs) are presented for stars mainly in the south, with a number having positions consistent with association to the trailing tidal tail of the Sagittarius (Sgr) dwarf galaxy. The latter show a clear RV trend with orbital longitude, as expected from models of the orbit and destruction of Sgr. A minimum 8 kpc width of the trailing stream about the Sgr orbital midplane is implied by verified RV members. The coldness of this stream (dispersion ~10 km/s) provides upper limits on the combined contributions of stream heating by a lumpy Galactic halo and the intrinsic dispersion of released stars, which is a function of the Sgr core mass. The Sgr trailing arm is consistent with a Galactic halo containing one dominant, LMC-like lump, however some lumpier halos are not ruled out. An upper limit to the total M/L of the Sgr core is 21 in solar units. A second structure that roughly mimics expectations for wrapped, leading Sgr arm debris crosses the trailing arm in the Southern Hemisphere; however, this may also be an unrelated tidal feature. Among the <13 kpc M giants toward the South Galactic Pole are some with large RVs that identify them as halo stars, perhaps part of the Sgr leading arm near the Sun. The positions and RVs of Southern Hemisphere M giants are compared with those of southern globular clusters potentially stripped from the Sgr system and support for association of Pal 2 and Pal 12 with Sgr debris is found. Our discussion includes description of a masked-filtered cross-correlation methodology that achieves better than 1/20 of a resolution element RVs in moderate resolution spectra.Comment: 41 pages, 6 figures, Astronomical Journal, in press (submitted Nov. 24, 2003; tentatively scheduled for July 2004 issue

The Second-Generation Guide Star Catalog: Description and Properties

The GSC-II is an all-sky database of objects derived from the uncompressed DSS that the STScI has created from the Palomar and UK Schmidt survey plates and made available to the community. Like its predecessor (GSC-I), the GSC-II was primarily created to provide guide star information and observation planning support for HST. This version, however, is already employed at some of the ground-based new-technology telescopes such as GEMINI, VLT, and TNG, and will also be used to provide support for the JWST and Gaia space missions as well as LAMOST, one of the major ongoing scientific projects in China. Two catalogs have already been extracted from the GSC-II database and released to the astronomical community. A magnitude-limited (R=18.0) version, GSC2.2, was distributed soon after its production in 2001, while the GSC2.3 release has been available for general access since 2007. The GSC2.3 catalog described in this paper contains astrometry, photometry, and classification for 945,592,683 objects down to the magnitude limit of the plates. Positions are tied to the ICRS; for stellar sources, the all-sky average absolute error per coordinate ranges from 0.2" to 0.28" depending on magnitude. When dealing with extended objects, astrometric errors are 20% worse in the case of galaxies and approximately a factor of 2 worse for blended images. Stellar photometry is determined to 0.13-0.22 mag as a function of magnitude and photographic passbands (B,R,I). Outside of the galactic plane, stellar classification is reliable to at least 90% confidence for magnitudes brighter than R=19.5, and the catalog is complete to R=20.Comment: 52 pages, 33 figures, to be published in AJ August 200

The Hubble Deep Field South Flanking Fields

As part of the Hubble Deep Field South program, a set of shorter 2-orbit observations were obtained of the area adjacent to the deep fields. The WFPC2 flanking fields cover a contiguous solid angle of 48 square arcminutes. Parallel observations with the STIS and NICMOS instruments produce a patchwork of additional fields with optical and near-infrared (1.6 micron) response. Deeper parallel exposures with WFPC2 and NICMOS were obtained when STIS observed the NICMOS deep field. These deeper fields are offset from the rest, and an extended low surface brightness object is visible in the deeper WFPC2 flanking field. In this data paper, which serves as an archival record of the project, we discuss the observations and data reduction, and present SExtractor source catalogs and number counts derived from the data. Number counts are broadly consistent with previous surveys from both ground and space. Among other things, these flanking field observations are useful for defining slit masks for spectroscopic follow-up over a wider area around the deep fields, for studying large-scale structure that extends beyond the deep fields, for future supernova searches, and for number counts and morphological studies, but their ultimate utility will be defined by the astronomical community.Comment: 46 pages, 15 figures. Images and full catalogs available via the HDF-S at http://www.stsci.edu/ftp/science/hdfsouth/hdfs.html at present. The paper is accepted for the February 2003 Astronomical Journal. Full versions of the catalogs will also be available on-line from AJ after publicatio

Qatar-2: A K dwarf orbited by a transiting hot Jupiter and a more massive companion in an outer orbit

We report the discovery and initial characterization of Qatar-2b, a hot Jupiter transiting a V = 13.3 mag K dwarf in a circular orbit with a short period, P_ b = 1.34 days. The mass and radius of Qatar-2b are M_p = 2.49 M_j and R_p = 1.14 R_j, respectively. Radial-velocity monitoring of Qatar-2 over a span of 153 days revealed the presence of a second companion in an outer orbit. The Systemic Console yielded plausible orbits for the outer companion, with periods on the order of a year and a companion mass of at least several M_j. Thus Qatar-2 joins the short but growing list of systems with a transiting hot Jupiter and an outer companion with a much longer period. This system architecture is in sharp contrast to that found by Kepler for multi-transiting systems, which are dominated by objects smaller than Neptune, usually with tightly spaced orbits that must be nearly coplanar

PTF10nvg: An Outbursting Class I Protostar in the Pelican/North American Nebula

During a synoptic survey of the North American Nebula region, the Palomar Transient Factory (PTF) detected an optical outburst (dubbed PTF10nvg) associated with the previously unstudied flat or rising spectrum infrared source IRAS 20496+4354. The PTF R-band light curve reveals that PTF10nvg brightened by more than 5 mag during the current outburst, rising to a peak magnitude of R~13.5 in 2010 Sep. Follow-up observations indicate PTF10nvg has undergone a similar ~5 mag brightening in the K band, and possesses a rich emission-line spectrum, including numerous lines commonly assumed to trace mass accretion and outflows. Many of these lines are blueshifted by ~175 km/s from the North American Nebula's rest velocity, suggesting that PTF10nvg is driving an outflow. Optical spectra of PTF10nvg show several TiO/VO bandheads fully in emission, indicating the presence of an unusual amount of dense (> 10^10 cm^-3), warm (1500-4000 K) circumstellar material. Near-infrared spectra of PTF10nvg appear quite similar to a spectrum of McNeil's Nebula/V1647 Ori, a young star which has undergone several brightenings in recent decades, and 06297+1021W, a Class I protostar with a similarly rich near--infrared emission line spectrum. While further monitoring is required to fully understand this event, we conclude that the brightening of PTF10nvg is indicative of enhanced accretion and outflow in this Class-I-type protostellar object, similar to the behavior of V1647 Ori in 2004-2005.Comment: Accepted to the Astronomical Journal; 21 pages, 11 figures, 6 tables in emulateapj format; v2 fixes typo in abstract; v3 updates status to accepted, adjusts affiliations, adds acknowledgmen