Subtalar dislocation without associated fractures: Case report and review of literature
Giannoulis, Dionisios; Papadopoulos, Dimitrios V; Lykissas, Marios G; Koulouvaris, Panagiotis; Gkiatas, Ioannis; Mavrodontidis, Alexandros
2015-01-01
Isolated subtalar dislocations are unusual injuries due to the inherent instability of the talus. Subtalar dislocations are frequently associated with fractures of the malleoli, the talus, the calcaneus or the fifth metatarsal. Four types of subtalar dislocation have been described according to the direction of the foot in relation to the talus: medial, lateral posterior and anterior. It has been shown that some of these dislocations may spontaneously reduce. A rare case of a 36-year-old male patient who sustained a closed medial subtalar dislocation without any associated fractures of the ankle is reported. The patient suffered a pure closed medial subtalar dislocation that is hardly reported in the literature. Six months after injury the patient did not report any pain, had a satisfactory range of motion, and no signs of residual instability or early posttraumatic osteoarthritis. The traumatic mechanism, the treatment options, and the importance of a stable and prompt closed reduction and early mobilization are discussed. PMID:25893182
A contact mechanics model for ankle implants with inclusion of surface roughness effects
NASA Astrophysics Data System (ADS)
Hodaei, M.; Farhang, K.; Maani, N.
2014-02-01
Total ankle replacement is recognized as one of the best procedures to treat painful arthritic ankles. Even though this method can relieve patients from pain and reproduce the physiological functions of the ankle, an improper design can cause an excessive amount of metal debris due to wear, causing toxicity in implant recipient. This paper develops a contact model to treat the interaction of tibia and talus implants in an ankle joint. The contact model describes the interaction of implant rough surfaces including both elastic and plastic deformations. In the model, the tibia and the talus surfaces are viewed as macroscopically conforming cylinders or conforming multi-cylinders containing micrometre-scale roughness. The derived equations relate contact force on the implant and the minimum mean surface separation of the rough surfaces. The force is expressed as a statistical integral function of asperity heights over the possible region of interaction of the roughness of the tibia and the talus implant surfaces. A closed-form approximate equation relating contact force and minimum separation is used to obtain energy loss per cycle in a load-unload sequence applied to the implant. In this way implant surface statistics are related to energy loss in the implant that is responsible for internal void formation and subsequent wear and its harmful toxicity to the implant recipient.
NASA Astrophysics Data System (ADS)
Thapa, Prasamsa; Martin, Yvonne E.; Johnson, E. A.
2017-12-01
Rockfall is a significant geomorphic process in many mountainous regions that also poses a notable natural hazard risk. Most previous studies of rockfall erosion have investigated the mechanics and rates of local rockwall retreat and talus deposition, with only a few investigations of rockfall and/or associated talus considering larger spatial scales (i.e., drainage basin, mountain range). The purpose of the current research is to investigate the areal extent of rockfall-talus and controlling factors of its distribution over regional spatial scales (of order 102 km2) in Kananaskis, Canadian Rockies to inform our understanding of its significance in mountain development. To achieve this goal, a large talus inventory is collected and analyzed for 11 steep tributaries of the Kananaskis River, Canadian Rockies. Talus accumulations associated with rockfall provide evidence about the nature and rates of rockfall activity that supplies sediment to these deposits and are the focus of the present study. To quantify the controls of rockfall-talus activity in this region, we analyze the association of talus deposits with structural geology, glacial topography, and temperature-related weathering (i.e., frost cracking). A total of 324 talus polygons covering a surface area of 28.51 km2 are delineated within the 11 study basins, with the number of talus polygons in each study basin ranging from 1 to 73. Analysis of the talus inventory shows that cirques and glacially sculpted valleys are locations of notable talus accumulation in Kananaskis, with other locations of significant talus deposition being associated with thrust faults. We also found that the upper elevations at which talus deposits are typically found are the general range of elevations experiencing a notable number of days in the frost cracking window when this window is defined as - 3 to - 15 °C; no such association is found for the frost cracking window of - 3 to - 8 °C. Estimates of average erosion rates for all study basins combined are between 0.15 mm y- 1 (lower estimate) to 3.1 mm y- 1 (upper estimate). Rockfall activity is expected to have been most active for the several millennia following deglaciation (during the paraglacial period) when hillslopes were oversteepened.
Williams, M.W.; Davinroy, T.; Brooks, P.D.
1997-01-01
Organic and inorganic pools of nitrogen (N) were measured in talus fines or 'soils' and subtalus water during the summer of 1995 in the alpine Green Lakes Valley catchment of the Colorado Front Range. Nineteen talus soil samples were divided into four classes: subtalus dry, subtalus wet, surface vegetated and surface bare. The size of the individual talus soil patches ranged from 0.5 to 12.0 m2 in area, with bulk density ranging from 0-98 to 1-71 kg m-3 and soil texture ranging from sandy gravel in the subsurface talus to a loam in the vegetated surface. All samples contained KCl-extractable NH4+ and NO3-, organic N and carbon (C), and 17 of 19 samples contained microbial biomass. The mean subtalus values for KCl-extractable NH4-, of 3.2 mg N kg-1, and NO3-, of 1.0 mg N kg-1, were comparable with developed alpine soils on Niwot Ridge. Average microbial biomass in subtalus soils of 5.4 mg N kg-1 and total N of 1000 mg N kg-1 were about an order of magnitude lower than alpine tundra soils, reflecting the reduced amount of vegetation in talus areas. However, these measurements in surface-vegetated patches of talus were comparable with the well-developed soils on Niwot Ridge. These measurements in talus of microbial biomass, total N and KCl-extractable NH4+ and NO3-, show that there is sufficient biotically conditioned 'soil' within talus fields to influence the solute content of interstitial waters. Mean NO3- concentrations of 20 ??eq 1-1 from 29 samples of subtalus water were significantly higher than the 6-7 ??eq 1-1 in snow, while NH4+ concentrations in subtalus water of 0??7 ??eq 1-1 was significantly lower than in snow at 5??2 ??eq 1-1 (p = 0??001). Nitrate concentrations in subtalus water were significantly (p < 0??0001) correlated with concentrations of geochemica??l weathering products such as Ca2+ (r2 = 0??84) and silica (r2 = 0??49). The correlation of NO3- in subtalus water with geochemical weathering products suggests that NO3- concentrations in subtalus water increased with increased residence time, consistent with a biological source for this subtalus water NO3-. The high NO3- concentrations in subtalus water compared with atmospheric deposition of NO3- suggests that NO3- in talus fields may contribute to NO3- in stream waters of high-elevation catchments. ?? 1997 John Wiley & Sons, Ltd.
NASA Astrophysics Data System (ADS)
Haas, F.; Heckmann, T.; Wichmann, V.; Becht, M.
2011-12-01
Rockfall processes play a major role as a natural hazard, especially if the rock faces are located close to infrastructure. However these processes cause also the retreat of the steep rock faces by weathering and the growth of the corresponding talus cones by routing debris down the talus cones. That's why this process plays also an important role for the geomorphic system and the sediment budget of high mountain catchments. The presented investigation deals with the use of TLS for quantification and for analysis of rockfall activity in two study areas located in the Alps. The rockfaces of both catchments and the corresponding talus cones were scanned twice a year from different distances. Figure 1 shows an example for the spatial distribution of surface changes at a rockface in the Northern Dolomites between 2008 and 2010. The measured surface changes at this location yields to a mean rockwall retreat of 0.04 cm/a. But high resolution TLS data are not only applicable to quantify rockfall activity they can also be used to characterize the surface properties of the corresponding talus cones and the runout distances of bigger boulders and this can lead to a better process understanding. Therefore the surface roughness of talus cones in both catchments was characterized from the TLS point clouds by a GIS approach. The resulting detailed maps of the surface conditions on the talus cones were used to improve an existing process model which is able to model runout distances on the talus cones using distributed friction parameters. Beside this the investigations showed, that also the shape of the boulders has an influence on the runout distance. That's why the interrelationships between rock fragment morphology and runout distance of over 600 single boulders were analysed at the site of a large rockfall event. The submitted poster will show the results of the quantification of the rockfall activity and additionally it will show the results of the analyses of the talus cones and of the large rockfall event and applying these results to an existing rockfall model.
NASA Astrophysics Data System (ADS)
Götz, Joachim; Buckel, Johannes; Heckmann, Tobias
2013-04-01
The analysis of alpine sediment cascades requires the identification, differentiation and quantification of sediment sources, storages, and transport processes. This study deals with the origin of alpine sediment transfer and relates primary talus deposits to corresponding rockwall source areas within the Gradenbach catchment (Schober Mountains, Austrian Alps). Sediment storage landforms are based on a detailed geomorphological map of the catchment which was generated to analyse the sediment transfer system. Mapping was mainly performed in the field and supplemented by post-mapping analysis using LIDAR data and digital orthophotos. A fundamental part of the mapping procedure was to capture additional landform-based information with respect to morphometry, activity and connectivity. The applied procedure provides a detailed inventory of sediment storage landforms including additional information on surface characteristics, dominant and secondary erosion and deposition processes, process activity and sediment storage coupling. We develop the working hypothesis that the present-day surface area ratio between rockfall talus (area as a proxy for volume, backed by geophysical analysis of selected talus cones) and corresponding rockwall source area is a measure of rockfall activity since deglaciation; large talus cones derived from small rockwall catchments indicate high activity, while low activity can be inferred where rockfall from large rock faces has created only small deposits. The surface area ratio of talus and corresponding rockwalls is analysed using a landform-based and a process-based approach. For the landform-based approach, we designed a GIS procedure which derives the (hydrological) catchment area of the contact lines of talus and rockwall landforms in the geomorphological map. The process-based approach simulates rockfall trajectories from steep (>45°) portions of a DEM generated by a random-walk rockfall model. By back-tracing those trajectories that end on a selected talus landform, the 'rockfall contributing area' is delineated; this approach takes account of the stochastic nature of rockfall trajectories and is able to identify, for example, rockfall delivery from one rockwall segment to multiple talus landforms (or from multiple rockfall segments to the same deposit, respectively). Using both approaches, a total of 290 rockwall-talus-subsystems are statistically analysed indicating a constant relationship between rockfall source areas and corresponding areas of talus deposits of almost 1:1. However, certain rockwall-talus-subsystems deviate from this correlation since sediment storage landforms of similar size originate from varying rockwall source areas and vice versa. This varying relationship is assumed to be strongly controlled by morphometric parameters, such as rockwall slope, altitudinal interval, and aspect. The impact of these parameters on the surface area ratio will be finally discussed.
Lee, Dong Yeon; Kim, Joong Il; Song, Mi Hyun; Choi, Eun Seok; Park, Moon Seok; Yoo, Won Joon; Chung, Chin Youb; Choi, In Ho; Cho, Tae-Joon
2014-01-01
Hereditary multiple exostoses (HME) patients frequently present with ankle valgus deformity and marked fibular shortening. Loss of the lateral buttress may cause translational talus instability (TTI) that manifests as ankle pain after physical exercise, medial clear space widening on plain radiographs, and gross translational movement of the talus within the mortise. Among 123 HME patients examined and/or surgically treated, 10 patients (14 ankles) with symptomatic TTI underwent fibular lengthening with osteochondroma excision. Twelve ankles of 9 patients were followed for >1 year after surgery. Total fibular length gain averaged 15.3 mm and distal migration of the distal fibular fragment averaged 5.5 mm. The mean medial clear space decreased from preoperative 6.7 mm to postlengthening 3.5 mm. Gross instability of the talus within the ankle mortise disappeared in all cases. AOFAS ankle-hindfoot score improved from preoperative 80.3 to 97.3 at the latest follow-up. The current study showed the fibular lengthening improved lateral ankle stability by providing lateral buttress on the talus and providing favorable short-term result by ameliorating exercise-induced ankle pain in TTI of HME. The authors carefully conclude that TTI is a rare but potentially disabling condition in HME patients, requiring special attention during follow-up of HME patients. Level IV.
Symmetry analysis of talus bone: A Geometric morphometric approach.
Islam, K; Dobbe, A; Komeili, A; Duke, K; El-Rich, M; Dhillon, S; Adeeb, S; Jomha, N M
2014-01-01
The main object of this study was to use a geometric morphometric approach to quantify the left-right symmetry of talus bones. Analysis was carried out using CT scan images of 11 pairs of intact tali. Two important geometric parameters, volume and surface area, were quantified for left and right talus bones. The geometric shape variations between the right and left talus bones were also measured using deviation analysis. Furthermore, location of asymmetry in the geometric shapes were identified. Numerical results showed that talus bones are bilaterally symmetrical in nature, and the difference between the surface area of the left and right talus bones was less than 7.5%. Similarly, the difference in the volume of both bones was less than 7.5%. Results of the three-dimensional (3D) deviation analyses demonstrated the mean deviation between left and right talus bones were in the range of -0.74 mm to 0.62 mm. It was observed that in eight of 11 subjects, the deviation in symmetry occurred in regions that are clinically less important during talus surgery. We conclude that left and right talus bones of intact human ankle joints show a strong degree of symmetry. The results of this study may have significance with respect to talus surgery, and in investigating traumatic talus injury where the geometric shape of the contralateral talus can be used as control. Cite this article: Bone Joint Res 2014;3:139-45.
Symmetry analysis of talus bone
Islam, K.; Dobbe, A.; Komeili, A.; Duke, K.; El-Rich, M.; Dhillon, S.; Adeeb, S.; Jomha, N. M.
2014-01-01
Objective The main object of this study was to use a geometric morphometric approach to quantify the left-right symmetry of talus bones. Methods Analysis was carried out using CT scan images of 11 pairs of intact tali. Two important geometric parameters, volume and surface area, were quantified for left and right talus bones. The geometric shape variations between the right and left talus bones were also measured using deviation analysis. Furthermore, location of asymmetry in the geometric shapes were identified. Results Numerical results showed that talus bones are bilaterally symmetrical in nature, and the difference between the surface area of the left and right talus bones was less than 7.5%. Similarly, the difference in the volume of both bones was less than 7.5%. Results of the three-dimensional (3D) deviation analyses demonstrated the mean deviation between left and right talus bones were in the range of -0.74 mm to 0.62 mm. It was observed that in eight of 11 subjects, the deviation in symmetry occurred in regions that are clinically less important during talus surgery. Conclusions We conclude that left and right talus bones of intact human ankle joints show a strong degree of symmetry. The results of this study may have significance with respect to talus surgery, and in investigating traumatic talus injury where the geometric shape of the contralateral talus can be used as control. Cite this article: Bone Joint Res 2014;3:139–45. PMID:24802391
The impact of different types of talus deformation after treatment of clubfeet.
Kolb, Alexander; Willegger, Madeleine; Schuh, Reinhard; Kaider, Alexandra; Chiari, Catharina; Windhager, Reinhard
2017-01-01
Deformation of the talus in idiopathic congenital clubfeet is a known problem after treatment. However evidence on types of talus deformation and clinical relevance is rare. The aims of this study were first to define different types of talus deformation, and second, to evaluate the impact of these types on long-term results. At a minimum follow-up of ten years 40 idiopathic clubfeet treated by a modified dorsomedial release were analyzed. Based on morphological appearance and the widened range of radius to length ratios (R/L-ratio) in treated clubfeet deformed tali were divided into two groups: tali with decreased R/L-ratios were classified as small-dome talus deformation (SD), tali with increased R/L-ratios were classified as flat-top talus deformation (FT). The impact on degree of arthrosis in the ankle joint, clinical outcome, and ankle range of motion was analyzed. Small-dome talus deformation (SD) was found in nine feet. This group showed decreased R/L-ratios and increased talus opening angles, which were linked to an increased range of motion of the ankle joint (p = 0.033). The impact on onset of arthrosis was not significant for this group (p = 0.056). The group of flat top talus deformation (nine feet) showed increased R/L-ratios and decreased talus opening angles, decreased range of motion (p = 0.019), and a significant impact on onset of arthrosis (p = 0.010). Our study defines a new subgroup of talus deformation: the small dome talus deformation tends to show a better ankle joint range of motion and a lower risk of arthrosis compared to the classical flat dome talus deformation.
Timing of Surgical Reduction and Stabilization of Talus Fracture-Dislocations.
Buckwalter V, Joseph A; Westermann, Robert; Mooers, Brian; Karam, Matthew; Wolf, Brian
Talus fractures with associated dislocations are rare but have high rates of complications, including avascular necrosis (AVN). Management of these injuries involves urgent surgical reduction and fixation, although there are no definitive data defining an operative time frame for preserving the blood supply and preventing complications. To determine the effect of time to surgical reduction of talus fractures and talus fracture-dislocations on rates of AVN and posttraumatic osteoarthritis (PTOA), we retrospectively reviewed talus fractures surgically managed at a level I trauma center during the 10-year period 2003 to 2013. Operative reports were obtained and reviewed, and 3 independent reviewers, using the Hawkins and AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) systems, classified the injuries on plain radiographs. Analysis of AO/OTA 81 fractures with associated tibiotalar, subtalar, or talonavicular dislocations was performed. Primary outcomes were presence of AVN/PTOA and subsequent arthrodesis of tibiotalar or subtalar joints. We identified 106 surgically managed talus fractures. Rates of AVN/PTOA were 41% for all talus fractures and 50% for talus fracture-dislocations. Mean time to surgical reduction was not significant for development of AVN/PTOA for all talus fractures (P = .45) or talus fracture-dislocations (P = .29). There was no difference in age (P = .20), body mass index (P = .45), or polytrauma (P = .79) between patients who developed AVN and those who did not. Open fractures were significantly correlated with the development of AVN/PTOA (P = .009). Talar fracture-dislocations are devastating injuries with high rates of complications. Our data suggest there is no effect of time from injury to surgical reduction of talus fractures or talus fracture-dislocations on rates of AVN and PTOA.
Kim, Ji-Beom; Yi, Young; Kim, Jae-Young; Cho, Jae-Ho; Kwon, Min-Soo; Choi, Seung-Hyuk; Lee, Woo-Chun
2017-08-01
To assess the incidence of abnormal internal rotation of the talus in the axial plane in patients with varus ankle osteoarthritis, and to determine whether this incidence differs from the severity of varus ankle osteoarthritis (moderate versus severe). We retrospectively evaluated weight-bearing computed tomography (CT) and plain radiographs of 52 ankles with no abnormalities (control group) and 96 ankles with varus osteoarthritis (varus-OA group), which were further stratified into a moderate-OA subgroup (50 ankles) and a severe-OA subgroup (46 ankles). A new radiographic parameter on weight-bearing CT, the talus rotation ratio, was used to assess the rotation of the talus in the axial plane. The normal range of the talus rotation ratio was defined as the 95% prediction interval for talus rotation ratio values in the control group. Abnormal internal rotation of the talus was defined for talus rotation ratio values above the normal range. We determined the incidence of abnormal internal rotation of the talus in the varus-OA group, moderate-OA subgroup, and severe-OA subgroup. In the varus-OA group, the incidence of abnormal internal rotation of the talus was 45% (43 ankles), which corresponded to an incidence of 32% (16 ankles) in the moderate-OA subgroup and 59% (27 ankles) in the severe-OA subgroup (p = 0.013). Our study demonstrates that abnormal internal rotation of the talus occurs in patients with varus ankle osteoarthritis, and is more frequently noted in severe than in moderate varus ankle osteoarthritis.
An unusual fracture of the talus in a snowboarder.
Vlahovich, A Tanja; Mehin, Ramin; O'Brien, Peter J
2005-08-01
Fractures of the talus are uncommon. However, snow- boarding and skateboarding are 2 activities that are specifically associated with talus fractures. These patients sustain occult lateral talus process fractures that present as a severe ankle injury. The diagnosis is difficult because of subtle clinical and plain radiographic findings. Computed tomography is a very useful tool for the assessment of these injuries. Although the majority of these athletes have lateral sided talus fractures, there are variants. We present an unusual case of a displaced intra-articular fracture of the subtalar joint involving the middle articular facet of the talus with extension of the fracture into the talar head. This highlights the importance of carefully assessing snowboarders' "ankle injuries."
Anatomic feature of deltoid ligament attachment in posteromedial osteochondral lesion of talar dome.
Nakasa, Tomoyuki; Sawa, Mikiya; Ikuta, Yasunari; Yoshikawa, Masahiro; Tsuyuguchi, Yusuke; Adachi, Nobuo
2018-03-01
Osteochondral lesions of the talus (OLT) are recognized as being commonly associated with trauma. However, the etiology of OLT remains unclear. In the case of a posteromedial lesion of OLT (medial OLT), the deep layer of the deltoid ligament is located close to the medial OLT, and this relationship between a medial lesion and deltoid ligament could be a risk factor for medial OLT. The purpose of this study is to investigate the unique anatomic feature of the deep deltoid attachment to the talus in patients with medial OLT compared with patients with non-medial OLT. Forty ankles with medial OLT and 40 ankles without medial OLT were retrospectively reviewed in this study. On the coronal images of MRI, the attachment of deltoid ligament was measured. The continuity of the osteochondral fragment and its bed was evaluated on MRI and arthroscopic findings. Coronal MRI images showed that the attachment of the deep deltoid ligament to the medial OLT was broader and located more proximally than in non-medial OLT. The continuity of fibers from the insertion site of deltoid ligament to the talus to the osteochondral fragment was observed (76.7%). In the arthroscopic findings, the osteochondral fragment was obviously connected to the talus at the medial site in 85.2% of feet. The location of the deep deltoid ligament attachment to the medial OLT was more proximal and there was the possibility of these anatomic feature might contribute to the pathogenesis of medial OLT. Copyright © 2017 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
Thermal regimes and snowpack relations of periglacial talus slopes, Sierra Nevada, California, USA.
Constance I Millar; Robert D. Westfall; Diane L. Delany
2014-01-01
Thermal regimes of eight periglacial talus slopes, at contrasting elevations, aspects, and substrates, in the Sierra Nevada, California, had complex microclimatic patterns partially decoupled from external conditions. Over three years, warm seasons showed mean talus matrix temperatures and daily variances lower than surfaces and cooler than free-air; talus surface and...
Thordarson, D B
2011-10-01
Fractures of the neck of the talus are a relatively uncommon fracture of the foot but they have potentially serious complications. This article details the Hawkins classification, operative treatment and indications, and complications of fractures of the neck of the talus. It also discusses the treatment of fractures of the body of the talus and talar head. An English full text version of this article is available at SpringerLink as supplemental.
Valerie L. Zimmer,; Collins, Brian D.; Greg M. Stock,; Nicholas Sitar,
2012-01-01
We analyzed a combination of airborne and terrestrial LiDAR, high-resolution photography, seismic, and acoustic data in order to gain insights into the initiation, dynamics, and talus deposition of a complex rock fall. A large (46 700 m3) rock fall originated from near Ahwiyah Point in eastern Yosemite Valley and fell a total of 730 m to the valley floor on 28 March 2009. Analyses of remote sensing, seismic, and acoustic data were integrated to reconstruct the rock fall, which consisted of (1) the triggering of a 25 400 m3 rock block in an area of intersecting and sometimes highly weathered joint planes, (2) the sliding and subsequent ballistic trajectory of the block from a steeply dipping ledge, (3) dislodging of additional rock from the cliff surface from beneath the rock fall source area, (4) a mid-cliff ledge impact that detached a volume of rock nearly equivalent in volume to the initial block, (5) sliding of the deteriorating rock mass down the remainder of the cliff, and (6) final impact at the base of the cliff that remobilized the existing talus downward and outward and produced an airblast that knocked down hundreds of trees. The depositional geomorphology indicates that the porosity of the fresh talus is significantly lower than that expected for typical blocky talus slopes, likely because the rock debris from this event was pulverized into smaller, more poorly sorted fragments and densified via dynamic compaction when compared to less energetic, fragmental-type rock falls. These results suggest that accumulation of individual rock-fall boulders tends to steepen talus slopes, whereas large, energetic rock falls tend to flatten them. Detachment and impact signals were recorded by seismic and acoustic instruments and highlight the potential use of this type of instrumentation for generalized rock fall monitoring, while LiDAR and photography data were able to quantify the cliff geometry, rock fall volume, source and impact locations, and geomorphological changes to the cliff and talus.
The Diagnosis, Management and Complications Associated with Fractures of the Talus
J.R, Barnett; MA, Ahmad; W, Khan; A., O’ Gorman
2017-01-01
Fractures of the talus are uncommon injuries that can have devastating consequences. The blood supply to the talus is tenuous and injuries are associated with a higher incidence of avascular necrosis and malunion. Talar neck fractures are the most common fractures. This review looks at the different types of fractures of the talus, particularly focusing on talar neck fractures. The diagnosis and management are discussed as well as the complications. PMID:28694883
Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis
A’Court, J; Pillai, A
2017-01-01
Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries. PMID:28349756
NASA Astrophysics Data System (ADS)
Senderak, K.; Kondracka, M.; Gądek, B.
2017-12-01
Talus slopes are present in all geographical altitudes, but the most active and dynamic slopes occur in high-mountain and polar areas. Spitsbergen, Norwegian archipelago in the Arctic, combines these two environments, therefore, the talus slopes develop in specific environmental conditions that have changed since the beginning of deglaciation. On Spitsbergen, which is 60% glaciated, talus slope evolution depends frequently on the interaction with glaciers, as well as the size of sediment supply area, the lithology, and the intensive of rock weathering. The warming of climate in the Arctic cause the identifiable changes in the internal structures of talus slopes associated with i.e. the melting of glaciers and the high activity of many morphogenetic processes on slope surface. The identification of these changes is a key to understanding of climate change influence (direct and indirect influence) on talus slope evolution. Our work presents the results of research, mainly based on the measurements using electrical resistivity tomography method (ERT) and ground-penetrating radar method (GPR), which were made on the talus slopes of southern Spitsbergen in the vicinity of Polish Polar Station in Hornsund. The geophysical surveys and geomorphological observations show that the climatic factor plays the significant role in the development of slopes, what is clearly visible when analyzing the whole slope systems in the selected glacial valleys (partly glaciated). The differences in the internal structure can depend on distance from the glacier and age of form. This mainly concerns the volume of buried glacial ice in slope material, the thickness of talus slopes, the depth of permafrost and active layer, the stored sedimentological structures including e.g. the traces of fresh material supply. New data on the internal structure of talus slopes developing in the present glaciated area allow for discussions on the talus slope evolution, which, according to the authors, needs to be detailed.
Mahato, Niladri Kumar
2011-12-01
The talus and the calcaneus share the bulk of load transmitted from the leg to the skeleton of the foot. The present study analyses the inter-relationship between the superior articular surface and the angular dimensions of the talus with the morphology of the sustentaculum tali. Identification of possible relationships between different angular parameters of the talus morphology and the sustentaculum tali in context of load transmission through the foot. One articular surface and three angular parameters at the junction of the head and the body were measured from dried human talar bones. Corresponding calcaneal samples were measured for four dimensions at the sustentaculum tali. Correlation and regression statistical values between parameters were worked out and analysed. Several parameters within the talus demonstrated significant correlations amongst themselves. The neck vertical angle showed a strong correlation with the articulating surface area below the head of the talus. The inter-relationship between articular and angular parameters within the talus demonstrates strong correlation for certain parameters. Data presented in the study may be helpful to adjust calcaneal and talar screw placement techniques, prosthesis designing and bio-mechanical studies at this important region. Copyright © 2011 Elsevier Ltd. All rights reserved.
[Tibio-talo-calcaneal arthrodesis with the retrograde intramedullary nail MEDIN].
Popelka, S; Vavřík, P; Landor, I; Bek, J; Popelka ml, S; Hromádka, R
2013-01-01
When the talus and the talocalcaneal joint are both affected, their fusion is the method of treatment. Ankle arthrodesis is carried out using various osteosynthetic materials such as external fixators, screws and plates. One of the options is retrograde nailing. Tibio-talo-calcaneal arthrodesis is frequently indicated in patients with rheumatoid arthritis (RA) in whom both the talus and the subtalar joint are often affected. A retrograde nail for tibio-talo-calcaneal arthrodesis was developed at our department in cooperation with MEDIN Company. This is a titanium double-curved nail, with the distal part bent at 8 degrees ventrally and 10 degrees laterally. It is inserted from the transfibular approach. Sixty-two patients, 35 women and 27 men, were treated at our department from 2005. Since one patient had bilateral surgery, 63 ankles were included. The indications for arthrodesis involved rheumatoid arthritis in 42, post-traumatic arthritis in 10, failed ankle arthrodesis in two and failed total ankle arthroplasty in five ankles; tibial stress fractures close above the ankle in two RA patients, one patient with dermatomyositis and one with lupus erythematodes. The average age at the time of surgery was 64.2 years (range, 30 to 80). The average follow-up was 4.5 years (range, 1 to 9 years), Satisfaction with the treatment outcome and willingness to undergo surgery on the other side were reported by 82% of the patients. The AOFAS score improved from 35 to 74 points. Three (4.8%) patients complained of painful feet due to the fact that exact correction of the calcaneus was not achieved and the heel after arthrodesis remained in a slightly varus position. Of them, two had a failed total ankle arthroplasty. Post-operative complications included early infection managed by antibiotic treatment and early surgical revision with irrigation.in two (3.2%) RA patients, who were undergoing biological therapy. Late infection developed at 2 to 3 years after surgery in three (4.3%) patients (two had RA). The infection was managed by revision surgery with nail removal and irrigation. All patients healed well. Necrosis of the talus and development of a pseudoarthrosis were recorded in four (6.4%) patients, who subsequently underwent nail removal and repeat fusion using an external fixator. Retrograde nailing for tibio-talo-calcaneal arthrodesis is used by many authors. Its complication rate is comparable with the other methods of arthrodesis. The use of tibio-talo-calcaneal arthrodesis aims at a painless and stable joint. Arthrodesis of the talus and the subtalar joint using a retrograde nail is an effective surgical treatment of the joints affected. It is especially recommended for RA patients who have severe deviations. Retrograde nailing provides a stable osteosynthesis which does not require plaster cast immobilisation. The double-curved nail allows for its insertion in the solid part of the calcaneus and helps avoiding injury to the neurovascular bundle.
Misdiagnosis of Talar Body or Neck Fractures as Ankle Sprains in Low Energy Traumas
Young, Ki-Won; Kim, Jin-Su; Cho, Hun-Ki; Choo, Ho-Sik; Park, Jang-Ho
2016-01-01
Background The talus has a very complex anatomical morphology and is mainly fractured by a major force caused by a fall or a traffic accident. Therefore, a talus fracture is not common. However, many recent reports have shown that minor injuries, such as sprains and slips during sports activities, can induce a talar fracture especially in the lateral or posterior process. Still, fractures to the main parts of the talus (neck and body) after ankle sprains have not been reported as occult fractures. Methods Of the total 102 cases from January 2005 to December 2012, 7 patients had confirmed cases of missed/delayed diagnosis of a talus body or neck fracture and were included in the study population. If available, medical records, X-rays, computed tomography scans, and magnetic resonance imaging of the confirmed cases were retrospectively reviewed and analyzed. Results In the 7-patient population, there were 3 talar neck fractures and 4 talar body fractures (coronal shearing type). The mechanisms of injuries were all low energy trauma episodes. The causes of the injuries included twisting of the ankle during climbing (n = 2), jumping to the ground from a 1-m high wall (n = 2), and twisting of the ankle during daily activities (n = 3). Conclusions A talar body fracture and a talar neck fracture should be considered in the differential diagnosis of patients with acute and chronic ankle pain after a minor ankle injury. PMID:27583114
Osteoblastoma of body of the talus--Report of a rare case with atypical radiological features.
Mir, Naseer Ahmed; Baba, Asif Nazir; Maajid, Saheel; Badoo, Abdul Rashid; Mir, Ghulam Rasool
2010-06-01
Osteoblastoma is a benign bone tumour found commonly in the spine and long tubular bones. Involvement of the talus is uncommon, and when present, is found in the neck of the talus. Osteoblastoma of the body of talus is a very rare entity. We report a young male, presenting as chronic ankle pain, with a radiolucent lesion with a thick periosteal shell in the body of the talus. Analysis of clinical, radiological and histological findings confirmed the diagnosis of osteoblastoma. The case is reported for the rarity of the site and atypical radiological features that osteoblastoma can present with. Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
A new approach to the treatment of congenital vertical talus
Alaee, Farhang; Boehm, Stephanie
2007-01-01
Congenital vertical talus is an uncommon foot deformity that is present at birth and results in a rigid flatfoot deformity. Left untreated the deformity can result in pain and disability. Though the exact etiology of vertical talus is unknown, an increasing number of cases have been shown to have a genetic cause. Approximately 50% of all cases of vertical talus are associated with other neuromuscular abnormalities or known genetic syndromes. The remaining 50% of cases were once thought to be idiopathic in nature. However, there is increasing evidence that many of these cases are related to single gene defects. Most patients with vertical talus have been treated with major reconstructive surgeries that are fraught with complications such as wound necrosis, talar necrosis, undercorrection of the deformity, stiffness of the ankle and subtalar joint, and the eventual need for multiple operative procedures. Recently, a new approach to vertical talus that consists of serial casting and minimal surgery has resulted in excellent correction in the short-term. Longer follow-up will be necessary to ensure maintenance of correction with this new technique. A less invasive approach to the correction of vertical talus may provide more favorable long-term outcomes than more extensive surgery as has been shown to be true for clubfoot outcomes. PMID:19308490
Bone shape difference between control and osteochondral defect groups of the ankle joint.
Tümer, N; Blankevoort, L; van de Giessen, M; Terra, M P; de Jong, P A; Weinans, H; Tuijthof, G J M; Zadpoor, A A
2016-12-01
The etiology of osteochondral defects (OCDs), for which the ankle (talocrural) joint is one of the common sites, is not yet fully understood. In this study, we hypothesized that bone shape plays a role in development of OCDs. Therefore, we quantitatively compared the morphology of the talus and the distal tibia between an OCD group and a control group. The shape variations of the talus and distal tibia were described separately by constructing two statistical shape models (SSMs) based on the segmentation of the bones from ankle computed tomography (CT) scans obtained from control (i.e., 35 CT scans) and OCD (i.e., 37 CT scans) groups. The first five modes of shape variation for the SSM corresponding to each bone were statistically compared between control and OCD groups using an analysis of variance (ANOVA) corrected with the Bonferroni for multiple comparisons. The first five modes of variation in the SSMs respectively represented 49% and 40% of the total variance of talus and tibia. Less than 5% of the variance per mode was described by the higher modes. Mode 5 of the talus (P = 0.004) primarily describing changes in the vertical neck angle and Mode 1 of the tibia (P < 0.0001) representing variations at the medial malleolus, showed statistically significant difference between the control and OCD groups. Shape differences exist between control and OCD groups. This indicates that a geometry modulated biomechanical behavior of the talocrural joint may be a risk factor for OCD. Copyright © 2016. Published by Elsevier Ltd.
Gorman, David; Handy, Ebram; Wang, Sikui; Irwin, Annette L; Wang, Stewart
2016-11-01
Previous studies of frontal crash databases reported that ankle fractures are among the most common lower extremity fractures. While not generally life threatening, these injuries can be debilitating. Laboratory research into the mechanisms of ankle fractures has linked dorsiflexion with an increased risk of tibia and fibula malleolus fractures. However, talus fractures were not produced in the laboratory tests and appear to be caused by more complex loading of the joint. In this study, an analysis of the National Automotive Sampling System - Crashworthiness Data System (NASS-CDS) for the years 2004-2013 was conducted to investigate foot-ankle injury rates in front seat occupants involved in frontal impact crashes. A logistic regression model was developed indicating occupant weight, impact delta velocity and gender to be significant predictors of talus fracture (p<0.05). Separately, a specific set of Computed Tomography (CT) scans from the International Center for Automotive Medicine (ICAM) scan database was used to characterize the talar dome. This control population consisted of 207 adults aged 18 to 84, with no foot or ankle trauma, and scans that had suitable coverage of the talus. Size of the talus was determined using medial-to-lateral width and anterior-to-posterior depth measurements. Geometry was assessed by evaluating the radius of the articulating talus and strength was assessed using a combination of cross sectional area and density. Demographics were studied to investigate correlation with talus measurements from the CT scan database. A multi-variable linear regression model of the morphomics showed gender to be statistically significant (p<0.05) for talus depth, width, cross-sectional area, radius and strength. Body Mass Index (BMI) was significant for depth and radius. Weight was significant for depth, width, density and strength. Stature was significant for depth, cross-sectional area, radius and strength. Age was significant for radius and density.
Constance I. Millar; Robert D. Westfall; Diane L. Delany
2013-01-01
To explore thermal regimes and hydrologic capacity of rock glaciers and related periglacial talus landforms, mini-thermochrons were deployed in and around potentially ice-embedded features of the Sierra Nevada. Results from pilot studies at 13 rock glaciers and 7 taluses indicate that outlet springs from these landforms generally do not desiccate but persist year...
Conservative management of pes valgus with plantar flexed talus, flexible.
Bleck, E E; Berzins, U J
1977-01-01
The type of flat foot that we have called pes valgus with plantar flexed talus, flexible, was treated in children with the Helfet heel seat or the UCBL shoe insert. In follow-up examination of 71 cases for periods longer than one year, 79 per cent of the patients showed that the UCBL shoe insert and the Helfet heel seat improved the clinical and roentgenographic appearance of the foot. The Helfet heel seat is recommended in cases where the plantar flexion angle of the talus is 35 to 45 degrees and the UCBL shoe insert in those cases of plantar flexion of the talus greater than 45 degrees.
Treatment of Peripheral Talus Fractures.
Shank, John R; Benirschke, Stephen K; Swords, Michael P
2017-03-01
Peripheral talus fractures include injuries to the lateral process, posteromedial talar body, and talar head. These injuries are rare and are often missed. Nonunion with conservative treatment is high and excision can lead to joint instability, rapid arthrosis, and earlier need for arthrodesis. Open reduction internal fixation of most peripheral talus fractures is critical to achieving a good outcome. Open reduction leads to more rapid union and ability to mobilize the ankle and subtalar joints, quicker revascularization of the talus, and lower rates of arthrosis. Surgical treatment can lead to substantial functional improvement and a slowing of the degenerative process. Copyright © 2016 Elsevier Inc. All rights reserved.
Postcrania of the most primitive euprimate and implications for primate origins.
Boyer, Doug M; Toussaint, Séverine; Godinot, Marc
2017-10-01
The fossil record of early primates is largely comprised of dentitions. While teeth can indicate phylogenetic relationships and dietary preferences, they say little about hypotheses pertaining to the positional behavior or substrate preference of the ancestral crown primate. Here we report the discovery of a talus bone of the dentally primitive fossil euprimate Donrussellia provincialis. Our comparisons and analyses indicate that this talus is more primitive than that of other euprimates. It lacks features exclusive to strepsirrhines, like a large medial tibial facet and a sloping fibular facet. It also lacks the medially positioned flexor-fibularis groove of extant haplorhines. In these respects, the talus of D. provincialis comes surprisingly close to that of the pen-tailed treeshrew, Ptilocercus lowii, and extinct plesiadapiforms for which tali are known. However, it differs from P. lowii and is more like other early euprimates in exhibiting an expanded posterior trochlear shelf and deep talar body. In overall form, the bone approximates more leaping reliant euprimates. The phylogenetically basal signal from the new fossil is confirmed with cladistic analyses of two different character matrices, which place D. provincialis as the most basal strepsirrhine when the new tarsal data are included. Interpreting our results in the context of other recent discoveries, we conclude that the lineage leading to the ancestral euprimate had already become somewhat leaping specialized, while certain specializations for the small branch niche came after crown primates began to radiate. Copyright © 2017 Elsevier Ltd. All rights reserved.
Ground water occurrence and contributions to streamflow in an alpine catchment, Colorado Front Range
Clow, D.W.; Schrott, L.; Webb, R.; Campbell, D.H.; Torizzo, A.O.; Dornblaser, M.
2003-01-01
Ground water occurrence, movement, and its contribution to streamflow were investigated in Loch Vale, an alpine catchment in the Front Range of the Colorado Rocky Mountains. Hydrogeomorphologic mapping, seismic refraction measurements, and porosity and permeability estimates indicate that talus slopes are the primary ground water reservoir, with a maximum storage capacity that is equal to, or greater than, total annual discharge from the basin (5.4 ± 0.8 × 106 m3). Although snowmelt and glacial melt provide the majority of annual water flux to the basin, tracer tests and gauging along a stream transect indicate that ground water flowing from talus can account for ≥75% of streamflow during storms and the winter base flow period. The discharge response of talus springs to storms and snowmelt reflects rapid transmittal of water through coarse debris at the talus surface and slower release of water from finer-grained sediments at depth.Ice stored in permafrost (including rock glaciers) is the second largest ground water reservoir in Loch Vale; it represents a significant, but seldom recognized, ground water reservoir in alpine terrain. Mean annual air temperatures are sufficiently cold to support permafrost above 3460 m; however, air temperatures have increased 1.1° to 1.4°C since the early 1990s, consistent with long-term (1976–2000) increases in air temperature measured at other high-elevation sites in the Front Range, European Alps, and Peruvian Andes. If other climatic factors remain constant, the increase in air temperatures at Loch Vale is sufficient to increase the lower elevational limit of permafrost by 150 to 190 m. Although this could cause a short-term increase in streamflow, it may ultimately result in decreased flow in the future.
Deployment After Limb Salvage for High-Energy Lower-Extremity Trauma
2012-01-01
idiopathic avascular necrosis of the talus, and one had an iatrogenic nerve injury after pelvic surgery. Six of the patients underwent circular external... avascular necrosis Unknown 10 40 Distal tibia fracture Fall from height 11 38 Calcaneus fracture, fifth metatarsal fracture, ankle fracture, talus...injury, and one fall from height). One patient developed idiopathic avascular ne- crosis of the talus without a precipitating injury, and one de
Etterlin, P E; Ekman, S; Strand, R; Olstad, K; Ley, C J
2017-05-01
Articular osteochondrosis (OC) often develops in typical locations within joints, and the characterization of OC distribution in the pig tarsus is incomplete. Prevalence of OC is high in domestic pigs but is presumed to be low in wild boars. Postmortem and computed tomography (CT) examinations of the talus and distal tibia from 40 domestic pigs and 39 wild boars were evaluated for the locations and frequencies of OC, synovial fossae, and other articular indentations, and frequency distribution maps were made. All domestic pigs but only 5 wild boars (13%) had OC on the talus. In domestic pigs, OC consistently affected the axial aspect of the medial trochlea tali in 11 (28%) joints and the distomedial talus in 26 (65%) joints. In wild boars, all OC lesions consistently affected the distomedial talus. On the articular surface of the distal tibia, all domestic pigs and 34 wild boars (87%) had synovial fossae and 7 domestic pigs (18%) had superficial cartilage fibrillation opposite an OC lesion (kissing lesion). Other articular indentations occurred in the intertrochlear groove of the talus in all domestic pigs and 13 wild boars (33%) and were less common on the trochlea tali. The prevalence of tarsal OC in wild boars is low. In domestic pigs and wild boars, OC is typically localized to the distomedial talus and in domestic pigs also to the medial trochlea tali. Further investigations into the reasons for the low OC prevalence in wild boars may help in developing strategies to reduce OC incidence in domestic pigs.
A misdiagnosed case of osteoid osteoma of the talus: a case report and literature review.
He, Huan; Xu, Hailin; Lu, Hao; Dang, Yu; Huang, Wei; Zhang, Qing
2017-01-23
Osteoid osteoma (OO) is a common benign bone tumour that is rarely found in the talus. Its nidus is difficult to detect on early imaging. The atypical symptoms of OO and the presence of concurrent trauma or sports injuries may lead to misdiagnosis and delayed treatment. We herein analyse a case of misdiagnosis of OO of the talus and discuss how to improve the early diagnosis of this rare lesion, thereby permitting rapid treatment. A 23-year-old man with a history of left ankle sprains and chronic pain was diagnosed with another ankle sprain and managed conservatively based on normal X-ray findings. After 1 year of recurring pain, he was diagnosed with ankle traumatic arthritis and underwent arthroscopic surgery. His preoperative ankle X-ray findings were still normal, and magnetic resonance imaging at that time demonstrated bone marrow oedema of the left talus. His symptoms reappeared shortly after surgery and progressively worsened. Magnetic resonance imaging performed 3 months after surgery demonstrated widespread bone marrow oedema of the talus. The patient presented to our hospital for pain assessment and was diagnosed with OO of the talus 3 years after his symptoms began. Preoperative computed tomography (CT) demonstrated a typical nidus of OO of the talus. After a second surgery, the patient's symptoms completely resolved, and pathologic examination confirmed that the lesion was OO. The patient recovered 3 months later and was able to walk normally. OO of the ankle joint exhibits a progressive course and is difficult to diagnose at an early stage. Patients with OO of the talus often have atypical imaging findings, no signs of ankle instability, and no anterior talofibular ligament tenderness. CT is valuable for diagnosing OO, although multiple CT scans may be required to detect the nidus. Proper imaging helps doctors to achieve the correct diagnosis early in the disease course, significantly shortening the treatment cycle and improving the patient's quality of life.
Fatigue Stress Fracture of the Talar Body: An Uncommon Cause of Ankle Pain.
Kim, Young Sung; Lee, Ho Min; Kim, Jong Pil; Moon, Han Sol
2016-01-01
Fatigue stress fractures of the talus are rare and usually involve the head of the talus in military recruits. We report an uncommon cause of ankle pain due to a fatigue stress fracture of the body of the talus in a 32-year-old male social soccer player. Healing was achieved after weightbearing suppression for 6 weeks. Although rare, a stress fracture of the body of the talus should be considered in an athlete with a gradual onset of chronic ankle pain. Magnetic resonance imaging and bone scan are useful tools for early diagnosis. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Observations of obsidian lava flow emplacement at Puyehue-Cordón Caulle, Chile
NASA Astrophysics Data System (ADS)
Tuffen, H.; Castro, J. M.; Schipper, C. I.; James, M. R.
2012-04-01
The dynamics of obsidian lava flow emplacement remain poorly understood as active obsidian lavas are seldom seen. In contrast with well-documented basaltic lavas, we lack observational data on obsidian flow advance and temporal evolution. The ongoing silicic eruption at Puyehue-Cordón Caulle volcanic complex (PCCVC), southern Chile provides an unprecedented opportunity to witness and study obsidian lava on the move. The eruption, which started explosively on June 4th 2011, has since June 20 generated an active obsidian flow field that remains active at the time of writing (January 2012), with an area of ~6 km2, and estimated volume of ~0.18 km3. We report on observations, imaging and sampling of the north-western lava flow field on January 4th and 10th 2012, when vent activity was characterised by near-continuous ash venting and Vulcanian explosions (Schipper et al, this session) and was simultaneously feeding the advancing obsidian flow (Castro et al, this session). On January 4th the north-western lava flow front was characterised by two dominant facies: predominant rubbly lava approximately 30-40 m thick and mantled by unstable talus aprons, and smoother, thinner lobes of more continuous lava ~50 m in length that extended roughly perpendicular to the overall flow direction, forming lobes that protrude from the flow margin, and lacked talus aprons. The latter lava facies closely resembled squeeze-up structures in basaltic lava flows[1] and appeared to originate from and overlie the talus apron of the rubbly lava. Its upper surface consisted of smooth, gently folded lava domains cut by crevasse-like tension gashes. During ~2 hours of observation the squeeze-up lava lobe was the most frequent location of small-volume rockfalls, which occurred at ~1-10 minute intervals from the flow front and indicated a locus of lava advance. On January 10th the squeeze-up lava lobes had evolved significantly, with disruption and breakage of smooth continuous lava surfaces to form blocky lava domains. Gravitational collapse of lobe toes had created an incipient talus apron that had markedly advanced. In contrast, the rubbly lava had undergone only modest evolution, reflecting continued rockfall and subtle advance of its well-developed talus apron. Visualisation of the lava morphology and evolution was assisted by 3D models of the lava flow front, produced by an automated photo-reconstruction technique (SfM-MVS, a combination of structure from motion and multi-view stereo algorithms), and >1000 digital images taken at the scene. Additionally samples were collected from the rubbly lava and squeeze-up lava lobe facies. Sample textures, geochemistry and volatile concentrations will provide further insight into the evolving physical and chemical state of the lava. Our observations indicate that endogenous growth plays a major role in obsidian lava flow advance, with effective thermal insulation of lava that emerges from squeeze-ups close to the flow margin. This has important implications for the longevity, mobility and hazard potential of obsidian flows and indicates striking similarities with the dynamics of basaltic lava flow emplacement. [1]Applegarth L.J. et al. 2010 Bull. Volcanol. 72, 641-656.
Jeong, Seong-Yup; Kim, Jong-Kil; Lee, Kwang-Bok
2016-12-01
Retrograde drilling is a well accepted procedure for osteochondral lesion of the talus and subchondral cyst with intact overlying cartilage. It has good results in most reports. Compared to anterograde drilling, retrograde drilling can protect the integrity of the articular cartilage. The purpose of this study was to evaluate the suitability of using retrograde drilling for osteochondral lesion with subchondral cyst and discuss the mechanism involved in the development of subchondral cyst. We report a 53-year-old man who had complained left ankle pain that lasted over 6 months which was exacerbated by walking. We diagnosed it as osteochondral lesion of the talus with subchondral cyst. Plain X-ray, computed tomography, and magnetic resonance imaging (MRI) of the ankle. He undertook retrograde drilling without debridement of cartilage. After the surgery, the pain had been subsided for 1 year, although arthritic change had progressed. However, after 5 years of retrograde drilling, he revisited our hospital due to severe ankle pain. Plain X-ray and MRI showed arthritic change of the ankle and multiple cystic formation of talus. Retrograde drilling has some problem because this procedure is not theoretically correct when the development of a subchondral cyst in osteochondral lesion of the talus is considered. In addition, retrograde drilling may impair uninjured bone marrow of the talus, resulting in the development of multiple cystic formations.
Numerical modelling of convective heat transport by air flow in permafrost talus slopes
NASA Astrophysics Data System (ADS)
Wicky, Jonas; Hauck, Christian
2017-06-01
Talus slopes are a widespread geomorphic feature in the Alps. Due to their high porosity a gravity-driven internal air circulation can be established which is forced by the gradient between external (air) and internal (talus) temperature. The thermal regime is different from the surrounding environment, leading to the occurrence of permafrost below the typical permafrost zone. This phenomenon has mainly been analysed by field studies and only few explicit numerical modelling studies exist. Numerical simulations of permafrost sometimes use parameterisations for the effects of convection but mostly neglect the influence of convective heat transfer in air on the thermal regime. In contrast, in civil engineering many studies have been carried out to investigate the thermal behaviour of blocky layers and to improve their passive cooling effect. The present study further develops and applies these concepts to model heat transfer in air flows in a natural-scale talus slope. Modelling results show that convective heat transfer has the potential to develop a significant temperature difference between the lower and the upper parts of the talus slope. A seasonally alternating chimney-effect type of circulation develops. Modelling results also show that this convective heat transfer leads to the formation of a cold reservoir in the lower part of the talus slope, which can be crucial for maintaining the frozen ground conditions despite increasing air temperatures caused by climate change.
Sueker, J.K.; Clow, D.W.; Ryan, J.N.; Jarrett, R.D.
2001-01-01
Alpine/subalpine basins may exhibit substantial variability in solute fluxes despite many apparent similarities in basin characteristics. An evaluation of controls on spatial patterns in solute fluxes may allow development of predictive tools for assessing basin sensitivity to outside perturbations such as climate change or deposition of atmospheric pollutants. Relationships between basin physical characteristics, determined from geographical information system (GIS) tools, and solute fluxes and mineral weathering rates were explored for nine alpine/subalpine basins in Rocky Mountain National Park, Colorado, using correlation analyses for 1993 and 1994 data. Stream-water nitrate fluxes were correlated positively with basin characteristics associated with the talus environment; i.e., the fractional amounts of steep slopes (??? 30??), unvegetated terrain and young debris (primarily Holocene till) in the basins, and were correlated negatively with fractional amounts of subalpine meadow terrain. Correlations with nitrate indicate the importance of the talus environment in promoting nitrate flux and the mitigating effect of areas with established vegetation, such as subalpine meadows. Total mineral weathering rates for the basins ranged from about 300 to 600 mol ha-1 year -1. Oligoclase weathering accounted for 30 to 73% of the total mineral weathering flux, and was positively correlated with the amount of old debris (primarily Pleistocene glacial till) in the basins. Although calcite is found in trace amounts in bedrock, calcite weathering accounted for up to 44% of the total mineral weathering flux. Calcite was strongly correlated with steep slope, unvegetated terrain, and young debris-probably because physical weathering in steep-gradient areas exposes fresh mineral surfaces that contain calcite for chemical weathering. Oligoclase and calcite weathering are the dominant sources of alkalinity in the basins. However, atmospherically deposited acids consume much of the alkalinity generated by weathering of calcite and other minerals in the talus environment. Published in 2001 by John Wiley and Sons, Ltd.
NASA Astrophysics Data System (ADS)
Sueker, Julie K.; Clow, David W.; Ryan, Joseph N.; Jarrett, Robert D.
2001-10-01
Alpine/subalpine basins may exhibit substantial variability in solute fluxes despite many apparent similarities in basin characteristics. An evaluation of controls on spatial patterns in solute fluxes may allow development of predictive tools for assessing basin sensitivity to outside perturbations such as climate change or deposition of atmospheric pollutants. Relationships between basin physical characteristics, determined from geographical information system (GIS) tools, and solute fluxes and mineral weathering rates were explored for nine alpine/subalpine basins in Rocky Mountain National Park, Colorado, using correlation analyses for 1993 and 1994 data. Stream-water nitrate fluxes were correlated positively with basin characteristics associated with the talus environment; i.e., the fractional amounts of steep slopes ( 30°), unvegetated terrain and young debris (primarily Holocene till) in the basins, and were correlated negatively with fractional amounts of subalpine meadow terrain. Correlations with nitrate indicate the importance of the talus environment in promoting nitrate flux and the mitigating effect of areas with established vegetation, such as subalpine meadows. Total mineral weathering rates for the basins ranged from about 300 to 600 mol ha-1 year-1. Oligoclase weathering accounted for 30 to 73% of the total mineral weathering flux, and was positively correlated with the amount of old debris (primarily Pleistocene glacial till) in the basins. Although calcite is found in trace amounts in bedrock, calcite weathering accounted for up to 44% of the total mineral weathering flux. Calcite was strongly correlated with steep slope, unvegetated terrain, and young debris - probably because physical weathering in steep-gradient areas exposes fresh mineral surfaces that contain calcite for chemical weathering. Oligoclase and calcite weathering are the dominant sources of alkalinity in the basins. However, atmospherically deposited acids consume much of the alkalinity generated by weathering of calcite and other minerals in the talus environment. Published in 2001 by John Wiley & Sons, Ltd.
Goto, Akira; Moritomo, Hisao; Itohara, Tomonobu; Watanabe, Tetsu; Sugamoto, Kazuomi
2009-05-01
It is difficult to determine the kinematics of the subtalar joint because of its anatomical and functional complexity. The purpose of the study was to clarify the 3D kinematics of the subtalar joint in vivo. Subjects were four healthy female volunteers. Magnetic resonance imaging (MRI) sequences were acquired in seven positions during dorsi-plantarflexion (DPF) and in 10 positions during inversion-eversion (IE) at intervals of 10 degrees. MRI data of the talus and calcaneus in the neutral position were superimposed on images of the other positions using voxel-based registration, and relative motions and axes of rotation were visualized and quantitatively calculated. The calcaneus always rotated from dorsolateral to medioplantar during DPF and IE, and the motion plane was very similar to that of the entire foot in IE. The axes of rotation of the calcaneus relative to the talus during DPF and IE had a very close spatial relationship, running obliquely from antero-dorso-medial to postero-planto-lateral and penetrating the talar neck. The rotation angle around each of these calcaneal axes tended to be greater in IE (20 degrees +/- 2 degrees) than in DPF (16 degrees +/- 3 degrees). In DPF, motion of the calcaneus relative to the talus occurred predominantly around maximum dorsiflexion and plantarflexion, with little movement observed at intermediate positions. During IE, the calcaneus exhibited uninterrupted motion related to foot movement. The subtalar joint is essentially a uniaxial joint with a motion plane almost identical to that of IE of the entire foot. Knowledge of normal subtalar kinematics may be helpful when evaluating pathologic conditions.
NASA Astrophysics Data System (ADS)
Wadge, G.; Macfarlane, D. G.; Odbert, H. M.; James, M. R.; Hole, J. K.; Ryan, G.; Bass, V.; de Angelis, S.; Pinkerton, H.; Robertson, D. A.; Loughlin, S. C.
2008-08-01
Exogenous growth of Peléean lava domes involves the addition of lava from a central summit vent and mass wasting on the flanks as rockfalls and pyroclastic flows. These processes were investigated at the Soufrière Hills Volcano, Montserrat, between 30 March and 10 April 2006, using a ground-based imaging millimeter-wave radar, AVTIS, to measure the shape of the dome and talus surface and rockfall seismicity combined with camera observations to infer pyroclastic flow deposit volumes. The topographic evolution of the lava dome was recorded in a time series of radar range and intensity measurements from a distance of 6 km, recording a southeastward shift in the locus of talus deposition with time, and an average height increase for the talus surface of about 2 m a day. The AVTIS measurements show an acceleration in lava extrusion rate on 5 April, with a 2-day lag in the equivalent change in the rockfall seismicity record. The dense rock equivalent volumetric budget of lava added and dispersed, including the respective proportions of the total for each component, was calculated using: (1) AVTIS range and intensity measurements of the change in summit lava (˜1.5 × 106 m3, 22%), (2) AVTIS range measurements to measure the talus growth (˜3.9 × 106 m3, 57%), and (3) rockfall seismicity to measure the pyroclastic flow deposit volumes (˜1.4 × 106 m3, 21%), which gives an overall dense rock equivalent extrusion rate of about 7 m3·s-1. These figures demonstrate how efficient nonexplosive lava dome growth can be in generating large volumes of primary clastic deposits, a process that, by reducing the proportion of erupted lava stored in the summit region, will reduce the likelihood of large hazardous pyroclastic flows.
Wong, Duo Wai-Chi; Niu, Wenxin; Wang, Yan; Zhang, Ming
2016-01-01
Foot and ankle impact injury is common in geriatric trauma and often leads to fracture of rearfoot, including calcaneus and talus. The objective of this study was to assess the influence of foot impact on the risk of calcaneus and talus fracture via finite element analysis. A three-dimensional finite element model of foot and ankle was constructed based on magnetic resonance images of a female aged 28. The foot sustained a 7-kg passive impact through a foot plate. The simulated impact velocities were from 2.0 to 7.0 m/s with 1.0 m/s interval. At 5.0 m/s impact velocity, the maximum von Mises stress of the trabecular calcaneus and talus were 3.21MPa and 2.41MPa respectively, while that of the Tresca stress were 3.46MPa and 2.55MPa. About 94% and 84% of the trabecular calcaneus and talus exceeded the shear yielding stress, while 21.7% and 18.3% yielded the compressive stress. The peak stresses were distributed around the talocalcaneal articulation and the calcaneal tuberosity inferiorly, which corresponded to the common fracture sites. The prediction in this study showed that axial compressive impact at 5.0 m/s could produce considerable yielding of trabecular bone in both calcaneus and talus, dominantly by shear and compounded with compression that predispose the rearfoot in the risk of fracture. This study suggested the injury pattern and fracture mode of high energy trauma that provides insights in injury prevention and fracture management.
Calcaneotalar ratio: a new concept in the estimation of the length of the calcaneus.
David, Vikram; Stephens, Terry J; Kindl, Radek; Ang, Andy; Tay, Wei-Han; Asaid, Rafik; McCullough, Keith
2015-01-01
Maintaining the calcaneal length after calcaneal fractures is vital to restoring the normal biomechanics of the foot, because it acts as an important lever arm to the plantarflexors of the foot. However, estimation of the length of the calcaneus to be reconstructed in comminuted calcaneal fractures can be difficult. We propose a new method to reliably estimate the calcaneal length radiographically by defining the calcaneotalar length ratio. A total of 100 ankle radiographs with no fracture in the calcaneus or talus taken in skeletally mature patients were reviewed by 6 observers. The anteroposterior lengths of the calcaneus and talus were measured, and the calcaneotalar length ratio was determined. The ratio was then used to estimate the length of the calcaneus. Interobserver reliability was determined using Cronbach's α coefficient and Pearson's correlation coefficient. The mean length of the calcaneus was 75 ± 0.6 mm, and the mean length of the talus was 59 ± 0.5 mm. The calcaneotalar ratio was 1.3. Using this ratio and multiplying it by the talar length, the mean average estimated length of the calcaneus was within 0.7 mm of the known calcaneal length. Cronbach's α coefficient and Pearson's correlation coefficient showed excellent interobserver reliability. The proposed calcaneotalar ratio is a new and reliable method to radiographically estimate the normal length of the calcaneus when reconstructing the calcaneus. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Glas, R. L.; Lautz, L.; McKenzie, J. M.; Moucha, R.; Mark, B. G.
2017-12-01
Geological and depositional conditions of the glaciated Cordillera Blanca in Peru have given way to proglacial aquifer systems that contribute substantially to regional streams and rivers, particularly during the dry season. As glacial retreat accelerates, the dry season water budget will be increasingly dominated by groundwater inputs, although predictions of future groundwater quantities require estimations of groundwater storage capacity, aquifer extents, and groundwater residence time. We present a characterization of the sediment structure in a prototypical proglacial valley in the central portion of the range, the Quilcayhuanca Valley. Northern and Central valleys of the Cordillera Blanca feature ubiquitous talus deposits that line the steep granite walls, and have become partially buried beneath lacustrine sediments deposited in proglacial lake beds. The portion of the talus still exposed near the valley walls provides recharge to deeper portions of the valley aquifers that underlie lacustrine clay, resulting in a confined aquifer system that is connected to the surface via perennial springs. Seismic refraction surveys reveal an interface separating relatively slow ( 400-800 m/s) and fast ( 2500 m/s) p-wave velocities. The depth of this refractor coincides with the depth to buried talus observed in drilling records. Electrical resistivity tomography profiles of the same transect show depths near the buried talus to be relatively conductive (10-100 Ωm). At these depths, we hypothesize that electrical conductance is elevated by saturated clay particles in the sediment matrix of the talus deposit. The resistivity models all show a more resistive ( 700 Ω m) region at depth, likely corresponding to a more hydraulically conductive material. The resistive zone is interpreted to be a deeper portion of a buried talus deposit that did not accumulate clay in the matrix. Other possibilities include a thick deposit of gravelly glacial outwash, or a relatively clay-poor glacial till. We present a groundwater modeling framework to resolve the nature of the sediments in deeper layers, where geophysical data become less certain. Sediment permeability estimates will allow for more refined predictions of groundwater storage volume in buried talus aquifers, which are likely prevalent throughout the range.
Zhang, P; Dong, Q R; Wang, Z Y; Chen, B; Wan, J H; Wang, L
2016-11-08
Objective: To explore the manual operation skills of operative treatment of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws, and to study the clinical results. Method: From Jan 2009 to Dec 2014, the clinical data of 13 patients with ipsilateral Hawkins Ⅲ talus neck and ankle joint fractres via internal and lateral approaches with Herbert screws were retrospectively analyzed in our department.There were 10 males and 3 female, ranging in age from 20 to 60 years with an average age of 31.5 years.The fractures occurred on the right side in 9 patients and on the left side in 4 patients.Three cases had the complication of medial malleolar fracture.Ten cases had the complication of medial and lateral malleolar fracture. Totally 11 cases were made calcaneal skeletal traction, and all the were made CT with three-dimensional image reconstruction.Two cases were treated with emergency operation.Eleven cases were treated with selective operation.The operation time was 5 hours-10 days after injury. The functional results were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS). Result: The average duration of follow-up was 22.6 months (range, 14-65 months). There was skin necrosis in one cases, no incision infection, malunion and nonunion of the fractures and loss of reduction. At final follow-up, AOFAS ankle score was 75.2 (range, 42 to 93), higher than preoperative 39.2 (range, 23 to 60), the difference was statistically significant ( P =0.023). The result was excellent in 4 cases, good in 5 cases, fair in 3 cases and 1 cases in poor, and the overall excellent or good rate was 69.2%. Avascular necrosis occurred in 3 cases (23.1%, 3/13). Traumatic arthritis was found in 5 cases (38.5%, 5/13), involved tibial astragaloid joint in 2 cases, involved subtalar joint in 1 case, involved tibial astragaloid joint and subtalar joint in 2 cases. Conclusion: The effect of surgical treatment for ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws is satisfactory.Correct operative approach and pay more attention to protect blood circulation of intraoperative, anatomical precision and strong reduction and fixation are the key to achieve and gain better long-term results for the surgical treatment of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures.
Radiologic changes of ankle joint after total knee arthroplasty.
Lee, Jung Hee; Jeong, Bi O
2012-12-01
The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total knee arthroplasty. This study included 142 cases in 110 patients who underwent total knee arthroplasty and were followed for at least 3 years. The varus knee group included 128 cases and the valgus knee group included 14 cases. On anteroposterior standing lower extremity radiographs, varus and valgus angles of the knee were measured preoperatively and at the last follow-up. The angle between the ground surface and the distal tibial plafond as well as the upper talus was also measured. In addition, tibial anterior surface angle, talar tilt, space between the medial malleolar distal tip and the medial articular surface of the talus, and medial tibiotalar joint space of the ankle joint were measured. Out of 142 cases, 50 (35.2%) had arthritis in the ankle before total knee arthroplasty and 31 (21.8%) had newly developed or progressive arthritis after surgery. In particular, the varus knee group demonstrated statistically significant differences in preoperative varus deformity, preoperative talar tilt, and postoperative correction angle between the cases that developed or had progressive arthritis and those that did not show any changes (p < .05). After total knee arthroplasty, arthritis developed or progressed in the ankle of many cases radiographically. In particular, when the preoperative talar tilt increased medial to the ankle or the postoperative correction angle was large, the incidence of arthritis in the ankle joint increased. The authors recommend more cautious follow-up on the symptoms of the ankle joint after total knee arthroplasty.
Anatomic aspects of tibiotalocalcaneal nail arthrodesis.
Hyer, Christopher F; Cheney, Nick
2013-01-01
During the past 15 years, tibiotalocalcaneal nail arthrodesis has become an established procedure for the treatment of specific disorders of the hindfoot and ankle. However, controversy exists regarding the proper starting point for obtaining and maintaining the correct hindfoot position to allow successful fusion. One of the challenges with this procedure is aligning the tibial canal with the central talus and calcaneus for placement of the intramedullary nail. We performed a cadaver study to evaluate the radiographic and anatomic position of the tibial canal and the central talus as it relates to placement of a retrograde tibiotalocalcaneal nail. In our subjects, guide wires directed in an antegrade fashion down the tibial canal were more likely to enter lateral to the midline of the talus and miss the calcaneal body medially. These data have revealed a mismatch among the central axis of the tibia, talus, and calcaneus. Surgeons must pay careful attention to wire placement across these 3 bone segments during retrograde tibiotalocalcaneal nailing. Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Golshani, Ashkahn; Zhu, Liang; Cai, Chunyan; Beckmann, Nicholas M
2017-02-01
Tendon injuries are a commonly encountered finding in ankle CT examinations performed for fractures. This study was designed to identify the incidence and associations of tendon injuries in ankle CT examinations performed for fractures. A retrospective review was performed of 410 patients who underwent ankle CT during a 6-year period. Tendon injuries were common, seen in 25% of all ankle CT examinations. Tendon subluxation-dislocation accounted for most of the tendon injuries (77 of 196 total injuries). Pilon fractures carried 2.2 times increased risk of tibialis posterior tendon injury (p = 0.0094). Calcaneus fractures carried 11.86 times increased risk of peroneus brevis tendon and 10.71 times increased risk of peroneus longus tendon injury (p < 0.0001). Calcaneus fractures also carried 5.21 times increased risk of flexor hallucis longus tendon injury (p = 0.0024). Talus fracture was associated with injury to all flexor compartment tendons. Talus fractures carried 3.43 times increased risk of tibialis posterior tendon injury (p < 0.0001), 4.51 times increased risk of flexor digitorum longus tendon injury (p = 0.0005), and 6.97 times increased risk of flexor hallucis longus tendon injury (p < 0.0001). Calcaneal fractures are prone to peroneal tendon injury, and talus fractures are prone to flexor tendon injury. In patients with pilon fractures, it is important to look for tibialis posterior tendon injury, specifically for entrapment. Overall, the most common type of injury is tendon malalignment, so it is imperative to know the normal tendon paths and associated bony landmarks to identify tendon injury.
NASA Astrophysics Data System (ADS)
Hendrickx, Hanne; Delaloye, Reynald; Nyssen, Jan; Frankl, Amaury
2017-04-01
Climate change is altering temperature regimes and precipitation patterns worldwide. In the European Alps, atmospheric temperatures have risen twice as fast as the global average since 1900, while precipitation regimes are changing as well. Snow cover duration and extent has significantly decreased in the Swiss Alps, mainly due to earlier spring melt and rise in winter temperatures. Moreover, future projections predict a continuation of these trends. Spatial distribution and thermal properties of permafrost are highly influenced by ground surface conditions (snow and vegetation) and air temperature. Climate induced permafrost degradation is, therefore, expected. While alpine permafrost research has mainly focused on rock glaciers, less attention has been given to talus slopes. The latter are subjected to different kinds of slope processes such as debris flows, solifluction, permafrost creep, avalanches and rock fall. These processes are especially effective under a changing periglacial climate. Therefore, it is important to study permafrost distribution in these talus slopes, since it is believed to have large influence on slope stability. In this study, permafrost distribution will be mapped on several talus slope segments (10 - 40 ha) using geomorphological evidence, temperature data and measuring electrical resistivity tomography (ERT) profiles in addition to already existing data. The current dynamics of the study area will be studied by constructing detailed 3D models, using ground based and aerial photography (Unmanned Aerial Vehicles, UAV) and the Structure-from-Motion method (SfM). The resulting Digital Elevation Models (DEM) will be used to quantify and understand the current geomorphological processes acting on these talus slopes. Historical aerial and terrestrial photographs will be used to give an idea about the magnitude and frequency of past geomorphic processes (e.g. debris flows). Historical and current dynamics can then be compared and contrasted with permafrost occurrence. By doing so, this study will answer following question: "To which extent will climate-induced permafrost degradation impact geomorphological processes on talus slopes?".
Makitsubo, Manami; Adachi, Nobuo; Nakasa, Tomoyuki; Kato, Tomohiro; Shimizu, Ryo; Ochi, Mitsuo
2016-10-04
Although differences in the results of the bone marrow stimulation technique between the knee and ankle have been reported, a detailed mechanism for those differences has not been clarified. The purpose of this study was to examine whether morphological differences between the knee and ankle joint affect the results of drilling as treatment for osteochondral defects in a rabbit model. Osteochondral defects were created at the knee and ankle joint in the rabbit. In the knee, osteochondral defects were created at the medial femoral condyle (MFC) and patellar groove (PG). At the ankle, defects were created in the talus at either a covered or uncovered area by the tibial plafond. After creating the osteochondral defect, drilling was performed. At 4, 8, and 12 weeks after surgery, repair of the osteochondral defects were evaluated histologically. The proliferation of rabbit chondrocytes and proteoglycan release of cartilage tissue in response to IL-1β were analyzed in vitro in both joints. At 8 weeks after surgery, hyaline cartilage repair was observed in defects at the covered area of the talus and the MFC. At 12 weeks, hyaline cartilage with a normal thickness was observed for the defect at the covered area of the talus, but not for the defect at the MFC. At 12 weeks, subchondral bone formation progressed and a normal contour of subchondral bone was observed on CT in the defect at the covered area of the talus. No significant differences in chondrocyte proliferation rate and proteoglycan release were detected between the knee and ankle in vitro. Our results demonstrate that the covered areas of the talus show early and sufficient osteochondral repair compared to that of the knee and the uncovered areas of the talus. These results suggest that the congruent joint shows better subchondral repair prior to cartilage repair compared to that of the incongruent joint.
Colborne, G R; Hadley, N R; Wallace, A M
2013-01-01
In order to apply hinged transarticular external skeletal fixation for stabilization of the injured canine tarsal joint, knowledge of the three-dimensional (3D) location and orientation of the transverse axis is necessary. This method of immobilization may be used as a primary or adjunctive method of stabilisation for a large number of traumatic conditions. Using pin-mounted markers in the cadaveric Greyhound crus and talus, a closed-form solution of absolute orientation was used to identify, on radiographs, the lateral and medial locations of the transverse axis by tracking the 3D excursions of the markers during flexion and extension. A line was drawn across the dorsal aspect of the calcaneus from the most dorsal point on the distal articular surface(proximal intertarsal joint: PIJ) to the most dorsal point on its proximal articulation with the body of the talus, and the location of the centre of rotation was expressed in terms of the length of that line. In seven Greyhound tarsal joints, the medial end of the axis was located 73 ± 10% proximal to the PIJ and 11 ± 7% dorsal to the line. The lateral end was 73 ± 9% proximal tothe PIJ and -2 ± 3% plantar to the line.
Klos, K; Lange, A; Matziolis, G; Wagner, A
2013-05-01
Following loss of the talus, tibiocalcaneal fusion is often the only available means of obtaining weight-bearing ability in the lower limb. Length discrepancy may be managed with an allograft. This casuistic describes 6 patients with tibiocalcaneal fusion (mean age 64 years) who had received a structural femoral head allograft fusion for failed total ankle arthroplasty (3 cases), Charcot arthropathy (2 cases) and osteomyelitis (1 case). The mean follow-up was 33 months and all limbs could be salvaged. There were two cases of non-union (one with infection). The mean AOFAS score was 51 and the mean Mazur score was 37. In the SF-36 the mean PCS was 34.4 and the mean MCS was 48.4. It was shown that in the hindfoot, as at other sites, allografts may be used for the filling of major bone defects; however, the patient function will still be massively impaired. Therefore, the procedure should be confined to cases where less complex and less invasive techniques are unlikely to be of benefit.
Neandertal talus bones from El Sidrón site (Asturias, Spain): A 3D geometric morphometrics analysis.
Rosas, Antonio; Ferrando, Anabel; Bastir, Markus; García-Tabernero, Antonio; Estalrrich, Almudena; Huguet, Rosa; García-Martínez, Daniel; Pastor, Juan Francisco; de la Rasilla, Marco
2017-10-01
The El Sidrón tali sample is assessed in an evolutionary framework. We aim to explore the relationship between Neandertal talus morphology and body size/shape. We test the hypothesis 1: talar Neandertal traits are influenced by body size, and the hypothesis 2: shape variables independent of body size correspond to inherited primitive features. We quantify 35 landmarks through 3D geometric morphometrics techniques to describe H. neanderthalensis-H. sapiens shape variation, by Mean Shape Comparisons, Principal Component, Phenetic Clusters, Minimum spanning tree analyses and partial least square and regression of talus shape on body variables. Shape variation correlated to body size is compared to Neandertals-Modern Humans (MH) evolutionary shape variation. The Neandertal sample is compared to early hominins. Neandertal talus presents trochlear hypertrophy, a larger equality of trochlear rims, a shorter neck, a more expanded head, curvature and an anterior location of the medial malleolar facet, an expanded and projected lateral malleolar facet and laterally expanded posterior calcaneal facet compared to MH. The Neandertal talocrural joint morphology is influenced by body size. The other Neandertal talus traits do not co-vary with it or not follow the same co-variation pattern as MH. Besides, the trochlear hypertrophy, the trochlear rims equality and the short neck could be inherited primitive features; the medial malleolar facet morphology could be an inherited primitive feature or a secondarily primitive trait; and the calcaneal posterior facet would be an autapomorphic feature of the Neandertal lineage. © 2017 Wiley Periodicals, Inc.
Inferring hydraulic properties of alpine aquifers from the propagation of diurnal snowmelt signals
NASA Astrophysics Data System (ADS)
Kurylyk, Barret L.; Hayashi, Masaki
2017-05-01
Alpine watersheds source major rivers throughout the world and supply essential water for irrigation, human consumption, and hydroelectricity. Coarse depositional units in alpine watersheds can store and transmit significant volumes of groundwater and thus augment stream discharge during the dry season. These environments are typically data scarce, which has limited the application of physically based models to investigate hydrologic sensitivity to environmental change. This study focuses on a coarse alpine talus unit within the Lake O'Hara watershed in the Canadian Rockies. We investigate processes controlling the hydrologic functioning of the talus unit using field observations and a numerical groundwater flow model driven with a distributed snowmelt model. The model hydraulic parameters are adjusted to investigate how these properties influence the propagation of snowmelt-induced diurnal signals. The model results expectedly demonstrate that diurnal signals at the talus outlet are progressively damped and lagged with lower hydraulic conductivity and higher specific yield. The simulations further indicate that the lag can be primarily controlled by a higher hydraulic conductivity upper layer, whereas the damping can be strongly influenced by a lower hydraulic conductivity layer along the base of the talus. The simulations specifically suggest that the talus slope can be represented as a two layer system with a high conductivity zone (0.02 m s-1) overlying a 10 cm thick lower conductivity zone (0.002 m s-1). This study demonstrates that diurnal signals can be used to elucidate the hydrologic functioning and hydraulic properties of shallow aquifers and thus aid in the parameterization of hydrological models.
The Importance of Biologically Relevant Microclimates in Habitat Suitability Assessments
Varner, Johanna; Dearing, M. Denise
2014-01-01
Predicting habitat suitability under climate change is vital to conserving biodiversity. However, current species distribution models rely on coarse scale climate data, whereas fine scale microclimate data may be necessary to assess habitat suitability and generate predictive models. Here, we evaluate disparities between temperature data at the coarse scale from weather stations versus fine-scale data measured in microhabitats required for a climate-sensitive mammal, the American pika (Ochotona princeps). We collected two years of temperature data in occupied talus habitats predicted to be suitable (high elevation) and unsuitable (low elevation) by the bioclimatic envelope approach. At low elevations, talus surface and interstitial microclimates drastically differed from ambient temperatures measured on-site and at a nearby weather station. Interstitial talus temperatures were frequently decoupled from high ambient temperatures, resulting in instantaneous disparities of over 30°C between these two measurements. Microhabitat temperatures were also highly heterogeneous, such that temperature measurements within the same patch of talus were not more correlated than measurements at distant patches. An experimental manipulation revealed that vegetation cover may cool the talus surface by up to 10°C during the summer, which may contribute to this spatial heterogeneity. Finally, low elevation microclimates were milder and less variable than typical alpine habitat, suggesting that, counter to species distribution model predictions, these seemingly unsuitable habitats may actually be better refugia for this species under climate change. These results highlight the importance of fine-scale microhabitat data in habitat assessments and underscore the notion that some critical refugia may be counterintuitive. PMID:25115894
The importance of biologically relevant microclimates in habitat suitability assessments.
Varner, Johanna; Dearing, M Denise
2014-01-01
Predicting habitat suitability under climate change is vital to conserving biodiversity. However, current species distribution models rely on coarse scale climate data, whereas fine scale microclimate data may be necessary to assess habitat suitability and generate predictive models. Here, we evaluate disparities between temperature data at the coarse scale from weather stations versus fine-scale data measured in microhabitats required for a climate-sensitive mammal, the American pika (Ochotona princeps). We collected two years of temperature data in occupied talus habitats predicted to be suitable (high elevation) and unsuitable (low elevation) by the bioclimatic envelope approach. At low elevations, talus surface and interstitial microclimates drastically differed from ambient temperatures measured on-site and at a nearby weather station. Interstitial talus temperatures were frequently decoupled from high ambient temperatures, resulting in instantaneous disparities of over 30 °C between these two measurements. Microhabitat temperatures were also highly heterogeneous, such that temperature measurements within the same patch of talus were not more correlated than measurements at distant patches. An experimental manipulation revealed that vegetation cover may cool the talus surface by up to 10 °C during the summer, which may contribute to this spatial heterogeneity. Finally, low elevation microclimates were milder and less variable than typical alpine habitat, suggesting that, counter to species distribution model predictions, these seemingly unsuitable habitats may actually be better refugia for this species under climate change. These results highlight the importance of fine-scale microhabitat data in habitat assessments and underscore the notion that some critical refugia may be counterintuitive.
Watanabe, Hiroshi; Majima, Tokifumi; Takahashi, Kenji; Kawaji, Hidemi; Takai, Shinro
We describe a rare case of a fracture of the medial tubercle of the posterior process of the talus in a 16-year-old male athlete who fell during basketball practice. The patient presented to our orthopedic clinic when pain and swelling had persisted despite 2 weeks of anti-inflammatory medication and rest. Computed tomography and magnetic resonance imaging scans revealed a fracture of the posteromedial tubercle of the talus and a small amount of retained fluid in the joint. Immobilization with a below-the-knee cast and non-weightbearing for 4 weeks, with a gradual return to full activity, was successful. At the 1-year follow-up evaluation, the patient expressed no complaints. Fracture of the posteromedial tubercle of the talus will usually result in a misdiagnosis or delayed diagnosis owing to the insidious onset of symptoms. We believe the present fracture configuration resulted from the vertical compression force that occurred on landing by posterior medial ankle impingement in plantarflexion-supination, modifying the conventional concept of the posteromedial tubercle fracture. We also present a suggested classification with a flowchart diagram. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Haas, Florian; Heckmann, Tobias; Klein, Thomas; Becht, Michael
2010-05-01
In high mountain regions, rockfall plays a major role as a geomorphic process, both in terms of sediment budget and natural hazard. During the last two years, high-resolution Terrestrial Laserscanning (TLS) was applied to study (a) detachment zones and sizes of rock fall events within steep rockfaces, (b) characteristics of rockfall deposits such as surface roughness, size distribution and fragment morphology, and (c) their influence on rockfall run-out length. The investigations were carried out in three study areas located in the Northern, Central and Southern Alps (Val di Funes, Northern Dolomites/Italy; Horlachtal, Central Alps/Austria; Höllental, Northern Calcareous Alps/Germany). Within this project (funded by the German Science Foundation, DFG), rockfaces and corresponding talus cones were scanned twice a year with two scanning resolutions. Larger events were investigated by scanning large areas of rockfaces and talus cones from a great distance (~500 m). In contrast, detailed scans from shorter distances (<250m) were used to investigate the capability of the approach to detect smaller events. With this approach, it was possible to record three large and several smaller events in the three catchments. The largest event occurred in the Dolomite Alps (Val di Funes/Italy) with a volume of nearly 3300 cubic meters (8900 tons). Both the detachment zone and the depositional zones could be defined very well by a cut-and-fill analysis of the digital elevation models generated from the TLS data. In addition, ground based LIDAR data are also a very helpful tool to characterize the surface properties of talus cones and the runout distances of large boulders. The surface roughness of talus cones in all three catchments was derived from the TLS point clouds by a GIS approach according to the roughness-length method. The resulting detailed rougness maps of the talus cones will help in the future to improve existing process models which are able to model runout distances on the talus cones using friction parameters. It has often been mentioned that not only the surface roughness of the talus cone, but also the shape of the boulders itself have an influence on the runout distance. The interrelationship between rock fragment morphology (characterised by shape parameters) and runout distance was analysed at the site of a large rockfall event (>10 000 cubic meters) from the year 2003 in the northern Dolomite Alps. For these analyses, the axial ratio of 618 rocks (>50 cm long axis) in the depositional zone and their corresponding runout distance were measured using TLS data and the software RiscanPro. Results show a significant correlation between the axial ratio of the particles and their runout distance. Rocks with a "round" shape (axial ratio around 1) have a longer runout distance than elongated or irregularly shaped particles (axial ratio greater than 1).
Water Resources and Groundwater in a Glaciated Andean Watershed (Cordillera Blanca, Peru)
NASA Astrophysics Data System (ADS)
McKenzie, J. M.; Gordon, R.; Baraer, M.; Lautz, L.; Mark, B. G.; Wigmore, O.; Chavez, D.; Aubry-Wake, C.
2014-12-01
It is estimated that almost 400 million people live in watersheds where glaciers provide at least 10% of the runoff, yet many questions remain regarding the impact of climate change and glacier recession on water resources derived from these high mountain watersheds. We present research from the Cordillera Blanca, Peru, an area with the highest density of glaciers in the tropics. While glacier meltwater buffers stream discharge throughout the range, groundwater is a major component of dry season runoff, contributing up to 50-70% of outflow in some tributaries. In order to predict future changes to water resources it is critical to understand how groundwater can offset future hydrologic stress by maintaining stream baseflow, including recharge mechanisms, subsurface pathways, storage, and net fluxes to rivers. We present a synthesis of results based on hydrologic modeling, drilling/piezometers, geophysics, and artificial and natural hydrologic tracers. Our findings show that 'pampas', low-relief mountain valleys, are critical for baseflow generation by storing groundwater on interannual timescales. Pampas have a total area of ~65 km2 and are comprised of unconsolidated glacial, talus, lacustrine and wetland (bofedales) deposits. The valleys commonly have buried talus aquifers that are overlain by low permeability, glaciolacustrine deposits. Glaciofluvial outwash deposits and small wetlands also act as unconfined aquifers. These groundwater systems appear to be primarily recharged by wet season precipitation, and at higher elevations also by glacial meltwater. Additionally a ubiquitous feature in the valleys are springs, often located at the base of talus deposits, which generate a large hydrologic flux within the hydrologic systems. While glaciers are the most visible and vulnerable component of the Andean waterscape, we argue that it is crucial to understand the complete mountain hydrologic cycle, including groundwater, in order to understand the ongoing transitions in a post peak-water setting.
Geochemistry and petrology of basaltic rocks from the Marshall Islands
Davis, Alice S.; Schwab, William C.; Haggerty, Janet A.
1986-01-01
A variety of volcanic rock was recovered from the flanks of seamounts, guyots, atolls, and islands in the Ratak chain of the Marshall Islands on the U.S. Geological Survey cruise L9-84-CP. The main objective of this cruise was to study the distribution and composition of ferromanganese oxide crusts. Preliminary results of managanese crust composition are reported by Schwab et al. (1985) and detailed studies are in preparation (Schwab et al., 1986). A total of seven seafloor edifices were studied using 12 khz, 3.5 khz and air gun seismic reflection, chain dredge and box corer. Bathymetry and ship track lines are presented by Schwab and Bailey (1985). Of the seven edifices surveyed two support atolls (Majuro and Taongi) and one is a tiny island (Jemo). Dredge locations and water depths are given in Table 1 and dredge locations are shown in Figure 1. Due to equipment failures depths of dredge hauls were limited to shallow depth for all except the first two sites occupied. Recovery consisted mostly of young, poorly-consolidated limestone of fore-reef slope deposit and minor volcanogenic breccia and loose talus. The breccia and pieces of talus are thickly encrusted with ferromanganese oxide, whereas the young limestone is only coated by a thin layer. Four of the seven sites surveyed yielded volcanic rock. The volcanic rock, volumetrically a minor part of each dredge haul, consists mostly of lapilli and cobble-size clasts in a calcareous matrix or as loose talus. Most clasts show evidence of reworking, being sub- to well rounded, sometimes with a thin ferromanganese crust of their own. This paper reports preliminary findings on the petrology and geochemistry of volcanic rock recovered.
Constance I. Millar
2011-01-01
In a pilot study, I observed a relationship between domestic livestock grazing and location of American pika (Ochotona princeps) haypiles in the eastern Sierra Nevada and several Great Basin mountain ranges. Where vegetation communities adjacent to talus bases (forefields) were grazed, mean distance from the talus borders to the closest fresh...
Sweet, Laurene A; OʼNeill, Lindsey M; Dobbs, Matthew B
2014-01-01
The purpose of this report is to explore assessment and serial casting intervention for painful rigid flatfoot deformities with vertical talus in an adolescent girl with hereditary spastic paraplegia who was nonambulatory. The participant's right foot underwent 2 phases of casting with correction first toward hindfoot inversion and then dorsiflexion. Because of a vertical talus, her left foot required an intermediate casting toward plantar flexion, inversion, and forefoot adduction prior to casting toward dorsiflexion. The patient improved despite the underlying progressive neuromuscular disorder. Pain ameliorated and she returned to supported standing and transfers. Spasticity decreased bilaterally and the flexibility of her foot deformities improved to allow orthotic fabrication in subtalar neutral. Results were maintained at 12 and 16 months. Individualized multiphase serial casting requires further investigation with patients such as those with hereditary spastic paraplegia.
Constance I. Millar; Robert D. Westfall; Angela Evenden; Jeffrey G. Holmquist; Jutta Schmidt-Gengenbach; Rebecca S. Franklin; Jan Nachlinger; Diane L. Delany
2015-01-01
Unique thermal and hydrologic regimes of rock-glacier and periglacial talus environments support little-studied mountain ecosystems. We report the first studies of vascular plant and arthropod diversity for these habitats in the central Sierra Nevada, California, USA. Surfaces of active rock glaciers develop scattered islands of soil that provide habitat for vegetation...
Varner, Johanna; Lambert, Mallory S.; Horns, Joshua J.; Laverty, Sean; Dizney, Laurie; Beever, Erik; Dearing, M. Denise
2015-01-01
Wildfires are increasing in frequency and severity as a result of climate change in many ecosystems; however, effects of altered disturbance regimes on wildlife remain poorly quantified. Here, we leverage an unexpected opportunity to investigate how fire affects the occupancy and abundance of a climate-sensitive habitat specialist, the American pika (Ochotona princeps). We determine the effects of a fire on microclimates within talus and explore habitat factors promoting persistence and abundance in fire-affected habitat. During the fire, temperatures in talus interstices remained below 19°C, suggesting that animals could have survived in situ. Within 2 years, pikas were widely distributed throughout burned areas and did not appear to be physiologically stressed at severely burned sites. Furthermore, pika densities were better predicted by topographic variables known to affect this species than by metrics of fire severity. This widespread distribution may reflect quick vegetation recovery and the fact that the fire did not alter the talus microclimates in the following years. Together, these results highlight the value of talus as a thermal refuge for small animals during and after fire. They also underscore the importance of further study in individual species’ responses to typical and altered disturbance regimes.
Dobbs, Bruce M; Cazzell, Shawn M; Dini, Monara
2011-01-01
Osteochondral lesions of the talus have been documented, reported, and studied since as early as the 19th century. The evolution of classification systems has allowed surgeons to better manage osseous lesions. Most osteochondral lesions of the talus have been categorized as anterolateral, posteromedial, or central with respect to the talar dome and its articulating surface. The complexity of the aforementioned lesions each present their own set of obstacles and, hence, management. Specifically, surgery on a central talar dome lesion is complicated by poor exposure and limited access, proving to be a challenging operation. Preoperative planning, including exhaustive imaging before any talar dome surgery, is imperative. We present a case study that involves the need for a distal tibial chevron (wedge) talus, with incorporation of a cadaveric allograft to fill the defect.
Napiontek, Marek; Jaszczak, Tomasz
2015-10-01
The aim of the study was to analyze the results of treatment by ankle arthrodesis by modified Mann's technique. The study included 23 patients, and a total of 23 feet were treated. Stabilization of arthrodesis was performed by two screws going from the sinus tarsi to the talus and tibia. Lateral part of the fibula was fixed with one or two screws to the talus and tibia. No additional medial approach to the ankle was performed. In 16 feet, arthrodesis was done due to secondary posttraumatic osteoarthritis, in five due to paralytic drop foot and in two due to osteoarthritis of unknown etiology. In 18 patients, the purpose of arthrodesis was also to correct the malalignment. The average age at operation was 46 (range 19-74) years. The average follow-up was 32 (range 12-69) months. At follow-up, the average AOFAS score was 76 points and subjective scale result 7.9 points. The correct alignment was not achieved in three feet. In one foot, fusion was not achieved and the patient needed repeated operation. The study has confirmed the effectiveness of the technique.
Subtalar joint stress imaging with tomosynthesis.
Teramoto, Atsushi; Watanabe, Kota; Takashima, Hiroyuki; Yamashita, Toshihiko
2014-06-01
The purpose of this study was to perform stress imaging of hindfoot inversion and eversion using tomosynthesis and to assess the subtalar joint range of motion (ROM) of healthy subjects. The subjects were 15 healthy volunteers with a mean age of 29.1 years. Coronal tomosynthesis stress imaging of the subtalar joint was performed in a total of 30 left and right ankles. A Telos stress device was used for the stress load, and the load was 150 N for both inversion and eversion. Tomographic images in which the posterior talocalcaneal joint could be confirmed on the neutral position images were used in measurements. The angle of the intersection formed by a line through the lateral articular facet of the posterior talocalcaneal joint and a line through the surface of the trochlea of the talus was measured. The mean change in the angle of the calcaneus with respect to the talus was 10.3 ± 4.8° with inversion stress and 5.0 ± 3.8° with eversion stress from the neutral position. The result was a clearer depiction of the subtalar joint, and inversion and eversion ROM of the subtalar joint was shown to be about 15° in healthy subjects. Diagnostic, Level IV.
Osteochondral lesion of the talus in a recreational athlete: a case report
deGraauw, Chris
1999-01-01
A 23-year-old recreational male athlete presented with intermittent pain of three weeks duration, localized to the left ankle. Pain was aggravated by walking, although his symptoms had not affected the patient’s jogging activity which was performed three times per week. Past history revealed an inversion sprain of the left ankle, sustained fifteen months previously. Examination showed mild swelling anterior to the ankle mortise joint while other tests including range of motion, strength and motion palpation of specific joints of the ankle were noted to be unremarkable. Radiographic findings revealed a defect in the medial aspect of the talus. An orthopaedic referral was made for further evaluation. Tomography revealed a Grade III osteochondral lesion of the talus. It was determined that follow-up views be taken in three months to demonstrate if the lesion was progressing or healing. Within the three month period, activity modifications and modalities for pain control were indicated. Surgery was considered a reasonable option should conservative measures fail. The present case illustrates an osteochondral lesion of the talus, a condition which has not previously been reported in the chiropractic literature. A review of the pertinent orthopaedic literature has indicated an average delay of three years in diagnosing the existence of this lesion. Although considered rare, the diagnostic frequency of the condition appears to be on the rise due to increased awareness and the use of bone and CT scans. The osteochondral lesion of the talus deserves particular consideration by practitioners working with athletes due to its higher incidence within this group. This diagnosis should be considered in patients presenting with chronic ankle pain particularly when a history of an inversion sprain exists. The purpose of this report is to increase awareness of this condition, and review diagnosis and management strategies. ImagesFigure 1Figure 2
Clinical characteristics of early-stage osteonecrosis of the ankle and treatment outcomes.
Issa, Kimona; Naziri, Qais; Kapadia, Bhaveen H; Lamm, Bradley M; Jones, Lynne C; Mont, Michael A
2014-05-07
The purposes of this study were to describe the clinical manifestations of osteonecrosis involving the distal tibia and talus, to identify risk factors associated with the disease, and to evaluate the efficacy of percutaneous drilling for the treatment of ankles with early-stage symptomatic osteonecrosis. One hundred and one ankles in seventy-three patients with symptomatic osteonecrosis of the talus and/or distal tibia treated with percutaneous drilling were identified. There were eighty-one ankles in fifty-nine patients treated only at our institution and twenty ankles in fourteen patients with a failed prior core decompression at outside institutions. The parameters evaluated included demographics, disease characteristics, clinical outcomes including the American Orthopaedic Foot & Ankle Society score, Short-Form-36 scores, University of California Los Angeles activity scores, and visual analog scale pain scores, and radiographic outcomes at a mean follow-up duration of five years (range, two to nine years). Eighty-five ankles had isolated talus osteonecrosis, eleven ankles had involvement of the distal tibia and talus, and five ankles had isolated distal tibial disease. Twenty-nine patients (40%) had initially presented with symptomatic osteonecrosis of another joint, most commonly the knee (37%), the hip (29%), and the shoulder (25%). The most common identifiable risk factors included chronic corticosteroid use (49.3%), alcohol abuse (35.6%), tobacco use (29%), and hypertension (20.5%). Overall, 83% of ankles did not demonstrate further disease progression after the procedure. There were significant improvements (p < 0.05) in clinical and patient-reported outcomes after surgical treatment. The presence of human immunodeficiency virus and sickle cell disease was associated with a higher odds ratio of disease progression to joint collapse. Osteonecrosis of the distal tibia and talus was usually part of multifocal disease, and concurrent knee osteonecrosis was more common than hip osteonecrosis. The results of the present study suggest that early-stage ankle osteonecrosis can be treated successfully with percutaneous drilling.
Marivaux, Laurent; Beard, K Christopher; Chaimanee, Yaowalak; Dagosto, Marian; Gebo, Daniel L; Guy, Franck; Marandat, Bernard; Khaing, Kyaw; Kyaw, Aung Aung; Oo, Myo; Sein, Chit; Soe, Aung Naing; Swe, Myat; Jaeger, Jean-Jacques
2010-10-01
A well-preserved fossil talus [National Museum of Myanmar Primates (NMMP) 82] of a large-bodied primate is described from the late middle Eocene Pondaung Formation of central Myanmar. The specimen was collected at Thandaung Kyitchaung, a well-known amphipithecid primate-bearing locality near the village of Mogaung. NMMP 82 adds to a meager but growing sample of postcranial remains documenting the large-bodied primates of the Pondaung Formation. This new talus exhibits a suite of features that resemble conditions found in living and fossil haplorhine primates, notably anthropoids. As such, the phylogenetic signal deriving from the morphology of NMMP 82 conflicts with that provided by NMMP 20, a partial skeleton (including a fragmentary calcaneus) of a second large-bodied Pondaung primate showing undoubted adapiform affinities. Analysis subtalar joint compatibility in a hypothetical NMMP 82/NMMP 20 combination (talus/calcaneus) reveals a substantial degree of functional mismatch between these two tarsal bones. The functional incongruence in subtalar joint morphology between NMMP 20 and NMMP 82 is consistent with the seemingly divergent phylogenetic affinities of these specimens, indicating that two higher level taxa of relatively large-bodied primates are documented in the Pondaung Formation. On the basis of its size and morphology, we refer the NMMP 82 talus to the large-bodied amphipithecid Pondaungia. The occurrence of anthropoid-like tali in the Pondaung Formation obviates the need to invoke homoplasy to explain the shared, derived dental characters that are common to amphipithecids and undoubted anthropoids. Functionally, the NMMP 82 talus appears to have pertained to a primate that is engaged in active quadrupedalism in an arboreal environment along broad and subhorizontal branches. The primate taxon represented by NMMP 82 was capable of climbing and leaping, although it was not particularly specialized for either of these activities. © 2010 Wiley-Liss, Inc.
Wainright, William B; Spritzer, Charles E.; Lee, Jun Young; Easley, Mark E.; DeOrio, James K.; Nunley, James A.; DeFrate, Louis E.
2012-01-01
Background Lateral ankle instability leads to an increased risk of tibiotalar joint osteoarthritis. Previous studies have found abnormal tibiotalar joint motions with lateral ankle instability that may contribute to this increased incidence of osteoarthritis, including increased anterior translation and internal rotation of the talus under weight-bearing loading. Surgical repairs for lateral ankle instability have shown good clinical results, but the effects of repair on in vivo ankle motion are not well understood. Hypothesis The modified Broström-Gould lateral ligament reconstruction decreases anterior translation and internal rotation of the talus under in vivo weight-bearing loading conditions. Study Design Controlled laboratory study. Methods Seven patients underwent modified Brostöm-Gould repair for unilateral lateral ankle instability. Ankle joint kinematics as a function of increasing body weight were studied with magnetic resonance imaging and biplanar fluoroscopy. Tibiotalar kinematics were measured in unstable ankles preoperatively and postoperatively at a mean follow-up of 12 months, as well as in the uninjured contralateral ankles of the same individuals. Results Surgical repair resulted in statistically significant decreases in anterior translation of the talus (0.9±0.3mm, p=0.018) at 100% bodyweight and internal rotation of the talus at 75% (2.6±0.8°, p=0.019) and 100% (2.7±0.8°, p=0.013) bodyweight compared to ankle kinematics measured before repair. No statistically significant differences were detected between repaired ankles and contralateral normal ankles. Conclusion The modified Broström-Gould repair improved the abnormal joint motion observed in patients with lateral ankle instability, decreasing anterior translation and internal rotation of the talus. Clinical Relevance Altered kinematics may contribute to the tibiotalar joint degeneration that occurs with chronic lateral ankle instability. The findings of the current study support the efficacy of this repair in improving the abnormal ankle motion observed in these patients. PMID:22886690
NASA Astrophysics Data System (ADS)
Schrott, Lothar; Hufschmidt, Gabi; Hankammer, Martin; Hoffmann, Thomas; Dikau, Richard
2003-09-01
Spatial patterns of sediment storage types and associated volumes using a novel approach for quantifying valley fill deposits are presented for a small alpine catchment (17 km 2) in the Bavarian Alps. The different sediment storage types were analysed with respect to geomorphic coupling and sediment flux activity. The most landforms in the valley in terms of surface area were found to be talus slopes (sheets and cones) followed by rockfall deposits and alluvial fans and plains. More than two-thirds of the talus slopes are relict landforms, completely decoupled from the geomorphic system. Notable sediment transport is limited to avalanche tracks, debris flows, and along floodplains. Sediment volumes were calculated using a combination of polynomial functions of cross sections, seismic refraction, and GIS modelling. A total of, 66 seismic refraction profiles were carried out throughout the valley for a more precise determination of sediment thicknesses and to check the bedrock data generated from geomorphometric analysis. We calculated the overall sediment volume of the valley fill deposits to be 0.07 km 3. This corresponds to a mean sediment thickness of 23.3 m. The seismic refraction data showed that large floodplains and sedimentation areas, which have been developed through damming effects from large rockfalls, are in general characterised by shallow sediment thicknesses (<20 m). By contrast, the thickness of several talus slopes is more than twice as much. For some locations (e.g., narrow sections of valley), the polynomial-generated cross sections resulted in overestimations of up to one order of magnitude; whereas in sections with a moderate valley shape, the modelled cross sections are in good accordance with the obtained seismic data. For the quantification of valley fill deposits, a combined application of bedrock data derived from polynomials and geophysical prospecting is highly recommended.
Chandrakanth, Udayakumar; Sudesh, Pebam; Gopinathan, NirmalRaj; Prakash, Mahesh; Goni, Vijay G
2016-01-01
Congenital talipes equinovarus (CTEV )/clubfoot is the most common congenital orthopedic condition. The success rate of Ponseti casting in the hands of the legend himself is not 100%. The prediction of difficult to correct foot and recurrences still remains a mystery to be solved. We all know that tarsal bones are dysplastic in clubfoot and considering it; we hypothesize that the amount of tarsal dysplasia can predict management duration and outcome. In literature we were not able to find studies that satisfactorily quantify the amount of tarsal dysplasia. Hence, it was considered worthwhile to quantify the amount of dysplasia in tarsal bone and to correlate these parameters with the duration and outcome of treatment by conventional method. A total of 25 infants with unilateral idiopathic clubfoot that have not taken any previous treatment were included in the study. An initial ultrasonography was done before start of treatment in 3 standard planes to measure the maximum length of 3 tarsal bones (talus, calcaneus, and navicular). Ponseti method of treatment was used; pirani scoring was done at each OPD (out patient department) visit. Number of casts required for complete correction and need for any surgical intervention were taken as the outcome parameters. We found that there is a significant correlation between number of casts required and the dysplasia of talus (α error=0.05). We also found a significant negative correlation between relative dysplasia of talus and number of casts required (r=-0.629 sig=0.001, r=-0.552 sig=0.004). Tarsal bone dysplasia as quantified by using ultrasonography can be used as a prognostic indicator in congenital idiopathic clubfoot. Although promising the method needs further studies and can be more useful after long-term follow-up where recurrences if any can be documented. Level II.
Sex determination from the talus and calcaneus measurements.
Gualdi-Russo, Emanuela
2007-09-13
Several studies have demonstrated that discriminant function equations used to determine the sex of a skeleton are population-specific. The purpose of the present research was to develop discriminant function equations for sex determination on the basis of 18 variables on the right and left talus and calcaneus in a modern northern Italian sample. The sample consisted of 118 skeletons (62 males and 56 females) from the Frassetto Collection (University of Bologna). The ages of the individuals ranged from 19 to 70 years. The results indicated that metric traits of the talus (in particular) and calcaneus are good indicators of sexual dimorphism. The percentage of correct classification was high (87.9-95.7%). In view of the differences among current Italian populations, we tested the validity of the discriminant function equations in an independent sample of individuals of different origin (northern and southern Italy). The accuracy of classification was high only for the northern Italians. Most southern Italian males were misclassified as females, confirming the population-specificity of discriminant function equations.
New insights into the ground thermal regime of talus slopes with permafrost below the timberline
NASA Astrophysics Data System (ADS)
Schwindt, Daniel; Kneisel, Christof
2013-04-01
In the central Alps permafrost can be expected above 2400 m a.s.l., at altitudes where mean annual air temperatures are below -1° C. However, isolated permafrost occurrences are present in north-exposed talus slopes, far below the timberline, where mean annual air temperatures are positive. Driving factors are assumed to be a low income of solar radiation, a thick organic layer with high insulation capacities as well as the thermally induced chimney effect (Wakonigg, 1996). Investigated are three talus slopes with permafrost in the Swiss Alps that differ with regard to elevation level, talus material, humus characteristics and vegetation composition as well as the mean annual air temperatures. Aim is to achieve a deeper understanding of the factors determining the site-specific thermal regime, as well as the spatially limited and temporally highly variable permafrost occurrences in vegetated talus slopes. Focus is not solely on the question of why permafrost exists at these sites, but also why permafrost does not exist in the immediate surroundings. To detect the temporal variability and spatial heterogeneity of the permafrost occurrences, electrical resistivity tomography monitoring, seismic refraction tomography monitoring, and quasi-3D ERT were applied. To determine the ground thermal regime, air-, ground surface-, and humus temperatures, as well as temperatures within vents of the chimneys were recorded. Furthermore, humus characteristics (thickness, -temperature and -moisture) were mapped in permafrost-affected slope areas and in the immediate surroundings. To test the correlation between solar radiation, permafrost distribution, and humus/vegetation composition, digital elevation models were used to calculate the income of solar radiation. The areal extent of the permafrost bodies coincide precisely with slope sections where the organic layer is thickest, a consistent moss cover is present, and where temperatures at the transition between humus layer and talus material are lowest. The interaction of factors driving the ground thermal regime turned out to be more complex than assumed with differences between the investigated sites. Besides convective heat transport of the chimney effect, conductive heat flow within the humus layer strongly influences the ground thermal regime. Supercooling of the talus material in winter and autumn is aggravated by a high thermal conductivity of the organic material under frozen and wet conditions. The preservation of permafrost is favoured by the high insulation capacity of dry organic material in summer and by a prolonged zero-curtain period of up to 3 months - driven by high water-storage capacity of the organic material - that buffers the propagation of warm temperatures into the subsurface in spring. The income of solar radiation at the foot of the slope does not state a major driving factor for the occurrence of permafrost. Variability is low between areas with and without permafrost. In fact, differences were detected upslope, below the rock-walls, with summer-values being lowest in areas above the permafrost occurrences. It must be assumed that this affects the thermal circulation of the chimney effect during summer and favours the persistence of frozen ground in spatially limited slope areas.
NASA Astrophysics Data System (ADS)
Floquet, Jimmy
Dans les cuves d'electrolyse d'aluminium, le milieu de reaction tres corrosif attaque les parois de la cuve, ce qui diminue leur duree de vie et augmente les couts de production. Le talus, qui se forme sous l'effet des pertes de chaleur qui maintiennent un equilibre thermique dans la cuve, sert de protection naturelle a la cuve. Son epaisseur doit etre controlee pour maximiser cet effet. Advenant la resorption non voulue de ce talus, les degats generes peuvent s'evaluer a plusieurs centaines de milliers de dollars par cuve. Aussi, l'objectif est de developper une mesure ultrasonore de l'epaisseur du talus, car elle serait non intrusive et non destructive. La precision attendue est de l'ordre du centimetre pour des mesures d'epaisseurs comprenant 2 materiaux, allant de 5 a 20 cm. Cette precision est le facteur cle permettant aux industriels de controler l'epaisseur du talus de maniere efficace (maximiser la protection des parois tout en maximisant l'efficacite energetique du procede), par l'ajout d'un flux thermique. Cependant, l'efficacite d'une mesure ultrasonore dans cet environnement hostile reste a demontrer. Les travaux preliminaires ont permis de selectionner un transducteur ultrasonore a contact ayant la capacite a resister aux conditions de mesure (hautes temperatures, materiaux non caracterises...). Differentes mesures a froid (traite par analyse temps-frequence) ont permis d'evaluer la vitesse de propagation des ondes dans le materiau de la cuve en graphite et de la cryolite, demontrant la possibilite d'extraire l'information pertinente d'epaisseur du talus in fine. Fort de cette phase de caracterisation des materiaux sur la reponse acoustique des materiaux, les travaux a venir ont ete realises sur un modele reduit de la cuve. Le montage experimental, un four evoluant a 1050 °C, instrumente d'une multitude de capteurs thermique, permettra une comparaison de la mesure intrusive LVDT a celle du transducteur, dans des conditions proches de la mesure industrielle. Mots-cles : Ultrasons, CND, Haute temperature, Aluminium, Cuve d'electrolyse.
Time Series Radar Observations of a Growing Lava Dome
NASA Astrophysics Data System (ADS)
Wadge, G.; Macfarlane, D. G.; Odbert, H. M.; James, M. R.; Hole, J. K.; Ryan, G.; Bass, V.; de Angelis, S.; Pinkerton, H.; Robertson, D. A.; Loughlin, S. C.
2007-12-01
Exogenous growth of Peléean lava domes occurs by addition of lava from a central summit vent and mass wasting on the flanks as rockfalls and pyroclastic flows, forming an apron of talus. We observed this process at the Soufrière Hills Volcano, Montserrat between 30 March and 10 April 2006 using a ground-based imaging mm-wave radar, AVTIS, to measure the shape of the dome surface.From a time series of range and intensity measurements at a distance of six kilometres we measured the topographic evolution of the lava dome. The locus of talus deposition moved to the southeast with time and the talus surface grew upwards on average at about 2 metres per day. The AVTIS measurements show an acceleration in lava extrusion rate on 5 April, with a 2-day lag in the equivalent rockfall seismicity record. We account for the budget of lava addition and dispersal during the eleven days of measurements using: AVTIS range measurements to measure the talus growth (7.2 Mm3, 67%), AVTIS range and intensity measurements to measure the summit lava growth (1.7 Mm3, 16%), and rockfall seismicity and visual observations to measure the pyroclastic flow deposits (1.8 Mm3, 17%). This gives an overall dense rock equivalent extrusion rate of about 9.7 m3s-1. These figures demonstrate how efficient non-explosive lava dome growth can be in generating large volumes of primary clastic deposits, and how this process could also reduce the propensity for large hazardous pyroclastic flows. andrews.ac.uk/~mmwave/mmwave/avtis.shtml
Talar injuries--the orthopaedic challenge.
Lesić, Aleksandar R; Zagorac, Slavisa G; Bumbasirević, Marko Z
2012-01-01
Injuries of the talus represents an important part of the foot and ankle trauma. Since talar bone connect the lower limb and foot, the sequelas of its trauma could have significant influence on the function of the whole lower limb and gait. The specific vascularization of the talus results in delayed union and even in the avascular necrosis. The diagnosis of the fractures of the talus can be made on the x-rays, but sometimes real picture of the fracture pattern can be seen only in the CT scans. Ocult fractures such as osteochondral fractures and avascular necrosis can be exactly detected on MRI in aim not to be overlookded as the ankle sprain diagnosis. The precise reduction and stable internal fixation is mandatory in the treatment to enable the anatomical position of the talonavicular, talocrural and subtalar joint and to make possible early motion and rehabilitation, without weight bearing. On the other hand, crushed fractures, open fractures and the Hawkins III-IV fractures with the dislocations of the talar body sometimes needs salvage procedures like Blair or tibio-talar or tibio-calcaneal fusion.
Hydrologic and Biogeochemical Connections between Uplands and Streams in Contrasting Landscapes
NASA Astrophysics Data System (ADS)
Shanley, J. B.; Webb, R. M.; Hjerdt, K. N.; Sebestyen, S. D.; Peters, N. E.; Burns, D. A.; Aulenbach, B. T.; Campbell, D. H.; Clow, D. W.; Mast, M. A.; Walker, J. F.; Hunt, R. J.; Troester, J. W.; Larsen, M. C.
2004-12-01
We used combinations of hydrometric, chemical, and isotopic evidence to evaluate linkages between upland and riparian zones at the 5 small watersheds of the U.S. Geological Survey Water Energy and Biogeochemical Budget (WEBB) program. These sites span a broad range of climate and topography. At Sleepers River, Vermont, snowmelt induced the water table on hillslopes to rise into the highly transmissive upper soil. The close timing of the groundwater and stream hydrographs suggests a large contribution of hillslope water to the stream. However, the chemistry of these upland groundwaters indicates that only limited areas of convergent groundwater flow directly contribute to streamflow. At Panola Mountain, Georgia, a thin saturated zone develops on the hillslope during large rainstorms. This hillslope groundwater is chemically distinct from riparian groundwater, and transits the riparian zone near land surface with little mixing. Based on chemical mixing analysis, the hillslope contributes up to 30% of the streamwater during moderate to large-sized rainstorms. The Trout Lake site in Wisconsin is a low-lying landscape in highly conductive sandy glacial outwash.Hillslope water chemistry is considerably more dilute (i.e. less evolved) than the regional groundwater that supplies baseflow. The lack of chemical response in streamwater during storms suggests that hillslope water makes a minimal contribution relative to regional groundwater flow. In the alpine/subalpine watershed of Loch Vale, Colorado, much of the subsurface flow occurs on steep slopes of talus. Water in the talus flow has a wide range of residence times. The talus deposits are biogeochemically active and play an important role in maintaining summer baseflow, regulating seasonal changes in streamwater chemistry, and exporting nitrogen from atmospheric deposition. The tropical Icacos watershed in the Luquillo mountains of Puerto Rico receives 4 meters of rainfall annually and has high physical and chemical weathering rates. Streamwater chemistry during baseflow is strongly controlled by groundwater interaction with weathered bedrock. Most hillslope runoff occurs through near-surface macropores with limited soil interaction. This source dominates during storms resulting in stream chemistry that resembles that of the extremely dilute precipitation.We will compare these field observations at each site with the aid of TOPMODEL-based simulation of residence times and observed water quality on the hillslope and riparian saturated zones.
[Peripheral Factures of the Talus. Mid-Term Results].
Peml, M; Kálal, P; Kopačka, P; Kloub, M
2016-01-01
PURPOSE OF THE STUDY Peripheral fractures of the talus (lateral talar process and posterior talar process) are rare injuries, easy to miss on examination due to their location and clinical manifestation. They account for 0.3% to 1.0% of all fractures of the talus. An incorrect or late treatment of talar process fractures can result in permanent pain, impingement syndrome, healing in malposition, pseudoarthrosis development and also, due to joint instability, in a potential development of severe subtalar arthritis. The aim of this retrospective study was to evaluate the results of surgical management of these fractures in our department. MATERIAL AND METHODS The study included 14 adult patients with fractures of the peripheral talar processes who met the criteria of the retrospective study and were treated in our department between 2008 and 2014. All patients underwent clinical examination with evaluation based on the AOFAS Ankle-Hindfoot score, VAS score and radiographic evidence of arthritis. Follow-up ranged from 24 to 95 months. The average age of the patients at the time of surgery was 34 years (range, 21-59 years); there was one woman and 13 men. All underwent pre-operative CT scanning. The surgical procedure included open reduction and internal fixation (ORIF) which, in indicated cases, was preceded by partial or total removal of the processes. RESULTS Of the 14 patients, seven were treated for fractures of the lateral talar process (LTP group) and seven for the posterior talar process (PTP group). All fractures healed completely. The median AOFAS score was 87 (72-100) points in the LTP group, and 84 (58-100) points in the PTP group. Excellent and good results on the AOFAS Ankle-Hindfoot scale were achieved in 10 (72%), satisfactory in two (14%) and poor in two (14%) patients. Of the LTP group, six patients (86%) showed the VAS score ≤ 3, and one (14%) had the VAS score = 4. In the PTP group, the VAS score ≤ 3 was reported by three (43%) and values of up to 5 by four (57%) patients. Arthritis in the talocrural and subtalar joints was evaluated as zero or grade 1 in 11 (79%) of all patients; of these 11 patients only two (14%) had a VAS score higher than 3. Only one patient had marginal wound necrosis; no deep wound infection was recorded. DISCUSSION The majority of fractures in our group were due to falls from a height or traffic accidents, which is in accordance with the literature data. In about 70% of these injuries, more parts of the leg are affected and, therefore, a thorough medical inspection is necessary. These mechanisms of injury most frequently produce type II LTP fracture (Hawkins classification). Four patients with a LTP fracture, who had the process partially removed, achieved good results on the AOFAS scale and the VAS score less than or equal to 3. As also published in the literature, the removal of small fragments has no crucial effect on ankle stability. CONSLUSIONS An adequate surgical treatment of displaced peripheral fractures of the talar processes provides good functional outcomes. In fractures with associated leg injuries or high-energy traumata, the prognosis is poorer. Fractures of talar processes often show symptoms and signs similar to those of more serious forms of dislocation of the talus and therefore a careful assessment of standard X-ray images taken for a "swollen ankle" is necessary. If the findings are not clear, CT examination is indicated. Key words: fracture, talus, processus lateralis tali, processus posterior tali.
Management Options in Avascular Necrosis of Talus.
Dhillon, Mandeep S; Rana, Balvinder; Panda, Inayat; Patel, Sandeep; Kumar, Prasoon
2018-01-01
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology. The articles' abstracts were read by two of the authors. Forty-one studies met the inclusion criteria of the 335 abstracts screened. The interventions of interest included hindfoot fusion, conservative measures, bone grafting, vascularized bone graft, core decompression, and talar replacement. All studies were of Level IV evidence. We looked to identify the study quality, imprecise and sparse data, reporting bias, and the quality of evidence. Based on the analysis of available literature, we make certain recommendations for managing patients of AVN talus depending on identified disease factors such as early or late presentation, extent of bone involvement, bone collapse, and presence or absence of arthritis. Early talar AVN seems best treated with protected weight bearing and possibly in combination with extracorporeal shock wave therapy. If that fails, core decompression can be considered. Arthrodesis should be saved as a salvage procedure in late cases with arthritis and collapse, and a tibiotalocalcaneal fusion with bone grafting may be needed in cases of significant bone loss. Role of vascularized bone grafting is still not defined clearly and needs further investigation. Future prospective, randomized studies are necessary to guide the conservative and surgical management of talar AVN.
Management Options in Avascular Necrosis of Talus
Dhillon, Mandeep S; Rana, Balvinder; Panda, Inayat; Patel, Sandeep; Kumar, Prasoon
2018-01-01
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology. The articles' abstracts were read by two of the authors. Forty-one studies met the inclusion criteria of the 335 abstracts screened. The interventions of interest included hindfoot fusion, conservative measures, bone grafting, vascularized bone graft, core decompression, and talar replacement. All studies were of Level IV evidence. We looked to identify the study quality, imprecise and sparse data, reporting bias, and the quality of evidence. Based on the analysis of available literature, we make certain recommendations for managing patients of AVN talus depending on identified disease factors such as early or late presentation, extent of bone involvement, bone collapse, and presence or absence of arthritis. Early talar AVN seems best treated with protected weight bearing and possibly in combination with extracorporeal shock wave therapy. If that fails, core decompression can be considered. Arthrodesis should be saved as a salvage procedure in late cases with arthritis and collapse, and a tibiotalocalcaneal fusion with bone grafting may be needed in cases of significant bone loss. Role of vascularized bone grafting is still not defined clearly and needs further investigation. Future prospective, randomized studies are necessary to guide the conservative and surgical management of talar AVN. PMID:29887631
Richter, M
2014-08-01
Restoration of a stable and plantigrade foot in deformities of the ankle and/or hindfoot and concomitant degenerative changes at the ankle and subtalar joints. Deformities at the ankle and/or hindfoot and concomitant degenerative changes at the ankle and subtalar joint. Failed (corrective) arthrodesis of the ankle and subtalar joints. Fused ankle and degeneration of the subtalar joint. Failed total ankle replacement with insufficient substance of talar body and/or degeneration of subtalar joint. Massive hindfoot instability. Active local infection or relevant vascular insufficiency, possible preservation of the ankle or subtalar joint (relative contraindication). Prone position and posterolateral approach to ankle and subtalar joints (alternative supine position/anterior approach; lateral position/lateral approach). Exposition of ankle and subtalar joints and removal of remaining cartilage. Optional corrective osteotomies and/or bone grafting. Correction and optional fixation of the corrected position with 2.0 mm K-wires. Mechanically navigated insertion of a retrograde guide wire in projection of the tibial axis and insertion of a second guide wire through the entry point of the nail lateral and dorsal to the tibial axis. Reaming and insertion of the A3 nail with a distal double bend; one posterior and one lateral, and a proximal bend corresponding to a slight recurvatum. Insertion of locking screws into the calcaneus, talus and tibia (twice with optional static or dynamic locking). Optional compression between calcaneus and talus, and between tibia and talus. Insertion of a drainage and layer-wise closure. For the first 6 weeks 15 kg partial weight bearing in an orthosis, followed by full weight bearing in a stable standard shoe. In October 2010 (n = 2) and from 15 October 2011 to 13 April 2012 (n = 26) 28 arthrodeses (with/without correction) with A3 fixation were performed. In all cases, exact nail placement was achieved. Thirteen cases completed follow-up (3-11 months) and showed timely fusion and full mobilization.
Reilingh, Mikel L; van Bergen, Christiaan J A; Gerards, Rogier M; van Eekeren, Inge C; de Haan, Rob J; Sierevelt, Inger N; Kerkhoffs, Gino M M J; Krips, Rover; Meuffels, Duncan E; van Dijk, C N; Blankevoort, Leendert
2016-05-01
Osteochondral defects (OCDs) of the talus usually affect athletic patients. The primary surgical treatment consists of arthroscopic debridement and microfracture. Various possibilities have been suggested to improve the recovery process after debridement and microfracture. A potential solution to obtain this goal is the application of pulsed electromagnetic fields (PEMFs), which stimulate the repair process of bone and cartilage. The use of PEMFs after arthroscopic debridement and microfracture of an OCD of the talus leads to earlier resumption of sports and an increased number of patients that resume sports. Randomized controlled trial; Level of evidence, 1. A total of 68 patients were randomized to receive either PEMFs (n = 36) or placebo (n = 32) after arthroscopic treatment of an OCD of the talus. The primary outcomes (ie, the number of patients who resumed sports and time to resumption of sports) were analyzed with Kaplan-Meier curves as well as Mann-Whitney U, chi-square, and log-rank tests. Secondary functional outcomes were assessed with questionnaires (American Orthopaedic Foot and Ankle Society ankle-hindfoot score, Foot and Ankle Outcome Score, EuroQol, and numeric rating scales for pain and satisfaction) at multiple time points up to 1-year follow-up. To assess bone repair, computed tomography scans were obtained at 2 weeks and 1 year postoperatively. Almost all outcome measures improved significantly in both groups. The percentage of sport resumption (PEMF, 79%; placebo, 80%; P = .95) and median time to sport resumption (PEMF, 17 weeks; placebo, 16 weeks; P = .69) did not differ significantly between the treatment groups. Likewise, there were no significant between-group differences with regard to the secondary functional outcomes and the computed tomography results. PEMF does not lead to a higher percentage of patients who resume sports or to earlier resumption of sports after arthroscopic debridement and microfracture of talar OCDs. Furthermore, no differences were found in bone repair between groups. Netherlands Trial Register NTR1636. © 2016 The Author(s).
Teixeira, Luciana Mundim; Pires, Tatiana; Silva, Rafael Duarte; de Resende, Marcos Antônio
2013-01-01
The purpose of this study was to determine the immediate effects of a single anteroposterior mobilization of the talus on the active dorsiflexion range of motion (ROM) in participants with different orthopedic foot and ankle injuries. This study included 30 male and female participants aged 18 to 50 years with unilateral orthopedic foot and ankle dysfunction. All participants underwent 3 sets of active dorsiflexion ROM measurement in both ankles. Measurements included baseline, post-first treatment, and post-second treatment values. Participants received either joint mobilization or manual contact (control) on the affected ankle. Active dorsiflexion ROM was assessed using a biplanar goniometer with participants in the prone position and 90° of knee flexion. Both groups (joint mobilization and manual contact) showed increased active dorsiflexion ROM. However, the mean difference of dorsiflexion measurements before and after mobilization was greater than before and after control treatment. A single session of articular mobilization of the talus did not significantly increase dorsiflexion ROM in participants with orthopedic dysfunctions of the ankle and foot compared with a manual contact procedure. Copyright © 2013 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.
Pablos, Adrián; Lorenzo, Carlos; Martínez, Ignacio; Bermúdez de Castro, José María; Martinón-Torres, María; Carbonell, Eudald; Arsuaga, Juan Luis
2012-10-01
This paper presents and describes new foot fossils from the species Homo antecessor, found in level TD6 of the site of Gran Dolina (Sierra de Atapuerca, Burgos, Spain). These new fossils consist of an almost complete left talus (ATD6-95) and the proximal three-quarters of a right fourth metatarsal (ATD6-124). The talus ATD6-95 is tentatively assigned to Hominin 10 of the TD6 sample, an adult male specimen with which the second metatarsal ATD6-70+107 (already published) is also tentatively associated. Analysis of these fossils and other postcranial remains has made possible to estimate a stature similar to those of the specimens from the Middle Pleistocene site of Sima de los Huesos (Sierra de Atapuerca, Burgos, Spain). The morphology of the TD6 metatarsals does not differ significantly from that of modern humans, Neanderthals and the specimens from Sima de los Huesos. Talus ATD6-95, however, differs from the rest of the comparative samples in being long and high, having a long and wide trochlea, and displaying a proportionally short neck. Copyright © 2012 Elsevier Ltd. All rights reserved.
Arthroscopic Anatomy of the Ankle Joint.
Ray, Ronald G
2016-10-01
There are a number of variations in the intra-articular anatomy of the ankle which should not be considered pathological under all circumstances. The anteromedial corner of the tibial plafond (between the anterior edge of the tibial plafond and the medial malleolus) can have a notch, void of cartilage and bone. This area can appear degenerative arthroscopically; it is actually a normal variant of the articular surface. The anterior inferior tibiofibular ligament (AITF) can possess a lower, accessory band which can impinge on the anterolateral edge of the talar dome. In some cases it can cause irritation along this area of the talus laterally. If it is creating local irritation it can be removed since it does not provide any additional stabilization to the syndesmosis. There is a beveled region at the anterior leading edge of the lateral and dorsal surfaces of the talus laterally. This triangular region is void of cartilage and subchondral bone. The lack of talar structure in this region allows the lower portion of the AITF ligament to move over the talus during end range dorsiflexion of the ankle, preventing impingement. The variation in talar anatomy for this area should not be considered pathological. Copyright © 2016 Elsevier Inc. All rights reserved.
Parr, W C H; Chatterjee, H J; Soligo, C
2012-04-05
Orientation of the subtalar joint axis dictates inversion and eversion movements of the foot and has been the focus of evolutionary and clinical studies for a number of years. Previous studies have measured the subtalar joint axis against the axis of the whole foot, the talocrural joint axis and, recently, the principal axes of the talus. The present study introduces a new method for estimating average joint axes from 3D reconstructions of bones and applies the method to the talus to calculate the subtalar and talocrural joint axes. The study also assesses the validity of the principal axes as a reference coordinate system against which to measure the subtalar joint axis. In order to define the angle of the subtalar joint axis relative to that of another axis in the talus, we suggest measuring the subtalar joint axis against the talocrural joint axis. We present corresponding 3D vector angles calculated from a modern human skeletal sample. This method is applicable to virtual 3D models acquired through surface-scanning of disarticulated 'dry' osteological samples, as well as to 3D models created from CT or MRI scans. Copyright © 2012 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Gutiérrez, Francisco; Morgan, Matthew L.; Matthews, Vincent; Gutiérrez, Mateo; Jiménez-Moreno, Gonzalo
2015-02-01
In the Colorado Piedmont, talus flatiron chronosequences are associated with buttes that consist of erodible arkosic sandstone and resistant caprock. Following the removal of the caprock, some buttes evolve into crater-like relict slope rings resulting from the differential erosion of the soft bedrock in the core of the hills. These unique landforms are only documented in the Colorado Piedmont. Their development is attributed to the unusually high erodibility contrast between the low-cohesion sandy bedrock and the bouldery colluvial armor. The talus flatiron sequences and relict slope rings mapped in the three studied areas record alternating periods of accumulation and incision in the slopes that are likely controlled by changes in moisture availability and vegetation cover density. The obtained OSL dates place slope accumulation phases at > 124 ka, and ca. 73 ka, 50-40 ka, 15 ka, and 10-6 ka. A comparison of these geochronological data with paleoclimatic records from the region suggests that colluvium deposition occurred during periods of denser vegetation cover, which are controlled by climate changes. Further investigations, including additional and more accurate geochrological data from the relict slopes, will help to better understand the paleoclimatic significance of these largely unknown morphostratigraphic features.
Lanham, Nathan S; Carroll, John J; Cooper, Minton T; Perumal, Venkat; Park, Joseph S
2017-08-01
Articular cartilage lesions of the talus remain a challenging clinical problem because of the lack of natural regeneration and limited treatment options. Microfracture is often the first-line therapy, however lesions larger than 1.5 cm 2 have been shown to not do as well with this treatment method. The objective of this retrospective study was to evaluate the outcomes of iliac crest bone marrow aspirate concentrate/collagen scaffold (ICBMA) and particulated juvenile articular cartilage (PJAC) for larger articular cartilage lesions of the talus. Fifteen patients undergoing ICBMA or PJAC for articular cartilage lesions of the talus from 2010 to 2013 were reviewed. Twelve patients, 6 from each treatment option, were included in the study. American Orthopaedic Foot and Ankle Surgeons (AOFAS), Foot and Ankle Ability Measure (FAAM), and Short Form-12 (SF-12) outcome scores were collected for each patient. The mean age was 34.7 ± 14.8 years for ICBMA and 31.5 ± 7.4 years for PJAC. Lesion size was 2.0 ± 1.1 cm 2 for ICBMA and 1.9 ± 0.9 cm 2 for PJAC. At a mean follow-up of 25.7 months (range, 12-42 months), the mean AOFAS score was 71.33 for ICBMA and 95.83 for PJAC ( P = .019). The FAAM activities of daily living subscale mean was 77.77 for ICBMA and 97.02 for PJAC ( P = .027). The mean FAAM sports subscale was 45.14 for ICBMA and 86.31 for PJAC ( P = .054). The SF-12 physical health mean was 47.58 for ICBMA and 53.98 for PJAC ( P = .315). The SF-12 mental health mean was 53.25 for ICBMA and 57.8 for PJAC ( P = .315). One patient in treated initially with ICBMA underwent revision fixation for nonunion of their medial malleolar osteotomy, which ultimately resulted in removal of hardware and tibiotalar arthrodesis at 2 years from the index procedure. In the present analysis, PJAC yields better clinical outcomes at 2 years when compared with ICBMA for articular cartilage lesions of the talus that were on average greater than 1.5cm 2 . Therapeutic, Level IV: Retrospective, Case series.
Analysis of Vadose Hydrology at Jinapsan Cave, Guam, Mariana Islands
NASA Astrophysics Data System (ADS)
Bautista, K. K.; Jenson, J. W.; Lander, M.; Noronha, A. L.; Righetti, T.
2016-12-01
Six years of monthly data were analyzed from an active tropical limestone cave in Guam, the southernmost of the Mariana Islands, in the western Pacific Ocean. The purpose of this study was to characterize vadose processes of aquifer recharge in the Plio-Pleistocene Mariana Limestone, which occupies about 75% of the surface of the Northern Guam Lens Aquifer, which produces 90% of the island's drinking water. This hydrogeologic study was conducted concurrent with paleoclimate research, in which correlative data on CO2 and other cave meteorological parameters are also collected. For this study, a ground survey grid was established on the surface above the cave, a vegetated talus slope at the foot of the >150-m cliff in the Mariana Limestone behind the cave. Cave and vadose zone 3-D models were constructed from the surface survey and an interior cave survey. Cross sections display talus slope features (33°), notational talus grain size distribution, inferred epikarst and vadose layer dimensions, cave slope (-34°) and structural and geomorphic features of the cave, including a brackish sea-level pool at the cave bottom. GIS products include georeferenced cave boundary and cave room shapefiles. A plan-view map displays significant boulder talus and limestone forest trees, cave entrance location and the underlying cave boundary and fractures mapped on the cave ceiling. Thicknesses of the talus and vadose bedrock sections range from 1.3 to 17.0 meters and 1.7 to 46.4 meters, respectively. Drip rate and discharge rate data from 7 cave stations are presented in graphs showing varying responses between percolation and changes in rainfall during wet (Jul-Dec) and dry (Jan-Jun) seasons. Three stations exhibited fast responses to wet season rainfall, which gradually dropped during the dry season. Two of these stations are at separate cave ceiling fractures. The third is indiscernible from its distance (>4m) above the floor. Three stations exhibited slow responses in both wet and dry seasons, which may be attributed to matrix percolation. One station exhibited slow responses, except for three consecutive months of fast response, a probable effect of short-term pathway rerouting. One slow percolation station also showed a semi-diurnal pattern in its drip rate, which correlates with the atmospheric tidal signal.
Peckmann, Tanya R; Orr, Kayla; Meek, Susan; Manolis, Sotiris K
2015-07-01
The determination of sex is an important part of building the biological profile for unknown human remains. Many of the bones traditionally used for the determination of sex are often found fragmented or incomplete in forensic and archaeological cases. The goal of the present research was to derive discriminant function equations from the talus, a preservationally favoured bone, for sexing skeletons from a contemporary Greek population. Nine parameters were measured on 182 individuals (96 males and 86 females) from the University of Athens Human Skeletal Reference Collection. The individuals ranged in age from 20 to 99 years old. The statistical analyses showed that all measured parameters were sexually dimorphic. Discriminant function score equations were generated for use in sex determination. The average accuracy of sex classification ranged from 65.2% to 93.4% for the univariate analysis, 90%-96.5% for the direct method and 86.7% for the stepwise method. Comparisons to other populations were made. Overall, the cross-validated accuracies ranged from 65.5% to 83.2% and males were most often correctly identified. The talus was shown to be useful for sex determination in the modern Greek population. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Funasaki, Hiroki; Hayashi, Hiroteru; Sakamoto, Kanako; Tsuruga, Rei; Marumo, Keishi
2015-12-01
Stenosing tenosynovitis of the flexor hallucis longus (FHL) tendon is known as a major overuse lesion in female dancers. We describe arthroscopic surgical techniques in relation to the dynamic pathology of the disease. Crepitus and pain on moving the great toe with the ankle in plantar flexion on preoperative examination confirm the diagnosis of FHL stenosing tenosynovitis even if the os trigonum is not evident. The ankle is approached through standard posterolateral and posteromedial portals. A 4.0-mm-diameter 30° arthroscope is used. Soft tissues around the talus are cleared with a motorized shaver and a radiofrequency device. The posterior aspects of the talus, os trigonum, and FHL tendon surrounded by the tendon sheath are visualized. The dynamic pathology of the FHL tendon is well observed on passive motion of the great toe. The prominent bone fragment of the talus is removed and the tendon sheath is cut with a retrograde knife and a motorized shaver from the superior border down to the entrance of the fibro-osseous tunnel. Arthroscopic release of the FHL tendon sheath is a useful and easy method to directly approach the dynamic pathology of FHL tenosynovitis in female ballet dancers.
An attachment-based description of the medial collateral and spring ligament complexes.
Cromeens, Barrett P; Kirchhoff, Claire A; Patterson, Rita M; Motley, Travis; Stewart, Donald; Fisher, Cara; Reeves, Rustin E
2015-06-01
Anatomy of the medial collateral and spring ligament complexes has been the cause of confusion. The anatomic description is highly dependent on the source studied and little agreement exists between texts. In addition, inconsistent nomenclature has been used to describe the components. This study attempted to clarify confusion through the creation of a 3D ligament map using attachment-based dissection. Nine fresh foot and ankle specimens were observed. The medial collateral ligament and spring ligament complexes were dissected using their attachment sites as a guide to define individual components. Each component's perimeter and thickness was measured and each bony attachment was mapped using a microscribe 3D digitizer. Five components were identified contributing to the ligament complexes of interest: the tibiocalcaneonavicular, superficial posterior tibiotalar, deep posterior tibiotalar, deep anterior tibiotalar, and inferoplantar longitudinal ligaments. The largest component by total attachment area was the tibiocalcaneonavicular ligament followed by the deep posterior tibiotalar ligament. The largest ligament surface area of attachment to the tibia and talus was the deep posterior tibiotalar ligament. The largest attachment to the navicular and calcaneus was the tibiocalcaneonavicular ligament, which appeared to function in holding these bones in proximity while supporting the head of the talus. By defining complex components by their attachment sites, a novel, more functional and reproducible description of the medial collateral and spring ligament complexes was created. The linear measurements and 3D maps may prove useful when attempting more anatomically accurate reconstructions. © The Author(s) 2015.
Choi, Jun-Ik; Lee, Keun-Bae
2016-07-01
The objectives of this study were to compare the clinical outcomes of the two common bone marrow stimulation techniques such as subchondral drilling and microfracture for symptomatic osteochondral lesions of the talus and to evaluate prognostic factors affecting the outcomes. Ninety patients (90 ankles) who underwent arthroscopic bone marrow stimulation for small- to mid-sized osteochondral lesions of the talus constituted the study cohort. The 90 ankles were divided into two groups: a drilling group (40 ankles) and a microfracture group (50 ankles). Each group was matched for age and gender, and both groups had characteristics similar to those obtained from pre-operative demographic data. The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and the ankle activity score (AAS) were used to compare clinical outcomes, during a mean follow-up period of 43 months. The median AOFAS scores were 66.0 points (51-80) in drilling group and 66.5 points (45-81) in microfracture group pre-operatively, and these improved to 89.4 points (77-100) and 90.1 points (69-100) at the final follow-up, respectively. The median VAS scores improved at the final follow-up compared with the pre-operative condition. The median AAS for the drilling group improved from 4.5 (1-6) pre-operatively to 6.0 (1-8) at the final follow-up, while those for the microfracture group improved from 3.0 (2-8) to 6.0 (3-9). No significant differences were observed between the two groups in terms of the AOFAS scores, VAS, and AAS. The arthroscopic subchondral drilling and microfracture techniques that were used to stimulate bone marrow showed similar clinical outcomes. The results of this study suggest that both techniques are effective and reliable in treating small- to mid-sized osteochondral lesions of the talus, regardless of which of the two techniques is used. Level III, retrospective comparative study.
Imhoff, Andreas B; Paul, Jochen; Ottinger, Benjamin; Wörtler, Klaus; Lämmle, Lena; Spang, Jeffrey; Hinterwimmer, Stefan
2011-07-01
Osteochondral lesions of the ankle are a common injury after ankle sprains, especially in young and active patients. The Osteochondral Autograft Transfer System (OATS) is the only 1-step surgical technique designed to replace the entire osteochondral unit. This study was conducted to evaluate the long-term clinical and radiographic outcomes of the OATS procedure for the talus and compare the results of patients who have had prior surgical interventions with patients for whom OATS represents the primary surgical treatment. Case series; Level of evidence, 4. The authors retrospectively analyzed 26 talus OATS procedures (25 patients) with an average follow-up of 84 months (range, 53-124 months); 9 patients had OATS as a second surgical intervention. The patients completed the American Orthopaedic Foot & Ankle Society (AOFAS) and Tegner scores plus the visual analog scale (VAS) preoperatively and at follow-up. Magnetic resonance imaging examinations were conducted on a 1.5-T whole-body magnet that assessed transplant congruency, adjacent surface of the talus, the corresponding distal tibia, and joint effusion. The authors found significant increases for the AOFAS score (50 to 78 points, P < .01) and the Tegner score (3.1 to 3.7, P < .05) and a significant decrease for the VAS (7.8 to 1.5, P < .01) from preoperative to postoperative. Patients with normal integration or minor incongruity of the transplant on magnetic resonance imaging (81%) had significantly better AOFAS scores (P = .03). Other magnetic resonance imaging criteria did not predict clinical results. Patients for whom OATS represented a second procedure had significantly worse clinical AOFAS and Tegner scores plus a higher VAS. Long-term clinical and magnetic resonance imaging results after osteochondral transplantation are good and patients significantly benefit from this surgery. Magnetic resonance imaging should not be a routine control but appears to be indicated when clinical symptoms persist after osteochondral transplantation.
Croy, Theodore; Cosby, Nicole L; Hertel, Jay
2013-08-01
Alterations in talocrural joint arthrokinematics related to repositioning of the talus or fibula following ankle sprain have been reported in radiological and clinical studies. It is unclear if these changes can result from normal active ankle motion. The study objective was to determine if active movement created changes in the sagittal plane talofibular interval in ankles with a history of lateral ankle sprain and instability. Three subject groups [control (n = 17), ankle sprain copers (n = 20), and chronic ankle instability (n = 20)] underwent ultrasound imaging of the anterolateral ankle gutter to identify the lateral malleolus and talus over three trials. Between trials, subjects actively plantar and dorsiflexed the ankle three times. The sagittal plane talofibular interval was assessed by measuring the anteroposterior distance (mm) between the lateral malleolus and talus from an ultrasound image. Between group and trial differences were analyzed with repeated measures analysis of variance and post-hoc t-tests. Fifty-seven subjects participated. A significant group-by-trial interaction was observed (F4,108 = 3.5; P = 0.009). The talofibular interval was increased in both copers [2.4±3.6 mm; 95% confidence interval (CI): 0.73-4.1; P = 0.007] and chronic ankle instability (4.1±4.6 mm; 95% CI: 1.9-6.2; P = 0.001) at trial 3 while no changes were observed in control ankle talar position (0.06±2.8mm; 95% CI: -1.5-1.4; P = 0.93). The talofibular interval increased only in subjects with a history of lateral ankle sprain with large clinical effect sizes observed. These findings suggest that an alteration in the position of the talus or fibula occurred with non-weight bearing sagittal plane motion. These findings may have diagnostic and therapeutic implications for manual therapists.
Anders, Sven; Lechler, Philipp; Rackl, Walter; Grifka, Joachim; Schaumburger, Jens
2012-08-01
In undetached osteochondral lesions (OCL) of the talus both revitalisation of the subchondral necrosis and cartilage preservation are essential. For these cases, we assess the results of minimally invasive retrograde core drilling and cancellous bone grafting. Forty-one osteochondral lesions of the talus (12x grade I, 22x grade II and 7x grade III according to the Pritsch classification, defect sizes 7-14 mm) in 38 patients (mean age 33.2 years) treated by fluoroscopy-guided retrograde core drilling and autologous cancellous bone grafting were evaluated by clinical scores and MRI. The mean follow-up was 29.0 (±13) months. The AOFAS score increased significantly from 47.3 (±15.3) to 80.8 (±18.6) points. Lesions with intact cartilage (grades I and II) had a tendency to superior results than grade III lesions (83.1 ± 17.3 vs. 69.4 ± 22.2 points, p = 0.07). First-line treatments and open distal tibial growth plates led to significantly better outcomes (each p < 0.05). Age, gender, BMI, time to follow-up, defect localisation or a traumatic origin did not influence the score results. On a visual analogue scale pain intensity reduced from 7.5 (±1.5) to 3.7 (±2.6) while subjective function increased from 4.6 (±2.0) to 8.2 (±2.3) (each p < 0.001). In MRI follow-ups, five of the 41 patients showed a complete bone remodelling. In two cases demarcation was detectable. The technique reported is a highly effective therapeutic option in OCL of the talus with intact cartilage grades I and II. However, second-line treatments and grade III lesions with cracked cartilage surface can not be generally recommended for this procedure.
Croy, Theodore; Cosby, Nicole L; Hertel, Jay
2013-01-01
Introduction: Alterations in talocrural joint arthrokinematics related to repositioning of the talus or fibula following ankle sprain have been reported in radiological and clinical studies. It is unclear if these changes can result from normal active ankle motion. The study objective was to determine if active movement created changes in the sagittal plane talofibular interval in ankles with a history of lateral ankle sprain and instability. Methods: Three subject groups [control (n = 17), ankle sprain copers (n = 20), and chronic ankle instability (n = 20)] underwent ultrasound imaging of the anterolateral ankle gutter to identify the lateral malleolus and talus over three trials. Between trials, subjects actively plantar and dorsiflexed the ankle three times. The sagittal plane talofibular interval was assessed by measuring the anteroposterior distance (mm) between the lateral malleolus and talus from an ultrasound image. Between group and trial differences were analyzed with repeated measures analysis of variance and post-hoc t-tests. Results: Fifty-seven subjects participated. A significant group-by-trial interaction was observed (F4,108 = 3.5; P = 0.009). The talofibular interval was increased in both copers [2.4±3.6 mm; 95% confidence interval (CI): 0.73–4.1; P = 0.007] and chronic ankle instability (4.1±4.6 mm; 95% CI: 1.9–6.2; P = 0.001) at trial 3 while no changes were observed in control ankle talar position (0.06±2.8mm; 95% CI: −1.5–1.4; P = 0.93). Discussion: The talofibular interval increased only in subjects with a history of lateral ankle sprain with large clinical effect sizes observed. These findings suggest that an alteration in the position of the talus or fibula occurred with non-weight bearing sagittal plane motion. These findings may have diagnostic and therapeutic implications for manual therapists. PMID:24421623
NASA Astrophysics Data System (ADS)
Pérez, Francisco L.
2012-02-01
The vascular vegetation of alpine talus slopes between 2035 and 3095 m altitude was studied at Lassen Volcanic National Park (California) in the Cascade Range. Taluses show a diverse flora, with 79 plant species; growth forms include coniferous trees, shrubs, suffrutices, herbs, graminoids, and ferns. Spatial patterns of plant distribution were studied along 40 point-intercept transects. Plant cover was low (0-32.7%) on all slopes, spatially variable, and showed no consistent trends. Sedimentological characteristics were determined by photosieving next to 1500 plants; this census indicated preferential plant growth on blocks and cobbles, with 43.2% and 23.3% of the plants growing on these stones, respectively; fewer specimens were rooted on pebbles (13%) or on stone-free gravel areas (20.5%). Growth forms displayed different substrate preferences: 92.5% of the shrubs and 83% of the suffrutices colonized blocks or cobbles, but only 57.2% of the herbs and 59.8% of the graminoids grew on large stones. Plants are associated with large clasts because (1) coarse talus is more stable than fine sediment areas, which are more frequently disturbed by various geomorphic processes, and (2) large stones help conserve substrate water beneath them while moisture quickly evaporates from fine debris. Root patterns were studied for 30 plant species; 10 specimens for each species were excavated and inspected, and several root growth ratios calculated. All species exhibited pronounced root asymmetry, as roots for most plants grew upslope from their shoot base. For 23 species, all specimens had 100% of their roots growing upslope; for the other 7 species, 92.2-99.3% of below-ground biomass extended uphill. This uneven root distribution is ascribed to continual substrate instability and resulting talus shift; as cascading debris progressively buries roots and stems, plants are gradually pushed and/or stretched downhill. Various disturbance events affect root development. Slope erosion following rubble removal often exposes plant roots. Debris deposition can completely bury plants; some may survive sedimentation, producing new shoots that grow through accumulated debris. Shrubs may propagate by layering, as adventitious roots develop along buried stems; or produce new clones along their roots. Slope processes may damage and transport plant pieces downhill; some species can sprout from severed, displaced root or stem fragments. Vegetation interacts with several geomorphic processes, including debris flows, grain flows, rockfall, snow avalanches, frost creep, and runoff. Larger plants may alter local patterns of debris movement and deposition, damming cascading debris on their upslope side and deflecting sediments laterally to plant margins, where they form narrow elongated stone stripes.
Usuelli, Federico G; Manzi, Luigi; Brusaferri, Giovanni; Neher, Robert E; Guelfi, Matteo; Maccario, Camilla
2017-06-01
Sagittal implant malalignment after total ankle replacement (TAR) has been considered to be a possible cause for premature implant failure. In a prior study, the change over time of the tibiotalar ratio (T-T ratio), which is the ratio between the posterior longitudinal talar length and the full longitudinal talar length, was assessed in 66 TARs where an unconstrained, mobile-bearing implant was implanted. The analysis documented an increase in the T-T ratio between 2 and 6 months post-surgery (on average from 34.6% to 37.2%). We hypothesized that this change might have been related to the presence of a mobile-bearing insert. In order to test our hypothesis, we designed a study to compare the translation of the talus in TARs performed with an unconstrained, mobile-bearing implant (designated the "Mobile ankle") and those performed with a semi-constrained, fixed-bearing implant (designated the "Fixed ankle"). The study included 71 consecutive patients (71 ankles) who underwent TAR with the Mobile ankle and 24 consecutive patients (24 ankles) who received the Fixed ankle from May 2011 to December 2014. Patients were assessed clinically and radiologically preoperatively (T 0 ), at 6 months (T 2 ) and 12 months (T 3 ) post-surgery. There was also a radiological assessment at 2 months post-surgery (T 1 ). The comparison of the T-T ratio between the two implant groups and over time indicated an interaction between time and group, therefore the changes of the T-T ratio over time were affected by the implant type factor (P<0.001). The changes of the postoperative T-T ratio over time were not significant in the Fixed ankle group (35.7±6.7% at T 1 , T 2 , and T 3 ; P=1.0 for each pairwise comparison). In the Mobile ankle group, the T-T ratio at 2 months (34.4±5.5%) was significantly different to the T-T ratio at 6 months (37.0±5.8%; P<0.001; i.e. there was a significant posterior translation of the talus). The AOFAS score increased from preop to 12 months post-surgery in both the Mobile ankle (72.7±12.8 at 12 months; P<0.001) and the Fixed ankle (85.0±9.7 at 12 months; P<0.001). The significant posterior translation of the talus from 2 to 6 months documented only in the Mobile ankle group may have been associated with the presence of the mobile bearing interface. Copyright © 2016 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Rasmussen, N; Johnsen, N J; Thomsen, J
1979-01-01
Six out of twenty descendants of a reportedly affected grandfather have congenital bilateral symmetrical and isolated subtotal atresia of the external auditory canal. Four of the six affected descendants have bilateral foot anomalies--two affected cousins having congenital vertical talus. All of the three affected boys in the third generation have increased interocular distance. Short fifth fingers, bilateral single transverse palmar creases, pyloric stenosis and congenital exotropia were found infrequently and are considered coincidental features. Apart from the atresia, oto-rhinolaryngologic examination, mental function, dermatoglyphics, IgA, kidney function and heart function of the affected descendants were all normal. The karyotype of four affected descendants examined was normal. An autosomal dominant inheritance with variable expressivity is suggested.
Xue, Youdi; Zhang, Hui; Pei, Fuxing; Tu, Chongqi; Song, Yueming; Fang, Yue; Liu, Lei
2014-01-01
Treatment of talar neck fractures is challenging. Various surgical approaches and fixation methods have been documented. Clinical outcomes are often dissatisfying due to inadequate reduction and fixation with high rates of complications. Obtaining satisfactory clinical outcomes with minimum complications remains a hard task for orthopaedic surgeons. In the period from May 2007 to September 2010, a total of 31 cases with closed displaced talar neck fractures were treated surgically in our department. Injuries were classified according to the Hawkins classification modified by Canale and Kelly. Under general anaesthesia with sufficient muscle relaxation, urgent closed reduction was initiated once the patients were admitted; if the procedure failed, open reduction and provisional stabilisation with Kirschner wires through an anteromedial approach with tibiometatarsal external fixation were performed. When the soft tissue had recovered, definitive fixation was performed with plate and screws through dual approaches. The final follow-up examination included radiological analysis, clinical evaluation and functional outcomes which were carried out according to the Ankle-Hindfoot Scale of the American Orthopaedic Foot and Ankle Society (AOFAS), patient satisfaction and SF-36. Twenty-eight patients were followed up for an average of 25 months (range 18-50 months) after the injury. Only two patients had soft tissue complications, and recovery was satisfactory with conservative treatment. All of the fractures healed anatomically without malunion and nonunion, and the average union time was 14 weeks (range 12-24 weeks). Post-traumatic arthritis developed in ten cases, while six patients suffered from avascular necrosis of the talus. Secondary procedures included three cases of subtalar arthrodesis, one case of ankle arthrodesis and one case of total ankle replacement. The mean AOFAS hindfoot score was 78 (range 65-91). According to the SF-36, the average score of the physical component summary was 68 (range 59-81), and the average score of the mental component summary was 74 (range 63-85). Talar neck fractures are associated with a high incidence of long-term disability and complications. Urgent reduction of the fracture-dislocation and delayed plate fixation through a dual approach when the soft tissue has recovered may minimise the complications and provide good clinical outcomes.
Calder, James D F; Ballal, Moez S; Deol, Rupinderbir S; Pearce, Christopher J; Hamilton, Paul; Lutz, Michael
2015-09-01
Osteochondral Autologous Transplant (OATs) as a treatment option for Osteochondral lesions (OCLs) of the talar dome frequently uses the distal femur as the donor site which is associated with donor site morbidity in up to 50%. Some studies have described the presence of hyaline cartilage in the posterior superior calcaneal tuberosity. The aim of this study was to evaluate the posterior superior calcaneal tuberosity to determine if it can be a suitable donor site for OATs of the talus In this cadaveric study, we histologically evaluated 12 osteochondral plugs taken from the posterior superior calcaneal tuberosity and compared them to 12 osteochondral plugs taken from the talar dome. In the talar dome group, all samples had evidence of hyaline cartilage with varying degrees of GAG staining. The average hyaline cartilage thickness in the samples was 1.33 mm. There was no evidence of fibrocartilage, fibrous tissue or fatty tissue in this group. In contrast, the Calcaneal tuberosity samples had no evidence of hyaline cartilage. Fibrocartilage was noted in 3 samples only. We believe that the structural differences between the talus and calcanium grafts render the posterior superior clancaneal tuberosity an unsuitable donor site for OATs in the treatment of OCL of the talus. Copyright © 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Zhang, Ming; Chen, Yun-Feng; Wang, Lei; Li, Fan; Wei, Hai-Feng; Shi, Zhong-Min
2017-04-27
The purpose of this study was to investigate clinical characteristics and surgical management of Type III Wagstaffe fracture. From August 2012 to July 2015, 13 patients with Type III Wagstaffe fractures were surgically treated. During operation, the cartilage of joint surface was explored. Wagstaffe fragment was fixed with cannulated screw or suture, Chaput fragment was fixed with cannulated screw or plate, and Cotton test was performed to evaluate the stability of syndesmosis during the operation. All the patients were followed up for 14.3 months in average. Clinical outcome was assessed with Olerud-Molander score and American Orthopedic Foot and Ankle Society (AOFAS) score. The traumatic arthritis was evaluated with osteoarthritis-score (OA-score). During the operation, chondral injury was found on the lateral top of the talus in 8 cases, as "kissing lesion" of Chaput fragment. The fractures healed uneventfully and all the patients recovered satisfactorily except two had moderate restriction in ankle movement. The average Olerud-Molander score and AOFAS score were 82.3 and 86.1, respectively. Type III Wagstaffe is a rare and often missed fracture. 61% are associated with a chondral lesion on the lateral top of the talus. Anatomical reduction and rigid fixation of both fragments are mandatory to obtain ankle stability and good results. Copyright © 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Lateral column length in adult flatfoot deformity.
Kang, Steve; Charlton, Timothy P; Thordarson, David B
2013-03-01
In adult acquired flatfoot deformity, it is unclear whether the lateral column length shortens with progression of the deformity, whether it is short to begin with, or whether it is short at all. To our knowledge, no previous study has examined the lateral column length of patients with adult acquired flatfoot deformity compared to a control population. The purpose of our study was to compare the lateral column length in patients with and without adult acquired flatfoot deformity to see if there was a significant difference. The study was a retrospective radiographic review of 2 foot and ankle fellowship-trained orthopaedic surgeons' patients with adult flatfoot deformity. Our study population consisted of 75 patients, 85 feet (28 male, 57 female) with adult flatfoot deformity with a mean age of 64 (range, 23-93). Our control population consisted of 57 patients and 70 feet (23 male, 47 female) without flatfoot deformity with a mean age of 61 (range, 40-86 years). Weightbearing anteroposterior (AP) and lateral foot radiographs were analyzed for each patient, and the following measurements were made: medial and lateral column lengths, talonavicular uncoverage angle, talus-first metatarsal angle, calcaneal pitch angle, and medial and lateral column heights. An unpaired t test was used to analyze the measurements between the groups. Ten patients' radiographs were remeasured, and correlation coefficients were obtained to assess the reliability of the measuring techniques. For the flatfoot group, the mean medial and lateral column lengths on the AP radiograph were 108.6 mm and 95.8 mm, respectively; the mean talo-navicular uncoverage angle was 26.2 degrees; and the mean talus-first metatarsal angle was 20.0 degrees. In the control group, the mean medial and lateral column lengths on the AP radiograph were 108.8 mm and 96.5 mm, respectively; the mean talo-navicular uncoverage angle was 8.2 degrees; and the mean talus-first metatarsal angle was 7.7 degrees. On the lateral radiograph in the flatfoot group, the mean medial and lateral column lengths were 167.2 mm and 166.6 mm, respectively; the mean medial and lateral column heights were 16.0 mm and 14.7 mm, respectively; the mean calcaneal pitch angle was 15.6 degrees; and the talus-first metatarsal angle was 10.3 degrees and for the control group, the mean medial and lateral column lengths were 165.3 mm and 163.5 mm, respectively; the mean medial and lateral column heights were 22.8 mm and 13.1 mm, respectively; the mean calcaneal pitch angle was 22.4 degrees; and the talus-first metatarsal angle was -3.6 degrees. None of the differences in measurements for medial and lateral column lengths between the flatfoot and control groups achieved statistical significance. However, statistically significant differences between the 2 groups were observed in the measurements for medial and lateral column heights, talo-navicular uncoverage angle, calcaneal pitch angle, and talus-first metatarsal angle. There is no difference in lateral column lengths between patients with and without adult flatfoot deformity. The perceived shortened lateral column is likely due to forefoot abduction and hindfoot valgus deformities that are associated with adult flatfoot deformity. Level III, comparative series.
... top of the talus is dome-shaped and... Softball Injuries to the Foot and Ankle Your feet ... ankles take a beating when you are playing softball. Softball players should be aware of the following ...
Catastrophic lava dome failure at Soufrière Hills Volcano, Montserrat, 12-13 July 2003
Herd, Richard A.; Edmonds, Marie; Bass, Venus A.
2005-01-01
The lava dome collapse of 12–13 July 2003 was the largest of the Soufrière Hills Volcano eruption thus far (1995–2005) and the largest recorded in historical times from any volcano; 210 million m3 of dome material collapsed over 18 h and formed large pyroclastic flows, which reached the sea. The evolution of the collapse can be interpreted with reference to the complex structure of the lava dome, which comprised discrete spines and shear lobes and an apron of talus. Progressive slumping of talus for 10 h at the beginning of the collapse generated low-volume pyroclastic flows. It undermined the massive part of the lava dome and eventually prompted catastrophic failure. From 02:00 to 04:40 13 July 2003 large pyroclastic flows were generated; these reached their largest magnitude at 03:35, when the volume flux of material lost from the lava dome probably approached 16 million m3 over two minutes. The high flux of pyroclastic flows into the sea caused a tsunami and a hydrovolcanic explosion with an associated pyroclastic surge, which flowed inland. A vulcanian explosion occurred during or immediately after the largest pyroclastic flows at 03:35 13 July and four further explosions occurred at progressively longer intervals during 13–15 July 2003. The dome collapse lasted approximately 18 h, but 170 of the total 210 million m3 was removed in only 2.6 h during the most intense stage of the collapse.
He, Peiheng; Zhu, Qi; Zhang, Zhaohui; Zou, Xuenong; Xu, Dongliang
2013-01-01
To investigate relationship between the tibial mechanical axis and bony landmarks of the calf and foot by developing a new laser-calibrated position for radiography of the lower limb. A total of 120 volunteers were randomly divided into two groups. All subjects were marked with skin projection of the hypothetical axis of the calf on the frontal and sagittal planes. Radiographs of weight-bearing full-length lower-limb were obtained by the laser-calibrated positioning in the experimental group, and by the use of conventional technique in the control group. To consider the rotation of the calf, radiological features of the knee and ankle were investigated. The relationship between the tibial mechanical axis and the bony landmarks of the calf and foot were also measured. Anteroposterior view depicted a tangential projection on the superior/inferior tibiofibular syndesmosis and between lateral malleolus and talus in ankle mortise in the experimental group. Bony overlap on the superior/inferior tibiofibular syndesmosis and between lateral malleolus and talus was seen in control group. On the tangential projection, it also presented a clear wheel-like contour of the medial femoral condyle, but a partial overlap between medial femoral condyle and tibial plateau. The femoral joint angle between the connecting line at the lowest point of the medial and lateral femoral condyles and the tibial mechanical axis was 83.6° ± 2.49° in the experimental group and 85.3° ± 2.18° in the control group (P < 0.001). The tibial tubercle-axis distance from the center of the medial and middle one-third of the tibial tubercle to the tibial mechanical axis was 1.5 mm in the experimental group and 3.7 mm in the control group (P < 0.05). The malleoli-axis distance from the midpoint of the bimalleolar line joining the tips of the medial and lateral malleoli to the tibial mechanical axis was 1.9 mm in the experimental group and 6.9 mm in the control group (P < 0.001). Lateral view showed no difference between the tibial mechanical axis and the fibular reference line within two groups. In the new radiographic position, our data indicate that the hypothetical tibial mechanical axis and fibular reference line, obtained by marking the specified anatomic landmarks of the calf and foot, are located more closely to the tibial mechanical axis by correcting the rotation of the calf and foot during the radiography. On anteroposterior view, the tibial mechanical axis was approximately 2 mm medial to the center of the ankle. This indicates that the hypothetical tibial mechanical axis marked on the skin could be referred to guide the tibial osteotomy in total knee arthroplasty.
Wu, Jian-Qun; Ma, Sheng-Hui; Liu, Song; Qin, Cheng-He; Jin, Dan; Yu, Bin
2017-02-01
To investigate the optimal posterior screw placement and the geometry of safe zones for screw insertion in the talar neck. Computed tomography data for 15 normal feet were imported into Mimics 10.01 software for 3-dimensional reconstruction; 4.0-mm-diameter screws were simulated from the lateral tubercle of the posterior process of the talus to the talar head. The range of screw paths trajectories and screw lengths at nine locations that did not breach the cortex of the talus were evaluated. In addition, the farthest (point a) and nearest point (point b) of the safe zone to the subtalar joint at each location, the anteversion angle (angle A), which is parallel to the sagittal plane, and the horizontal angle (angle B), which is perpendicular to the sagittal plane, were measured. The safe zone was mainly between the 30% location and the 60% location; the width of each safe zone was 13.6° ± 1.4°; the maximum height of each safe zone was 7.8° ± 1.2°. The height of the safe zone was lowest at the 30% location (4.5°) and highest at the 50% location (7.3°). The mixed safe zone of all tali was between the 50% location and the 60% location. When a screw was inserted at point a, the safe entry distance (screw length) ranged from 48.8 to 49.5 mm, and when inserted to point b, the distance ranged from 48.2 to 48.9 mm. And inserting a 48.7 mm screw, 5.6° laterally and 7.4° superiorly, from the lateral tubercle of the posterior process of the talus towards the talar head is safest. The safe zone of posterior screw fixation have been defined applying to most talus, assuming the fractures are well reduced, this may strengthen the stability, shorten the operation time and reduce the incidence of surgical complications. © 2017 Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.
Ankle Fractures Often Not Diagnosed
... top of the talus is dome-shaped and... Softball Injuries to the Foot and Ankle Your feet ... ankles take a beating when you are playing softball. Softball players should be aware of the following ...
... usually triggered by an injury, such as an ankle sprain. The syndrome is also frequently caused by repeated ... other conditions, such as an Achilles tendon injury, ankle sprain or talus fracture. Diagnosis of os trigonum syndrome ...
Ephemeral skin-flows on talus affected by permafrost degradation (Corral del Veleta, Spain)
NASA Astrophysics Data System (ADS)
Tanarro, L. M.; Palacios, D.; Zamorano, J. J.; Gómez, A.
2009-04-01
In mountain environments, talus formed at the foot of valley sides are frequently affected by hillslope processes, such as skin-flows. The main characteristic of this type of flow is that it only causes the movement of a thin layer of soil, regolith or debris over an inclined plane parallel to the topographical surface of the talus. Some examples of this movement have already been described (Rapp, 1960; Akerman; 1984; White, 1981, Benedict, 1970; Jahn, 1967; Söderman, 1980; Lewkowicz, 1988, Harris, 1987). The causes of the formation of these movements vary, but in general they have been linked primarily with rapid snow melt and/or with degraded permafrost levels (Jahn, 1967; Nyberg, 1991; Rapp and Nyberg, 1988; Strömquist, 1985; Hall, 1985; Thorn, 1988; McRoberts and Morgenstern, 1974, Caine, 1976). Within this context, the aims of this paper are: first, to present and describe the characteristics and temporal and geomorphological evolution of a series of skin-flows which have occurred on the talus which lies at the foot of the Corral del Veleta glacial cirque, and second, to analyze the factors that appear to have triggered them. The Pico del Veleta mountain (3398 m a.s.l.) is one of the main summits in the Sierra Nevada Massif, a group of mountains forming part of the Cordilleras Béticas, in SE Spain (37°03´N, 3°22´W). The Corral del Veleta is a glacial cirque on the northeastern face of the Pico del Veleta, c. 600 m long in a NW-SE direction, with a head is formed by a steep wall which falls more than 250 meters to meet with a wide and irregular talus. The cirque headwall is composed of metamorphic rocks (mainly micaschist), lined up in structural steps or shelves tilted towards the NNW. One of these shelves forms the base of the cirque, on which a series of moraine ridges, tardiglacial or from the Little Ice Age, which close off the cirque towards the North (Gómez et al., 2001). The talus is formed from abundant debris resulting from weathering (gelifraction) and hillslope dynamics (rockfall activity) which affect the headwall (Gómez et al., 2003) and is formed mainly by various talus cones which are irregular in shape and stepped as the accumulated debris covers the remains of the stepped structural shelves which were not destroyed by the glacial erosion. Although the talus debris is basically made up of blocks, it is important to point out the abundant presence of fine material, produced by the weathering of the micaschist. (Castillo and Fedeli, 2002; Gómez et al., 2003). Field work carried out over the last ten years (1998-2008) has allowed observation of the triggering and formation in some years of various skin flows in different sectors of the talus, especially in the late summer of 2002 when four skin flows occurred. Within this timeframe monitoring and analysis of this kind of skin flow has been carried out. On the one hand, the description of the morphology, morphometry and sedimentology of each flow has been completed with the production of detailed geomorphological mapping and from sedimentological analysis. The geomorphological mapping has, in turn, allowed the observation of the geomorphological evolution of the flows from the time they occurred. On the other hand, a study has been made of the variables or factors which seem a priori to control the triggering of the skin flow landslips: the snow melt and the presence of permafrost in the detrital talus. The former has been monitored through photographic control of the snow cover at the end of the summer season, so that for each date analyzed a map was obtained of the snow cover, superimposing in turn the location of the skin flows at that date. A GIS processing of the different snow covers has also allowed a map to be produced with the areas of maximum summer snow cover, which was compared with the sites of the skin flow landslips. The existence of permafrost and its presence in the detrital slope has been detected through the monitoring of the ground temperature (BTS measurements, miniature temperature dataloggers) and geophysical surveys (Gómez et al., 2001, 2003). However, these methods for detecting permafrost (pending more detailed surveys) have shown that the presence of permafrost or buried ice in the slope is discontinuous. The geomorphological interpretation shows that the flows are small scale. The maximum length of the largest flow occurring during the observation period is around 50 m, and its width oscillates between 25-30 m. In general the flow only affects a layer of debris of less than 30 cm. The dislodged layer is made up of fine material and small clasts or gravel and pebble sized fragments, with a significant presence of numerous multiple flows which diverge or divide when they encounter a large block and end up forming small lobes. The interior of these is made up of fine material (clay and silt) and the lobe itself is made of small, tightly compressed fragments. Here it should also be noted that many of the flows are stopped or ended when they collide with a block of larger size, forming a series of lobes. It seems clear that many of these flows, as they are moving only a thin layer of fine material, are controlled by the presence of larger blocks which remain stable on the slope. The location of the skin flows at the base of the snowpatches in late summer seems to be the main factor which triggers their genesis. Here, as has been observed in other areas, the absence of vegetation and the abundant water delivered by the rapid nival fusion or snow melt, stronger here as this is an area with Mediterranean climate and also linked to the presence of abundant fine material, provide the conditions needed to favor the triggering of this kind of movement. However it was observed that some skin flows develop in sectors of the slope where the permafrost is absent and so their origin seems to be clearly related to the snow melt. In addition in these cases, the morphology of the flows once they are formed is not destroyed but rather tends to ‘blur' as the years pass, although it does not completely lose its original shape: the fine material inside the lobes becomes compacted and the multiple lobes become blurred. In contrast, in other sectors of the slope, where the presence of permafrost levels or buried ice has been detected, the skin flows, once formed, change their physiognomy from year to year, which may be related to the influence of the nival dynamic along with the degradation of the permafrost and the dislodgement of the active layer. References Akerman, H, .J, 1984: Notes on talus morphology and processes in Spitsbergen. Geografiska Annaler 66A (4): 267-284. Benedict, J. B. 1970. Downslope soil movement in a Colorado alpine region: rates, processes, and climatic significance, Arctic and Alpine Research, 2(3): 165-226 Caine N (1976). The influence of snow and increased snowfall on contemporary geomorphic processes in alpine areas. In: Steinoff HW, Ives JD (eds) Ecological impacts of snowpack augmentation in the San Juan Mountains. Colorado State University, Fort Collins, pp 145-200 Castillo, A. and Fedeli, B. 2002. Algunas pautas del comportamiento hidrogeológico de rocas duras afectadas por glaciarismo y periglaciarismo en Sierra Nevada (España). Geogaceta, 32: 195-197. Gómez, A., Palacios, D., Ramos, M., Tanarro, L.M., Schulte, L and Salvador, F., 2001: Location of permafrost in marginal regions: Corral del Veleta, Sierra Nevada. Permafrost and Periglacial Processes, 12: 93-110. Gómez, A.; Palacios, D.; Luengo, E.; Tanarro, L. M.; Schulte, L. & Ramos, M. 2003. Talus instability in a recent deglaciation area and its relantionship to buried ice and snow cover evolution (Picacho del Veleta, Sierra Nevada, Spain). Geografiska Annaler, 85 A(2): 165-182. Hall, K., 1985: Some observations on ground temperatures and transport processes at a nivation site in northern Norway. Norsk Geografisk Tidsskrift, 39: 27-37. Harris, C., 1987: Mechanisms of mass movement in periglacial environments. In: Anderson, M.G. and Richards, K.S. (eds): Slope Stability. John Wiley and Sons. Chichester. 531-559. Jahn, A., 1967: Some features of mass movement on Spitsbergen slopes. Geografiska Annaler, 49A: 213-225. Lambiel, C. and Pieracci, K. 2008. Permafrost distribution in talus slopes located within the alpine periglacial belt, Swiss Alps. Permafrost and Periglacial Processes, 19: 293-304. Lewkowicz, A.G.1988: Slope processes. In: Clark, M.J. (eds): Advances in Periglacial Geomorphology. John Wiley and Sons. Chichester. 325-368. McRoberts, E.C. and Morgenstern, N.R., 1974: The stability of the thawing slopes. Canadian Geotechnical Journal, 11: 447-469. Nyberg, R., 1991: Geomorphic processes at snowpatch sites in the Abisko mountains, northern Sweden. Zeitschrift für Geomorphologie N.F., 35(3): 321-343. Rapp, A. and Nyberg, R., 1988: Mass movements, nivation processes and climatic fluctuations in northern Scandinavian mountains. Norsk Geografisk Tidsskrift, 42: 245-253. Rapp, A., 1960: Recent development of mountain slopes in Kärkevagge and surroundings, Northen Scandinavia. Geografiska Annaler, 42A(2-3): 1-199. Soderman, G., 1980: Slope processes in cold environments of northern Finland. Fennia, 158: 83-152. Strömquist, L., 1985: Geomorphic impact of snowmelt on slope erosion and sediment production. Zeitschrift für Geomorphologie N. F., 29: 129-138. Thorn, C. E., 1988: Nivation: a geomorphic chimera. In: Clark, M. J. (ed.): Advances in Periglacial Geomorphology: John Wiley and Sons. Chichester. 3-31. White, S.E. 1981: Alpine mass movement forms (non-catastrophic). Arctic and Alpine Research 13: 127-37.
Stream chemistry modeling of two watersheds in the Front Range, Colorado
Meixner, Thomas; Bales, Roger C.; Williams, Mark W.; Campbell, Donald H.; Baron, Jill S.
2000-01-01
We investigated the hydrologic, geochemical, and biogeochemical controls on stream chemical composition on the Green Lakes Valley and Andrews Creek watersheds using the alpine hydrochemical model (AHM). Both sites had comparable data sets from 1994 and 1996, including high‐resolution spatial data and high‐frequency time series of hydrology, geochemistry, and meteorology. The model of each watershed consisted of three terrestrial subunits (soil, talus, and rock), with the routing between the subunits determined by spatial land cover data. Using 1994 data for model calibration and 1996 data for evaluation, AHM captured the dominant processes and successfully simulated daily stream chemical composition on both watersheds. These results confirm our procedure of using spatial and site‐specific field and laboratory data to generate an initial catchment model and then calibrating the model to calculate effective parameters for unmeasured processes. A net source of nitrogen was identified in the Andrews Creek watershed during the spring snowmelt period, whereas nitrogen was immobilized in the Green Lakes Valley. This difference was most likely due to the larger and more dominant area of talus in the Andrews Creek watershed. Our results also indicate that routing of snowmelt through either soil or talus material is sufficient for retention of H+ and release of base cations but that N retention is more important on areas mapped as soil. Owing to the larger ionic pulse and larger fraction of surface runoff the Green Lakes Valley was more sensitive to a doubling of wet deposition chemistry than the Andrews Creek watershed.
Long-term impact of ankle sprains on postural control and fascial densification.
Kalichman, Leonid; Lachman, Hila; Freilich, Naama
2016-10-01
To evaluate the effect of a past ankle sprain (AS) on postural control and fascial changes in the adjacent body segment. 20 young, healthy subjects with a history (≥6 months) of significant (Grades 2, 3) lateral ASs and 20 controls with no history of AS were recruited to cross-sectional case-control study. All subjects performed the Star Excursion Balance Test (SEBT). The Stecco method was used to evaluate fascial densification in the calf and upper foot areas. The leg with the AS in the study group vs. the right leg in the control group exhibited significant differences (lower scores of SEBT test in the AS group) for the following directions: anterior (p < 0.001), antero-lateral (p < 0.001), posterior (P = 0.028), postero-medial (P = 0.001), medial (P = 0.001), antero-medial (p < 0.001). A comparison between the leg with an AS in the study group and the right leg in the control group showed a significantly high prevalence of fascial densification for the talus internal rotation (p = 0.014), talus retromotion (p = 0.001), talus lateral (p = 0.040) and pes external rotation (p = 0.060) points. There are long term effects of an AS on postural control and on the sensitivity and movability of the fascia in the calf and foot. Copyright © 2016 Elsevier Ltd. All rights reserved.
Retrograde intramedullary nail arthrodesis for avascular necrosis of the talus.
Devries, J George; Philbin, Terrence M; Hyer, Christopher F
2010-11-01
Avascular necrosis (AVN) of the talus from any etiology is a devastating pathology. There are few salvage options available and controversy exists as to the surgical management for patients with talar AVN. The authors present their results of tibiotalocalcaneal arthrodesis with a retrograde nail. A comprehensive chart and radiographic review was pulled from our database for patients with AVN of the talus, who were treated by tibiotalocalcaneal fusion with retrograde intramedullary nail. Primary outcome was union, with time to clinical union as a secondary endpoint. Fourteen patients were included. The average age at surgery was 47.4 ± 12.8 years, there were nine female patients, and the average Body Mass Index was 33.5 ± 6.0. Surgical risk factors included two patients who smoked, one was diabetic, and one had a preoperative ulceration. The average time to partial weightbearing was 70.6 ± 25.4 days, and the average time to full weightbearing was 100.6 ± 35.5 days. Four patients had postoperative complications, while no patients required major revision surgery. Twelve patients went on to solid fusion, while two went on to a stable, braceable pseudoarthrosis. Eight patients were able to return to shoes, and eight were able to walk unaided at final followup. Salvage of talar AVN is possible by tibiotalocalcaneal arthrodesis with an intramedullary nail. Physicians may offer this as a salvage option to patients with a high likelihood of successful fusion.
Measurements of the talus in the assessment of population affinity.
Bidmos, Mubarak A; Dayal, Manisha R; Adegboye, Oyelola A
2018-06-01
As part of their routine work, forensic anthropologists are expected to report population affinity as part of the biological profile of an individual. The skull is the most widely used bone for the estimation of population affinity but it is not always present in a forensic case. Thus, other bones that preserve well have been shown to give a good indication of either the sex or population affinity of an individual. In this study, the potential of measurements of the talus was investigated for the purpose of estimating population affinity in South Africans. Nine measurements from two hundred and twenty tali of South African Africans (SAA) and South African Whites (SAW) from the Raymond A. Dart Collection of Human Skeletons were used. Direct and step-wise discriminant function and logistic regression analyses were carried out using SPSS and SAS. Talar length was the best single variable for discriminating between these two groups for males while in females the head height was the best single predictor. Average accuracies for correct population affinity classification using logistic regression analysis were higher than those obtained from discriminant function analysis. This study was the first of its type to employ discriminant function analyses and logistic regression analyses to estimate the population affinity of an individual from the talus. Thus these equations can now be used by South African anthropologists when estimating the population affinity of dismembered or damaged or incomplete skeletal remains of SAA and SAW. Copyright © 2018 Elsevier B.V. All rights reserved.
Doria, Andrea S; Zhang, Ningning; Lundin, Bjorn; Hilliard, Pamela; Man, Carina; Weiss, Ruth; Detzler, Gary; Blanchette, Victor; Moineddin, Rahim; Eckstein, Felix; Sussman, Marshall S
2014-05-01
Recent advances in hemophilia prophylaxis have raised the need for accurate noninvasive methods for assessment of early cartilage damage in maturing joints to guide initiation of prophylaxis. Such methods can either be semiquantitative or quantitative. Whereas semiquantitative scores are less time-consuming to be performed than quantitative methods, they are prone to subjective interpretation. To test the feasibility of a manual segmentation and a quantitative methodology for cross-sectional evaluation of articular cartilage status in growing ankles of children with blood-induced arthritis, as compared with a semiquantitative scoring system and clinical-radiographic constructs. Twelve boys, 11 with hemophilia (A, n = 9; B, n = 2) and 1 with von Willebrand disease (median age: 13; range: 6-17), underwent physical examination and MRI at 1.5 T. Two radiologists semiquantitatively scored the MRIs for cartilage pathology (surface erosions, cartilage loss) with blinding to clinical information. An experienced operator applied a validated quantitative 3-D MRI method to determine the percentage area of denuded bone (dAB) and the cartilage thickness (ThCtAB) in the joints' MRIs. Quantitative and semiquantitative MRI methods and clinical-radiographic constructs (Hemophilia Joint Health Score [HJHS], Pettersson radiograph scores) were compared. Moderate correlations were noted between erosions and dAB (r = 0.62, P = 0.03) in the talus but not in the distal tibia (P > 0.05). Whereas substantial to high correlations (r range: 0.70-0.94, P < 0.05) were observed between erosions, cartilage loss, HJHS and Pettersson scores both at the distal tibia and talus levels, moderate/borderline substantial (r range: 0.55-0.61, P < 0.05) correlations were noted between dAB/ThCtAB and clinical-radiographic constructs. Whereas the semiquantitative method of assessing cartilage status is closely associated with clinical-radiographic scores in cross-sectional studies of blood-induced arthropathy, quantitative measures provide independent information and are therefore less applicable for that research design.
Fractures of the Talus: State of the Art.
Vallier, Heather A
2015-09-01
Talus fractures occur rarely but are often associated with complications and functional limitations. Urgent reduction of associated dislocations is recommended with open reduction and internal fixation of displaced fractures when adjacent soft tissue injury permits. Delayed definitive fixation may reduce the risks of wound complications and infections. Restoration of articular and axial alignment is necessary to optimize ankle and hindfoot function. Despite this, posttraumatic arthrosis occurs frequently after talar neck and body fractures, especially with comminution of the talar body. Osteonecrosis is reported in up to half of talar neck fractures, although many of these injuries will revascularize without collapse of the talar dome. Initial fracture displacement and presence of open fractures increase the risk of osteonecrosis. Talar process fractures may be subtle and easily missed on plain radiographs. Advanced imaging will provide detail to facilitate treatment planning. Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
Bear feeding activity at alpine insect aggregation sites in the Yellowstone ecosystem
Mattson, David J.; Gillin, Colin M.; Benson, Scott A.; Knight, Richard R.
1991-01-01
Bears (Ursidae) were observed from fixed-wing aircraft on or near alpine talus in the Shoshone National Forest between 15 June and 15 September in 1981–1989. Bears fed on insect aggregations at 6 known and 12 suspected alpine talus sites, disproportionately more at elevations > 3350 m, on slopes > 30°, and on south- and west-facing aspects. While at these sites, bears almost exclusively ate invertebrates, typically army cutworm moths (Euxoa auxiliaris). Subadult grizzly bears (Ursus arctos horribilis) appeared to be underrepresented at the sites, and proportionate representation of adult females with young appeared to decrease between 15 June and 15 September. Overall, observations of bears at these sites increased between 1981 and 1989. We suggest that alpine insect aggregations are an important food source for bears in the Shoshone National Forest, especially in the absence of high-quality foraging alternatives in July and August of most years.
Roukis, Thomas S; Kang, Rachel B
2016-01-01
Tibiotalocalcaneal arthrodesis stabilized with retrograde intramedullary nail fixation is associated with a high incidence of complications. This is especially true when performed with a bulk structural allograft and poor soft tissue quality. In select high-risk limb salvage cases, we have augmented tibiotalocalcaneal arthrodesis procedures stabilized using retrograde intramedullary nail fixation with a vascularized pedicled fibular onlay bone graft. We present the data from 10 such procedures with a mean follow-up period of 10.9 ± 5.4 (range 6 to 20) months involving 10 patients (9 males and 1 female). The etiology was avascular osteonecrosis of the talus and/or distal tibia and a resultant large volume cavitary bone defect (8 ankles), severe equinocavovarus contracture (1 ankle), and failed total ankle replacement (1 ankle). A frozen femoral head bulk allograft was used twice, a whole frozen talus allograft once, and a freeze-dried calcaneal allograft once. The fibula was mobilized with intact musculoperiosteal perforating branches of the peroneal artery as a vascularized pedicle onlay bone graft fixated with a screw and washer construct. The mean fibular graft length was 10.2 ± 2.3 cm. The mean interval to radiographic fusion was 2.6 ± 0.6 months and to weightbearing was 3.1 ± 1.4 months. Two stable bulk allograft-host bone and fibular graft-host bone nonunions occurred after intramedullary nail hardware failure. Tibiotalocalcaneal arthrodesis augmented by vascularized pedicled fibular graft stabilized with retrograde compression intramedullary nail fixation offers a reliable option for complex salvage situations when few other options exist. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Lardé, Hélène; Nichols, Sylvain; Babkine, Marie; Desrochers, André
2017-01-01
To determine arthroscopic approaches to the dorsal and plantar synovial compartments of the tarsocrural joint in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach. Ex vivo study. Fresh adult bovine cadavers (n = 7). Two tarsocrural joint were injected with latex to determine arthroscopic portal locations and arthroscopy of the tarsocrural joint of 12 tarsi was performed. The dorsolateral approach was made through the large pouch located between the long digital extensor and peroneus longus tendons. The dorsomedial approach was made just medial to the common synovial sheath of the tibialis cranialis, peroneus tertius, and long digital extensor tendons. The plantarolateral and plantaromedial approaches were made lateral and medial to the tarsal tendon sheath, respectively. Each approach allowed visualization of the distal tibia articulating with the proximal trochlea of the talus. Consistently observed structures included the distal intermediate ridge of the tibia, and the medial and lateral trochlear ridges and trochlear groove of the talus. Lateral and medial malleoli were best assessed from dorsal approaches. From the lateral approaches evaluation of the abaxial surface of the lateral trochlear ridge allowed visualization of the fibulocalcaneal joint. From the plantar approaches additional observed structures included the coracoid process of the calcaneus, plantar trochlea of the talus, and plantar talotibial and talofibular ligaments. In cattle, the dorsolateral and plantarolateral approaches allowed for the best evaluation of the dorsal and plantar aspects of the tarsocrural joint, respectively. © 2017 The American College of Veterinary Surgeons.
[Arthroscopic treatment of chondral lesions of the ankle joint. Evidence-based therapy].
Thomas, M; Jordan, M; Hamborg-Petersen, E
2016-02-01
Ankle sprains are the most relevant injuries of the lower extremities and can lead to damage to ligaments and osteochondral lesions. Up to 50 % of patients with a sprained ankle later develop a lesion of the cartilage in the ankle joint or an osteochondral lesion of the talus. This can lead to osteoarthritis of the injured ankle joint. Spontaneous healing is possible in all age groups in cases of a bone bruise in the subchondral bone but in isolated chondral injuries is only useful in pediatric patients. In many cases chondral and osteochondral injuries lead to increasing demarcation of the affected area and can result in progressive degeneration of the joint if not recognized in time. There also exist a certain number of osteochondral changes of the articular surface of the talus without any history of relevant trauma, which are collectively grouped under the term osteochondrosis dissecans. Perfusion disorders are discussed as one of many possible causes of these alterations. Nowadays, chondral and osteochondral defects can be treated earlier due to detection using very sensitive magnetic resonance imaging (MRI) and computed tomography (CT) techniques. The use of conservative treatment only has a chance of healing in pediatric patients. Conservative measures for adults should only be considered as adjuvant treatment to surgery.Based on a comprehensive analysis of the current literature, this article gives an overview and critical analysis of the current concepts for treatment of chondral and osteochondral injuries and lesions of the talus. With arthroscopic therapy curettage and microfracture of talar lesions are the predominant approaches or retrograde drilling of the defect is another option when the chondral coating is retained. Implantation of autologous chondral cells or homologous juvenile cartilage tissue is also possible with arthroscopic techniques. Osteochondral fractures (flake fracture) are usually performed as a mini-open procedure supported by arthroscopy. The use of the osteochondral autograft transfer system (OATS), implantation of membranes with or without autologous bone marrow transfer and possibly with growth factors or implantation of stem cells are carried out in combination with arthroscopic mini-open procedures. The results from the literature are discussed and compared with own results after arthroscopic treatment of chondral lesions of the talus.
NASA Astrophysics Data System (ADS)
Schwindt, Daniel; Kneisel, Christof
2010-05-01
Discontinuous alpine permafrost is expected to exist at altitudes above 2400m a.s.l. at mean annual air temperatures (MAAT) of less than -1°C. Below timberline only a few sites are known, where sporadic permafrost exists in vegetated talus slopes with positive MAAT. Aim of the study is to characterize permafrost-humus interaction, the thermal regime and its influence on temporal and spatial permafrost variability. Results of geophysical and thermal measurements from three talus slopes, located in the Swiss Alps (Engadin, Appenzell) at elevations between 1200 and 1800m a.s.l. with MAAT between 2.8°C and 5.5°C are presented. Parent rock-material of the slopes are granite (Bever Valley, Engadin) and dolomite (Susauna Valley, Engadin; Brüeltobel, Appenzell). Joint application of electrical resistivity tomography (ERT) and refraction seismic tomography (RST) is used to detect and characterize permafrost. To observe temporal and spatial variability in ice content and characteristics year-around geoelectrical monitoring and quasi-3D ERT are used. A forward modeling approach has been applied to validate the results of geoelectrical monitoring. A number of temperature data loggers were installed in different depth of the humus layer and in different positions of the slope to monitor the ground thermal regime. Isolated permafrost has been detected by the combination of ERT and RST in the lower parts of the investigated talus slopes. Results from geophysical measurements and monitoring indicate a high spatial and temporal variability in ice content and ice characteristics (temperature, density, content of unfrozen water) for all sites. A distinct rise of resistivities between November and December indicates a decrease of unfrozen water content, caused by a pronounced cooling in the lower parts of the slope. Decreasing ice content and extent of the permafrost lenses can be observed in decreasing seismic velocities from 2600m/sec in spring to only 1500m/sec in October. Ice characteristics, ice content and extent of permafrost lenses depend on the thermal regime, induced by characteristics of surface (humus, vegetation) and subsurface (parental rock material) material as well as thermal effects, with an inversive air flow inside the talus slope of cold air inflow in winter in the lower parts and cold air outflow in summer through the same vents (chimney effect), a theory that has been proven by temperature measurements in the Brüeltobel and the Susauna Valley. While the dolomitic talus slopes are relatively homogenous concerning surface and subsurface material, showing a consistent thick humus cover, the granitic site shows a small-scale heterogeneity of different humus forms and thicknesses as well as size of granitic boulders, influencing the thermal regime. Temperatures in the humus profile are very constant for the dolomitic sites, reflecting the insulation capability of the humus cover, with temperatures in August around 3°C at 30cm depth (mean air temperature in August 12°C). Humus temperatures (30cm depth) in the Bever Valley vary strongly between areas with consistent humus cover (1-2°C in August) and areas with coarse, uncovered boulders, where temperatures show a stronger coupling to air temperatures. While the chimney effect has strong influence on the ground thermal regime of the dolomitic sites, for some parts of the granitic slope in the Bever Valley the theory has to be expanded towards a continuous air exchange with the atmosphere, for areas where the insulation capability of the humus cover is highly disturbed along large parts of the talus slope.
NASA Astrophysics Data System (ADS)
Gordon, R.; Lautz, L. K.; McKenzie, J. M.; Mark, B. G.; Chavez, D.
2013-12-01
Melting tropical glaciers supply approximately half of dry season stream discharge in glacierized valleys of the Cordillera Blanca, Peru. The remainder of streamflow originates as groundwater stored in alpine meadows, moraines and talus slopes. A better understanding of the dynamics of alpine groundwater, including sources and contributions to streamflow, is important for making accurate estimates of glacial inputs to the hydrologic budget, and for our ability to make predictions about future water resources as glaciers retreat. Our field study, conducted during the dry season in the Llanganuco valley, focused on a 0.5-km2 alpine meadow complex at 4400 m elevation, which includes talus slopes, terminal moraines, and a debris fan. Two glacial lakes and springs throughout the complex feed a network of stream channels that flow across the meadow (~2 km total length). We combined tracer measurements of stream and spring discharge and groundwater-surface water exchange with synoptic sampling of water isotopic and geochemical composition, in order to characterize and quantify contributions to streamflow from different geomorphic features. Surface water inputs to the stream channels totaled 58 l/s, while the stream gained an additional 57 l/s from groundwater inputs. Water chemistry is primarily controlled by flowpath type (surface/subsurface) and length, as well as bedrock lithology, while stable water isotopic composition appears to be controlled by water source (glacial lake, meadow or deep groundwater). Stream water chemistry is most similar to meadow groundwater springs, but isotopic composition suggests that the majority of stream water, which issues from springs at the meadow/fan interface, is from the same glacial source as the up-gradient lake. Groundwater sampled from piezometers in confined meadow aquifers is unique in both chemistry and isotopic composition, but does not contribute a large percentage of stream water exiting this small meadow, as quantified by discharge measurements and isotopic mixing. However, we expect that as streams flow down through extensive meadows and wetlands in many Cordillera Blanca valleys, meadow groundwater is a more significant contributor to streamflow. Results from this small, high meadow in Llanganuco will be compared to a larger and lower-elevation meadow system in the Quilcayhuanca valley.
Seo, Sung-Suk; Park, Joo-Yeon; Kim, Hae-Jin; Yoon, Ji-Wook; Park, Sang-Hyun; Kim, Kyung-Hoon
2012-01-01
An osteochondral lesion of the talus (OLT) is a lesion involving the talar articular cartilage and its subchondral bone. OLT is a known cause of chronic ankle pain after ankle sprains in the active population. The lesion causes deep ankle pain associated with weight-bearing, impaired function, limited range of motion, stiffness, catching, locking, and swelling. There are 2 common patterns of OLTs. Anterolateral talar dome lesions result from inversion and dorsiflexion injuries of the ankle at the area impacting against the fibula. Posteromedial lesions result from inversion, plantar flexion, and external rotation injuries of the ankle at the area impacting against the tibial ceiling of the ankle joint. Early diagnosis of an OLT is particularly important because the tibiotalar joint is exposed to more compressive load per unit area than any other joint in the body. Failure of diagnosis can lead to the evolution of a small, stable lesion into a larger lesion or an unstable fragment, which can result in chronic pain, joint instability, and premature osteoarthritis. A 43-year-old man, with a history of ankle sprain one year previously, visited our pain clinic for continuous right ankle pain after walking or standing for more than 30 minutes. There was a focal tenderness on the posteromedial area of the right talus. Imaging studies revealed a posteromedial OLT classified as having a geode form according to the FOG (fractures, osteonecroses, geodes) radiological classification and categorized as a stage 2a lesion on magnetic resonance imaging. The patient was scheduled for aspiration and osteoplasty with hydroxyapatite under arthroscopic and fluoroscopic guidance. A 26-gauge needle was inserted to infiltrate local anesthetics into the skin over the cyst and ankle joint. An arthroscope was placed into the joint to approach the OLT. The arthroscopic view showed that there was no connection between the OLT and the cyst of the talus body. A 13-gauge bone biopsy needle was inserted into the cyst, and aspiration was performed. Aspirated fluid from the cyst was originally white and clear; however, it changed to a blood-tinged, reddish color due to mixing with the incisional blood. After aspiration, contrast medium was injected, and the shape of the spread was observed. Bone cement comprising hydroxyapatite was injected to fill the bone defect of the cyst. A 1.5 mL volume of cement was injected into the talus under vigilant fluoroscopic and arthroscopic monitoring to prevent its dissemination into the joint. There was no cement leakage into the vessels or articular space. Postoperative fluoroscopy and computed tomography images showed bone cement filling of the defect. In the present case, arthroscopic and fluoroscopic guidance was used for aspiration of an OLT and for performing percutaneous osteoplasty with hydroxyapatite for one defect; this treatment decreased pain upon weight bearing and enabled a return to work without any restrictions one week after the procedure. The purpose of this report was to highlight the presence of OLT in chronic ankle pain and to review its management strategies.
NASA Astrophysics Data System (ADS)
Beers, A.; Ray, C.
2015-12-01
Climate change is likely to affect mountainous areas unevenly due to the complex interactions between topography, vegetation, and the accumulation of snow and ice. This heterogeneity will complicate relationships between species presence and large-scale drivers such as precipitation and make predicting habitat extent and connectivity much more difficult. We studied the potential for fine-scale variation in climate and habitat use throughout the year in the American pika (Ochotona princeps), a talus specialist of mountainous western North America known for strong microhabitat affiliation. Not all areas of talus are likely to be equally hospitable, which may reduce connectivity more than predicted by large-scale occupancy drivers. We used high resolution remotely sensed data to create metrics of the terrain and land cover in the Niwot Ridge (NWT) LTER site in Colorado. We hypothesized that pikas preferentially use heterogeneous terrain, as it might foster greater snow accumulation, and used radio telemetry to test this with radio-collared pikas. Pikas use heterogeneous terrain during snow covered periods and less heterogeneous area during the summer. This suggests that not all areas of talus habitat are equally suitable as shelter from extreme conditions but that pikas need more than just shelter from winter cold. With those results we created a predictive map using the same habitat metrics to model the extent of suitable habitat across the NWT area. These strong effects of terrain on pika habitat use and territory occupancy show the great utility that high resolution remotely sensed data can have in ecological applications. With increasing effects of climate change in mountainous regions, this modeling approach is crucial for quantifying habitat connectivity at both small and large scales and to identify potential refugia for threatened or isolated species.
Ankle fractures have features of an osteoporotic fracture.
Lee, K M; Chung, C Y; Kwon, S S; Won, S H; Lee, S Y; Chung, M K; Park, M S
2013-11-01
We report the bone attenuation of ankle joint measured on computed tomography (CT) and the cause of injury in patients with ankle fractures. The results showed age- and gender-dependent low bone attenuation and low-energy trauma in elderly females, which suggest the osteoporotic features of ankle fractures. This study was performed to investigate the osteoporotic features of ankle fracture in terms of bone attenuation and cause of injury. One hundred ninety-four patients (mean age 51.0 years, standard deviation 15.8 years; 98 males and 96 females) with ankle fracture were included. All patients underwent CT examination, and causes of injury (high/low-energy trauma) were recorded. Mean bone attenuations of the talus, medial malleolus, lateral malleolus, and distal tibial metaphysis were measured on CT images. Patients were divided into younger age (<50 years) and older age (≥50 years) groups, and mean bone attenuation and causes of injury were compared between the two groups in each gender. Proportion of low-energy trauma was higher in the older age group than in the younger age group, but the difference was only significant in female gender (p = 0.011). The older age group showed significantly lower bone attenuation in the talus, medial malleolus, lateral malleolus, and distal tibial metaphysis than the younger age group in both genders. The older age group showed more complex pattern of fractures than the younger age group. With increasing age, bone attenuations tended to decrease and the difference of bone attenuation between the genders tended to increase in the talus, medial malleolus, lateral malleolus, and distal tibial metaphysis. Ankle fracture had features of osteoporotic fracture that is characterized by age- and gender-dependent low bone attenuation. Ankle fracture should not be excluded from the clinical and research interest as well as from the benefit of osteoporosis management.
Sung, Ki Hyuk; Choi, Young; Cho, Gyeong Hee; Chung, Chin Youb; Park, Moon Seok; Lee, Kyoung Min
2018-02-05
This study evaluated the correlation between central and peripheral bone mineral density (BMD) of the ankle joint, using dual-energy X-ray absorptiometry (DXA). We also investigated whether peripheral ankle BMD could be used to identify individuals who were diagnosed with osteoporosis, using central DXA. We recruited 134 volunteers aged 20-90 years who agreed to participate in this study. Central BMD of the lumbar spine and left femur, and peripheral BMD of the medial malleolus, distal tibia, lateral malleolus, and talus were measured with DXA. Among the peripheral sites of the ankle, the highest and lowest BMD were observed in the talus and lateral malleolus, respectively. All peripheral DXA measurements of the ankle joint were significantly correlated with central DXA measurements. There was a good correlation (r: 0.656-0.725) between peripheral and central BMD for the older age group (> 50 years), but fair-to-good correlation (r: 0.263-0.654) for the younger age group (< 50 years). The cut-off values for peripheral BMD of the ankle joint between osteoporosis and non-osteoporosis were 0.548 g/cm 2 (sensitivity, 89.0%; specificity, 69.0%) for the medial malleolus, 0.626 g/cm 2 (sensitivity, 83.3%; specificity, 82.8%) for the distal tibia, 0.47 g/cm 2 (sensitivity, 100.0%; specificity, 65.5%) for the lateral malleolus, and 0.973 g/cm 2 (sensitivity, 72.2%; specificity, 83.6%) for the talus (p < 0.001). This study showed good correlation between peripheral BMD around ankle joint and central BMD for older age group. Further study is required to use the ankle DXA as a valid clinical tool for the diagnosis of osteoporosis and fracture risk assessment.
Cohen, Michael M; Kazak, Marat
2015-01-01
Global avascular necrosis of the talus is a devastating complication that usually occurs as a result of a post-traumatic or metabolic etiology. When conservative options fail, tibiocalcaneal arthrodesis is generally indicated in conjunction with massive bone grafting to maintain the functional length of the extremity. Several bone grafting options are available, including the use of a freeze-dried or fresh-frozen femoral head allograft or autograft obtained from the iliac crest or fibula, all of which pose their own inherent risks. The noted complications with massive bone grafting techniques have included graft collapse, infection, immune response, donor site morbidity, and nonunion. In an effort to avoid many of these complications, we present a case report involving post-traumatic talar avascular necrosis in a 59-year-old male who was successfully treated with the use of a porous tantalum spacer, an autogenic morselized fibular bone graft, and 30 mL of bone marrow aspirate in conjunction with a retrograde tibiocalcaneal nail. Porous tantalum is an attractive substitute for bone grafting because of its structural integrity, biocompatibility, avoidance of donor site complications, and lack of an immune response. The successful use of porous tantalum has been well-documented in hip and knee surgery. We present a practical surgical approach to tibiotalocalcaneal arthrodesis with a large segmental deficit. To our knowledge, this is the first published report describing an alternative surgical technique to address global avascular necrosis of the talus that could have additional applications in salvaging the ankle with a large bone deficiency. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Imaizumi, Fumitoshi; Nishiguchi, Takaki; Matsuoka, Norikazu; Trappmann, Daniel; Stoffel, Markus
2018-06-01
Alpine landscapes are typically characterized by inherited features of past glaciations and, for the more recent past, by the interplay of a multitude of types of geomorphic processes, including permafrost creep, rockfalls, debris flows, and landslides. These different processes usually exhibit large spatial and temporal variations in activity and velocity. The understanding of these processes in a wide alpine area is often hindered by difficulties in their surveying. In this study, we attempt to disentangle recent changes in an alpine landscape system using geomorphic mapping and L-band DInSAR analyses (ALOS-PALSAR) in the Zermatt Valley, Swiss Alps. Geomorphic mapping points to a preferential distribution of rock glaciers on north-facing slopes, whereas talus slopes are concentrated on south-facing slopes. Field-based interpretation of ground deformation in rock glaciers and movements in talus slopes correlates well with the ratio of InSAR images showing potential ground deformation. Moraines formed during the Little Ice Age, rock glaciers, and talus slopes on north-facing slopes are more active than landforms on south-facing slopes, implying that the presence of permafrost facilitates the deformation of these geomorphic units. Such deformations of geomorphic units prevail also at the elevation of glacier termini. For rock cliffs, the ratio of images indicating retreat is affected by slope orientation and elevation. Linkages between sediment supply from rock cliffs and sediment transport in torrents are different among tributaries, affected by relative locations between sediment supply areas and the channel network. We conclude that the combined use of field surveys and L-band DInSAR analyses can substantially improve process understanding in steep, high-mountain terrain.
van Eekeren, Inge C M; Reilingh, Mikel L; van Dijk, C Niek
2012-10-01
An osteochondral defect (OD) is a lesion involving the articular cartilage and the underlying subchondral bone. ODs of the talus can severely impact on the quality of life of patients, who are usually young and athletic. The primary treatment for ODs that are too small for fixation, consists of arthroscopic debridement and bone marrow stimulation. This article delineates levels of activity, determines times for return to activity and reviews the factors that affect rehabilitation after arthroscopic debridement and bone marrow stimulation of a talar OD. Articles for review were obtained from a search of the MEDLINE database up to January 2012 using the search headings 'osteochondral defects', 'bone marrow stimulation', 'sports/activity', 'rehabilitation', various other related factors and 'talus'. English-, Dutch- and German-language studies were evaluated.The review revealed that there is no consensus in the existing literature about rehabilitation times or return-to-sports activity times, after treatment with bone marrow stimulation of ODs in the talus. Furthermore, scant research has been conducted on these issues. The literature also showed that potential factors that aid rehabilitation could include youth, lower body mass index, smaller OD size, mobilization and treatment with growth factors, platelet-rich plasma, biphosphonates, hyaluronic acid and pulse electromagnetic fields. However, most studies have been conducted in vitro or on animals. We propose a scheme, whereby return-to-sports activity is divided into four phases of increasing intensity: walking, jogging, return to non-contact sports (running without swerving) and return to contact sports (running with swerving and collision). We also recommend that research, conducted on actual sportsmen, of recovery times after treatment of talar ODs is warranted.
Natural history of a northern population of twin-spotted rattlesnakes, Crotalus pricei
Prival, D.B.; Goode, M.J.; Swann, D.E.; Schwalbe, C.R.; Schroff, M.J.
2002-01-01
The twin-spotted rattlesnake (Crotalus pricei) is a small-bodied pitviper that has received little attention in the literature to date. The species reaches the northern limit of its range in southeastern Arizona, where it inhabits higher elevations than any of the state's 10 other rattlesnake species. During 1997-2000, we captured, measured, and marked 127 C. pricei in Arizona's Chiricahua Mountains between 2530 and 2900 m elevation. We also used radiotelemetry to track the movements of 16 C. pricei in the study area during 1997-1998. Mean (?? SE) snout-vent length of C. pricei was 387.8 ?? 8.3 mm (range = 168-572), and mean mass was 53.5 ?? 3.3 g (range = 3.6-188.5). Based on fecal analyses, lizards constituted the bulk of prey (74%), but the diet of C. pricei also included mammals, birds, and a conspecific. Mating was concentrated in August and early September and parturition took place during late July and August. Mean number of embryos was 3.94 ?? 0.34 (range = 1-6) and female reproduction appeared biennial or less frequent. Based on shed and growth rates, female C. pricei develop embryos at 4-5 years of age. Gravid females maintained warmer body temperatures relative to substrate temperature than nongravid females or males, presumably by spending more time basking than other snakes. Radiotelemetry revealed that movement patterns varied from year to year, as males moved over six times farther per week during the 1998 monsoon season (July to September) than during the 1997 monsoon season. Additionally, use of talus slopes by males decreased during 1998. During dry years, such as 1998, males may be forced off talus into cooler microclimates where resources are less concentrated than on talus.
Unlocking the talus by eversion limits medial ankle injury risk during external rotation.
Button, Keith D; Wei, Feng; Haut, Roger C
2015-10-15
Eversion prior to excessive external foot rotation has been shown to predispose the anterior tibiofibular ligament (ATiFL) to failure, yet protect the anterior deltoid ligament (ADL) from failure despite high levels of foot rotation. The purpose of the current study was to measure the rotations of both the subtalar and talocrural joints during foot external rotation at sub-failure levels in either a neutral or a pre-everted position as a first step towards understanding the mechanisms of injury in previous studies. Fourteen (seven pairs) cadaver lower extremities were externally rotated 20° in either a pre-everted or neutral configuration, without producing injury. Motion capture was performed to track the tibia, talus, and calcaneus motions, and a joint coordinate system was used to analyze motions of the two joints. While talocrural joint rotation was greater in the neutral ankle (13.3±2.0° versus 10.5±2.7°, p=0.006), subtalar joint rotation was greater in the pre-everted ankle (2.4±1.9° versus 1.1±1.0°, p=0.014). Overall, the talocrural joint rotated more than the subtalar joint (11.9±2.8° versus 1.8±1.6°, p<0.001). It was proposed that the calcaneus and talus 'lock' in a neutral position, but 'unlock' when the ankle is everted prior to rotation. This locking/unlocking mechanism could be responsible for an increased subtalar rotation, but decreased talocrural rotation when the ankle is pre-everted, protecting the ADL from failure. This study may provide information valuable to the study of external rotation kinematics and injury risk. Copyright © 2015 Elsevier Ltd. All rights reserved.
Wieczorek, Gerald F.; Snyder, James B.; Borchers, James W.; Reichenbach, Paola
2007-01-01
Since 1857, several hundred rockfalls, rockslides, and debris flows have been observed in Yosemite National Park. At 12:45 a.m. on December 26, 2003, a severe winter storm triggered a rockfall west of Glacier Point in Yosemite Valley. Rock debris moved quickly eastward down Staircase Falls toward Curry Village. As the rapidly moving rock mass reached talus at the bottom of Staircase Falls, smaller pieces of flying rock penetrated occupied cabins. Physical characterization of the rockfall site included rockfall volume, joint patterns affecting initial release of rock and the travel path of rockfall, factors affecting weathering and weakening of bedrock, and hydrology affecting slope stability within joints. Although time return intervals are not predictable, a three-dimensional rockfall model was used to assess future rockfall potential and risk. Predictive rockfall and debris-flow methods suggest that landslide hazards beneath these steep cliffs extend farther than impact ranges defined from surface talus in Yosemite Valley, leaving some park facilities vulnerable.
Bae, Ji Yong; Park, Kyung Soon; Seon, Jong Keun; Jeon, Insu
2015-12-01
To show the causal relationship between normal walking after various lateral ankle ligament (LAL) injuries caused by acute inversion ankle sprains and alterations in ankle joint contact characteristics, finite element simulations of normal walking were carried out using an intact ankle joint model and LAL injury models. A walking experiment using a volunteer with a normal ankle joint was performed to obtain the boundary conditions for the simulations and to support the appropriateness of the simulation results. Contact pressure and strain on the talus articular cartilage and anteroposterior and mediolateral translations of the talus were calculated. Ankles with ruptured anterior talofibular ligaments (ATFLs) had a higher likelihood of experiencing increased ankle joint contact pressures, strains and translations than ATFL-deficient ankles. In particular, ankles with ruptured ATFL + calcaneofibular ligaments and all ruptured ankles had a similar likelihood as the ATFL-ruptured ankles. The push off stance phase was the most likely situation for increased ankle joint contact pressures, strains and translations in LAL-injured ankles.
Outcome of limb fracture repair in rabbits: 139 cases (2007-2015).
Sasai, Hiroshi; Fujita, Daisuke; Seto, Eiko; Denda, Yuki; Imai, Yutaro; Okamoto, Kanako; Okamura, Kensaku; Furuya, Masaru; Tani, Hiroyuki; Sasai, Kazumi
2018-02-15
OBJECTIVE To evaluate outcome of limb fracture repair in rabbits. DESIGN Retrospective case series. ANIMALS 139 client-owned rabbits with limb fractures treated between 2007 and 2015. PROCEDURES Medical records were reviewed for information on fracture location, fracture treatment, and time to fracture healing. RESULTS 25 rabbits had fractures involving the distal aspects of the limbs (ie, metacarpal or metatarsal bones, phalanges, and calcaneus or talus). Fractures were treated in 23 of these 25 rabbits (external coaptation, n = 17; external skeletal fixation, 4; and intramedullary pinning, 2) and healed in all 23, with a median healing time of 28 days (range, 20 to 45 days). One hundred ten rabbits had long bone fractures, and fractures were treated in 100 of the 110 (external skeletal fixation, n = 89; bone plating, 1; intramedullary pinning, 3; and external coaptation, 7). The percentage of fractures that healed was significantly lower for open (14/18) than for closed (26/26) tibial fractures and was significantly lower for femoral (19/26) and treated humeral (4/6) fractures than for radial (23/24) or closed tibial (26/26) fractures. Micro-CT was used to assess fracture realignment during external skeletal fixator application and to evaluate fracture healing. CONCLUSIONS AND CLINICAL RELEVANCE The prognosis for rabbits with limb fractures was good, with fractures healing in most rabbits following fracture repair (109/123). Micro-CT was useful in assessing fracture realignment and evaluating fracture healing.
Morphotectonics of the central Muertos thrust belt and Muertos Trough (northeastern Caribbean)
Granja, Bruna J.L.; ten Brink, Uri S.; Carbó-Gorosabel, Andrés; Muñoz-Martín, A.; Gomez, Ballesteros M.
2009-01-01
Multibeam bathymetry data acquired during the 2005 Spanish R/V Hesp??rides cruise and reprocessed multichannel seismic profiles provide the basis for the analysis of the morphology and deformation in the central Muertos Trough and Muertos thrust belt. The Muertos Trough is an elongated basin developed where the Venezuelan Basin crust is thrusted under the Muertos fold-and-thrust belt. Structural variations along the Muertos Trough are suggested to be a consequence of the overburden of the asymmetrical thrust belt and by the variable nature of the Venezuelan Basin crust along the margin. The insular slope can be divided into three east-west trending slope provinces with high lateral variability which correspond to different accretion stages: 1) The lower slope is composed of an active sequence of imbricate thrust slices and closed fold axes, which form short and narrow accretionary ridges and elongated slope basins; 2) The middle slope shows a less active imbricate structure resulting in lower superficial deformation and bigger slope basins; 3) The upper slope comprises the talus region and extended terraces burying an island arc basement and an inactive imbricate structure. The talus region is characterized by a dense drainage network that transports turbidite flows from the islands and their surrounding carbonate platform areas to the slope basins and sometimes to the trough. In the survey area the accommodation of the ongoing east-west differential motion between the Hispaniola and the Puerto Rico-Virgin Islands blocks takes place by means of diffuse deformation. The asymmetrical development of the thrust belt is not related to the geological conditions in the foreland, but rather may be caused by variations in the geometry and movement of the backstop. The map-view curves of the thrust belt and the symmetry of the recesses suggest a main north-south convergence along the Muertos margin. The western end of the Investigator Fault Zone comprises a broad band of active normal faults which result in high instability of the upper insular slope. ?? 2009 Elsevier B.V.
Salnitska, Maria; Solodovnikov, Alexey
2018-03-12
Quedius (Microsaurus) repentinus sp. n., a new hypogean montane talus-associated species from Altai is described and considered sister to the morphologically and bionomically similar Q. (M.) roma Solodovnikov et Hansen, 2016 from Sikhote-Alin. Both species seem more closely related to the Q. (M.) przewalskii species group from the mountains of China than to the Q. (M.) mutilatus species group from Tien-Shan. The identity of Q. (M.) przewalskii Reitter, 1887, a core of the respective species group, is clarified by re-examination of the holotype. The broad gap between the distributions of Quedius repentinus and Q. roma is either a noteworthy biogeographic fact pending explanation, or an artefact resulting from poor sampling pending additional records and new species discovery. Inadequate knowledge of the actual diversity and the distributions of the montane hypogean Quedius of the Russian Asia are illustrated by another new hypogean species from Altai. That species, so far known from a single female only, is here reported but not formally described.
NASA Astrophysics Data System (ADS)
Laute, Katja; Beylich, Achim A.
2010-05-01
Hillslopes in glacially formed landscapes are typically characterized by talus cones developed beneath free rock faces. Studying hillslopes as sedimentary source, storage and transfer zones as well as surface processes acting on hillslopes since the end of the deglaciation is of importance in order to gain a better understanding of the complex sedimentary source-to-sink fluxes in cold climate environments. Hillslopes function as a key component within the geomorphic process response system. Large areas of the Norwegian fjord landscapes are covered by hillslopes and are characterized by the influences of the glacial inheritance. This PhD project is part of the NFR funded SedyMONT-Norway project within the ESF TOPO-EUROPE SedyMONT (Timescales of sediment dynamics, climate and topographic change in mountain landscapes) programme. The focus of this study is on geomorphic influences of the Little Ice Age glacial advance on postglacial hillslope systems in four distinct headwater areas of the Erdalen and Bødalen valleys in the Nordfjord valley-fjord system (inner Nordfjord, Western Norway). Both valleys can be described as steep, U-shaped and glacier-fed, subarctic tributary valleys. Approximately 14% of the 49 km2 large headwater areas of Erdalen are occupied by hillslope deposits and 41% by rock surfaces; in Bødalen hillslope deposits occupy 12% and rock surfaces occupy 38% of the 42 km2 large headwater areas. The main aims of this study are (i) to analyze and compare the morphometric characteristics as well as the composition of hillslope systems inside and outside of the Little Ice Age glacial limit, (ii) to detect possible changes within the mass balances of these hillslope systems, (iii) to identify the type and intensity of currently acting hillslope processes as well as (iv) to determine possible sediment sources and delivery pathways within the headwater areas of the catchments. The process-based approach includes orthophoto- and topographical map interpretation, hillslope profile surveying, photo monitoring, geomorphological mapping as well as GIS and DEM computing. Two appropriate hillslope test sites within each headwater area are selected in order to follow the main aims of this study. The designed monitoring instrumentation of the slope test sites includes nets for collecting freshly accumulated rockfall debris, stone tracer lines for measuring surface movements, wooden sticks for monitoring of slow surface creep movements and peg lines for depth-integrated measurements of slow mass movements. In addition, remote site cameras for monitoring rapid mass movement events (avalanches, slush- and debris flows) and slope wash traps for analyzing slope wash denudation are installed and measurements of solute concentrations at small hillslope drainage creeks for investigating the role of chemical denudation are conducted. Measurements of morphometric characteristics and longitudinal profiles along the main axis of the talus cones are carried out at each test site. The manually obtained longitudinal profile data are combined with data derived from a DEM in order to generate complete longitudinal hillslope profiles reaching from the apex until the slope foot. Preliminary results show a steepening trend of the talus cones located inside the Little Ice Age glacier limit which is due to erosion during the Little Ice Age glacial advance. In addition, some of these talus cones are characterized by a recognizable more complex talus cone morphometry and composition, resulting from implementation of Little Ice Age glacier side moraines. The combination of (i) steepened talus cones and (ii) complex composition seems to increase currently acting hillslope processes which leads to a higher sediment delivery from these slopes as compared to hillslopes outside the Little Ice Age glacier limit. The implementation of moraine material but also the increased intensity of denudative processes has a recognizable influence on the mass balance of the hillslope systems inside the Little Ice Age glacier limit. Research on the complex development of hillslope systems from a postglacial to contemporary time perspective in combination with analyses of contemporary sedimentary fluxes contributes to a better understanding of hillslopes acting as source, storage and transfer zones in cold climate environments (paraglacial systems).
Tao, Hongyue; Hu, Yiwen; Qiao, Yang; Ma, Kui; Yan, Xu; Hua, Yinghui; Chen, Shuang
2018-01-01
To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T 2 -mapping at 3.0T. In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL+CFL tear, and 21 healthy subjects were recruited. All participants underwent T 2 -mapping scan at 3T and patients completed American Orthopaedic Foot and Ankle Society (AOFAS) scoring. The total talar cartilage (TTC) was segmented into six compartments: medial anterior (MA), medial center (MC), medial posterior (MP), lateral anterior (LA), lateral center (LC), and lateral posterior (LP). The T 2 value of each compartment was measured from T 2 -mapping images. Data were analyzed with one-way analysis of variance (ANOVA), Student's t-test, and Pearson's correlation coefficient. The T 2 values of MA, MC, MP, TTC in the ATFL group and MA, MC, MP, LC, LP, TTC in the ATFL+CFL group were higher than those in the control group (P < 0.05). Moreover, the T 2 values of MC, MP, LC, and TTC in the ATFL+CFL group were higher than those in the ATFL group (P < 0.05). The T 2 values of MA in both patient groups were negatively correlated with AOFAS scores (r = -0.596, r = -0.690, P < 0.05). Chronic LAI with ATFL tear had a trend of increasing cartilage T 2 values in talar trochlea, mainly involving medial cartilage compartments. Chronic LAI with ATFL+CFL tear might result in higher T 2 values in a much larger cartilage region than with ATFL tear. MA could be the main cartilage compartment that may affect the patient's clinical symptoms. 1 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2018;47:69-77. © 2017 International Society for Magnetic Resonance in Medicine.
NASA Astrophysics Data System (ADS)
Edmonds, M.; Herd, R.; Strutt, M.; Mann, C.
2003-12-01
A large dome collapse took place on 12-13 July 2003 at Soufriere Hills Volcano. This event was the largest in magnitude during the 1995-2003 eruption and involved over 120 million m3 andesite dome and talus material. The collapse took place over 18 hours and culminated in an explosive phase that continued intermittently until 15 July 2003. Prior to the collapse, the total volume of the dome was 230 million m3 and was made up of remnants of lava erupted 1997-2001, talus material and fresh andesite dome lava erupted during the last two years. Talus made up around 50% of the total dome volume. This paper describes and interprets the pyroclastic flow and airfall deposits from this event, using other monitoring data and empirical evidence to reconstruct the dome collapse. The airfall and pyroclastic flow deposits were studied in detail over the weeks following the collapse. Airfall deposits were studied at 45 locations around the island and 75 samples were collected for analysis. The surge deposit stretched over 10 km2 on land and 35 pits were dug at intervals through it. The sections were described and sampled, yielding a further 60 samples for grain size analysis. Further sampling was carried out on the block and ash deposits in the Tar River Valley and on the Tar River Fan. Pumices from the post-collapse explosion sequence were collected and their densities measured and mass coverage estimated. Deposit maps for airfall, lithics and pumices were constructed for all of the individual events and a map to show the distribution of the main surge unit was generated. The collapse was monitored in real-time using the MVO seismic network and observations from the field. The sequence of events was as follows. From 09:00 to 18:00, low-energy pyroclastic flows took place, confined to the Tar River Valley, which reached the sea at the mouth of Tar River. These flows gradually increased in energy throughout the day but were not associated with energetic, large surges. By 18:00 the pyroclastic flows had increased in volume and were causing phreatic explosions as large, hot blocks hit the sea on the Tar River Fan. By 20:00 the pyroclastic flows had changed in character and were associated with a larger seismic signal and powerful surges that traveled up to 3 km off the coast over the surface of the sea. The most energetic phase of the eruption took place between 22:30 12 July and 01:30 13 July. The dome collapse of 12-13 July culminated in several very large individual pyroclastic flows, representing the collapse of the massive, hot, gas-rich interior of the lava dome. One very large flow was associated with a destructive and energetic surge that swept over topography to the north of the Tar River, killed 40-50 cows, removed trees at their bases and caused large clasts to become embedded in trees at a height of 1.5 m above the ground surface north of Irish Ghaut. The unloading of such large masses of lava dome from over the vent area caused large and powerful explosions. The mapping of the deposits from this event has shed light on the origins of the surge and the timing of large phreatic and magmatic explosions and has led to a new understanding of the hazard potential of large surges derived from the Tar River Valley during large dome collapses at Soufriere Hills Volcano.
Calcareous fens in Southeast Alaska.
Michael H. McClellan; Terry Brock; James F. Baichtal
2003-01-01
Calcareous fens have not been identified previously in southeast Alaska. A limited survey in southeast Alaska identified several wetlands that appear to be calcareous fens. These sites were located in low-elevation discharge zones that are below recharge zones in carbonate highlands and talus foot-slopes. Two of six surveyed sites partly met the Minnesota Department of...
Alkalinity generation in snowmelt and rain runoff during short distance flow over rock
James L. Clayton
1998-01-01
High-elevation ecosystems in the western United States typically have patchy, discontinuous areas of surficial soils surrounded by large areas of rock outcrop, talus, and scree. Snowmelt and precipitation that percolate through soil increase in alkalinity, principally by increasing base cation concentration through cation exchange, and by decreasing acid anion...
Congenital talipes equinovarus and congenital vertical talus secondary to sacral agenesis.
Bray, Jonathan James Hyett; Crosswell, Sebastien; Brown, Rick
2017-05-05
Sacral agenesis is a rare congenital defect which is associated with foot deformities such as congenital talipes equinovarus (CTEV) and less commonly congenital vertical talus (CVT). We report a 3-year-old Caucasian girl who was born with right CTEV and left CVT secondary to sacral agenesis. Her right foot was managed with a Ponseti casting method at 2 weeks, followed by an Achilles tenotomy at 4 months. The left foot was initially managed with a nocturnal dorsi-flexion splint. Both feet remained resistant and received open foot surgery at 10 months producing plantigrade feet with neutral hindfeet. At 19 months, she failed to achieve developmental milestones and examinations revealed abnormal lower limb reflexes. A full body MRI was performed which identified the sacral agenesis. We advocate early MRI of the spine to screen for spinal defects when presented with resistant foot deformities, especially when bilateral. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Bone alterations are associated with ankle osteoarthritis joint pain
Nakamura, Yukio; Uchiyama, Shigeharu; Kamimura, Mikio; Komatsu, Masatoshi; Ikegami, Shota; Kato, Hiroyuki
2016-01-01
The etiology of ankle osteoarthritis (OA) is largely unknown. We analyzed 24 ankle OA of 21 patients diagnosed by plain radiographs using magnetic resonance imaging (MRI). Ankle joint pain disappeared in 22 out of 24 joints by conservative treatment. MRI bone signal changes in and around the ankle joints were observed in 22 of 24 joints. Bone signal changes along the joint line were seen in 10 of 11 joints as a Kellgren-Lawrence (KL) grade of II to IV. Such signal changes were witnessed in only 4 of 13 joints with KL grade 0 or I. In the talocrural joint, bone alterations occurred in both tibia and talus bones through the joint line in cases of KL grade III or IV, while focal bone alterations were present in the talus only in KL grade I or II cases. Sixteen of 24 joints exhibited intraosseous bone signal changes, which tended to correspond to joint pain of any ankle OA stage. Our results suggest that bone alterations around the ankle joint might be one of the etiologies of OA and associated with ankle joint pain. PMID:26776564
Bone alterations are associated with ankle osteoarthritis joint pain.
Nakamura, Yukio; Uchiyama, Shigeharu; Kamimura, Mikio; Komatsu, Masatoshi; Ikegami, Shota; Kato, Hiroyuki
2016-01-18
The etiology of ankle osteoarthritis (OA) is largely unknown. We analyzed 24 ankle OA of 21 patients diagnosed by plain radiographs using magnetic resonance imaging (MRI). Ankle joint pain disappeared in 22 out of 24 joints by conservative treatment. MRI bone signal changes in and around the ankle joints were observed in 22 of 24 joints. Bone signal changes along the joint line were seen in 10 of 11 joints as a Kellgren-Lawrence (KL) grade of II to IV. Such signal changes were witnessed in only 4 of 13 joints with KL grade 0 or I. In the talocrural joint, bone alterations occurred in both tibia and talus bones through the joint line in cases of KL grade III or IV, while focal bone alterations were present in the talus only in KL grade I or II cases. Sixteen of 24 joints exhibited intraosseous bone signal changes, which tended to correspond to joint pain of any ankle OA stage. Our results suggest that bone alterations around the ankle joint might be one of the etiologies of OA and associated with ankle joint pain.
Ochman, Sabine; Evers, Julia; Raschke, Michael J; Vordemvenne, Thomas
2012-01-01
The treatment of complex fractures of the distal tibia, ankle, and talus with soft tissue damage, bone loss, and nonreconstructable joints for which the optimal timing for reduction and fixation has been missed is challenging. In such cases primary arthrodesis might be a treatment option. We report a series of multi-injured patients with severe soft tissue damage and bone loss, who were treated with a retrograde tibiotalocalcaneal arthrodesis nail as a minimally invasive treatment option for limb salvage. After a median follow-up of 5.4 years, all patients returned to their former profession. The ankle and bone fusion was complete, with moderate functional results and quality of life. Calcaneotibial arthrodesis using a retrograde nail is a good treatment option for nonreconstructable fractures of the ankle joint with severe bone loss and poor soft tissue quality in selected patients with multiple injuries, in particular, those involving both lower extremities, as a salvage procedure. Copyright © 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Pomajzl, Ryan Joseph; Baker, Erin Ann; Baker, Kevin Charles; Fleischer, Mackenzie Marie; Salisbury, Meagan R; Phillips, Dylan M; Fortin, Paul Thomas
2016-09-01
Fresh osteochondral allografting of the talus is one treatment option for large chondral defects. Following positive early term results, failure rates of up to 35% have been reported. A retrieval study was performed to characterize failed talar allografts. Failed fresh osteochondral allografts of the talus were retrieved on revision. Cases of deep infection were excluded. After tissue fixation, samples were decalcified, embedded, and stained with Safranin-O/Fast Green, osteocalcin, tumor necrosis factor alpha (TNF-α), CD4, CD8, and CD68. Slides were graded according to the modified Mankin scoring system or severity scale. Medical record review was performed. Eight allografts (7 patients) were retrieved from patients, following an average term of implantation of 31 months (range, 12-58). There were 3 types of allografts in this series (hemidome, n=5; segmental, n=2; bipolar, n=1). Reasons for transplantation were post-traumatic arthritis or osteonecrosis; reasons for revision were graft failure/collapse, nonunion, progressive arthritis, and/or pain. Prior to revision, all grafts exhibited collapse and subchondral lucencies. At the graft host interface, Safranin-O staining demonstrated substantial loss of sulfated glycosaminoglycans, Osteocalcin immunostaning was nearly absent, CD68 (indicating osteoclast activity) was predominantly exhibited, and CD4+ helper T cells as well as CD8+ cytotoxic T cells and NK cells-cell types commonly implicated in allogeneic organ transplant rejection-were found in high concentrations. TNF-α was present throughout the graft. A histopathologic analysis of 8 retrieved, failed talar allografts was performed. Graft failure appeared to be primarily biologic, with an extensive loss of viable cartilaginous and osseous tissue at the graft-host interface. This study provides the first evidence of a potential CD4+ and CD8+ lymphocyte-mediated failure mechanism in fresh osteochondral allografts that were revised following collapse. Level IV, case series. © The Author(s) 2016.
Kretzschmar, M; Bieri, O; Miska, M; Wiewiorski, M; Hainc, N; Valderrabano, V; Studler, U
2015-04-01
The purpose of this study was to characterize the collagen component of repair tissue (RT) of the talus after autologous matrix-induced chondrogenesis (AMIC) using quantitative T2 and diffusion-weighted imaging. Mean T2 values and diffusion coefficients of AMIC-RT and normal cartilage of the talus of 25 patients with posttraumatic osteochondral lesions and AMIC repair were compared in a cross-sectional design using partially spoiled steady-state free precession (pSSFP) for T2 quantification, and diffusion-weighted double-echo steady-state (dwDESS) for diffusion measurement. RT and cartilage were graded with modified Noyes and MOCART scores on morphological sequences. An association between follow-up interval and quantitative MRI measures was assessed using multivariate regression, after stratifying the cohort according to time interval between surgery and MRI. Mean T2 of the AMIC-RT and cartilage were 43.1 ms and 39.1 ms, respectively (p = 0.26). Mean diffusivity of the RT (1.76 μm(2)/ms) was significantly higher compared to normal cartilage (1.46 μm(2)/ms) (p = 0.0092). No correlation was found between morphological and quantitative parameters. RT diffusivity was lowest in the subgroup with follow-up >28 months (p = 0.027). Compared to T2-mapping, dwDESS demonstrated greater sensitivity in detecting differences in the collagen matrix between AMIC-RT and cartilage. Decreased diffusivity in patients with longer follow-up times may indicate an increased matrix organization of RT. • MRI is used to assess morphology of the repair tissue during follow-up. • Quantitative MRI allows an estimation of biochemical properties of the repair tissue. • Differences between repair tissue and cartilage were more significant with dwDESS than T2 mapping.
Evolution of the Mothra Hydrothermal Field, Endeavour Segment of the Juan de Fuca Ridge
NASA Astrophysics Data System (ADS)
Glickson, D.; Kelley, D. S.; Delaney, J.
2005-12-01
The Mothra Hydrothermal Field (MHF) is a 600 m long, high-temperature hydrothermal field. It is located 2.7 km south of the Main Endeavour Field at the southern end of the central Endeavour Segment. Mothra is the most areally extensive field along the Endeavour Segment, composed of six active sulfide clusters that are 40-200 m apart. Each cluster contains rare black smokers (venting up to 319°C), numerous diffusely venting chimneys, and abundant extinct chimneys and sulfide talus. From north to south, these clusters include Cauldron, Twin Peaks, Faulty Towers, Crab Basin, Cuchalainn, and Stonehenge. As part of the Endeavour Integrated Study Site (ISS), the MHF is a site of intensive interdisciplinary studies focused on linkages among geology, geochemistry, fluid chemistry, seismology, and microbiology. Axial valley geology at MHF is structurally complex, consisting of lightly fissured flows that abut the walls and surround a core of extensively fissured, collapsed terrain. Fissure abundance and distribution indicates that tectonism has been the dominant process controlling growth of the axial graben. Past magmatic activity is shown by the 200 m long chain of collapse basins between Crab Basin and Stonehenge, which may have held at least ~7500 m3 of lava. Assuming a flow thickness of 0.5 m, this amount of lava could cover over half the valley floor during a single volcanic event. At a local scale, MHF clusters vary in size, activity, and underlying geology. They range in size from 400-1600 m2 and consist of isolated chimneys and/or coalesced cockscomb arrays atop ramps of sulfide talus. In the northern part of the field, Cauldron, Twin Peaks, Faulty Towers, and Crab Basin are located near the western valley wall, bounded by basalt talus and a combination of collapsed sheet flows, intermixed lobate and sulfide, disrupted terrain, and isolated pillow ridges. The southern clusters, Cuchalainn and Stonehenge, are associated with collapse basins in the central valley and bounded by extensive lobate flows and disrupted terrain. At all clusters, active chimneys stand within meters of extinct chimneys, suggesting that flow in the shallow subsurface is both complex and transient. 1-2 m high mounds of sulfide talus and broken chimneys indicate that focused flow has been concentrated at the clusters for long periods, while extinct sulfide deposits between clusters and in collapse basins demonstrate that flow conduits have been rerouted and/or clogged by mineral precipitation. Two subsurface processes are responsible for hydrothermal venting at the clusters: tapping of magmatic heat near the lava drainbacks and tectonic movement along the steeply dipping, inward-facing normal faults at the western wall boundary. The interplay between these processes and fluid flow is synthesized in an evolutionary model of hydrothermal development at Mothra.
2010-01-01
infection, or avascular necrosis is extremely difficult. Tibiocalcaneal fusion typically leaves a patient with a leg length discrepancy unless large bone...fractures. J Orthop Trauma 2004;18(5):265–70. 37. Dennison MG, Pool RD, Simonis RB, et al. Tibiocalcaneal fusion for avascular necrosis of the talus
W. F. Mueggler
1985-01-01
Aspen trees grow along moist stream bottoms as well as on dry ridges and southerly exposures, on talus slopes, and on shallow to deep soils of varied origins. Quaking aspen is one of the few plant species that can grow in all mountain vegetational zones from the alpine to the basal plain (Daubenmire 1943). As a consequence, aspen dominated communities are found...
USDA-ARS?s Scientific Manuscript database
Southeastern Spain, particularly the coast of Granada and Málaga, is an important region for subtropical cultivation. Orchards have been established there on the slopes of the mountainous areas in constructed terraces. The climate is characterized by heavy periodic rainfall that is variable in space...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-15
... the portion of talus (a sloping mass of loose rocks) covered by vegetation or leaf litter at an... available to estimate population size for this species, and due to the species' rupicolous (living or growing among rocks) nature, mark-recapture monitoring techniques used to estimate population size would...
[Eleven-Year Experience with Total Ankle Arthroplasty].
Popelka, S; Sosna, A; Vavřík, P; Jahoda, D; Barták, V; Landor, I
2016-01-01
PURPOSE OF THE STUDY Total joint replacement is one of the options in surgical treatment of advanced ankle arthritis. It allows the ankle to remain mobile but, unfortunately, it does not provide the same longevity as total knee or hip replacements. Therefore, decisions concerning the kind of treatment are very individual and depend on the clinical status and opinion of each patient. MATERIAL AND METHODS A total of 132 total ankle replacements were carried out in the period from 2004 to 2015. The prostheses used included the Ankle Evolutive System (AES) in 52 patients, Mobility Total Ankle System (DePuy) in 24 patients and, recently, Rebalance Total Ankle Replacement implant in 53 patients. Three patients allergic to metal received the Taric prosthesis. Revision arthroplasty using the Hintegra prosthesis was carried out in four patients. The outcome of arthroplasty was evaluated on the American Orthopaedic Foot and Ankle Society (AOFAS) scoring scale. Indications for total ankle arthroplasty included post-traumatic arthritis in 83 patients, rheumatoid arthritis in 37 and primary arthritis in 12 patients. There were 78 women and 54 men, with an average age of 55.6 years at the time of surgery. RESULTS The average follow-up was 6.1 years (1-11 years). The average AOFAS score of the whole group increased from 33.2 before surgery to 82.5 after it. The primary indication had an important role. Arthroplasty outcomes were poorer in patients with post-traumatic arthritis than in those with rheumatoid arthritis or primary arthritis. In patients with post-traumatic arthritis, the average AOFAS score rose to 78.6 due to restricted motion of the ankle, and some patients continued to have pain when walking. The average AOFAS score in a total of 49 patients who had rheumatoid arthritis or primary arthritis reached a value of 86.4. Post-operative complications were recorded in ten patients (7.6%) in whom part of the wound was healing by second intention. Ossification was also a frequent complication and had to be removed in six patients (4.5%). No early infection was recorded and late infection was treated in three patients. The prosthesis had to be removed and ankle arthrodesis performed in seven patients (5.3%). All had necrosis of the talus with ankle instability. In five, the retrograde nail Medin was used and extensive defects remaining after talar necrosis were filled with massive bone grafts obtained from a bone bank. One patient required tibio-calcaneal arthrodesis with external fixator; surgery in one case involved the use of a Zimmer Trabecular Metal Ankle Fusion Spacer with retrograde nail fixation. The development of cystic radiolucencies adjacent to tibial or talar components presents another post-operative complication. It was recorded mostly in the patients after AES implantation, in whom eight of 52 (15.3%) had these findings. DISCUSSION Total ankle arthroplasty is a complicated surgical procedure potentially associated with various technical problems. The occurrence of complications is indirectly related to the experience of the orthopaedist performing surgery; literature data show that the number of complication decreases with an increased frequency of ankle replacements done. CONCLUSIONS Total ankle arthroplasty, as every orthopaedic surgery, has its advantages and disadvantages. The positive aspects are pain relief and improved mobility of the ankle allowing for physiological gait. However, it shows a lower survivorship rate that the other large joint replacements. A successful outcome depends on the correct indication. The ankle should be stable, the talus without signs of necrosis and valgus or varus deviations of the ankle should not exceed 10 to 15 degrees. total ankle arthroplasty, re-implantation, aseptic loosening, retrograde nail, Trabecular Metal spacer, revision arthroplasty.
2011-04-01
tures. J Orthop Trauma. 2004;18(5):265-270. 2. Metzger M, Levin J, Clancy J. Talar neck frac- tures and rates of avascular necrosis . J Foot Ankle Surg...of the talus.4 Given the risk for osteo- necrosis with talar neck fractures, early operative intervention is con- sidered the standard of care.5
A GIS System for Inferring Subsurface Geology and Material Properties: Proof of Concept
2006-09-01
geologic structure. For example, interbedded sedimentary rocks comprise significant proportions of the Appalachian Mountains as well as various mountain ...Pitted surfaces a. Shallow, rounded, non-uniform b. More or less circular Hills and Mountains … Drainage...pear-shaped ap - pendages; talus common at bases of slopes along boundaries; strongly verti- cally jointed; vertical escarpments; co- lumnar jointing
Kreuz, Peter Cornelius; Kalkreuth, Richard Horst; Niemeyer, Philipp; Uhl, Markus; Erggelet, Christoph
Autologous chondrocyte implantation (ACI) is a first-line treatment option for large articular cartilage defects. Although well-established for cartilage defects in the knee, studies of the long-term outcomes of matrix-assisted ACI to treat cartilage defects in the ankle are rare. In the present report, we describe for the first time the long-term clinical and radiologic results 12 years after polymer-based matrix-assisted ACI treat a full-thickness talar cartilage defect in a 25-year-old male patient. The clinical outcome was assessed using the visual analog scale and Freiburg ankle score, magnetic resonance imaging evaluation using the Henderson-Kreuz scoring system and T2 mapping. Clinical assessment revealed improved visual analog scale and Freiburg ankle scores. The radiologic analysis and T2 relaxation time values indicated the formation of hyaline-like repair tissue. Polymer-based autologous chondrocytes has been shown to be a safe and clinically effective long-term treatment of articular cartilage defects in the talus. Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
A visit to Stromboli, lighthouse of the Mediterranean
Bullard, F. M.
1987-01-01
About daybreak of the next morning, the perfect cone-shaped outline of Stromboli appeared on the horizon. No "red" glare could be seen, but a prominent column of white vapor was rising from the crater, and at infrequent emitted. As the boat steamed around the edge of Stromboli, the big "scar' on the slope, known as Sciara del Fuoco, stood out prominently. This remarkable feature, with a slope of 35 degrees and a width of about three-quarters of a mile, is like a tremendous talus slope and extends from the crater to the sea, a distance of about 4,000 feet. Much of the erupted material, including lava flows ejected from the crater, lands on the Sciara del Fuoco and rolls directly into the sea. The origin of the Sciara del Fuoco is uncertain, but it appears to represent a great depression formed by an eruption which destroyed one side of the cone. The accumulation of debris in the depression has built up the present talus-like slope. The crater of Stromboli is on a terrace at the top of the Sciara del Fuoco, about 600 feet below the summit peak.
Pablos, Adrián; Martínez, Ignacio; Lorenzo, Carlos; Gracia, Ana; Sala, Nohemi; Arsuaga, Juan Luis
2013-07-01
Here we present and describe comparatively 25 talus bones from the Middle Pleistocene site of the Sima de los Huesos (SH) (Sierra de Atapuerca, Burgos, Spain). These tali belong to 14 individuals (11 adult and three immature). Although variation among Middle and Late Pleistocene tali tends to be subtle, this study has identified unique morphological characteristics of the SH tali. They are vertically shorter than those of Late Pleistocene Homo sapiens, and show a shorter head and a broader lateral malleolar facet than all of the samples. Moreover, a few shared characters with Neanderthals are consistent with the hypothesis that the SH population and Neanderthals are sister groups. These shared characters are a broad lateral malleolar facet, a trochlear height intermediate between modern humans and Late Pleistocene H. sapiens, and a short middle calcaneal facet. It has been possible to propose sex assignment for the SH tali based on their size. Stature estimates based on these fossils give a mean stature of 174.4 cm for males and 161.9 cm for females, similar to that obtained based on the long bones from this same site. Copyright © 2013 Elsevier Ltd. All rights reserved.
The anterior approach for the fixation of displaced talar neck fractures--a cadaveric study.
Mullen, Michael; Pillai, Anand; Fogg, Quentin A; Kumar, C Senthil
2013-01-01
Talar neck fractures are rare and are associated with high complication rates. Adequate surgical exposure is essential in the operative management of these challenging injuries. The anterior approach is an alternative to the more commonly described and utilized anterolateral and anteromedial approaches. The main objective was to compare the surface area of talus visible and quality of exposure via the anterior approach, with the anteromedial and anterolateral approaches. An anterior approach was performed on five fresh frozen cadaveric specimens. The surface area of talus visible was measured using an Immersion Digital Microscribe and analyzed with the Rhinoceros 3D graphics package. Standard anterolateral and anteromedial approaches were performed in the same specimens and areas visible measured using the same method. The talar surface area visible using the anterior approach is significantly greater than that visible using the anterolateral approach or anteromedial, without and with medial malleolar osteotomy, as well as combination approaches. The anterior approach offers excellent visualization in the fixation of displaced talar neck fractures. Greater talar surface area is visible using this approach compared to traditional approaches. Copyright © 2013 Elsevier Ltd. All rights reserved.
Rock-fall potential in the Yosemite Valley, California
Wieczorek, G.F.; Morrissey, M.M.; Iovine, Giulio; Godt, Jonathan
1999-01-01
We used two methods of estimating rock-fall potential in the Yosemite Valley, California based on (1) physical evidence of previous rock-fall travel, in which the potential extends to the base of the talus, and (2) theoretical potential energy considerations, in which the potential can extend beyond the base of the talus, herein referred to as the rock-fall shadow. Rock falls in the valley commonly range in size from individual boulders of less than 1 m3 to moderate-sized falls with volumes of about 100,000 m3. Larger rock falls exceeding 100,000 m3, referred to as rock avalanches, are considered to be much less likely to occur based on the relatively few prehistoric rock-fall avalanche deposits in the Yosemite Valley. Because the valley has steep walls and is relatively narrow, there are no areas that are absolutely safe from large rock avalanches. The map shows areas of rock-fall potential, but does not predict when or how frequently a rock fall will occur. Consequently, neither the hazard in terms of probability of a rock fall at any specific location, nor the risk to people or facilities to such events can be assessed from this map.
Chen, Yu; Zhang, Hui; Huang, Fuguo; Xiang, Zhuo; Fang, Yue; Liu, Lei; Cen, Shiqiang
2014-09-01
To investigate the application of lateral malleolus hook-plate for the treatment of stage II supination-adduction type medial malleolus fractures. Between January 2011 and June 2013, 21 patients with stage II supination-adduction type ankle fractures were treated with lateral malleolus hook-plate, including 12 males and 9 females with an average age of 55.5 years (range, 27-65 years). The injury causes were sprain in 17 cases and traffic accident in 4 cases. The mean time between injury and admission was 12.4 hours (range, 2-72 hours). The tibial distal medial articular surface collapse was found in 7 cases by CT examination and in 3 cases by X-ray film. Of 21 cases, there were 12 cases of low transverse fractures of lateral malleolus, 7 cases of short oblique fractures of lateral malleolus, and 2 cases of ankle joint lateral collateral ligament injury without fractures of lateral malleolus. After operation, the clinical outcome was evaluated according to the talus-leg angle, the recovery of Coin-sign continuity, inside-outside and top ankle gap, talus slope, American Orthopedic Foot and Ankle Society (AOFAS) score, Olerud-Molander score, Kofoed evaluation standards, and patient satisfaction. Seventeen cases were followed up 18.7 months on average (range, 12-25 months). Primary healing was obtained in 16 cases except 1 case of delayed healing. Fracture healed at an average of 14.6 weeks (range, 12-16 weeks). All cases achieved anatomical reduction, the continuity of Coin-sign, and consistency of inside and outside joint gap; no talus tilt occurred. There was no complication of reduction loss, loosening or breakage of internal fixation, or osteoarthritis during follow-up. The talus-leg angle of the affected side was significantly improved to (83.4 ± 1.8)° at 1 week after operation from preoperative (74.8 ± 7.1)° (t = 5.370, P = 0.000), but no significant difference was found when compared with normal side (83.8 ± 2.3)° (t = 0.676, P = 0.509). The AOFAS score, Olerud-Molander score, and range of motion at 1 week, 3 months, and 1 year after operation were significantly improved when compared with preoperative ones (P < 0.05). According to Kofoed evaluation standard, the outcome was excellent in 15 cases and good in 2 cases; the excellent and good rate was 100%. According to patient satisfaction, the outcome was excellent in 13 cases, good in 3 cases, and poor in 1 case; the excellent and good rate was 94.1%. The use of lateral malleolus hook-plate for fixation of stage II supination-adduction type medial malleolus fracture not only can effectively maintain anatomical reduction and supporting function, but also can prevent re-collapsing of the reset joint surface. The surgical method can not increase soft tissue complication, so it is a safe and effective method.
NASA Technical Reports Server (NTRS)
2004-01-01
27 August 2004 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a landslide deposit in a deep trough in Terra Sirenum near 26.1oS, 140.0oW. After the landslide occurred, subsequent erosion of the slope produced talus that covers part of the landslide deposit. This area is about 3 km (1.9 mi) across; sunlight illuminates the scene from the lower left.Plant succession on talus slopes in northern Idaho as influenced by slope exposure
R. Daubenmire; A. W. Slipp
1943-01-01
One of the most conspicuous features of the forested regions of northern Idaho is the small treeless areas which occupy portions of the southerly exposures of especially prominent peaks and ridges. These areas, sometimes referred to as parks or balds, begin at the summits of the prominences and extend down over the south-facing slopes sometimes as much as approximately...
Snow duration effects on density of the alpine endemic plant Packera franciscana
James F. Fowler; Steven Overby
2016-01-01
Packera franciscana (Greene) W.A. Weber and Ã. Löve (Asteraceae) (San Francisco Peaks ragwort) is an alpine-zone endemic of the San Francisco Peaks in northern Arizona. Previous studies have shown that P. franciscana is patchily distributed in alpine-zone talus habitats. The purpose of this study was to describe the relationship between snow duration and P. franciscana...
The prognostic value of the hawkins sign and diagnostic value of MRI after talar neck fractures.
Chen, Hao; Liu, Wenzhou; Deng, Lianfu; Song, Weidong
2014-12-01
The early diagnosis of avascular necrosis of the talus (AVN) and prediction of ankle function for talar fractures are important. The Hawkins sign, as a radiographic predictor, could exclude the possibility of developing ischemic bone necrosis after talar neck fractures, but its relationship with ankle function remains unclear. The purpose of this study was to illustrate the prognostic effect of the Hawkins sign on ankle function after talar neck fractures and to study the value of early MRI in detecting the AVN changes after talus fractures. Cases of talar neck fractures between November 2008 and November 2013 were evaluated. The occurrences of the Hawkins sign and AVN were studied. X-ray imaging was performed at multiple time points from the 4th to the 12th week after the fractures, and MRI examinations were used in the Hawkins sign negative group, with the time span ranging from 1.5 to 12 months. AOFAS scores of the Hawkins sign positive and negative groups were compared during the follow-up. Forty-four cases (48 feet) were evaluated. The occurrence of positive Hawkins sign was 50%, 30%, and 33.3%, the incidence of AVN was 0%, 10%, and 50%, respectively, in type I, type II, and type III and IV talus fractures, respectively. The AOFAS scores showed no statistically significant difference between Hawkins sign positive group and negative group in type I and II fractures. The Hawkins sign positive group had better AOFAS scores than the negative group in type III and IV fractures. However, there was no statistically significant difference between Hawkins sign positive and negative groups when AVN cases were excluded in type III and IV fractures. The Hawkins sign was a reliable predictor excluding the possibility of AVN. It did not have predictive value on the ankle function in low-energy fractures and may predict better ankle function in high-energy fractures. MRI can diagnose AVN during an earlier period, and we believe Hawkins sign negative patients should undergo MRI examinations 12 weeks after the fractures, especially in high-energy traumatic cases. Level III, comparative case series. © The Author(s) 2014.
Modeling the Rock Glacier Cycle
NASA Astrophysics Data System (ADS)
Anderson, R. S.; Anderson, L. S.
2016-12-01
Rock glaciers are common in many mountain ranges in which the ELA lies above the peaks. They represent some of the most identifiable components of today's cryosphere in these settings. Their oversteepened snouts pose often-overlooked hazards to travel in alpine terrain. Rock glaciers are supported by avalanches and by rockfall from steep headwalls. The winter's avalanche cone must be sufficiently thick not to melt entirely in the summer. The spatial distribution of rock glaciers reflects this dependence on avalanche sources; they are most common on lee sides of ridges where wind-blown snow augments the avalanche source. In the absence of rockfall, this would support a short, cirque glacier. Depending on the relationship between rockfall and avalanche patterns, "talus-derived" and "glacier-derived" rock glaciers are possible. Talus-derived: If the spatial distribution of rock delivery is similar to the avalanche pattern, the rock-ice mixture will travel an englacial path that is downward through the short accumulation zone before turning upward in the ablation zone. Advected debris is then delivered to the base of a growing surface debris layer that reduces the ice melt rate. The physics is identical to the debris-covered glacier case. Glacier-derived: If on the other hand rockfall from the headwall rolls beyond the avalanche cone, it is added directly to the ablation zone of the glacier. The avalanche accumulation zone then supports a pure ice core to the rock glacier. We have developed numerical models designed to capture the full range of glacier to debris-covered glacier to rock glacier behavior. The hundreds of meter lengths, tens of meters thicknesses, and meter per year speeds of rock glaciers are well described by the models. The model can capture both "talus-derived" and "glacier-derived" rock glaciers. We explore the dependence of glacier behavior on climate histories. As climate warms, a pure ice debris-covered glacier can transform to a much shorter rock glacier, leaving in its wake a thinning ice-cored moraine. Rock glaciers have much longer response times to climate change than their pure ice cousins.
Dynamics of Debris Supply and Removal from Coastal Cliffs
NASA Astrophysics Data System (ADS)
Dickson, M. E.; Vann Jones, E. C.; Payo, A.; Matsumoto, H.
2016-12-01
Progress in obtaining a morphodynamic understanding of rocky shores has been limited by slow rates of change and lack of preserved evidence of erosion processes. As a result we do not have a detailed understanding of the relative contributions of failure events across the magnitude-frequency spectrum. This talk describes field experiments, supported by simple stock-flow modelling, on a coastal cliff-face in eastern New Zealand. Key features of this site are that it is composed of near-homogenous rapidly eroding mudstone, and it is fronted by a wide intertidal rock platform that results in the cliff toe being exposed to waves every high tide. Several techniques were used to measure the cliff debris supply-removal system. Sediment traps at the cliff toe directly recorded rates of debris supply from the cliff-face at five discrete locations. Repeated high-resolution terrestrial laser scans over several consecutive low-tide stages documented changes in cliff-toe talus volumes along 50m of shoreline. Optical back-scatter sensors located on the rock shore platform in front of the cliff toe constrained the timing of talus-debris resuspension during tidal inundation of the cliff toe. Wave pressure gauges were used to characterise the wave field acting on the cliff. Results demonstrate that high-resolution (<5mm) laser scanning can meaningfully characterise rates of coastal cliff erosion at the very high-frequency low-magnitude end of the erosion spectrum. We find that rates of debris supply from the cliff face are dependent on the subaerial weathering system, in particular wetting and drying and associated expansion and contraction of clay minerals within the cliff rock. Rates of debris removal from the cliff toe depend on tide and wave conditions: even under low wave-energy conditions, waves at infragravity frequencies can access the cliff toe at high tide leading to sediment suspension. We explore the basic feedback structure of cliff, talus and debris removal using a simple stock-flow model, and discuss implications for progressive (ongoing) cliff erosion in the presence of an ever-widening shore platform.
Modeling and stress analyses of a normal foot-ankle and a prosthetic foot-ankle complex.
Ozen, Mustafa; Sayman, Onur; Havitcioglu, Hasan
2013-01-01
Total ankle replacement (TAR) is a relatively new concept and is becoming more popular for treatment of ankle arthritis and fractures. Because of the high costs and difficulties of experimental studies, the developments of TAR prostheses are progressing very slowly. For this reason, the medical imaging techniques such as CT, and MR have become more and more useful. The finite element method (FEM) is a widely used technique to estimate the mechanical behaviors of materials and structures in engineering applications. FEM has also been increasingly applied to biomechanical analyses of human bones, tissues and organs, thanks to the development of both the computing capabilities and the medical imaging techniques. 3-D finite element models of the human foot and ankle from reconstruction of MR and CT images have been investigated by some authors. In this study, data of geometries (used in modeling) of a normal and a prosthetic foot and ankle were obtained from a 3D reconstruction of CT images. The segmentation software, MIMICS was used to generate the 3D images of the bony structures, soft tissues and components of prosthesis of normal and prosthetic ankle-foot complex. Except the spaces between the adjacent surface of the phalanges fused, metatarsals, cuneiforms, cuboid, navicular, talus and calcaneus bones, soft tissues and components of prosthesis were independently developed to form foot and ankle complex. SOLIDWORKS program was used to form the boundary surfaces of all model components and then the solid models were obtained from these boundary surfaces. Finite element analyses software, ABAQUS was used to perform the numerical stress analyses of these models for balanced standing position. Plantar pressure and von Mises stress distributions of the normal and prosthetic ankles were compared with each other. There was a peak pressure increase at the 4th metatarsal, first metatarsal and talus bones and a decrease at the intermediate cuneiform and calcaneus bones, in prosthetic ankle-foot complex compared to normal one. The predicted plantar pressures and von Misses stress distributions for a normal foot were consistent with other FE models given in the literature. The present study is aimed to open new approaches for the development of ankle prosthesis.
Capturing the crisis of an active rock glacier with UAV survey
NASA Astrophysics Data System (ADS)
Lambiel, Christophe; Rüttimann, Sébastien; Meyrat, Régis; Vivero, Sebastian
2017-04-01
Several rock glaciers have been recognized as being destabilized during recent years in the European Alps, and especially in the Western Swiss Alps, through field observations, aerial image photogrammetry or InSAR analyses. However, some landforms may have been missed due to hidden location, small size or not well-defined boundaries. This is the case of the La Roussette rock glacier in the Arolla valley (Valais Alps). This rock glacier occupies a small cirque at 3100 m a.s.l. in southeast exposure and overhangs the top of a talus cone. Due to its hidden location, the existence of this landform was unknown until last year. It was indeed first observed in April 2016 on the occasion of a ski touring. Large crevasses in the snow cover were present and the snow mantle on the talus cone was largely covered by blocks fallen from the rock glacier snout. These observations indicated extremely rapid movements and the occurrence of a major crisis in the rock glacier development. Due to the topographic location and the frequent rock falls from the front, the access to the rock glacier is almost impossible in summer. To investigate the processes occurring on the landform we performed thus 3 drone flights during summer 2016 using a Sensefly eBee RTK. The advantages of this machine are that no ground control points for georeferencing the digital elevation model (DEM) are needed and that the flight plan can roughly follow the topography. It is thus particularly useful for studying landform evolution in steep slopes. The flights were carried out the 10th June, the 12th August and the 14th September 2016. Image processing was carried out with Pix4D to produce DEMs and Orthomosaics for each flight. A resolution of 4 cm was reached. In addition, an automatic camera was installed to capture the movements at the front several times per day. The drone surveys allowed the observation of the back of the rock glacier, which was almost impossible from any terrestrial location. The orthomosaics clearly show the slide of the rock glacier body on a shear plan and the very rapid movement that occurred during the summer. Total movement of the rock glacier was 45 m between the 10th June and the 12th August. Meantime, the front advance was "only" 22 m. This means that strong compression occurred, what can explain why the rock glacier did not collapse on the talus cone despite extremely rapid movements on a very steep slope. Between the 12th August and the 14th September the velocities remained high (3D displacement of 13 m), yet decreasing progressively. The high activity of the first part of the summer and the successive deceleration was also observed thanks to the time-lapse images. It is very probable that the peak of the crisis has been reached during summer 2016. This will be verified with further drone survey during summer 2017. In addition to the capture of a sudden rock glacier crisis by a remote sensing method, this study also shows how useful are UAVs for studying remote, inaccessible and dangerous landforms.
Osteochondral injuries of the foot and ankle.
Frost, Andrew; Roach, Richard
2009-06-01
Osteochondral injuries commonly affect the ankle joint and involve the dome of the talus. This article describes the etiology and pathogenesis of these injuries. Their clinical presentation is described and advice is given on how to diagnose and investigate suspected osteochondral injuries. The various treatment options currently available are briefly reviewed. There is some attempt made to give consensus on optimal treatment of this condition at the present time.
Integrated Desert Terrain Forecasting for Military Operations
2013-02-15
N. Porat. The role of the Nile in initiating a massive dust influx to the Negev late in the middle Pleistocene, Geological Society of America... Negev , Israel, resulting from regional tectonics blocking Mediterranean frontal systems, Geology, (06 2006): 0. doi: 10.1130/G22354.1 12/16/2012...Finkel, N. Porat, Y. Enzel, Y. Eyal. Quaternary-scale evolution of sequences of talus ?atirons in the hyperarid Negev , Geomorphology, (12 2010): 0
Major Extremity Trauma Research Consortium (METRC) 2011 Annual Report
2011-01-01
military treatment centers (MTFs). METRC is designed to meet these needs. Anchored by a Data Coordinating Center at the Johns Hopkins Bloomberg...talus or crush injuries only). Excluded from the registry are hip fractures in patients 60 years or older and fractures to the wrist, hand, ankle ...OUTLET: Outcomes following severe distal tibia, ankle and/or foot trauma: comparison of limb salvage vs. transtibial amputation STATUS: Master protocol
Beever, Erik A.; Brussard, P.F.; Berger, Joel
2003-01-01
We conducted exploratory analyses to examine the relative roles played by natural and anthropogenic influences on persistence of a montane mammal. We revisited historical locations of pikas (Ochotona princeps) within the hydrographic Great Basin during summers of 1994-1999. Seven of 25 populations (28%) reported earlier in the 20th century appeared to have experienced recent extirpations. We assessed causative agents of faunal change using several alternative, but not mutually exclusive, hypotheses. Higher probability of persistence was correlated with greater area of talus habitat at local and mountain-range scales, higher elevation, more easterly longitude, more southern latitude, lack of livestock grazing, greater distance to primary roads, and wilderness management. However, only area of habitat in the mountain range, maximum elevation of talus habitat, and distance to primary roads appeared in the most parsimonious model of persistence when we used Akaike's information criterion model-selection technique. These results suggest that relaxation of montane faunas may occur more rapidly than previously expected; that biogeographic models of species occurrence can be refined by including more proximate factors (e.g., grazing status, proximity to roads); and that habitat-based approaches to modelling vertebrate trends should be accompanied by field data because population loss can occur with no apparent change in habitat.
Crowley, J.K.; Hubbard, B.E.; Mars, J.C.
2003-01-01
Remote sensing data from NASA's Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) and the first spaceborne imaging spectrometer, Hyperion, show hydrothermally altered rocks mainly composed of natroalunite, kaolinite, cristobalite, and gypsum on both the Mount Shasta and Shastina cones. Field observations indicate that much of the visible altered rock consists of talus material derived from fractured rock zones within and adjacent to dacitic domes and nearby lava flows. Digital elevation data were utilized to distinguish steeply sloping altered bedrock from more gently sloping talus materials. Volume modeling based on the imagery and digital elevation data indicate that Mount Shasta drainage systems contain moderate volumes of altered rock, a result that is consistent with Mount Shasta's Holocene record of mostly small to moderate debris flows. Similar modeling for selected areas at Mount Rainier and Mount Adams, Washington, indicates larger altered rock volumes consistent with the occurrence of much larger Holocene debris flows at those volcanoes. The availability of digital elevation and spectral data from spaceborne sensors, such as Hyperion and the Advanced Spaceborne Thermal Emission and Reflectance Radiometer (ASTER), greatly expands opportunities for studying potential debris flow source characteristics at stratovolcanoes around the world. ?? 2003 Elsevier Inc. All rights reserved.
Hosoda, Koh; Shimizu, Masahiro; Ikemoto, Shuhei; Nagura, Takeo; Seki, Hiroyuki; Kitashiro, Masateru; Imanishi, Nobuaki; Aiso, Sadakazu; Jinzaki, Masahiro; Ogihara, Naomichi
2017-01-01
The anatomical design of the human foot is considered to facilitate generation of bipedal walking. However, how the morphology and structure of the human foot actually contribute to generation of bipedal walking remains unclear. In the present study, we investigated the three-dimensional kinematics of the foot bones under a weight-bearing condition using cadaver specimens, to characterize the innate mobility of the human foot inherently prescribed in its morphology and structure. Five cadaver feet were axially loaded up to 588 N (60 kgf), and radiographic images were captured using a biplane X-ray fluoroscopy system. The present study demonstrated that the talus is medioinferiorly translated and internally rotated as the calcaneus is everted owing to axial loading, causing internal rotation of the tibia and flattening of the medial longitudinal arch in the foot. Furthermore, as the talus is internally rotated, the talar head moves medially with respect to the navicular, inducing external rotation of the navicular and metatarsals. Under axial loading, the cuboid is everted simultaneously with the calcaneus owing to the osseous locking mechanism in the calcaneocuboid joint. Such detailed descriptions about the innate mobility of the human foot will contribute to clarifying functional adaptation and pathogenic mechanisms of the human foot. PMID:29134100
Assessing slope dynamics in a climate-sensitive high arctic region with Sentinel-1 dataset
NASA Astrophysics Data System (ADS)
Mantovani, Matteo; Pasuto, Alessandro; Soldati, Mauro; Popovic, Radmil; Berthling, Ivar
2017-04-01
As witnessed by an increasing number of studies, the evidence of ongoing climate change and its geomorphological effects is unquestionable. In the Svalbard archipelago, the Arctic amplification of global warming trends currently has a significant effect on permafrost temperatures and active layer thickness. Combined with altered intensity and variability of precipitation, slopes are likely to become more active in terms of both rapid and slow (creep) processes - at least as a temporary effect where the ice-rich transient layer of soils or jointed permafrost rock walls are starting to thaw. The slopes of the Kongsfjorden area aroundNy-Ålesund, NW Spitzbergen comprise a variable set of slopes systems on which to evaluate current modifications of slope sediment transfer; from low-angle fined-grained vegetated slopes to steep rock walls, talus slopes and rock glaciers. In addition, systems influenced by currently retreating glaciers and thermokarst processes are also found, in some settings interfering with the rock wall and talus slope systems. Within the framework of the SLOPES project, we provide baseline data on slope geometry from detailed terrestrial laser scanning and drone aerial image acquisition. Further, in order to document current dynamics, we employ interferometric analysis of data gathered by the new ESA mission SENTINEL. This presentation will report on data from the interferometric analysis.
[Concomitant injuries after upper ankle joint dislocations].
Dann, K; Wahler, G; Neubauer, N; Steiner, R; Titze, W; Wagner, M
1996-09-01
Functional treatment with the Air Stirrup Ankle Brace recommended by C. N. Stover in 1979 can reduce pathological inversion of the ankle joint. In our retrospective study of 109 patients treated by this kind of ankle brace we found 96 patients (88%) with excellent results. Only 13 patients (12%) reported moderate to good results. To detect and characterize their painful conditions of ankles we did a clinical, radiological and MRI-Investigation. In only 2 cases we found a moderate instability after clinical investigation, anterior stress roentgenogram and talar tilt. By using the MRI-investigation 1.0 Tesla with a 512 x 360 Matrix we could find 10 cases with osteochondral lesions of the ankle. In 7 cases there was separated ossicle in the fibulotalar joint, in 1 case we detected a fracture of the processus anterior tali, in another case we could see a posttraumatic lesion of the talus and calcaneus with bone bruise and at least one osteochondral fracture of the distal tibia. The capability of the MRI to detect particularly osteo-chondral lesions of the talus and the tibiofibular joint was shown in 10 of 13 cases. Therefore we recommend to do an MRI-investigation on all patients after ankle sprain if there are painful conditions within the ankle after conservative treatment.
Does a Longer Delay in Fixation of Talus Fractures Cause Osteonecrosis?
2011-01-01
previously described (3). Posttraumatic arthritis was defined as narrowing of the joint spaces, osteophyte formation, and/or subchondral sclerosis...injury and resembles opacity of the involved bone (1, 2). The Hawkins sign is a subchondral radiolucent band also seen at 6 to 8 weeks, indicating...Hawkins sign observed as a subchondral radiolucent band in the talar dome 8 weeks postoperatively. VOLUME 20, NUMBER 1, SPRING 2011 35 FIGURE 2 AP
A Clinically Realistic Large Animal Model of Intra-Articular Fracture
2012-10-01
articular bone intact. The distal impact face is anchored to the talus using three “tripod” pins, for direct (i.e., no soft tissue intervention) delivery of...pilon) fractures. In this technique, the porcine hock joint (human ankle analogue) is subjected to an injurious transarticular compressive force pulse...fracture, to create fractures morphologically similar to human ankle anterior malleolar fractures. This cut was made on the anterior distal tibial cortex
Gagala, J; Tarczynska, M; Gaweda, K; Matuszewski, L
2014-09-01
Osteonecrosis of the femoral head is an entity which occurs mainly in young and active patients aged between 20 and 50. The success of hip joint preserving treatments ranges from 15% to 50% depending on the stage and amount of osteonecrotic lesion. Total hip replacement is indicated in late post-collapse hips but it has unsatisfactory survival because of the wear and osteolysis in young and active patients. Osteochondral allografts have been reported in the treatment of large articular lesions with defects in underlying bone in knee, talus and shoulder. By combining osteoconductive properties of osteochondral allograft with osteogenic abilities of bone marrow-derived mesenchymal cells it has a potential to be an alternative to an autologous graft. The adjunct of hinged joint distraction should minimize stresses in subchondral bone to promote creeping substitution and prevent femoral head collapse. Unlike current treatment modalities, it would provide both structural support and allow bony and articular substitution. Copyright © 2014 Elsevier Ltd. All rights reserved.
Emmerich, J; Wülker, N; Hurschler, C
2003-04-01
The respective contributions of the active and passive structures of the foot to the stability of the medical arch were investigated using an in vitro kinetic and kinematic model. The effect of the tibialis posterior tendon on foot and ankle movements, and plantar pressure distribution of the foot were tested in a cadaveric human foot. The stance phase from heel-contact to toe-off of normal walking gait and after tibialis posterior tendon rupture was simulated in eight roentenographically normal human feet (age 66 +/- 19 years, males). Ground reaction force and tibial inclination was simulated by means of a tilting angle and force-controlled translation stage. Plantar pressure was measured using a pressure-measuring platform. The force developed by the flexors and extensor muscles of the foot were simulated via cables attached to 7 force-controlled hydraulic cylinders. Tibial rotation was produced by an electric servo-motor, and foot movements measured with an ultrasonic analysis system. The model was verified against the plantar distribution and kinematics of healthy subjects measured during normal gait. Tibialis posterior deficit did not result in any detectable changes in pressure or force-time integral in the medial regions of the foot--a common sign of flat foot (pressure: midfoot 0.2 < or = 0.9; medial forefoot 0.5 < or = p < or = 0.9; hallux 0.5 < or = p < or = 0.9; force-time integral: midfoot p = 0-871; medial forefoot p = 0.632; hallux p = 0.068). Only small tendential changes in the kinematics of the talus and calcaneus were observed in dorsiflexion (0-58 sec; talus 0.1 < or = p < or = 0.6; calcaneus 0.4 < or = p < or = 0.06) and eversion (talus: 0-60 sec. 0.1 < or = p < or = 0.6; calcaneus: 37-60 sec. 0.2 < or = p < or = 0.7). The results of this in vitro study show that defective tibialis posterior alone does not produce significant changes in the kinetics or kinematics of the stance phase of normal gait. This suggests that the development of flat foot observed in degeneration of the tibialis posterior tendon occurs only after fatigue of the passive structures of the foot.
NASA Technical Reports Server (NTRS)
Dejesusparada, N. (Principal Investigator); Rodrigues, J. E.
1980-01-01
The methodology of remote sensing applied to geological study in a complex area was evaluated. Itatiaia was selected as a test area, which covers the alkaline massives and its precambrian basement. LANDSAT-MSS and radar mosaic of the RADAMBRASIL Project were used for photointerpretation. Previous geological works were consulted and many discrepancies in the distribution of stratigraphic units were found. Moreover, structural lineaments and talus deposits were clearly delineated.
NASA Astrophysics Data System (ADS)
Faust, Dominik; Zöller, Ludwig; von Suchodoletz, Hans
2018-01-01
We would like to compliment the authors on this interesting description of some geomorphic elements found on the Canary Island of Fuerteventura. In addition, this paper is a wonderful review of some geomorphological work done in this part of the world, as based on selected papers and field work.
Archaeological Investigations at Site 45-OK-18, Chief Joseph Dam Project, Washington.
1984-01-01
A summary of elements representing each taxon is provided in Appendix C. SPECIES LIST MAMMALS (NISP=32) Marn IayJ.enn Eri ( yellow - bellied marmot ) -- 3...elements. Marmots are common residents of talus slopes. They estivate from late June and may pass directly Into hibernation In August. They do not...come . , out again until some time In February or March (Dalquest 1948; Ingles 1965). Ethnographical ly, marmots were exploited as a small game resource
Subchondral bone density distribution of the talus in clinically normal Labrador Retrievers.
Dingemanse, W; Müller-Gerbl, M; Jonkers, I; Vander Sloten, J; van Bree, H; Gielen, I
2016-03-15
Bones continually adapt their morphology to their load bearing function. At the level of the subchondral bone, the density distribution is highly correlated with the loading distribution of the joint. Therefore, subchondral bone density distribution can be used to study joint biomechanics non-invasively. In addition physiological and pathological joint loading is an important aspect of orthopaedic disease, and research focusing on joint biomechanics will benefit veterinary orthopaedics. This study was conducted to evaluate density distribution in the subchondral bone of the canine talus, as a parameter reflecting the long-term joint loading in the tarsocrural joint. Two main density maxima were found, one proximally on the medial trochlear ridge and one distally on the lateral trochlear ridge. All joints showed very similar density distribution patterns and no significant differences were found in the localisation of the density maxima between left and right limbs and between dogs. Based on the density distribution the lateral trochlear ridge is most likely subjected to highest loads within the tarsocrural joint. The joint loading distribution is very similar between dogs of the same breed. In addition, the joint loading distribution supports previous suggestions of the important role of biomechanics in the development of OC lesions in the tarsus. Important benefits of computed tomographic osteoabsorptiometry (CTOAM), i.e. the possibility of in vivo imaging and temporal evaluation, make this technique a valuable addition to the field of veterinary orthopaedic research.
Nontronite Stability in Near-Surface Sediments
NASA Astrophysics Data System (ADS)
Home, C.; Baker, L.
2015-12-01
The purpose of this study is to examine how long nontronite clays persist in soil, by studying samples collected from a sediment cone weathering out of crack in a basalt outcrop near Moscow Idaho. Nontronite, a dioctahedral ferric smectite clay, is a frequent weathering product of basaltic rocks. However, it is rarely described in surface soils, even in basaltic terrains. At our field site, nontronite formed by basalt weathering is eroding from cracks in the basalt and forming small talus cones. We are examining samples collected from a trench and several soil cores to determine the clay mineralogy at different depths in the talus cone. Bulk and clay mineralogy is being determined using X-ray Diffractometry (XRD) analysis and Fourier Transform Infrared Spectroscopy (FT-IR) analysis. Bulk chemical analyses, and selective extractions with acid oxalate and citrate-bicarbonate-dithionite reagents, are being used to analyze Fe mineralogy and amorphous constituents. Preliminary observations suggest that iron mineralogy may vary with depth in the sediments, and that older, deeper sediments may contain more Fe in oxide phases. We hypothesize that nontronite in the sediments is decomposing over time to form low-Fe smectites + Fe oxides. The results of this study will help determine whether nontronite is stable to erosion and redeposition in a surficial environment, as well as the timescale of its possible decomposition. These results may be useful in assessing proposed models of nontronite transport and redeposition on Mars.
Takao, Masato; Miyamoto, Wataru; Matsui, Kentaro; Sasahara, Jun; Matsushita, Takashi
2012-02-01
There have been several reports showing 20% to 40% failure after nonoperative functional treatment for acute lateral ligament disruption of the ankle. Functional treatment after primary surgical repair has the advantage of decreasing the failure rate in comparison with functional treatment alone. Cohort study; Level of evidence, 3. A total of 132 feet of 132 patients were included in this study. Of these, 78 patients were treated with functional treatment alone (group F), and the remaining 54 patients were treated with functional treatment after primary surgical repair (group RF). The clinical results were evaluated using the Japanese Society for Surgery of the Foot Ankle-Hindfoot scale (JSSF) score, measuring the talar tilt angle and the anterior displacement of the talus in stress radiography, and noting the elapsed time between the injury and the return to the full athletic activity with no external supports. The mean JSSF scores at 2 years after injury were 95.6 ± 5.0 points in group F and 97.5 ± 2.6 points in group RF (P = .0669). The differences of the talar tilt angles compared with the contralateral side and displacement of the talus on stress radiography at 2 years after injury were 1.1° ± 1.5° and 3.6 ± 1.6 mm in group F, and 0.8° ± 0.9° and 3.2 ± 0.8 mm in group RF, respectively (P = .4093, .1883). In group F, 8 cases showed fair to poor results, with JSSF scores below 80 points and instability at 2 years after injury. In group RF, 9 cases (9.4%) showed dorsum foot pain along the superficial peroneal nerve, which disappeared within a month. The time elapsed between the injury and the patient's return to full athletic activity without any external supports was 16.0 ± 5.6 weeks in group F and 10.1 ± 1.8 weeks in group RF (P < .0001). Nonoperative functional treatment alone and functional treatment after primary surgical repair showed similar overall results after acute lateral ankle sprain, but functional treatment alone had an approximately 10% failure rate and a slower return to full athletic activity. The authors recommend that treatment be tailored to suit each individual athlete.
Maintenance and Control of Erosion and Sediment Along Secondary Roads and Tertiary Trails.
1997-07-01
abuse. Figure 3-4. Culverts located on natural channels. 36 USACERL SR 97/108 handle the base flow of the channel. They permit 0 Slag : A byproduct of...largely on the aggregate deep used. Aggregates may be classified as talus, pit- S!F: run, quarry rock, crushed rock, or slag . The fol- MEDIUM SEVERITY... slag , or stone aggregate is then wastes of the wood-pulping process. Variations spread over the treated area. The rate of appli- include calcium ligno
NASA Technical Reports Server (NTRS)
2004-01-01
12 November 2004 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows light-toned, sedimentary rock outcrops in the Aureum Chaos region of Mars. On the brightest and steepest slope in this scene, dry talus shed from the outcrop has formed a series of dark fans along its base. These outcrops are located near 3.4oS, 27.5oW. The image covers an area approximately 3 km (1.9 mi) across and sunlight illuminates the scene from the upper left.Stock, Greg M.; Luco, Nicolas; Collins, Brian D.; Harp, Edwin L.; Reichenbach, Paola; Frankel, Kurt L.
2012-01-01
caused injuries within developed regions located on or adjacent to talus slopes, highlighting the need for additional investigations into rock-fall hazard and risk. This assessment builds upon previous investigations of rock fall hazard and risk in Yosemite Valley (Wieczorek et al., 1998, 1999; Guzzetti et al., 2003; Wieczorek et al., 2008), and focuses on hazard and risk to structures posed by relatively frequent fragmental-type rock falls (Evans and Hungr, 1999), up to approximately 100,000 m3 in volume.
Stevens, Cathy A.; Lachman, Ralph S.
2011-01-01
We report on two sibs with a lethal form of bone dysplasia with distinctive skeletal findings including rhizomelic and mesomelic limb shortening, hooked clavicles, dumbbell femurs, and absence of talus and calcaneus ossification. Other clinical features include Dandy-Walker malformation, congenital heart defects, joint contractures, genital hypoplasia, and distinctive facial features. These sibs appear to have a previously undescribed skeletal dysplasia, which is most likely inherited in an autosomal recessive fashion. PMID:20602491
Haque, Syed; Sarkar, Jay
2012-08-01
The use of intramedullary nail fixation for tibio-talo-calcaneal fusion is gaining popularity. There is chance of failure of procedure following faulty operative technique specially alignment. The article describes a useful application of tibial tunnel jig in inserting the calcanio-talo-tibial guide wire. There is precision of few millimeters in the exit point of guide wire on talus. The authors believe that this helps in better positioning of nail and hence better alignment and better operative outcome.
Popelka, V; Zamborský, R
2017-01-01
The aim of this publication is to present a case report of a 38-year-old patient with traumatic astragalectomy and resultant foot reconstruction surgery using a combination of talus compensation by vertically placed tricortical autograft and pantalar arthrodesis with a retrograde calcaneotibial nail (hindfoot nail). The advantage of this treatment is based on a solid, stable osteosynthesis, while maintaining the length of the limb. Key words: traumatic talar extrusion, tibiocalcaneal arthrodesis, hindfoot nail, bone graft, pantalar arthrodesis.
Talar anchor placement for modified Brostrom lateral ankle stabilization procedure.
Angirasa, Arush K; Barrett, Michael J
2008-01-01
The modified Brostrom procedure has been a proven procedure with excellent utility in the treatment of lateral ankle instability within limitation. Multiple variations of the original technique have been described in the literature to date. Included in these variations are differences in anchor placement, suture technique, or both. In this research study, we propose placing a bone screw anchor into the lateral shoulder of the talus rather than the typical placement at the lateral malleolus for anatomic reconstruction of the lateral ankle ligaments.
Lee, U-Young; Kim, In-Beom; Kwak, Dai-Soon
2015-08-01
This study used 110 CT images taken from donated Korean cadavers to create 3-D models of the following upper and lower limb bones: the clavicle, scapula, humerus, radius, ulna, hip bone (os coxa), femur, patella (knee cap), tibia, talus, and calcaneus. In addition, the bone volume and surface area were calculated to determine sex differences using discriminant analysis. Significant sex differences were found in all bones with respect to volume and surface area (p<0.01). The order of volume was the same in females and males (femur>hip bone>tibia>humerus>scapula), although the order of surface area was different. The largest surface area in men was the femur and in women was the hip bone (p<0.01). An interesting finding of this study was that the ulna is the bone with the highest accuracy for sex determination (94%). When using the surface area of multiple bones, the maximum accuracy (99.4%) was achieved. The equation was as follows: (discriminant equation of surface area; female<0
Pathways for nitrate release from an alpine watershed: Determination using δ15N and δ18O
Campbell, Donald H.; Kendall, Carol; Chang, Cecily C.Y.; Silva, Steven R.; Tonnessen, Kathy A.
2002-01-01
Snowpack, snowmelt, precipitation, surface water, and groundwater samples from the Loch Vale watershed in Colorado were analyzed for δ15N and δ18O of nitrate to determine the processes controlling the release of atmospherically deposited nitrogen from alpine and subalpine ecosystems. Although overlap was found between the δ15N(NO3) values for all water types (−4 to +6‰), the δ18O(NO3) values for surface water and groundwater (+10 to +30‰) were usually distinct from snowpack, snowmelt, and rainfall values (+40 to +70‰). During snowmelt, δ18O(NO3) indicated that about half of the nitrate in stream water was the product of microbial nitrification; at other times that amount was greater than half. Springs emerging from talus deposits had high nitrate concentrations and a seasonal pattern in δ18O(NO3) that was similar to the pattern in the streams, indicating that shallow groundwater in talus deposits is a likely source of stream water nitrate. Only a few samples of surface water and groundwater collected during early snowmelt and large summer rain events had isotopic compositions that indicated most of the nitrate came directly from atmospheric deposition with no biological assimilation and release. This study demonstrates the value of the nitrate double‐isotope technique for determining nitrogen‐cycling processes and sources of nitrate in small, undisturbed watersheds that are enriched with inorganic nitrogen.
Fractures of the talus: experience of two level 1 trauma centers.
Elgafy, H; Ebraheim, N A; Tile, M; Stephen, D; Kase, J
2000-12-01
Fifty-eight patients with 60 talar fractures were retrospectively reviewed. There were 39 men and 19 women. The age average was 32 (range, 14-74). Eighty six percent of the patients had multiple injuries. The most common mechanism of injury was a motor vehicle accident. Twenty-seven (45%) of the fractures were neck, 22 (36.7%) process, and 11 (18.3%) body. Forty-eight fractures had operative treatment and 12 had non-operative management. The average follow-up period was 30 months (range, 24-65). Thirty-two fractures (53.3%) developed subtalar arthritis. Two patients had subsequent subtalar fusion. Fifteen fractures (25%) developed ankle arthritis. None of these patients required ankle fusion. Fractures of the body of the talus were associated with the highest incidence of degenerative joint disease of both the subtalar and ankle joints. Ten fractures (16.6%) developed avascular necrosis (AVN), only one of which had subsequent slight collapse. Avascular necrosis occurred mostly after Hawkins Type 3 and 2 fractures of the talar neck. Three rating scores were used in this series to assess the outcome: the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score, Maryland Foot Score, and Hawkins Evaluation Criteria. The outcome was different with every rating system. However, the outcome with AOFAS Ankle-Hindfoot Score and Hawkins Evaluation Criteria were almost equivalent. Assessment with the three rating scores showed that the process fractures had the best results followed by the neck and then the body fractures.
NASA Astrophysics Data System (ADS)
Grocott, M.; Kettridge, N.; Bradley, C.; Milner, A.
2015-12-01
Groundwater-fed streams are important biodiversity hotspots on paraglacial floodplains supporting a rich and abundant fauna. However, paraglacial systems in arctic, sub-arctic, and alpine regions are changing profoundly as a consequence of climate change. Glacial retreat, increasing permafrost melt, declining winter snowpacks, earlier spring melt, and shifting summer precipitation patterns are modifying the water balance in these areas and increasing environmental vulnerability. Here, we determine the hydrological functioning of groundwater-fed stream networks in Denali National Park, Alaska, demonstrating the importance of hillslope runoff through talus deposits and the significance of preferential flow pathways (PFPs) in supporting the stream networks. We used geochemical (major ions) and stable isotopic (δ2H & δ18O) tracers to identify key water sources, determine flow paths, and highlight spatial and temporal variations in the relative contributions of individual water sources and pathways to streamflow. Multiple flow paths are shown to support streams, with the relative contribution of water sources varying on both inter-annual and seasonal scales. Hydrograph separations confirm hillslope runoff as a key contributor of flow to groundwater fed stream networks. Further, they establish the importance of talus deposits on valley sides as conduits of flow, and their potential importance as headwater aquifers. The implications are that the effects of changing climates within paraglacial environments on hillslope runoff sources will have a greater impact on these biodiversity hotspots than up-valley glacial retreat and associated changes.
Sex estimation by femur in modern Thai population.
Monum, T; Prasitwattanseree, S; Das, S; Siriphimolwat, P; Mahakkanukrauh, P
2017-01-01
Sex estimation is an important step of postmortem investigation and the femur is a useful bone for sex estimation by using metric analysis method. Even though there have been a reported sex estimation method by using femur in Thais, the temporal change related to time and anthropological data need to be renewed. Thus the aim of this study is to re-evaluate sex estimation by femur in Thais. 97 adult male and 103 female femora were random chosen from Forensic osteology research center and 6 measurements were applied tend to. To compare with previous Thai data, mid shaft diameter to increase but femoral head and epicondylar breadth to stabilize and when tested previous discriminant function by vertical head diameter and epicondalar breadth, the accuracy of prediction was lower than previous report. From the new data, epicondalar breadth is the best variable for distinguishing male and female at 88.7 percent of accuracy, following by transverse and vertical head diameter at 86.7 percent and femoral neck diameter at 81.7 percent of accuracy. Multivariate discriminant analysis indicated transverse head diameter and epicondylar breadth performed highest rate of accuracy at 89.7 percent. The percent of accuracy of femur was close to previous reported sex estimation by talus and calcaneus in Thai population. Thus, for especially in case of lower limb remain, which absence of pelvis.
Tibiotalocalcaneal arthrodesis using a dynamically locked retrograde intramedullary nail.
Pelton, Kevin; Hofer, Jason K; Thordarson, David B
2006-10-01
Tibiotalocalcaneal arthrodesis is an important salvage method for patients with complex hindfoot problems, including Charcot arthropathy, osteonecrosis of the talus, combined arthritis of the ankle and subtalar joint, and failed total ankle arthroplasty. This study evaluated the results of a dynamic retrograde intramedullary nail for fixation with posterior to anterior distal interlocking screws placed through the calcaneus for tibiotalocalcaneal fusion. Thirty-three consecutive tibiotalocalcaneal fusions were done by a single surgeon (DBT) and were stabilized with a dynamic retrograde intramedullary nail. Time to fusion, impaction of the nail relative to the intramedullary canal, nail-tibial angle, and complications were noted. Average followup was 14 months. Twenty-nine of 33 feet (88%) fused at an average of 3.7 months after surgery. Average impaction of the nail was 2.3 (0.5 to 5.0) mm. Cortical hypertrophy at the tip of the rod or at the proximal interlocking screw was noted in 13 of 27 patients. A trend toward a higher nonunion rate was noted in patients with an increased nail-tibial angle. Dynamic retrograde intramedullary nailing for fixation of the tibiotalocalcaneal fusions is a good method of stabilizing this complex fusion construct.
Xie, Mei-Ming; Xia, Kang; Zhang, Hong-Xin; Cao, Hong-Hui; Yang, Zhi-Jin; Cui, Hai-Feng; Gao, Shang; Tang, Kang-Lai
2017-01-23
Screw fixation is a typical technique for isolated talonavicular arthrodesis (TNA), however, no consensus has been reached on how to select most suitable inserted position and direction. The study aimed to present a new fixation technique and to evaluate the clinical outcome of individual headless compression screws (HCSs) applied with three-dimensional (3D) image processing technology to isolated TNA. From 2007 to 2014, 69 patients underwent isolated TNA by using double Acutrak HCSs. The preoperative three-dimensional (3D) insertion model of double HCSs was applied by Mimics, Catia, and SolidWorks reconstruction software. One HCS oriented antegradely from the edge of dorsal navicular tail where intersected interspace between the first and the second cuneiform into the talus body along the talus axis, and the other one paralleled the first screw oriented from the dorsal-medial navicular where intersected at the medial plane of the first cuneiform. The anteroposterior and lateral X-ray examinations certified that the double HCSs were placed along the longitudinal axis of the talus. Postoperative assessment included the American Orthopaedic Foot & Ankle Society hindfoot (AOFAS), the visual analogue scale (VAS) score, satisfaction score, imaging assessments, and complications. At the mean 44-months follow-up, all patients exhibited good articular congruity and solid bone fusion at an average of 11.26 ± 0.85 weeks (range, 10 ~ 13 weeks) without screw loosening, shifting, or breakage. The overall fusion rates were 100%. The average AOFAS score increased from 46.62 ± 4.6 (range, 37 ~ 56) preoperatively to 74.77 ± 5.4 (range, 64-88) at the final follow-up (95% CI: -30.86 ~ -27.34; p < 0.001). The mean VAS score decreased from 7.01 ± 1.2 (range, 4 ~ 9) to 1.93 ± 1.3 (range, 0 ~ 4) (95% CI: 4.69 ~ 5.48; p < 0.001). One cases (1.45%) and three cases (4.35%) experienced wound infection and adjacent arthritis respectively. The postoperative satisfaction score including pain relief, activities of daily living, and return to recreational activities were good to excellent in 62 (89.9%) cases. Individual 3D reconstruction of HCSs insertion model can be designed with three-dimensional image processing technology in TNA. The technology is safe, effective, and reliable to isolated TNA method with high bone fusion rates, low incidences of complications.
NASA Astrophysics Data System (ADS)
Novak, Andrej; Šmuc, Andrej
2016-04-01
The Planica-Tamar valley is located in the Julian Alps in north-west Slovenia. The Planica-Tamar valley represents typical mountain glacial valley bounded by steep, mainly carbonate cliffs with some glacial deposits still preserved. The valley is currently being filled with numerous Holocene sediments deposited by rock falls, landslides, mass gravity flows and fluvial flows. These deposits are forming active or inactive interfingering talus slopes, alluvial and debris-flow fans, all of them with a complex history of sedimentation and erosion forming unconformity bounded sedimentary units. In order to make a thorough analysis of these deposits a detailed geomorphological map in a scale of 1:10 000 has been made. Six different types of sedimentary deposits were defined and mapped. These are moraines, lacustrine sediments, fluvio-glacial deposits, talus slopes, debris fans and alluvial fans. Other mapped features also include shape of ravines, their depths, ridges and direction of sedimentary flow. Additionally areas of active, semi-active and inactive sedimentation were marked. Moraines forms a ridge in the bottom of the valleys and are composed of unconsolidated, poorly sorted, subangular grains ranging from clay size to a few cubic meters big blocks. Lacustrine sediments are represented by laminated well sorted sand and silt, while fluvio-glacial deposits are composed of washed out subrounded sands and gravels. Talus slope deposits are characterised by clast-supported poorly sorted very angular gravel. Debris flow fans are represented by extremely poorly sorted matrix-supported gravels with grain size ranging from clay to few cubic meters big blocks. Alluvial fans are composed by variety of sedimentary textures. Sediments at the fan apex are clast-supported poorly sorted very angular gravels with up to a few cubic meters big block. In the middle part of the fan the sieve deposits are common, while in the distal parts a few centimeters thick layers of sand and moderately sorted clast or sandy matrix-supported angular gravels occur. In cross-sections of alluvial fans distinct palaeosoil horizons are present indicating longer inactivity of that part of the fan. The geomorphological map forms a base for further research and thorough analysis of Quaternary deposits in order to reconstruct the Holocene dynamic of triggering and sedimentation of different types of slope deposits and relate them to base rock geology, tectonic and local/regional climate events. Key words: geomorphological mapping, Holocene slope deposits, alluvial fans, debris fans, Alpine geomorphology.
Julia, Sophie; Pedespan, Jean Michel; Boudard, Philippe; Barbier, Richard; Gavilan-Cellie, Isabelle; Chateil, Jean François; Lacombe, Didier
2002-06-15
In 1979, Rasmussen et al. reported six members of a family with congenital, bilateral, symmetrical, and isolated subtotal atresia of the external auditory canal, bilateral foot abnormalities, and increased interocular distance. The family history suggested autosomal dominant inheritance of the syndrome. We report a 3-year-old girl whose symptoms are compatible with this diagnosis. Therefore, we suggest confirmation of the description by Rasmussen et al. as a distinct entity and suggest the term Rasmussen syndrome for this condition. Copyright 2002 Wiley-Liss, Inc.
NASA Astrophysics Data System (ADS)
Portner, R. A.; Clague, D. A.
2011-12-01
Glassy fragmental deposits commonly found capping seamounts have been variably interpreted as the products of quench-fragmentation (hyaloclastite), suppressed steam expansion, and/or explosive fire-fountains (pyroclastite). To better understand these vitriclastic deposits we use a multidisciplinary approach that outlines six lithofacies based on textures, sedimentary structures, geochemical diversity, and associations with seamount landforms. All seamounts studied yield MORB compositions and formed on or near mid-ocean ridge axes of the northeast Pacific Ocean. Consolidated deposits were sampled from the Taney (~29 Ma), President Jackson (~3 Ma), and Vance (~2 Ma) seamounts using ROV manipulator arms and dredge hauls. Unconsolidated deposits from the currently active Axial Seamount of the Juan de Fuca Ridge were sampled using ROV push core and vacuum techniques. Lithofacies occur with talus breccias and pillow basalt on steeply dipping outer flanks and caldera walls, and with pillow and sheet flows on subhorizontal rims and nested caldera floors of the seamounts. Vitric lithofacies within or near steeply dipping regions have very angular textures, coarse grain-sizes and abundant crystalline basalt fragments. Jig-saw fit texture is common in units with monomict geochemistry and closely associated with adjacent pillow basalt, suggesting in-situ fragmentation akin to pillow breccia. Similar units bearing polymodal geochemistry are generally associated with talus breccias along caldera walls and basal slopes, and are interpreted as fault-scarp derived debrites. Laterally these lithofacies abruptly grade into bottom-current reworked lithofacies on flat caldera floors. Reworked lithofacies have >40% muddy matrix with abundant angular mineral fragments, biogenic grains and minor devitrified glass shards. They typically exhibit well-defined planar lamination and locally show sinusoidal ripple forms. Horizontal burrows including Planolites are common. Locally this lithofacies has a structureless to 'swirled' habit and interdigitating bedding contacts where it is host to matrix-supported subround vitric lapilli with low-vesicularity. These rare globules have mud-filled embayments, bubbles and quench-cracks, jig-saw fit texture, and fluidal morphologies suggesting a pepperitic origin. Laterally, bottom current reworked lithofacies grade into fine-to medium-grained ash lithofacies proximal to volcanic-constructional landforms. These landforms have broad morphologies with subdued slopes and are interpreted as source vents. Lithofacies generated from these vents invariably contain an abundance of low-vesicular limu-o-Pele'- or highly-vesicular round lapilli. Units are coarse-tail reverse to normal graded and crudely planar laminated or structureless. Locally, basal contacts are erosive. This facies is interpreted as fall-out from particle lofting or high-density gravity flows generated by explosive eruptions. By combining high-resolution bathymetric mapping and sampling with post-cruise geochemical and petrographic examination, we outline a previously unrecognized diversity to seamount-capping vitriclastic deposits. This approach will be useful for studies focused on deciphering explosive origins of deep-marine volcaniclastic deposits.
Rate of Malunion Following Bi-plane Chevron Medial Malleolar Osteotomy.
Bull, Patrick E; Berlet, Gregory C; Canini, Cameron; Hyer, Christopher F
2016-06-01
Access to the medial half of the talus can be challenging even with an osteotomy. Although several techniques are presented in the literature, critical evaluation of fixation, union, and alignment is lacking. The chevron medial malleolar osteotomy provides advantages of perpendicular instrumentation access and wide exposure to the medial talus. Postoperative displacement resulting in malunion, and possibly provoking ankle osteoarthritis, is a known complication. The present study describes our experience with the osteotomy. A consecutive series cohort of 50 bi-plane chevron osteotomies performed from 2004 to 2013 were evaluated. Forty-six were secured using 2 lag screws, and 4 were secured using 2 lag screws and a medial buttress plate. Radiographic studies performed at 2, 6, and 12 weeks and at final follow-up were analyzed for postoperative displacement, malunion, non-union, and hardware-related complications. At initial postoperative follow-up, 47 of 50 had adequate radiographs for review, and 18 of 47 (38.3%) showed some displacement when compared to the initial osteotomy fixation position. By final follow-up, 15 of 50 (30.0%) had measurable incongruence. Hardware removal was performed in 13 (26.0%) cases at an average of 2.4 years postoperation. Bi-plane medial malleolar chevron osteotomy fixed with 2 lag screws showed a 30.0% malunion rate with an average of 2 mm of incongruence on final follow-up radiographs, which is higher than what has been reported in the literature. In our practice, we now use a buttress plate and more recently have eliminated postoperative osteotomy displacement. Level IV, retrospective case series. © The Author(s) 2016.
Late Pleistocene stratigraphy of a carbonate platform margin, Exumas, Bahamas
NASA Astrophysics Data System (ADS)
Aalto, K. R.; Dill, Robert F.
1996-05-01
Detailed field studies of the southern Exuma Cays on the eastern margin of the Great Bahama Bank show a complex history of late Pleistocene island construction. Pleistocene rocks include island core eolianites, overlain at island margins by fossil patch reefs and reef sands, which in turn are overlain by, and/or grade laterally into, talus breccia cones derived from the erosion of island core eolianite at paleo-seacliffs situated at approximately 5-6 m above present mean high tide. Laminated pedogenic calcrete widely caps Pleistocene rocks. Minor zones of penetrative subsurface calcretization, developed in association with root growth, occur along permeable horizons, including: contacts between talus units or crossbed sets, along tension joints, and (possibly) at the Pleistocene reef-eolianite contact. Among Pleistocene eolianite samples studied in thin-section, the relative proportions of ooids-intraclasts+grapestones-skeletal grains-peloids are approximately 48:39:6:7. Marginal to the Exuma Sound and on the Brigantine Cays, a greater proportion of ooids have peloidal nuclei and cortices with numerous laminae, which may reflect ooid derivation from shelf margin and broad platform interior regions that were characterized by high wave energy during ooid formation. Between these two areas, ooids are more commonly superficial and have cortices with few laminae and nuclei composed of subrounded micrite or pelmicrite intraclasts. Such ooid nuclei are most likely derived from storm erosion of partially cemented seafloor muds. Some skeletal-rich eolianite in this region may reflect local sediment input from platform margin reefs, or may be part of an older(?) stratigraphic unit.
Clow, David W.; Sueker, Julie K.
2000-01-01
Relations between stream water chemistry and topographic, vegetative, and geologic characteristics of basins were evaluated for nine alpine/subalpine basins in Rocky Mountain National Park, Colorado, to identify controlling parameters and to better understand processes governing patterns in stream water chemistry. Fractional amounts of steep slopes (≥30°), unvegetated terrain, and young surficial debris within each basin were positively correlated to each other. These terrain features, which commonly occur on steep valley side slopes underlain by talus, were negatively correlated with concentrations of base cations, silica, and alkalinity and were positively correlated with nitrate, acidity, and runoff. These relations might result from the short residence times of water and limited soil development in the talus environment, which limit chemical weathering and nitrogen uptake. Steep, unvegetated terrains also tend to promote high Ca/Na ratios in stream water, probably because physical weathering rates in those areas are high. Physical weathering exposes fresh bedrock that contains interstitial calcite, which weathers relatively quickly. The fractional amounts of subalpine meadow and, to a lesser extent, old surficial debris in the basins were positively correlated to concentrations of weathering products and were negatively correlated to nitrate and acidity. These relations may reflect more opportunities for silicate weathering and nitrogen uptake in the lower‐energy environments of the valley floor, where soils are finer‐grained, older, and better developed and slopes are relatively flat. These results indicate that in alpine/subalpine basins, slope, vegetation (or lack thereof), and distribution and age of surficial materials are interrelated and can have major effects on stream water chemistry.
The Downstream Fate of Glacial Runoff and Groundwater in the Cordillera Blanca, Peru
NASA Astrophysics Data System (ADS)
McKenzie, J. M.; Gordon, R.; Chavez, D.; Maharaj, L.; Baraer, M.; Mark, B. G.; Lautz, L. K.
2013-12-01
Rapid glacier recession in the Cordillera Blanca, Peru, is raising concerns about current and future water resources for the inhabitants of the Rio Santa watershed. Glacier meltwater buffers stream discharge throughout the range, reducing the variability of annual runoff and maintaining stream flows during the dry season. Groundwater is also an important component of dry season runoff as it can contribute as much as 50-70% to outflow in some Rio Santa tributaries. A better understanding of groundwater dynamics in high elevation watersheds is needed, including quantification of recharge, subsurface processes, and available storage. We present the results from recent groundwater studies in the Cordillera Blanca where numerous investigative techniques have been used, including ground penetrating radar, hydraulic conductivity measurements, tracer tests, and hydrochemical mixing models. Our research focuses primarily on the low-relief pampa valley floors across which glacial-melt derived rivers flow. Across the Cordillera, these valley systems cover approximately 65 km2 and are comprised of unconsolidated glacial, talus, and lacustrine deposits and wetlands. The valleys commonly have buried, permeable, talus aquifers that are overlain by relatively impermeable, glaciolacustrine deposits. Glaciofluvial outwash deposits also act as aquifers (hydraulic conductivity of 10-4 m/s). The travel time of water stored in these systems is generally less than 3-4 years and the maximum observed dry season groundwater velocity is 60 cm/day. While groundwater represents an important component of dry season water resources source of water in the Cordillera Blanca, it is also potentially vulnerable to climate change including changes in the precipitation regime and decrease in glacially derived recharge.
Beck, Sascha; Claßen, Tim; Haversath, Marcel; Jäger, Marcus; Landgraeber, Stefan
2016-06-30
BACKGROUND Revitalizing the necrotic subchondral bone and preserving the intact cartilage layer by retrograde drilling is the preferred option for treatment of undetached osteochondral lesions of the talus (OLT). We assessed the effectiveness of Endoscopic Core Decompression (ECD) in treatment of OLT. MATERIAL AND METHODS Seven patients with an undetached OLT of the medial talar dome underwent surgical treatment using an arthroscopically-guided transtalar drill meatus for core decompression of the lesion. Under endoscopic visualization the OLT was completely debrided while preserving the cartilage layer covering the defect. The drill tunnel and debrided OLT were filled using an injectable bone graft substitute. Various clinical scores, radiographic imaging, and MRI were evaluated after a mean follow-up of 24.1 months. RESULTS The American Orthopedic Foot and Ankle Society Score significantly improved from 71.0±2.4 to 90.3±5.9, and the Foot and Ankle Disability Index improved from 71.8±11.1 to 91.7±4.8. Radiographically, we observed good bone remodelling of the medial talar dome contour within 3 months. In MRI, an alteration of the bony signal of the drill tunnel and the excised OLT remained for more than 12 months. CONCLUSIONS First follow-up results for the surgical technique described in this study are highly promising for treatment of undetached stable OLT grade II or transitional stage II-III according to the Pritsch classification. Even lesions larger than 150 mm2 showed good clinical scores, with full restoration of the medial talar dome contour in radiographic imaging.
Beimers, Lijkele; Louwerens, Jan W K; Tuijthof, Gabrielle Josephine Maria; Jonges, Remmet; van Dijk, C N Niek; Blankevoort, Leendert
2012-05-01
Lateral column lengthening (LCL) has become an accepted procedure for the operative treatment of the flexible flatfoot deformity. Hindfoot arthrodesis via a calcaneocuboid distraction arthrodesis (CCDA) has been considered a less favourable surgical option than the anterior open wedge calcaneal distraction osteotomy (ACDO), as CCDA has been associated with reduced hindfoot joint motion postoperatively. The ankle and subtalar joint ranges of motion were measured in patients who underwent an ACDO or CCDA procedure for flatfoot deformity. CT scanning was performed with the foot in extreme positions in five ACDO and five CCDA patients. A bone segmentation and registration technique for the tibia, talus and calcaneus was applied to the CT images. Finite helical axis (FHA) rotations representing the range of motion of the joints were calculated for the motion between opposite extreme foot positions of the tibia and the calcaneus relative to the talus. The maximum mean FHA rotation of the ankle joint (for extreme dorsiflexion to extreme plantarflexion) after ACDO was 52.2 degrees ± 12.4 degrees and after CCDA 49.0 degrees ± 12.0 degrees. Subtalar joint maximum mean FHA rotation (for extreme eversion to extreme inversion) following ACDO was 22.8 degrees ± 8.6 degrees, and following CCDA 24.4 degrees ± 7.6 degrees. An accurate CT-based technique was used to assess the range of motion of the ankle and subtalar joints following two lateral column lengthening procedures for flatfoot deformity. Comparable results with a considerable amount of variance were found for the range of motion following the ACDO and CCDA procedures.
Beck, Sascha; Claßen, Tim; Haversath, Marcel; Jäger, Marcus; Landgraeber, Stefan
2016-01-01
Background Revitalizing the necrotic subchondral bone and preserving the intact cartilage layer by retrograde drilling is the preferred option for treatment of undetached osteochondral lesions of the talus (OLT). We assessed the effectiveness of Endoscopic Core Decompression (ECD) in treatment of OLT. Material/Methods Seven patients with an undetached OLT of the medial talar dome underwent surgical treatment using an arthroscopically-guided transtalar drill meatus for core decompression of the lesion. Under endoscopic visualization the OLT was completely debrided while preserving the cartilage layer covering the defect. The drill tunnel and debrided OLT were filled using an injectable bone graft substitute. Various clinical scores, radiographic imaging, and MRI were evaluated after a mean follow-up of 24.1 months. Results The American Orthopedic Foot and Ankle Society Score significantly improved from 71.0±2.4 to 90.3±5.9, and the Foot and Ankle Disability Index improved from 71.8±11.1 to 91.7±4.8. Radiographically, we observed good bone remodelling of the medial talar dome contour within 3 months. In MRI, an alteration of the bony signal of the drill tunnel and the excised OLT remained for more than 12 months. Conclusions First follow-up results for the surgical technique described in this study are highly promising for treatment of undetached stable OLT grade II or transitional stage II–III according to the Pritsch classification. Even lesions larger than 150 mm2 showed good clinical scores, with full restoration of the medial talar dome contour in radiographic imaging. PMID:27362485
Ferguson rock slide buries California State Highway near Yosemite National Park
Harp, Edwin L.; Reid, Mark E.; Godt, Jonathan W.; DeGraff, Jerome V.; Gallegos, Alan J.
2008-01-01
During spring 2006, talus from the toe area of a rock-block slide of about 800,000 m3 buried California State Highway 140, one of the main routes into heavily-visited Yosemite National Park, USA. Closure of the highway for 92 days caused business losses of about 4.8 million USD. The rock slide, composed of slate and phyllite, moved slowly downslope from April to June 2006, creating a fresh head scarp with 9-12 m of displacement. Movement of the main rock slide, a re-activation of an older slide, was triggered by an exceptionally wet spring 2006, following a very wet spring 2005. As of autumn 2006, most of the main slide appeared to be at rest, although rocks occasionally continued to fall from steep, fractured rock masses at the toe area of the slide. Future behavior of the slide is difficult to predict, but possible scenarios range from continued scattered rock fall to complete rapid failure of the entire mass. Although unlikely except under very destabilizing circumstances, a worst-case, rapid failure of the entire rock slide could extend across the Merced River, damming the river and creating a reservoir. As a temporary measure, traffic has been rerouted to the opposite side of the Merced River at about the same elevation as the buried section of Highway 140. A state-of-the-art monitoring system has been installed to detect movement in the steep talus slope, movement of the main slide mass, local strong ground motion from regional earthquakes, and sudden changes in stream levels, possibly indicating damming of the river by slide material.
Miyamoto, Wataru; Takao, Masato; Yamada, Kazuaki; Matsushita, Takashi
2014-06-01
Although several reconstruction procedures for chronic lateral ankle instability using autografts have been reported, all have recommended postoperative immobilization and a nonweightbearing period. Reconstructive surgery with a gracilis autograft using an interference fit anchoring system for chronic lateral ankle instability enables early accelerated rehabilitation and recovery with a return to activity without requiring immobilization. Cohort study; Level of evidence, 3. A total of 33 patients (33 feet) who underwent reconstruction of the anterior talofibular ligament with a gracilis autograft using interference screws were included; 15 were followed for 4 weeks with postoperative cast immobilization (group I), while 18 were followed with accelerated rehabilitation without immobilization (group A). Clinical and radiological results were evaluated based on the Karlsson and Peterson score, talar tilt angle, anterior displacement of the talus on stress radiography, and time between surgery and return to full athletic activity. The mean Karlsson and Peterson scores before and 2 years after surgery were the following: for group I: 62.3 ± 4.7 (range, 54-72) and 94.4 ± 7.1 (range, 76-100), respectively (P < .001), and for group A: 64.1 ± 4.8 (range, 57-70) and 91.7 ± 7.7 (range, 74-100), respectively (P < .001). The mean difference in the talar tilt angle compared with the contralateral side and mean displacement of the talus on stress radiography before and 2 years after surgery were the following: for group I: 8.7° ± 2.6° and 7.7 ± 1.8 mm and 3.8° ± 1.5° and 4.0 ± 1.6 mm, respectively, and for group A: 10.5° ± 3.4° and 8.7 ± 2.1 mm and 4.3° ± 1.8° and 4.3 ± 1.2 mm, respectively. Radiography revealed significantly improved postoperative outcomes in both groups (P < .0001). No significant differences in the score and any parameters on stress radiography were evident at 2 years after surgery between the groups. The mean time between surgery and return to full athletic activity was significantly higher in group I (18.5 ± 3.5 weeks) than in group A (13.4 ± 2.2 weeks) (P < .0001). No cases of reinjury were reported, and no differences in athletic performance ability were observed between the groups. Patients in group A returned to full athletic activity 5 weeks earlier than those in group I, demonstrating the advantage of accelerated rehabilitation after surgery. © 2014 The Author(s).
NASA Astrophysics Data System (ADS)
Saemundsson, Thorsteinn; Morino, Costanza; Kristinn Helgason, Jón; Conway, Susan J.; Pétursson, Halldór G.
2017-04-01
On the 20th of September in 2012, a large debris slide occurred in the Móafellshyrna Mountain in the Tröllaskagi peninsula, central north Iceland. Three factors are likely to have contributed to the failure of the slope: intense precipitation, earthquake activity and thawing of ground ice. The weather conditions prior the slide were somewhat unusual, with a warm and dry summer. From the 20th of August to the 20th of September, about 440 mm of precipitation fell in the area, where the mean annual precipitation at the nearest station is around 670 mm. The slide initiated after this thirty day period of intense precipitation, followed by a seismic sequence in the Eyjafjarðaráll graben, located about 60 km NNE of Móafellshyrna Mountain, a sequence that started on the 19th of September. The slide originated at elevation of 870 m a.s.l. on the NW-slope of the mountain. The total volume of the debris slide is estimated around 500,000 m3 and that its primary cause was intense precipitation. We cannot exclude the influence of the seismic sequence as a secondary contributing factor. The presence of ice-cemented blocks of talus immediately after the debris slide shows that thawing of ground ice could also have played an important role as a triggering factor. Ice-cemented blocks of talus have been observed in the deposits of two other recent landslides in northern Iceland, in the Torfufell Mountain and the Árnesfjall Mountain. The source areas for both the Móafellshyrna and the Torfufell slides are within the lower elevation limit of mountain permafrost in northern Iceland but the source area of the Árnesfjall slide is at much lower elevation, around 350 m a.s.l. The fact that there are now three documented landslides which are linked to ground ice-melting suggests that discontinuous permafrost is degrading in Iceland, consistent with the decadal trend of increasing atmospheric temperature in Iceland due to climate change. This study highlights that ground ice thaw could represent a new source of hazard in Iceland. The knowledge of the detailed distribution of mountain permafrost on the island is poorly constrained, making it is hard to predict where the next hazardous slide could occur in the future - therefore a making this a priority for future research.
Youngest volcanism about 1 million years ago at Kahoolawe Island, Hawaii
Sano, H.; Sherrod, D.R.; Tagami, Takahiro
2006-01-01
Young volcanic deposits in Kahoolawe Island, cutting up through the caldera-filling lava, colluvium and talus in the west wall of Kanapou Bay, had long been stratigraphically considered the rejuvenated-stage products. New K-Ar ages, combined with magnetic polarity data, show that young volcanism was at about 0.98-1.04 Ma and indicate no substantial quiescence between the filling of the caldera and the young volcanism. This result, and the tholeiitic characteristics of the young deposits, suggest they are a component of late shield-stage volcanism. ?? 2005 Elsevier B.V. All rights reserved.
Factors influencing the measurement of closing volume.
Make, B; Lapp, N L
1975-06-01
The various factors influencing closing volume were studied by performing the single-breath N2 test on 9 healthy nonsmokers. Time of day, day of the week, and preceding volume history had no effect on either closing volume or alveolar plateau. Slow inspiratory flow resulted in larger ratio of closing volume to vital capacity, ratio of closing capacity to total lung capacity, and change in N2 concentration than fast inspiratory flow. Voluntary regulation of the expiratory flow resulted in smaller ratios of closing volume to vital capacity and closing capacity to total lung capacity than when flow was regulated by a resistance. Prolonged breath holding of the inspired O2 led to larger ratio of closing volume to vital capacity and ratio of closing capacity to total lung capacity. To obtain uniform, comparable closing volumes, it is suggested that the subject inspire slowly, control expiratory flow (preferably voluntarily), and not pause between inspiration and expiration.
Material strength on 67P/Churyumov-Gerasimenko and its influence on cliff stability
NASA Astrophysics Data System (ADS)
Hofmann, Marc; Güttler, Carsten; Vincent, Jean-Baptiste; Prasanna Deshapriya, J. D.; Pajola, Maurizio; Tubiana, Cecilia; Feller, Clément; Barucci, Maria A.; Sierks, Holger
2017-04-01
The OSIRIS scientific camera system [1] on board ESA's Rosetta spacecraft has been observing comet 67P/Churyumov-Gerasimenko since its arrival in August 2014. Visible on the OSIRIS images are cliff structures with associated taluses at their bottom. It is likely that these taluses were created during a (partial) collapse of the neighboring cliff. Several of these taluses display individual boulders with different brightness and spectral slope than the rest of the boulders, indicating a varying content of volatiles. A possible cause for the collapse of cliffs is thermal stresses and heat that intensify the fracturing of possibly pre-fractured walls or form new fractures. This results in sublimation with a progressively eroding cliff. The direct consequence is the occurrence of gravitational events and formation of boulder fields at the foot of the cliffs [2,3]. Both of these processes serve to weaken the structural integrity of the cliff but it is unclear how large the relative contribution of these processes is. In this study we investigate how the depletion of volatiles and damage to the cliff structure introduced by cracks will change the integrity and stability of the cliff. We aim to derive limits to the material strength to be compared to those found from observed cliffs and cliff collapses [4,5] using the DEM software ESyS Particle [6]. Acknowledgements: OSIRIS was built by a consortium led by the Max-Planck-Institut für Sonnensystemforschung, Göttingen, Germany, in collaboration with CISAS, University of Padova, Italy, the Laboratoire d'Astrophysique de Marseille, France, the Instituto de Astrofísica de Andalucia, CSIC, Granada, Spain, the Scientific Support Office of the European Space Agency, Noordwijk, The Netherlands, the Instituto Nacional de Técnica Aeroespacial, Madrid, Spain, the Universidad Politécnica de Madrid, Spain, the Department of Physics and Astronomy of Uppsala University, Sweden, and the Institut für Datentechnik und Kommunikationsnetze der Technischen Universität Braunschweig, Germany. References: [1] Keller, H. U. et al.: OSIRIS The Scientific Camera System Onboard Rosetta, Space Sci. Rev., 128, pp. 433-506, 2007; [2] Vincent, J.-B. et al.: Are fractured cliffs the source of cometary dust jets? Insights from OSIRIS/Rosetta at 67P/Churyumov-Gerasimenko, A&A, 587:A14, 2016; [3] Pajola, M. et al.: Aswan site on comet 67P/Churyumov-Gerasimenko: Morphology, boulder evolution, and spectrophotometry, A&A, 592:A69, 2016; [4] Sierks, H. et al.: On the nucleus structure and activity of comet 67P/Churyumov-Gerasimenko, Science, 347, 2015; [5] Groussin, O. et al.: Gravitational slopes, geomorphology, and material strengths of the nucleus of comet 67P/Churyumov-Gerasimenko from OSIRIS observations, A&A, 583:A32, 2015; [6] https://launchpad.net/esys-particle
NASA Astrophysics Data System (ADS)
Escalona-Alcázar, F. d. J.; Escobedo-Arellano, B.; Castillo-Félix, B.; Carrillo-Castillo, C.; García-Sandoval, P.; Gurrola-Menchaca, L. L.; Núñez-Peña, E. P.; Esparza-Martínez, A.; Bluhm-Gutiérrez, J.; Guijarro-Rodríguez, C. J.
2012-04-01
The morphology of the Zacatecas and Guadalupe quadrangles is composed to the West by a NNE-SSW fault bounded range and to the East a valley cut by minor hills. The most important and fast growing cities in the state are located in that range. However, in urban development plans variables such as the geology and geomorphologic processes, as well as the land cover characteristics, are poorly taken into consideration. Due to the landscape modification the erosion agents, mainly water, removes loose materials that are either natural or artificial. The effects on the buildings and roads are fractures, slope instability, and rock falling. In this study we present a model that considers the detailed geologic mapping, the geomorphology, land use, vegetation, and the digital slope model scale 1:50 000. The geomorphologic parameters considered were: relief energy, dissection density, general dissection density, and maximum dissection depth. The location and internal characteristics of mapped talus deposits were the basis to define the erosion criteria. High erosion zones are located in slopes over 20° where the talus deposits initiate due to the relative abundance of loose debris. Medium erosion areas are located in slopes over 10° that downslope has progressive accumulation of sediments. While the low erosion zones are located in slopes ranging from 5° to 20° with almost flat lying beds. These parameters were analyzed in ArcGIS together with the digital slope model, detailed geology mapping, the land use cover, and the soil information. The results where verified in the range where the city has been growing in recent years. The soils all over the range are lithosols which are only 10 to 15 cm thick; while the vegetation is composed mainly of bushes and nopals. Even though both, vegetation and soil are not modified, the erosion effects in them are very slow regardless of their location. The faults located in high erosion zones facilitate rock falling mainly during the rainy season; whereas in medium erosion zones it occurs if the road cuts or cliffs are steep. The rocks varying from loose to moderately consolidated, as well as the artificial fillings and talus deposits, are easily or difficultly eroded according with the erosion zones proposed in our model. The effects observed are fractured roads and house walls, removal of soil underneath the buildings, gullies formation, and slope instability. The model defines areas where the erosion effects can be related to the development of hazardous zones. This model gives criteria for land use planning and urban development.
Waldrop, Norman E; Wijdicks, Coen A; Jansson, Kyle S; LaPrade, Robert F; Clanton, Thomas O
2012-11-01
Despite the popularity of the Broström procedure for secondary repair of chronic lateral ankle instability, there have been no biomechanical studies reporting on the strength of this secondary repair method, whether using suture fixation or suture anchors. The purpose of our study was to perform a biomechanical comparison of the ultimate load to failure and stiffness of the traditional Broström technique using only a suture repair compared with a suture anchor repair of the anterior talofibular ligament (ATFL) at time zero. We believed that fixation strength of the suture anchor repair would be closer to the strength of the native ligament and allow more aggressive rehabilitation. Controlled laboratory study. Twenty-four fresh-frozen cadaveric ankles were randomly divided into 4 groups of 6 specimens. One group was an intact control group, and the other groups consisted of the traditional Broström and 2 suture anchor modifications (suture anchors in talus or fibula) of the Broström procedure. The specimens were loaded to failure to determine the strength and stiffness of each construct. In load-to-failure testing, ultimate failure loads of the Broström (68.2 ± 27.8 N; P = .013), suture anchor fibula (79.2 ± 34.3 N; P = .037), and suture anchor talus (75.3 ± 45.6 N; P = .027) repairs were significantly lower than that of the intact (160.9 ± 72.2 N) ATFL group. Stiffness of the Broström (6.0 ± 2.5 N/mm; P = .02), suture anchor fibula (6.8 N/mm ± 2.7; P = .05), and suture anchor talus (6.6 N/mm ± 4.0; P = .04) repairs were significantly lower than that of the intact (12.4 N/mm ± 4.1 N/mm) ATFL group. The 3 repair groups were not significantly different from each other, but all 3 were substantially lower in strength and stiffness when compared to the intact ATFL. The use of suture anchors to repair the ATFL produces a repair that can withstand loads to failure similar to the suture-only Broström repair. However, all 3 repair groups were much weaker than the intact, uninjured ATFL. Biomechanically, the results show that both suture anchor and direct suture repair of the ATFL provide similar strength and stiffness. Unfortunately, these methods provide less than half the strength and stiffness of the native ATFL at time zero. As a result, regardless of the repair method, it is necessary to sufficiently protect the repair to avoid premature failure.
Veljkovic, Andrea; Norton, Adam; Salat, Peter; Abbas, Kaniza Zahra; Saltzman, Charles; Femino, John E; Phisitkul, Phinit; Amendola, Annunziato
2016-09-01
Longevity of total ankle replacement (TAR) depends heavily on anatomic alignment. The lateral talar station (LTS) classifies the sagittal position of the talus relative to the tibia. We hypothesized that correcting the sagittal distal tibial articular angle (sDTAA) during TAR would anatomically realign the tibiotalar joint and potentially reduce the risk of prosthesis subluxation. The LTS (millimeters) and sDTAA (degrees) were measured twice by 2 blinded observers using weight-bearing lateral ankle radiographs obtained before (n = 96) and after (n = 94) TAR, with excellent interobserver and intraobserver reliability (correlation coefficient >0.9). Preoperative LTS was as follows: anterior (60.4%), posterior (27.1%), and neutral (12.5%). A strong preoperative correlation was found between LTS and sDTAA (r = 0.81; P < .0001). In ankles that were initially anterior and became less anterior postoperatively (n = 41), LTS decreased from an average 8.1 mm to 6.5 mm and the LTS changed 1.1 mm per degree of sDTAA change. In ankles that were initially posterior (n = 25), LTS increased from an average of -5.1 mm to -2.8 mm and the LTS changed 0.6 mm per degree of sDTAA change. The correlation between LTS and sDTAA was reduced postoperatively (r = 0.62; P < .0001). Our results suggest that rather than following generic recommendations, the surgeon should customize the sagittal distal tibial cut to the individual patient based on the preoperative LTS in order to achieve neutral TAR alignment. Level III, retrospective comparative series. © The Author(s) 2016.
The effect on syringe performance of fluid storage and repeated use: implications for syringe pumps.
Capes, D F; Herring, D; Sunderland, V B; McMillan, D; McDonald, C
1996-01-01
Syringe stiction has been reported to cause syringe pump malfunction, hence the effect on syringe performance of syringe use and the formulations used in the syringe were investigated. The force required for syringe plunger motion (at 2.5 mm min-1), when filled with soybean oil emulsion (SBOE) and with water, and the extraction of silicone oil from syringes by these fluids, were measured for Primo, Talus and Terumo 10 mL, and Terumo 50 mL syringes. The breakloose, average extrusion and maximum force required to maintain plunger motion increased after storage of SBOE for 7 days in all syringes tested (p < 0.05). The storage of water increased the breakloose force of all syringes, but only increased the maximum force of Talus syringes, and both the average extrusion and maximum forces of Terumo 10 mL syringes. The mechanism for this is most likely swelling of the elastomer of the piston due to sorption of fluid. The force was found to increase logarithmically with repeated syringe use. Electrothermal atomization atomic absorption spectroscopy was used to measure the silicone oil content of syringe extractions. Three extractions were performed: repeated flushing, vigorous washing, and storage for 7 days with occasional agitation. Up to 69.4% of the silicone oil present in the syringes was extracted with both water and SBOE when they were stored or washed. In contrast to water, SBOE also extracted the lubricant when the syringe was filled and flushed immediately. If syringes are refilled, stored filled before use, or used over a prolonged period, particularly with a SBOE formulation, syringe striction may occur during infusion with a syringe pump.
Eros: Shape, topography, and slope processes
Thomas, P.C.; Joseph, J.; Carcich, B.; Veverka, J.; Clark, B.E.; Bell, J.F.; Byrd, A.W.; Chomko, R.; Robinson, M.; Murchie, S.; Prockter, L.; Cheng, A.; Izenberg, N.; Malin, M.; Chapman, C.; McFadden, L.A.; Kirk, R.; Gaffey, M.; Lucey, P.G.
2002-01-01
Stereogrammetric measurement of the shape of Eros using images obtained by NEAR's Multispectral Imager provides a survey of the major topographic features and slope processes on this asteroid. This curved asteroid has radii ranging from 3.1 to 17.7 km and a volume of 2535 ?? 20 km3. The center of figure is within 52 m of the center of mass provided by the Navigation team; this minimal difference suggests that there are only modest variations in density or porosity within the asteroid. Three large depressions 10, 8, and 5.3 km across represent different stages of degradation of large impact craters. Slopes on horizontal scales of ???300 m are nearly all less than 35??, although locally scarps are much steeper. The area distribution of slopes is similar to those on Ida, Phobos, and Deimos. Regions that have slopes greater than 25?? have distinct brighter markings and have fewer large ejecta blocks than do flatter areas. The albedo patterns that suggest downslope transport of regolith have sharper boundaries than those on Phobos, Deimos, and Gaspra. The morphology of the albedo patterns, their lack of discrete sources, and their concentration on steeper slopes suggest transport mechanisms different from those on the previously well-observed small bodies, perhaps due to a reduced relative effectiveness of impact gardening on Eros. Regolith is also transported in talus cones and in connected, sinuous paths extending as much as 2 km, with some evident as relatively darker material. Talus material in at least one area is a discrete superposed unit, a feature not resolved on other small bodies. Flat-floored craters that apparently contain ponded material also suggest discrete units that are not well mixed by impacts. ?? 2002 Elsevier Science (USA).
Wieczorek, G.F.; Stock, Gregory M.; Reichenbach, P.; Snyder, J.B.; Borchers, J.W.; Godt, J.W.
2008-01-01
Since 1857 more than 600 rock falls, rock slides, debris slides, and debris flows have been documented in Yosemite National Park, with rock falls in Yosemite Valley representing the majority of the events. On 26 December 2003, a rock fall originating from west of Glacier Point sent approximately 200 m 3 of rock debris down a series of joint-controlled ledges to the floor of Yosemite Valley. The debris impacted talus near the base of Staircase Falls, producing fragments of flying rock that struck occupied cabins in Curry Village. Several years later on 9 June 2007, and again on 26 July 2007, smaller rock falls originated from the same source area. The 26 December 2003 event coincided with a severe winter storm and was likely triggered by precipitation and/or frost wedging, but the 9 June and 26 July 2007 events lack recognizable triggering mechanisms. We investigated the geologic and hydrologic factors contributing to the Staircase Falls rock falls, including bedrock lithology, weathering, joint spacing and orientations, and hydrologic processes affecting slope stability. We improved upon previous geomorphic assessment of rock-fall hazards, based on a shadow angle approach, by using STONE, a three-dimensional rock-fall simulation computer program. STONE produced simulated rock-fall runout patterns similar to the mapped extent of the 2003 and 2007 events, allowing us to simulate potential future rock falls from the Staircase Falls detachment area. Observations of recent rock falls, mapping of rock debris, and simulations of rock fall runouts beneath the Staircase Falls detachment area suggest that rock-fall hazard zones extend farther downslope than the extent previously defined by mapped surface talus deposits.
Huth, John K.; Silvis, Alexander; Moosman, Paul R.; Ford, W. Mark; Sweeten, Sara E.
2015-01-01
Many aspects of foraging and roosting habitat of Myotis leibii (Eastern Small-Footed Bat), an emergent rock roosting-obligate, are poorly described. Previous comparisons of effectiveness of acoustic sampling and mist-net captures have not included Eastern Small-Footed Bat. Habitat requirements of this species differ from congeners in the region, and it is unclear whether survey protocols developed for other species are applicable. Using data from three overlapping studies at two sampling sites in western Virginia’s central Appalachian Mountains, detection probabilities were examined for three survey methods (acoustic surveys with automated identification of calls, visual searches of rock crevices, and mist-netting) for use in the development of “best practices” for future surveys and monitoring. Observer effects were investigated using an expanded version of visual search data. Results suggested that acoustic surveys with automated call identification are not effective for documenting presence of Eastern Small-Footed Bats on talus slopes (basal detection rate of 0%) even when the species is known to be present. The broadband, high frequency echolocation calls emitted by Eastern Small-Footed Bat may be prone to attenuation by virtue of their high frequencies, and these factors, along with signal reflection, lower echolocation rates or possible misidentification to other bat species over talus slopes may all have contributed to poor acoustic survey success. Visual searches and mist-netting of emergent rock had basal detection probabilities of 91% and 75%, respectively. Success of visual searches varied among observers, but detection probability improved with practice. Additionally, visual searches were considerably more economical than mist-netting.
Ferguson rock slide buries California State Highway near Yosemite National Park
Harp, E.L.; Reid, M.E.; Godt, J.W.; DeGraff, J.V.; Gallegos, A.J.
2008-01-01
During spring 2006, talus from the toe area of a rock-block slide of about 800,000 m3 buried California State Highway 140, one of the main routes into heavily-visited Yosemite National Park, USA. Closure of the highway for 92 days caused business losses of about 4.8 million USD. The rock slide, composed of slate and phyllite, moved slowly downslope from April to June 2006, creating a fresh head scarp with 9-12 m of displacement. Movement of the main rock slide, a re-activation of an older slide, was triggered by an exceptionally wet spring 2006, following a very wet spring 2005. As of autumn 2006, most of the main slide appeared to be at rest, although rocks occasionally continued to fall from steep, fractured rock masses at the toe area of the slide. Future behavior of the slide is difficult to predict, but possible scenarios range from continued scattered rock fall to complete rapid failure of the entire mass. Although unlikely except under very destabilizing circumstances, a worst-case, rapid failure of the entire rock slide could extend across the Merced River, damming the river and creating a reservoir. As a temporary measure, traffic has been rerouted to the opposite side of the Merced River at about the same elevation as the buried section of Highway 140. A state-of-the-art monitoring system has been installed to detect movement in the steep talus slope, movement of the main slide mass, local strong ground motion from regional earthquakes, and sudden changes in stream levels, possibly indicating damming of the river by slide material. ?? 2008 Springer-Verlag.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Winston, G.O.
Examination of core samples and cuttings from seven wells in northern Cuba has shown that the southern margin of the Florida-Bahama platform is composed largely of dolomitized carbonate mound and talus material. Dolomitization is possibly due to reflux of the highly saline waters from the South Florida evaporite basin to the north. At least four separate episodes of mound construction are present, accompanied by seaward talus material. South of the dolomitized carbonate complex, three wells penetrated a deeper water continental slope facies consisting principally of light-colored limestone with uncommon beds of shale and radiolarian limestone. Zones of shallower facies appearmore » to be intercalated. Farther to the south beyond the scope of this study, volcanics and serpentine are reported in the literature. The northernmost wells on the island are cut by one or more high-angle thrust faults. Intense crumpling and faulting are present in the deeper water facies between the continental margin complex and the oceanic volcanic-serpentine province. The intense crumpling was probably caused as the deep-water sediments were scraped off by the subduction of an oceanic plate from the south beneath the continental crust of the Florida-Bahama platform. Certain beds in the northern Cuba carbonate complex can be correlated with the standard section in Florida, as exhibited in the Cay Sal well to the north. Three anhydrite beds in the Cayo Coco well appear to correlate with thick anhydrites in the Punto Gorda, Pumpkin Bay, and Bone Island formations. In the Collazo well to the south, a limestone-anhydrite section appears to correlate with the Pumpkin Bay. Three limestone intervals in the Blanquizal well seem to correlate with portions of the Rattlesnake Hammock, Pumpkin Bay, and Bone Island formations in the Cay Sal well.« less
Influence of climate on alpine stream chemistry and water sources
Foks, Sydney; Stets, Edward; Singha, Kamini; Clow, David W.
2018-01-01
The resilience of alpine/subalpine watersheds may be viewed as the resistance of streamflow or stream chemistry to change under varying climatic conditions, which is governed by the relative size (volume) and transit time of surface and subsurface water sources. Here, we use end‐member mixing analysis in Andrews Creek, an alpine stream in Rocky Mountain National Park, Colorado, from water year 1994 to 2015, to explore how the partitioning of water sources and associated hydrologic resilience change in response to climate. Our results indicate that four water sources are significant contributors to Andrews Creek, including snow, rain, soil water, and talus groundwater. Seasonal patterns in source‐water contributions reflected the seasonal hydrologic cycle, which is driven by the accumulation and melting of seasonal snowpack. Flushing of soil water had a large effect on stream chemistry during spring snowmelt, despite making only a small contribution to streamflow volume. Snow had a large influence on stream chemistry as well, contributing large amounts of water with low concentrations of weathering products. Interannual patterns in end‐member contributions reflected responses to drought and wet periods. Moderate and significant correlations exist between annual end‐member contributions and regional‐scale climate indices (the Palmer Drought Severity Index, the Palmer Hydrologic Drought Index, and the Modified Palmer Drought Severity Index). From water year 1994 to 2015, the percent contribution from the talus‐groundwater end member to Andrews Creek increased an average of 0.5% per year (p < 0.0001), whereas the percent contributions from snow plus rain decreased by a similar amount (p = 0.001). Our results show how water and solute sources in alpine environments shift in response to climate variability and highlight the role of talus groundwater and soil water in providing hydrologic resilience to the system.
Facing a changing world: Thermal physiology of American pikas (Ochotona princeps)
Otto, Hans W; Wilson, James A; Beever, Erik
2015-01-01
American pikas (Ochotona princeps) are of concern with respect to warming montane temperatures; however, little information exists regarding their physiological ability to adapt to warming temperatures. Previous studies have shown that pikas have high metabolism and low thermal conductance, which allow survival during cold winters. It has been hypothesized that these characteristics may be detrimental, given the recent warming trends observed in montane ecosystems. We examined resting metabolic rate, surface activity, and den and ambient temperatures (Ta) of pikas in late summer (August 2011 and 2012) at 2 locations in the Rocky Mountains. Resting metabolic rate was calculated to be 2.02 mL O2 · g-1h-1, with a lower critical temperature (LCT) of 28.1 ± 0.2 °C. No upper critical temperature (UCT) could be determined from our data; therefore, the estimated thermoneutral zone (TNZ) was 28.1 °C to at least 35.0 °C (upper experimental temperature). Pikas in this study showed the same bimodal above-talus activity patterns reported in previous studies. Den temperatures in Colorado were correlated with, but consistently lower than, current ambient temperatures. Wyoming den temperatures showed a weak correlation with Ta 20 min prior to the current den temperature. This study is one of few to present data on the physiological response pikas may have to current warming conditions, and the first to perform metabolic measurements in situ. Our data support conclusions of previous studies, specifically MacArthur and Wang (1973, 1974) and Smith (1974), which indicated American pikas may not have the physiological ability to cope with high Ta. Our results also highlight the importance of shaded regions below the talus rocks for behavioral thermoregulation by pikas.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Paull, C.K.; Spiess, F.N.; Curray, J.R.
1988-02-01
The Florida Escarpment near 26/degree/N was surveyed with Deep-Tow, Seabeam, and GLORIA in the area where chemosynthetic communities were discovered via ALVIN in the abyssal Gulf of Mexico. Seabeam bathymetry and GLORIA images indicate that the escarpment is a generally straight cliff with average slopes of about 45/degree/ from 2200 to more than 3250 m. The escarpment's face is cut by 2-km wide box canyons whose head walls are as steep as the intervening escarpment's face. The shapes of these canyons are difficult to explain with the traditional models of canyon formation. Sidescan sonar images and bottom photographs reveal thatmore » the escarpment's face is composed of a series of long, straight bedding-plain terraces which are truncated along nearly vertical orthogonal joints. Exposure of these truncated strata indicate the face of the escarpment is eroded. The contact between the basal escarpment and the flat-lying abyssal hemipelagic sediments is abrupt. Basal talus is uncommon because the abyssal floor is part of the distal Mississippi fan which is rapidly burying the escarpment. However, where talus occurs, it is in tongues of angular megabreccia of meter- and larger-sized blocks which indicate periodic catastrophic collapse. Sidescan images reveal bands of contrast in the reflective texture of the sea floor that extends 10-20 m from the base along more than 10% of the surveyed area. Photographic surveys show that these areas are associated with communities of abundant organisms. Apparently chemosynthetic communities line extensive sections of the escarpment base where reduced brines seep out into the sea floor. The morphology suggests joints and deep seeps are controlling factors in scarp retreat.« less
Koo, Seungbum; Lee, Kyoung Min; Cha, Young Joo
2015-10-01
Gross motion of the ankle joint complex (AJC) is a summation of the ankle and subtalar joints. Although AJC kinematics have been widely used to evaluate the function of the AJC, the coordinated movements of the ankle and subtalar joints are not well understood. The purpose of this study was to accurately quantify the individual kinematics of the ankle and subtalar joints in the intact foot during ground walking by using a bi-planar fluoroscopic system. Bi-planar fluoroscopic images of the foot and ankle during walking and standing were acquired from 10 healthy subjects. The three-dimensional movements of the tibia, talus, and calcaneus were calculated with a three-dimensional/two-dimensional registration method. The skeletal kinematics were quantified from 9% to 86% of the full stance phase because of the limited camera speed of the X-ray system. At the beginning of terminal stance, plantar-flexion of the AJC was initiated in the subtalar joint on average at 75% ranging from 62% to 76% of the stance phase, and plantar-flexion of the ankle joint did not start until 86% of the stance phase. The earlier change to plantar-flexion in the AJC than the ankle joint due to the early plantar-flexion in the subtalar joint was observed in 8 of the 10 subjects. This phenomenon could be explained by the absence of direct muscle insertion on the talus. Preceding subtalar plantar-flexion could contribute to efficient and stable ankle plantar-flexion by locking the midtarsal joint, but this explanation needs further investigation. Copyright © 2015 Elsevier B.V. All rights reserved.
A description of the Omo I postcranial skeleton, including newly discovered fossils.
Pearson, Osbjorn M; Royer, Danielle F; Grine, Frederick E; Fleagle, John G
2008-09-01
Recent fieldwork in the Kibish Formation has expanded our knowledge of the geological, archaeological, and faunal context of the Omo I skeleton, the earliest known anatomically modern human. In the course of this fieldwork, several additional fragments of the skeleton were recovered: a middle manual phalanx, a distal manual phalanx, a right talus, a large and a small fragment of the left os coxae, a portion of the distal diaphysis of the right femur that conjoins with the distal epiphysis recovered in 1967, and a costal fragment. Some researchers have described the original postcranial fragments of Omo I as anatomically modern but have noted that a variety of aspects of the specimen's morphology depart from the usual anatomy of many recent populations. Reanalysis confirms this conclusion. Some of the unusual features in Omo I--a medially facing radial tuberosity, a laterally flaring facet on the talus for the lateral malleolus, and reduced dorsovolar curvature of the base of metacarpal I--are shared with Neandertals, some early modern humans from Skhul and Qafzeh, and some individuals from the European Gravettian, raising the possibility that Eurasian early modern humans inherited these features from an African predecessor rather than Neandertals. The fragment of the os coxae does not unambiguously diagnose Omo I's sex: the greater sciatic notch is intermediate in form, the acetabulum is large (male?), and a preauricular sulcus is present (female?). The preserved portion of the left humerus suggests that Omo I was quite tall, perhaps 178-182 cm, but the first metatarsal suggests a shorter stature of 162-173 cm. The morphology of the auricular surface of the os coxae suggests a young adult age.
Ankle arthroscopy: outcome in 79 consecutive patients.
Amendola, A; Petrik, J; Webster-Bogaert, S
1996-10-01
Seventy-nine consecutive ankle arthroscopies were analyzed at a minimum 2-year follow-up to evaluate the risks and benefits of the procedure. All arthroscopies were performed over a 2-year period by a single surgeon using the same nonskeletal traction technique. Forty-four arthroscopies were performed for therapeutic reasons only, whereas 35 were performed for both diagnostic and therapeutic purposes. Clinical examination with visual analog scores were used for assessment preoperatively and postoperatively. The diagnoses were osteochondral lesions of the talus in 21; post-ankle fracture scarring in 14, osteoarthritis and chondromalacia in 11, anterior bony impingement in 14; anterolateral soft tissue impingement or synovitis in 15; miscellaneous diagnosis in 4. Overall, 63 of 79 patients benefited in some way from the procedure. There were diagnostic benefits in 27 of 35 (77%) of ankles in which the diagnosis was clarified by the arthroscopy. In those ankles in which the procedure was performed for therapeutic purposes only, 36 of 44 (82%) of the patients benefited. Those patients with an underlying diagnosis of osteoarthritis of the ankle, posttraumatic chondromalacia and arthrofibrosis, or who were on disability and worker's compensation benefits, had poor results, whereas patients with a localized osteochondral lesion of the talus, localized bony or soft tissue impingement, or localized lateral plica had the best results. There were three significant neurological complications from ankle arthroscopy in this series. Two patients developed a postoperative partial deep peroneal nerve neuropraxia, and one patient had superficial peroneal nerve irritation at the site of the anterolateral portal. Ankle arthroscopy appears to be a relatively low-risk procedure with substantial benefits, particularly in localized disease of the ankle joint. Skeletal distraction was not used in any of these cases.
NASA Astrophysics Data System (ADS)
Asphaug, Erik
2008-09-01
Asteroid 433 Eros is regarded as "fractured monolith" or "shatter pile". But models of fragmentation and disruption (e.g. Benz and Asphaug 1999) predict that any large rocky asteroid should be transformed into a jumble of dust, gravel, talus and boulders, simply because it is much easier to comminute an asteroid than to catastrophically disrupt it. Sometimes the relatively high density of Eros is taken as evidence for a fractured monolithic structure, although the inferred bulk porosity of Eros ( 20-30%) is what one expects for a rubble pile, and is about the porosity of sand and talus. The focus here is that a rubble pile structure is contraindicated by the pronounced network of linear fault-like structures (Buczkowski et al. 2008), some of which radiate from recent large impacts such as Psyche, and which form rectangular boundaries around some of the medium-sized craters. This needs an explanation. Here it is proposed, and quantitatively addressed, that the majority of these faults occur just in the upper tens of meters, where cohesion exceeds gravitational stress even for loose piles of lunar-like regolith. Assuming Eros regolith has the cohesion ( 1 kPa) measured for lunar regolith, then faulting is expected to a depth of 10 m, directly analogous to how faults occur in the upper layers of beach sand. The fact that Eros has few steep slopes anywhere, except for the angles of repose within its craters, at a baseline of 100 m (Zuber et al. 2002), is satisfied by the hypothesis that Eros is a rubble pile rather than a shattered monolith. The low fault stress implied by the above, supports the findings of dense networks of linear structures, ubiquitous features which are otherwise difficult to explain as fractures in a rocky target which has not been disrupted or jumbled against its very low gravity.
Bone stress injury of the ankle in professional ballet dancers seen on MRI
Elias, Ilan; Zoga, Adam C; Raikin, Steven M; Peterson, Judith R; Besser, Marcus P; Morrison, William B; Schweitzer, Mark E
2008-01-01
Background Ballet Dancers have been shown to have a relatively high incidence of stress fractures of the foot and ankle. It was our objective to examine MR imaging patterns of bone marrow edema (BME) in the ankles of high performance professional ballet dancers, to evaluate clinical relevance. Methods MR Imaging was performed on 12 ankles of 11 active professional ballet dancers (6 female, 5 male; mean age 24 years, range 19 to 32). Individuals were imaged on a 0.2 T or 1.5 T MRI units. Images were evaluated by two musculoskeletal radiologists and one orthopaedic surgeon in consensus for location and pattern of bone marrow edema. In order to control for recognized sources of bone marrow edema, images were also reviewed for presence of osseous, ligamentous, tendinous and cartilage injuries. Statistical analysis was performed to assess the strength of the correlation between bone marrow edema and ankle pain. Results Bone marrow edema was seen only in the talus, and was a common finding, observed in nine of the twelve ankles imaged (75%) and was associated with pain in all cases. On fluid-sensitive sequences, bone marrow edema was ill-defined and centered in the talar neck or body, although in three cases it extended to the talar dome. No apparent gender predilection was noted. No occult stress fracture could be diagnosed. A moderately strong correlation (phi = 0.77, p= 0.0054) was found between edema and pain in the study population. Conclusion Bone marrow edema seems to be a specific MRI finding in the talus of professional ballet dancers, likely related to biomechanical stress reactions, due to their frequently performed unique maneuvers. Clinically, this condition may indicate a sign of a bone stress injury of the ankle. PMID:18371230
Ankle Joint Contact Loads and Displacement With Progressive Syndesmotic Injury.
Hunt, Kenneth J; Goeb, Yannick; Behn, Anthony W; Criswell, Braden; Chou, Loretta
2015-09-01
Ligamentous injuries to the distal tibiofibular syndesmosis are predictive of long-term ankle dysfunction. Mild and moderate syndesmotic injuries are difficult to stratify, and the impact of syndesmosis injury on the magnitude and distribution of forces within the ankle joint during athletic activities is unknown. Eight below-knee cadaveric specimens were tested in the intact state and after sequential sectioning of the following ligaments: anterior-inferior tibiofibular, anterior deltoid (1 cm), interosseous/transverse (IOL/TL), posterior-inferior tibiofibular, and whole deltoid. In each condition, specimens were loaded in axial compression to 700 N and then externally rotated to 20 N·m torque. During axial loading and external rotation, both the fibula and the talus rotated significantly after each ligament sectioning as compared to the intact condition. After IOL/TL release, a significant increase in posterior translation of the fibula was observed, although no syndesmotic widening was observed. Mean tibiotalar contact pressure increased significantly after IOL/TL release, and the center of pressure shifted posterolaterally, relative to more stable conditions, after IOL/TL release. There were significant increases in mean contact pressure and peak pressure along with a reduction in contact area with axial loading and external rotation as compared to axial loading alone for all 5 conditions. Significant increases in tibiotalar contact pressures occur when external rotation stresses are added to axial loading. Moderate and severe injuries are associated with a significant increase in mean contact pressure combined with a shift in the center of pressure and rotation of the fibula and talus. Considerable changes in ankle joint kinematics and contact mechanics may explain why moderate syndesmosis injuries take longer to heal and are more likely to develop long-term dysfunction and, potentially, ankle arthritis. © The Author(s) 2015.
Russell, Jeffrey A; Yoshioka, Hiroshi
2016-08-01
The en pointe position of the ankle in ballet is extreme. Previously, magnetic resonance imaging (MRI) of ballet dancers' ankles en pointe was confined to a low field, open MR device. To develop a reproducible ankle MRI protocol for ballet dancers en pointe and to assess the positions of the key structures in the dancers ankles. Six female ballet dancers participated; each was randomly assigned to stand en pointe while one of her feet and ankles was splinted with wooden rods affixed with straps or to begin with the ankle in neutral position. She lay in an MR scanner with the ankle inside a knee coil for en pointe imaging and inside an ankle/foot coil for neutral position imaging. Proton density weighted images with and without fat suppression and 3D water excitation gradient recalled echo images were obtained en pointe and in neutral position in sagittal, axial, and coronal planes. We compared the bones, cartilage, and soft tissues within and between positions. No difficulties using the protocol were encountered. En pointe the posterior articular surface of the tibial plafond was incongruent with the talar dome and rested on the posterior talus. The posterior edge of the plafond impinged Kager's fat pad. All participants exhibited one or more small ganglion cysts about the ankle and proximal foot, as well as fluid accumulation in the flexor and fibularis tendon sheaths. Our MRI protocol allows assessment of female ballet dancers' ankles in the extreme plantar flexion position in which the dancers perform. We consistently noted incongruence of the talocrural joint and convergence of the tibia, talus, and calcaneus posteriorly. This protocol may be useful for clinicians who evaluate dancers. © The Foundation Acta Radiologica 2015.
Stock, Greg M.; Luco, Nicolas; Collins, Brian D.; Harp, Edwin L.; Reichenbach, Paola; Frankel, Kurt L.
2014-01-01
Rock falls are common in Yosemite Valley, California, posing substantial hazard and risk to the approximately four million annual visitors to Yosemite National Park. Rock falls in Yosemite Valley over the past few decades have damaged structures and caused injuries within developed regions located on or adjacent to talus slopes highlighting the need for additional investigations into rock-fall hazard and risk. This assessment builds upon previous investigations of rock-fall hazard and risk in Yosemite Valley and focuses on hazard and risk to structures posed by relatively frequent fragmental-type rock falls as large as approximately 100,000 (cubic meters) in volume.
Landslides caused by the Klamath Falls, Oregon, earthquakes of September 20, 1993
Keefer, D.K.; Schuster, R.L.
1993-01-01
In the Klamath Falls area, the most numerous earthquake-induced rock falls were along the east-to southeast-facing flank of a ridge immediately south and west of Howard Bay (locality 1 on the accompanying map), 18 km east-southeast of the epicenter of the magntiude 6.0 shock at 10:45 p.m. This ridge is more than 240 m high and has slopes steeper than 45° in places. The upper part of the ridge is composed of material from basaltic lava flows, an the lower slopes are covered with colluvium and talus deposits containing abundant boulders.
My Experience as a Foot and Ankle Trauma Surgeon in Montreal, Canada: What's Not in the Books.
Leduc, Stéphane; Nault, Marie-Lyne; Rouleau, Dominique M; Hebert-Davies, Jonah
2016-06-01
Foot and ankle fractures are sometimes seen as routine and easy to treat. However, many fractures vary from typical patterns and require more complex management. Obtaining good outcomes in these situations can be challenging. Often, the difference between average and good results has to do with preoperative planning and good surgical technique. This article outlines numerous techniques and tricks that are not always mentioned in classic textbooks. It focuses on ankle, talus, calcaneus, and midfoot fractures, and discusses numerous techniques and aids to avoid potential problems that may be encountered intraoperatively. Copyright © 2016 Elsevier Inc. All rights reserved.
Kim, Yong Sang; Lee, Ho Jin; Choi, Yun Jin; Kim, Yong Il; Koh, Yong Gon
2014-10-01
Marrow stimulation for the treatment of osteochondral lesions of the talus (OLTs) is controversial in patients with poor prognostic factors of OLTs. Currently, mesenchymal stem cells (MSCs) are expected to biologically augment the treatment of OLTs. To compare the clinical and magnetic resonance imaging (MRI) outcomes between an injection of MSCs with marrow stimulation and marrow stimulation alone in patients with OLTs. Cohort study; Level of evidence, 3. A total of 49 patients (50 ankles) with OLTs underwent follow-up MRI after arthroscopic treatment. Among these 50 ankles, 26 underwent marrow stimulation alone (conventional group), and 24 underwent marrow stimulation with an injection of a stromal vascular fraction (SVF) containing MSCs (MSC group). Clinical outcomes were evaluated according to the visual analog scale (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, and Tegner activity scale. The magnetic resonance observation of cartilage repair tissue (MOCART) score was used for the MRI evaluation of repaired lesions. The mean VAS score, AOFAS score, and Tegner score improved from 7.1 ± 1.2, 68.5 ± 5.6, and 3.4 ± 0.6 to 3.9 ± 0.8, 78.3 ± 4.9, and 3.5 ± 0.8, respectively, in the conventional group and from 7.1 ± 0.8, 67.7 ± 4.7, and 3.4 ± 0.5 to 3.2 ± 0.8, 83.3 ± 7.0, and 3.9 ± 0.7, respectively, in the MSC group. All clinical outcomes, including the VAS, AOFAS, and Tegner scores, improved significantly in the MSC group compared with the conventional group (P = .003, .009, and .041, respectively). There was a significant difference (P = .037) in the mean MOCART score between the conventional and MSC groups (49.4 ± 16.6 vs 62.1 ± 21.8, respectively), and significant correlations of the MOCART score with clinical outcomes were found in both groups (P < .05). Patient age (≥46.1 years), large lesion size (≥151.2 mm(2)), and the presence of subchondral cysts were associated with a worse MOCART score in the conventional group (P = .015, .004, and .013, respectively) but not in the MSC group. Clinical and MRI outcomes of an injection of an SVF containing MSCs with marrow stimulation were encouraging, compared with marrow stimulation alone, for the treatment of OLTs. Therefore, an injection of an SVF containing MSCs with marrow stimulation should be considered as a treatment for OLTs, even when poor prognostic factors, including older age, large-sized lesion, or the presence of subchondral cysts, exist. © 2014 The Author(s).
Silva, A A; Azevedo, A L S; Gasparini, K; Verneque, R S; Peixoto, M G C D; Panetto, B R; Guimarães, S E F; Machado, M A
2011-10-31
Fourteen Brazilian Gir sire families with 657 daughters were analyzed for quantitative trait loci (QTL) on chromosome 6 affecting lactose and total solids. Cows and sires were genotyped with 27 microsatellites with a mean spacing between markers of 4.9 cM. We used a 1% chromosome-wide threshold for QTL qualification. A QTL for lactose yield was found close to marker MNB66 in three families. A QTL for total solid yield was identified close to marker BMS2508 in three families. A QTL for lactose percentage, close to marker DIK1182, was identified in two families. A QTL for total solid percentage, close to marker MNB208, was identified in four families. These QTLs could be used for selection of animals in dairy production systems.
Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review.
Franceschi, Francesco; Franceschetti, Edoardo; Torre, Guglielmo; Papalia, Rocco; Samuelsson, Kristian; Karlsson, Jón; Denaro, Vincenzo
2016-04-01
Tibiotalocalcaneal arthrodesis is aimed to block the ankle joint motion in cases of severe osteoarthritis, avascular necrosis of the talus and/or failure of arthroplasty operations. This systematic review was carried out to evaluate the clinical outcome after tibiotalocalcaneal arthrodesis using intramedullary nail either open and arthroscopically assisted. Focus was on the success rate of the procedure in terms of union and complications and on the comparison between the techniques. The databases PubMed (Medline), EMBASE and Cochrane Library were searched in order to retrieve relevant studies. All therapeutic level 1-4 studies involving humans with intramedullary nail fixation technique were included. Only studies written in English, Italian, French, Spanish and German were included. Data related to the type of surgery, complications and clinical outcomes were extracted and analysed. A total of 83 studies were identified, of which 32 studies were eligible for inclusion; 31 case series and one randomized controlled trial. The main reported outcome score was the American Orthopaedic Foot and Ankle Society scale. Almost, all the included studies reported higher than 50% union rates and a significant improvement in terms of the clinical and mechanical ankle function after treatment. Results suggest that satisfactory outcomes can be achieved by tibiotalocalcaneal arthrodesis using intramedullary nailing. Low complication rates contribute to make this a safe procedure. No comparison can be done between arthroscopic and open technique, due to the lack of scientific works on the first one. IV.
Mechanisms underlying export of N from high-elevation catchments during seasonal transitions
Sickman, J.O.; Leydecker, A.L.; Chang, Cecily C.Y.; Kendall, C.; Melack, J.M.; Lucero, D.M.; Schimel, J.
2003-01-01
Mechanisms underlying catchment export of nitrogen (N) during seasonal transitions (i.e., winter to spring and summer to autumn) were investigated in high-elevation catchments of the Sierra Nevada using stable isotopes of nitrate and water, intensive monitoring of stream chemistry and detailed catchment N-budgets. We had four objectives: (1) determine the relative contribution of snowpack and soil nitrate to the spring nitrate pulse, (2) look for evidence of biotic control of N losses at the catchment scale, (3) examine dissolved organic nitrogen (DON) export patterns to gain a better understanding of the biological and hydrological controls on DON loss, and (4) examine the relationship between soil physico-chemical conditions and N export. At the Emerald Lake watershed, nitrogen budgets and isotopic analyses of the spring nitrate pulse indicate that 50 to 70% of the total nitrate exported during snowmelt (ca. April to July) is derived from catchment soils and talus; the remainder is snowpack nitrate. The spring nitrate pulse occurred several weeks after the start of snowmelt and was different from export patterns of less biologically labile compounds such as silica and DON suggesting that: (1) nitrate is produced and released from soils only after intense flushing has occurred and (2) a microbial N-sink is operating in catchment soils during the early stages of snowmelt. DON concentrations varied less than 20-30% during snowmelt, indicating that soil processes tightly controlled DON losses.
NASA Astrophysics Data System (ADS)
Janke, Jason R.; Ng, Sam; Bellisario, Antonio
2017-11-01
An inventory of firn fields, glaciers, debris-covered glaciers, and rock glaciers was conducted in the Aconcagua River Basin of the semiarid Andes of central Chile. A total of 916 landforms were identified, of which rock glaciers were the most abundant (669) and occupied the most total area. Glaciers and debris-covered glaciers were less numerous, but were about five times larger in comparison. The total area occupied by glaciers and debris-covered glaciers was roughly equivalent to the total area of rock glaciers. Debris-covered glaciers and rock glaciers were subcategorized into six ice-content classes based on interpretation of surface morphology with high-resolution satellite imagery. Over 50% of rock glaciers fell within a transitional stage; 85% of debris-covered glaciers were either fully covered or buried. Most landforms occupied elevations between 3500 and 4500 m. Glaciers and firn occurred at higher elevations compared to rock glaciers and debris-covered glaciers. Rock glaciers had a greater frequency in the northern part of the study area where arid climate conditions exist. Firn and glaciers were oriented south, debris-covered glaciers west, and rock glaciers southwest. An analysis of water contribution of each landform in the upper Andes of the Aconcagua River Basin was conducted using formulas that associate the size of the landforms to estimates of water stored. Minimum and maximum water storage was calculated based on a range of debris to ice content ratios for debris-covered glaciers and rock glaciers. In the Aconcagua River Basin, rock glaciers accounted for 48 to 64% of the water stored within the landforms analyzed; glaciers accounted for 15 to 25%; debris-covered glaciers were estimated at 15 to 19%; firn fields contained only about 5 to 8% of the water stored. Expansion of agriculture, prolonged drought, and removal of ice-rich landforms for mining have put additional pressure on already scarce water resources. To develop long-term, sustainable solutions, the importance of the water stored in rock glaciers or other alpine permafrost landforms, such as talus slopes, must be weighed against the economic value of mineral resources.
Surfers ankle: a bony spur of the talar neck
Brooks, Francis Michael; Williams, Paul; Carpenter, E C
2009-01-01
A 27-year-old competitive surfer presented with a history of a painful right ankle. He was able to recall an injury to his right ankle 4–5 years previously, sustained while surfing. The mechanism described was that he had dropped a considerable height during take-off, sustaining an impact injury from the board. He recalled immediate pain and swelling followed by 2–3 weeks of pain and a limp; he continued to surf, albeit with difficulty, despite this. Investigations found him to have a bony spur on the anterolateral part of the talus. This case shows how this injury is similar to those observed in other sports. PMID:21709829
Osteochondral graft from the pre-achilles area for replacement of articular surface defects
NASA Astrophysics Data System (ADS)
Kuznetsov, V. V.; Pahomov, I. A.; Prohorenko, V. M.; Sadovoy, M. A.; Korel, A. V.; Zaydman, A. M.; Repin, A. V.; Gudi, S. M.; Korochkin, S. B.
2017-09-01
We substantiate a new technique for obtaining osteochondral autograft to replace osteochondral defects resulting from various lesions of the talar trochlea by means of morphological examination of the following microslides: talar cartilage (cadaver material), cartilage portion of the pre-achilles zone of the calcaneum, lateral femoral condyle, and necrotic area of the talus. Examination of the specimens of the pre-achilles cartilage of the calcaneus revealed a large number of poorly differentiated chondroblasts in the homogeneously stained extracellular matrix; the presence of all zones (superficial zone, zone of columnar structures, and "tidemark"). This is indicative of structural and functional preservation of this cartilage, which therefore can be considered as an autograft material.
Rocks Exposed on Slope in Aram Chaos
NASA Technical Reports Server (NTRS)
2003-01-01
MGS MOC Release No. MOC2-550, 20 November 2003
This spectacular vista of sedimentary rocks outcropping on a slope in Aram Chaos was acquired by the Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) on 14 November 2003. Dark piles of coarse talus have come down the slopes as these materials continue to erode over time. Note that there are no small meteor impact craters in this image, indicating that erosion of these outcrops has been recent, if not on-going. This area is located near 2.8oS, 20.5oW. The 200 meter scale bar is about 656 feet across. Sunlight illuminates the scene from the lower right.Valderrabano, Victor; Barg, Alexej; Alattar, Abdulhameed; Wiewiorski, Martin
2014-12-01
Acute and recurrent ankle sprains and other trauma to the ankle joint are common injuries in soccer and can be accompanied by or result in osteochondral lesions of the ankle joint, majorly of the talus. Conservative treatment frequently fails. Several operative treatment techniques exist; however, the choice of the right procedure is difficult due to lack of literature with a high level of evidence. We present our treatment method for acute and chronic ankle osteochondral lesions with cystic formation approached by a new surgical technique combining bone plasty and a collagen matrix (autologous matrix-induced chondrogenesis). Therapeutic, Level IV: Case series. © 2014 The Author(s).
Orbital observations of the lunar highlands on Apollo 16 and their interpretation
NASA Technical Reports Server (NTRS)
Mattingly, T. K.; El-Baz, F.
1973-01-01
From orbital altitudes, the lunar highlands display the same surface characteristics on both the far and near sides. Rugged terra and plains forming materials all appear as if dusted with a uniform mantle. No stratigraphy or evidence of layering are seen in highland craters, with the possible exception of South Ray Crater in the Descartes landing site area. Among the discussed small scale features of the lunar highlands are: fine lineaments, that appear to be real rather than artifacts of lighting, on both horizontal and inclined surfaces; ridge-like scarps that cut across highland topography; and benches that are believed to be high lava marks rather than talus accumulates.
The use of intramedullary nails in tibiotalocalcaneal arthrodesis.
Thomas, Ruth L; Sathe, Vinayak; Habib, Syed I
2012-01-01
Tibiotalocalcaneal arthrodesis is a salvage procedure undertaken for hindfoot problems that affect both the ankle and subtalar joints (eg, two-joint arthritis, severe acute trauma, osteonecrosis of the talus, severe malalignment deformities, significant hindfoot bone loss). Methods of achieving fusion include Steinmann pins, screws, plates, external fixators, and retrograde intramedullary nailing. Retrograde intramedullary nailing provides a load-sharing fixation device with superior biomechanical properties and is an excellent choice for use in tibiotalocalcaneal arthrodesis. This technique can be performed through relatively small incisions. In addition, recent design modifications include the availability of dynamization and the choice of curved or straight nails. Contraindications to the technique include the presence of infection, severe vascular disease, and severe malalignment of the tibia.
NASA Technical Reports Server (NTRS)
Dejesusparada, N. (Principal Investigator); Rodrigues, J. E.
1981-01-01
Remote sensing methods applied to geologically complex areas, through interaction of ground truth and information obtained from multispectral LANDSAT images and radar mosaics were evaluated. The test area covers parts of Minos Gerais, Rio De Janeiro and Sao Paulo states and contains the alkaline complex of Itatiaia and surrounding Precambrian terrains. Geological and structural mapping was satisfactory; however, lithological varieties which form the massif's could not be identified. Photogeological lineaments were mapped, some of which represent the boundaries of stratigraphic units. Automatic processing was used to classify sedimentary areas, which includes the talus deposits of the alkaline massifs.
Tidal evolution in close binary systems.
NASA Technical Reports Server (NTRS)
Kopal, Z.
1972-01-01
Mathematical outline of the theory of tidal evolution in close binary systems of secularly constant total momentum. Following a general outline of the problem the basic expressions for the energy and momenta of close binaries consisting of components of arbitrary internal structure are established, and the maximum and minimum values of the energy (kinetic and potential) which such systems can attain for a given amount of total momentum are investigated. These results are compared with the actual facts encountered in binaries with components whose internal structure (and, therefore, rotational momenta) are known from evidence furnished by the observed rates of apsidal advance. The results show that all such systems whether of detached or semidetached type - disclose that more than 99% of their total momenta are stored in the orbital momentum. The sum of the rotational momenta of the constituent components amounts to less than 1% of the total -a situation characteristic of a state close to the minimum energy for given total momentum.
Submersible Research in Extreme Environments Using a Novel Light-Tethered Hybrid ROV
NASA Astrophysics Data System (ADS)
Bowen, A. D.; Fryer, P.; Shank, T.; Edwards, M.
2003-12-01
The Hybrid Remotely Operated Vehicle (HROV) will provide the U.S. oceanographic community with capable and cost-effective technology for routine access to the world's oceans to 11,000 meters. The hybrid vehicle design permits operation as an untethered, fully autonomous vehicle, and also as a self-powered ROV employing a 3mm diameter optical fiber tether for real-time telemetry of data and video to operators on a surface ship. Several environments that are currently inaccessible for detailed research have sufficiently mature and testable scientific problems that could be addressed using the HROV. The greatest depths on the surface of Earth are found in oceanic trenches. The complex effects of subduction of oceanic lithosphere beneath both continental and oceanic lithospheric plates are subjects of intense interest in the marine geological and geophysical community because they are prime areas where oceanic lithosphere is recycled back into the mantle. Recent studies of the Challenger Deep (CD) in the Mariana Trench show potential fluid conduits on the subducting plate that occur at depths greater than 10,000 m. The inner trench slope in the vicinity of the CD is a site where fluids derived from the down-going plate and talus from the overriding plate may be interacting. The processes of talus accumulation at this locality and the ultimate fate of the material may be critical to understanding the processes of tectonic erosion and of arc recycling in convergent plate margins. Also, the biology and microbiology of these sites is virtually unknown. The HROV will be ideally suited to conduct pioneering mapping and sampling of these seafloor environments. Over the past few decades, mid-ocean ridge studies have been enabled by deep submergence vehicle access and capabilities, and likewise, this branch of science has provided compelling need for the current family of synergistic deep submergence systems. With the recent identification and first-order mapping and dredging studies of ultra-slow spreading ridges in the Arctic, for instance, scientists are poised to make breakthroughs in our understanding of this important end-member of seafloor spreading environment. The ability to sample and observe detailed geological, biological and chemical processes occurring at these slowest spreading MORs will undoubtedly revolutionize our understanding of how seafloor spreading is manifested in these settings. In addition, we expect to find a host of novel biological communities and chemical-biochemical processes associated with recently discovered hydrothermal venting on Gakkel Ridge in the Arctic Ocean as a consequence of tectonic isolation starting in the late Mesozoic. It was not until the middle Miocene that deep water communication was reestablished with the north Atlantic and not until 3Ma with the north Pacific . Currently, Iceland essentially blocks potential migrations from the mid-Atlantic ridge to the Gakkel ridge. The HROV will be highly applicable to operations under-ice, such as those that will be required for survey, close-up inspection, and sampling of sites on the ultra slow spreading Gakkel Ridge in the Arctic Basin.
NASA Astrophysics Data System (ADS)
Schoch, Anna; Blöthe, Jan; Hoffmann, Thomas; Schrott, Lothar
2016-04-01
A large number of sediment budgets have been compiled on different temporal and spatial scales in alpine regions. Detailed sediment budgets based on the quantification of a number of sediment storages (e.g. talus cones, moraine deposits) exist only for a few small scale drainage basins (up to 10² km²). In contrast, large scale sediment budgets (> 10³ km²) consider only long term sediment sinks such as valley fills and lakes. Until now, these studies often neglect small scale sediment storages in the headwaters. However, the significance of these sediment storages have been reported. A quantitative verification whether headwaters function as sediment source regions is lacking. Despite substantial transport energy in mountain environments due to steep gradients and high relief, sediment flux in large river systems is frequently disconnected from alpine headwaters. This leads to significant storage of coarse-grained sediment along the flow path from rockwall source regions to large sedimentary sinks in major alpine valleys. To improve the knowledge on sediment budgets in large scale alpine catchments and to bridge the gap between small and large scale sediment budgets, we apply a multi-method approach comprising investigations on different spatial scales in the Upper Rhone Basin (URB). The URB is the largest inneralpine basin in the European Alps with a size of > 5400 km². It is a closed system with Lake Geneva acting as an ultimate sediment sink for suspended and clastic sediment. We examine the spatial pattern and volumes of sediment storages as well as the morphometry on the local and catchment-wide scale. We mapped sediment storages and bedrock in five sub-regions of the study area (Goms, Lötschen valley, Val d'Illiez, Vallée de la Liène, Turtmann valley) in the field and from high-resolution remote sensing imagery to investigate the spatial distribution of different sediment storage types (e.g. talus deposits, debris flow cones, alluvial fans). These sub-regions cover all three litho-tectonic units of the URB (Helvetic nappes, Penninic nappes, External massifs) and different catchment sizes to capture the inherent variability. Different parameters characterizing topography, surface characteristics, and vegetation cover are analyzed for each storage type. The data is then used in geostatistical models (PCA, stepwise logistic regression) to predict the spatial distribution of sediment storage for the whole URB. We further conduct morphometric analyses of the URB to gain information on the varying degree of glacial imprint and postglacial landscape evolution and their control on the spatial distribution of sediment storage in a large scale drainage basin. Geophysical methods (ground penetrating radar and electrical resistivity tomography) are applied on different sediment storage types on the local scale to estimate mean thicknesses. Additional data from published studies are used to complement our dataset. We integrate the local data in the statistical model on the spatial distribution of sediment storages for the whole URB. Hence, we can extrapolate the stored sediment volumes to the regional scale in order to bridge the gap between small and large scale studies.
Chan, Jeremy Y; Williams, Benjamin R; Nair, Pallavi; Young, Elizabeth; Sofka, Carolyn; Deland, Jonathan T; Ellis, Scott J
2013-02-01
Successful correction of hindfoot alignment in adult acquired flatfoot deformity (AAFD) is likely influenced by the degree of medializing calcaneal osteotomy (MCO) performed, but it is not known if other reconstruction procedures significantly contribute as well. The purpose of this study was to evaluate the correlation between common preoperative and postoperative variables and hindfoot alignment. Thirty patients with stage II AAFD undergoing flatfoot reconstruction were followed prospectively. Preoperative and postoperative radiographs were reviewed to assess for correction in hindfoot alignment as measured by the change in hindfoot moment arm. Nineteen variables were analyzed, including age, gender, height, weight, body mass index (BMI), medial cuneiform-fifth metatarsal height, anteroposterior (AP) talonavicular coverage, AP talus-first metatarsal, lateral talus-first metatarsal and calcaneal pitch angles as well as intraoperative use of the MCO, lateral column lengthening (LCL), Cotton osteotomy, first tarsometatarsal fusion, flexor digitorum longus transfer, spring ligament reconstruction, and gastrocnemius recession or Achilles lengthening. Mean age was 57.3 years (range, 22-77). Final radiographs were obtained at a mean of 47 weeks (range, 25-78) postoperatively. Seven variables were found to significantly affect hindfoot moment arm. These were gender (P < .05), the amount of MCO performed (P < .001), LCL (P < .01), first tarsometatarsal fusion (P < .01), spring ligament reconstruction (P < .01), medial cuneiform-fifth metatarsal height (P < .001), and calcaneal pitch angle (P < .05). Multivariate regression analysis revealed that MCO was the only significant predictor of hindfoot moment arm. The final regression model for MCO showed a good fit (R(2) = .93, P < .001). Correction of hindfoot valgus alignment obtained in flatfoot reconstruction is primarily determined by the MCO procedure and can be modeled linearly. We believe that the hindfoot alignment view can serve as a valuable preoperative measurement to help surgeons adjust the proper amount of correction intraoperatively. Level IV, prospective case series.
Püschel, Thomas A; Gladman, Justin T; Bobe, René; Sellers, William I
2017-10-01
Platyrrhines are a diverse group of primates that presently occupy a broad range of tropical-equatorial environments in the Americas. However, most of the fossil platyrrhine species of the early Miocene have been found at middle and high latitudes. Although the fossil record of New World monkeys has improved considerably over the past several years, it is still difficult to trace the origin of major modern clades. One of the most commonly preserved anatomical structures of early platyrrhines is the talus. This work provides an analysis of the phenetic affinities of extant platyrrhine tali and their Miocene counterparts through geometric morphometrics and a series of phylogenetic comparative analyses. Geometric morphometrics was used to quantify talar shape affinities, while locomotor mode percentages (LMPs) were used to test if talar shape is associated with locomotion. Comparative analyses were used to test if there was convergence in talar morphology, as well as different models that could explain the evolution of talar shape and size in platyrrhines. Body mass predictions for the fossil sample were also computed using the available articular surfaces. The results showed that most analyzed fossils exhibit a generalized morphology that is similar to some 'generalist' modern species. It was found that talar shape covaries with LMPs, thus allowing the inference of locomotion from talar morphology. The results further suggest that talar shape diversification can be explained by invoking a model of shifts in adaptive peak to three optima representing a phylogenetic hypothesis in which each platyrrhine family occupied a separate adaptive peak. The analyses indicate that platyrrhine talar centroid size diversification was characterized by an early differentiation related to a multidimensional niche model. Finally, the ancestral platyrrhine condition was reconstructed as a medium-sized, generalized, arboreal, quadruped. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
Ridge and Talus in Lycus Sulci
2015-08-12
This image from NASA Mars Reconnaissance Orbiter spacecraft nicely captures several influential geologic processes that have shaped the landscape of Lycus Sulci. Our observation covers an area of about 7.5 by 5.4 kilometers in Lycus Sulci, located just to the northwest of Olympus Mons in the Tharsis region of Mars. "Sulci" is a Latin term meaning "furrow" or "groove." In this case, Lycus Sulci is a region comprised of a series of depressions and ridges. Like most of the Tharsis region, Lycus Sulci exhibits thick deposits of light-toned Martian dust; the slopes on ridges in this region feature abundant streaks. These streaks are long, thin dark-toned features. They appear when the superficial light-tone fine-grained materials (i.e., Martian dust) suddenly move down slope and expose the darker underlying volcanic surfaces. Repeat imaging shows that dust streaks are consistently dark when they are initially formed and become lighter over time. This is due to the steady deposition of dust from the atmosphere. Slope streaks are also visible along the slopes of ridges and shallow depressions. Two ridges here exhibit partially exposed bedrock. These outcrops are interpreted to still have abundant coatings and dust, obscuring the underlying bedrock. This interpretation is based on the lack of bluish color for volcanic bedrock from the infrared-red-blue swath of our camera, and consistent with the homogenous tannish color we see throughout the same swath. It's possible that the ridges here and throughout the Lycus Sulci region formed via volcanic and tectonic processes, which have been further sculpted by wind erosion and other mass wasting processes. For example, talus slopes, which appear as fine-grained fans or conical-shaped deposits, originate from the steepest portions of the ridges. These form when the rocks or deposits on the steepest slopes of a ridge fail under the influence of Martian gravity and their own mass, causing an avalanche of these materials, which then accumulate downslope. http://photojournal.jpl.nasa.gov/catalog/PIA19870
Gatlin, Coley C; Matheny, Lauren M; Ho, Charles P; Johnson, Nicholas S; Clanton, Thomas O
2015-03-01
Talar chondral defects can be a source of persistent ankle pain and disability. If untreated, there is an increased risk of osteoarthritis. The purpose of our study was to determine diagnostic accuracy of 3T MRI in detecting Outerbridge grades 3 and 4 articular cartilage lesions of the talus in a clinical setting, utilizing a standardized clinical MRI protocol. Patients who had a 3T ankle MRI and subsequent ankle surgery, by a single surgeon, were included in this study. MRI exams were performed 180 days or less before surgery. Seventy-nine ankles in 78 patients (mean age of 42.3 years) were included in this study. Mean body mass index was 26.3. A standard clinical MRI exam was performed on a 3T MRI scanner. Mean days from MRI to surgery was 39 days. All MRI exams were read and findings recorded by a musculoskeletal radiologist. Arthroscopic examination was performed by a single orthopaedic surgeon. Detailed arthroscopic findings and demographic data were collected prospectively and stored in a data registry. Of the 78 patients, 31 (39.2%) reported previous ankle surgery. Pain was the primary reason for seeking medical attention as reported by 95% of patients, followed by instability in 44% and loss of function with 42%. Prevalence of Outerbridge grade 3 and 4 talar articular cartilage defects identified at arthroscopy was 17.7%. The 3T MRI demonstrated a sensitivity of 0.714, specificity of 0.738, positive predictive value of 0.370, and negative predictive value of 0.923. Sensitivity and specificity levels were acceptable for detection of grades 3 and 4 articular cartilage defects of the talar dome using 3T MRI. The high negative predictive value may be beneficial in preoperative planning. While these values are acceptable, a high index of suspicion should be maintained in the appropriate clinical setting. © The Author(s) 2014.
Kamiya, Tomoaki; Kura, Hideji; Suzuki, Daisuke; Uchiyama, Eiichi; Fujimiya, Mineko; Yamashita, Toshihiko
2009-12-01
The roles of each ligament supporting the subtalar joint have not been clarified despite several biomechanical studies. The effects of ankle braces on subtalar instability have not been shown. The ankle brace has a partial effect on restricting excessive motion of the subtalar joint. Controlled laboratory study. Ten normal fresh-frozen cadaveric specimens were used. The angular motions of the talus were measured via a magnetic tracking system. The specimens were tested while inversion and eversion forces, as well as internal and external rotation torques, were applied. The calcaneofibular ligament, cervical ligament, and interosseous talocalcaneal ligament were sectioned sequentially, and the roles of each ligament, as well as the stabilizing effects of the ankle brace, were examined. Complete sectioning of the ligaments increased the angle between the talus and calcaneus in the frontal plane to 51.7 degrees + or - 11.8 degrees compared with 35.7 degrees + or - 6.0 degrees in the intact state when inversion force was applied. There was a statistically significant difference in the angles between complete sectioning of the ligaments and after application of the brace (34.1 degrees + or - 7.3 degrees ) when inversion force was applied. On the other hand, significant differences in subtalar rotation were not found between complete sectioning of the ligaments and application of the brace when internal and external rotational torques were applied. The ankle brace limited inversion of the subtalar joint, but it did not restrict motion after application of internal or external rotational torques. In cases of severe ankle sprains involving the calcaneofibular ligament, cervical ligament, and interosseous talocalcaneal ligament injuries, application of an ankle brace might be less effective in limiting internal-external rotational instabilities than in cases of inversion instabilities in the subtalar joint. An improvement in the design of the brace is needed to restore better rotational stability in the subtalar joint.
Wiewiorski, Martin; Werner, Lorenzo; Paul, Jochen; Anderson, Andrew E; Barg, Alexej; Valderrabano, Victor
2016-10-01
For the treatment of osteochondral lesions of the talus (OCLTs), autologous matrix-induced chondrogenesis (AMIC) is a safe 1-step procedure with good clinical and radiological results. However, data regarding postoperative sports activity after AMIC are limited. To identify significant factors influencing the rate of postoperative sports and recreational activities. Case series; Level of evidence, 4. The sports and recreational activities of 60 patients (mean age, 34.9 ± 11.5 years) undergoing the AMIC procedure were retrospectively analyzed at a mean of 46.9 ± 17.8 months (range, 24.5-87.0 months) postoperatively. The visual analog scale (VAS) for pain score, Tegner activity scale score, activity rating scale (ARS) score, and satisfaction with surgery outcomes were assessed. Corrective calcaneal osteotomy was performed in 38 of 60 (63.3%) patients. Ligament repair was performed in 41 of 60 (68.3%) patients. The mean VAS score improved significantly from 6.9 ± 1.6 points (range, 5-10 points) preoperatively to 2.3 ± 1.9 points (range, 0-6 points) at latest follow-up (P < .001). No significant change in the mean Tegner activity scale score (3.3 ± 2.0 preoperatively to 3.4 ± 2.2 postoperatively; P = .526) and the mean ARS score (2.6 ± 4.3 preoperatively to 2.3 ± 3.4 postoperatively; P = .874) was noted. The percentage of patients involved in sports activity before the onset of symptoms became significantly lower at the time of surgery (from 95.0% to 53.3%; P < .001); no significant difference was noted postoperatively (from 53.3% to 58.3%; P = .663). No significant difference of the weekly sports frequency and the duration of sports activity was found postoperatively. Patients undergoing AMIC repair of an OCLT participate at a similar low postoperative sports and recreational activity level compared with the preoperative level. © 2016 The Author(s).
NASA Astrophysics Data System (ADS)
Popescu, Răzvan; Vespremeanu-Stroe, Alfred; Onaca, Alexandru; Vasile, Mirela; Cruceru, Nicolae; Pop, Olimpiu
2017-10-01
Ground and air temperature monitoring, geophysical soundings and dendrological investigations were applied to a basaltic talus slope-rock glacier system from Detunata site in the Apuseni Mountains (Western Romanian Carpathians) to verify the presence of sporadic permafrost at 1020-1110 m asl, well below the regional limit of mountain permafrost. The near 0 °C mean annual ground surface temperatures imposed by the large negative annual thermal anomalies of the ground (up to 7.4 °C), together with the high resistivity values and the occurrence of trees with severe growth anomalies, support the presence of permafrost at this location. Temperature measurements and ground air circulation experiments proved that the so-called "chimney effect" is the main process favoring the ground overcooling and allowed for the construction of a model of ground air circulation in complex morphology deposits. The texture and porosity of the debris were quantified along with the local morphology in order to evaluate their role upon the chimney circulation. The debris porosity was found to be very high promoting intense ground overcooling during the cold season, including the periods of high snow cover due to the development of snow funnels. It efficiently reduces the heat transfer during summer thus contributing essentially to permafrost preservation. In compound morphologies, the depressed and low-lying features are the cold zones subjected to winter overcooling and summer chill, while the high-positioned and convex-up landforms become warm air evacuation features with positive thermal anomalies. Tree-ring measurements showed that the growth of cold-affected trees is higher during colder intervals (years to decades) probably as a consequence of the weakened katabatic air outflow during cooler summers. The dendrological analysis of multi-centennial spruces and their growth rates also provided palaeoclimatic inferences for the last 200 years. Dendrological data describe the multi-centennial chimney circulation and its response to climate variability.
Bone anchors or interference screws? A biomechanical evaluation for autograft ankle stabilization.
Jeys, Lee; Korrosis, Sotiris; Stewart, Todd; Harris, Nicholas J
2004-01-01
Autograft stabilization uses free semitendinosus tendon grafts to anatomically reconstruct the anterior talofibular ligament. Study aims were to evaluate the biomechanical properties of Mitek GII anchors compared with the Arthrex Bio-Tenodesis Screw for free tendon reconstruction of the anterior talofibular ligament. There are no differences in load to failure and percentage specimen elongation at failure between the 2 methods. Controlled laboratory study using porcine models. Sixty porcine tendon constructs were failure tested. Re-creating the pull of the anterior talofibular ligament, loads were applied at 70 degrees to the bones. Thirty-six tendons were fixed to porcine tali and tested using a single pull to failure; 10 were secured with anchors and No. 2 Ethibond, 10 with anchors and FiberWire, 10 with screws and Fiberwire, and 6 with partially gripped screws. Cyclic preloading was conducted on 6 tendons fixed by anchors and on 6 tendons fixed by screws before failure testing. Two groups of 6 components fixed to the fibula were also tested. The talus single-pull anchor group produced a mean load of 114 N and elongation of 37% at failure. The talus single-pull screw group produced a mean load of 227 N and elongation of 22% at failure (P <.05). Cyclic preloading at 65% failure load before failure testing produced increases in load and decreases in elongation at failure. Partially gripped screws produced a load of 133 N and elongation of 30% at failure. The fibula model produced significant increases in load to failure for both. The human anterior talofibular ligament has loads of 139 N at failure with instability occurring at 20% elongation. Interference screw fixation produced significantly greater failure strength and less elongation at failure than bone anchors. The improved biomechanics of interference screws suggests that these may be more suited to in vivo reconstruction of the anterior talofibular ligament than are bone anchors.
Rotational stiffness of American football shoes affects ankle biomechanics and injury severity.
Button, Keith D; Braman, Jerrod E; Davison, Mark A; Wei, Feng; Schaeffer, Maureen C; Haut, Roger C
2015-06-01
While previous studies have investigated the effect of shoe-surface interaction on injury risk, few studies have examined the effect of rotational stiffness of the shoe. The hypothesis of the current study was that ankles externally rotated to failure in shoes with low rotational stiffness would allow more talus eversion than those in shoes with a higher rotational stiffness, resulting in less severe injury. Twelve (six pairs) cadaver lower extremities were externally rotated to gross failure while positioned in 20 deg of pre-eversion and 20 deg of predorsiflexion by fixing the distal end of the foot, axially loading the proximal tibia, and internally rotating the tibia. One ankle in each pair was constrained by an American football shoe with a stiff upper, while the other was constrained by an American football shoe with a flexible upper. Experimental bone motions were input into specimen-specific computational models to examine levels of ligament elongation to help understand mechanisms of ankle joint failure. Ankles in flexible shoes allowed 6.7±2.4 deg of talus eversion during rotation, significantly greater than the 1.7±1.0 deg for ankles in stiff shoes (p = 0.01). The significantly greater eversion in flexible shoes was potentially due to a more natural response of the ankle during rotation, possibly affecting the injuries that were produced. All ankles failed by either medial ankle injury or syndesmotic injury, or a combination of both. Complex (more than one ligament or bone) injuries were noted in 4 of 6 ankles in stiff shoes and 1 of 6 ankles in flexible shoes. Ligament elongations from the computational model validated the experimental injury data. The current study suggested flexibility (or rotational stiffness) of the shoe may play an important role in both the severity of ankle injuries for athletes.
Seismic Monitoring of Rock Falls in Yosemite National Park
NASA Astrophysics Data System (ADS)
Zimmer, V. L.; Stock, G. M.; Sitar, N.
2008-12-01
Between 1857 and 2007, more than 600 landslide events have been documented in Yosemite National Park, with the vast majority of events occurring as rock falls in Yosemite Valley. The conditions leading to and triggering rock fall are understood in approximately 50 percent of cases, but in the other 50 percent, there were no apparent triggers. Occasionally, large rock falls have been preceded by smaller events that, in retrospect, may have been precursors. Close range seismic monitoring presents an opportunity to study the conditions leading up to rock fall, as well as the mechanics of the actual rock fall as recorded seismically. During the winter of 2007-08, we conducted a rock fall seismic monitoring feasibility study in Yosemite Valley. A station consisting of an 8 Hz geophone and an accelerometer was placed on a ledge 1000 feet above the valley floor, in a historically active rock fall area known as the Three Brothers. At least two rock falls in this area were recorded by the instrumentation and witnessed by visitors, representing the first time rock falls have been recorded with seismic instrumentation in Yosemite Valley. Significant energy was recorded in a wide frequency range, from a few Hz to approximately 150 Hz, limited by the geophone response and attenuation of the signal due to distance to the source (400 m). Furthermore, there exists a weak signal approximately 5-10 seconds before the obvious rock fall signature. We hypothesize that the weak signal represents rock fall initiation manifesting as the first blocks sliding down the cliff face, while the stronger impulses represent these blocks impacting ledges and the bottom talus field. This study demonstrated that rock fall monitoring is feasible with seismic instrumentation, and serves as the catalyst for future studies using a network of sensors for more advanced analysis.
Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame
Deland, Jonathan T.; Rozbruch, S. Robert
2010-01-01
With the advances in trauma care, chronic fracture dislocation of the ankle is not a condition commonly seen in modern clinical practice. When encountered, it can be difficult to preserve the ankle joint. We present a case of a 65-year-old female, with a chronic fracture dislocation of the ankle. The ankle joint was subluxated with posterior translation of the talus, displacement of the posterior malleolus fragment, and a distal fibula fracture. A minimally traumatic approach was devised to treat this complex fracture dislocation which included gradual reduction of the ankle with a Taylor spatial frame, followed by stabilization with internal fixation and removal of the frame. Bony union and restoration of the ankle joint congruency was achieved. PMID:22294963
[Ultrastructure of the substantia spongiosa of the femur head and talus].
Copf, F; Czarnetzki, A; Lierse, W
1990-01-01
The results of the SEM examination of the zone between the cartilage and the spongeous substances are described precisely. For the first time, W. Lierse examined the 'tensulae' of calcium-collagen lamellae by light microscopy. The examination of this zone was initiated by the fact that the hydrodynamic flow can take place in the calcified zone of the cartilage which is filled with synovial fluid and that the calcified zone adheres to the subchondral substantia corticalis. The subchondral corticalis is characterized by funnel-like indentations with a high number of calcium-collagen and chondrocyte 'tensulae' which are up to now uncounted. The special aim was to locate the separation of the space of adipose and arterial supplies.
Management of High-Energy Foot and Ankle Injuries in the Geriatric Population
Herscovici, Dolfi; Scaduto, Julia M.
2012-01-01
By the year 2035 almost 20% of the US population of 389 million people will be 65 years and older. What this group has, compared with aged populations in the past, is better health, more mobility, and more active lifestyles. From January 1989 through December 2010, a total of 494 elderly patients with 536 foot and ankle injuries were identified. Within this group, 237 (48%) patients with 294 injuries were sustained as a result of a high-energy mechanism. These mechanisms consisted of 170 motor vehicle accidents, 30 as a result of high (not ground level) energy falls, 2 from industrial accidents, and 35 classified as other, which included sports, blunt trauma, bicycle, airplane or boating accidents, crush injuries, and injuries resulting from a lawn mower. The injuries produced were 17 metatarsal fractures, 9 Lisfranc injuries, 10 midfoot (navicular, cuneiform, or cuboid) fractures, 23 talus fractures, 63 calcaneal fractures, 73 unimalleolar, bimalleolar, or trimalleolar ankle fractures, 45 pilon fractures, and 3 pure dislocations of the foot or ankle. Overall, 243 (83%) of these injuries underwent surgical fixation and data have shown that when surgery is used to manage high-energy injuries of the foot and ankle in the elderly individuals, the complications and outcomes are similar to those seen in younger patients. Therefore, the decision for surgical intervention for high-energy injuries of the foot and ankle should be based primarily on the injury pattern and not solely on the age of the patient. PMID:23569695
Management of high-energy foot and ankle injuries in the geriatric population.
Herscovici, Dolfi; Scaduto, Julia M
2012-03-01
By the year 2035 almost 20% of the US population of 389 million people will be 65 years and older. What this group has, compared with aged populations in the past, is better health, more mobility, and more active lifestyles. From January 1989 through December 2010, a total of 494 elderly patients with 536 foot and ankle injuries were identified. Within this group, 237 (48%) patients with 294 injuries were sustained as a result of a high-energy mechanism. These mechanisms consisted of 170 motor vehicle accidents, 30 as a result of high (not ground level) energy falls, 2 from industrial accidents, and 35 classified as other, which included sports, blunt trauma, bicycle, airplane or boating accidents, crush injuries, and injuries resulting from a lawn mower. The injuries produced were 17 metatarsal fractures, 9 Lisfranc injuries, 10 midfoot (navicular, cuneiform, or cuboid) fractures, 23 talus fractures, 63 calcaneal fractures, 73 unimalleolar, bimalleolar, or trimalleolar ankle fractures, 45 pilon fractures, and 3 pure dislocations of the foot or ankle. Overall, 243 (83%) of these injuries underwent surgical fixation and data have shown that when surgery is used to manage high-energy injuries of the foot and ankle in the elderly individuals, the complications and outcomes are similar to those seen in younger patients. Therefore, the decision for surgical intervention for high-energy injuries of the foot and ankle should be based primarily on the injury pattern and not solely on the age of the patient.
Ruan, Yue; Thabit, Hood; Leelarathna, Lalantha; Hartnell, Sara; Willinska, Malgorzata E; Dellweg, Sibylle; Benesch, Carsten; Mader, Julia K; Holzer, Manuel; Kojzar, Harald; Evans, Mark L; Pieber, Thomas R; Arnolds, Sabine; Hovorka, Roman
2016-05-01
To quantify variability of insulin requirements during closed-loop insulin delivery. We retrospectively analyzed overnight, daytime, and total daily insulin amounts delivered during a multicenter closed-loop trial involving 32 adults with type 1 diabetes. Participants applied hybrid day-and-night closed-loop insulin delivery under free-living home conditions over 12 weeks. The coefficient of variation was adopted to measure variability of insulin requirements in individual subjects. Data were analyzed from 1,918 nights, 1,883 daytime periods and 1,564 total days characterized by closed-loop use over 85% of time. Variability of overnight insulin requirements (mean [SD] coefficient of variation 31% [4]) was nearly twice as high as variability of total daily requirements (17% [3], P < 0.001) and was also higher than variability of daytime insulin requirements (22% [4], P < 0.001). Overnight insulin requirements were significantly more variable than daytime and total daily amounts. This may explain why some people with type 1 diabetes report frustrating variability in morning glycemia. © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
[Bone repair in pseudarthrosis after arthrodesis of the upper ankle joint].
Eingartner, C; Volkmann, R; Winter, E; Weller, S
1994-06-01
Delayed union or non-union of ankle arthrodesis is a common problem and revision arthrodesis is necessary in those difficult cases. Three cases are presented, in which a non-union after tibiotalar or tibiacalcanear fusion could be treated effectively with a bone graft taken from the anterior cortex of the distal tibia or from the anterior iliacal spine. The bone graft was fixed proximally with a screw. Distally the graft was inserted in an slot gouged into the talus or the calcaneus respectively with or without screw fixation. Postoperative care included short-time external fixation and immobilisation with a shortleg weight bearing cast. We conclude that the technique of a sliding tibiotalar graft can be used for effective treatment of non-union following ankle arthrodesis.
Santi, P.; Cannon, S.; DeGraff, J.
2013-01-01
Wildfire is a worldwide phenomenon that is expected to increase in extent and severity in the future, due to fuel accumulations, shifting land management practices, and climate change. It immediately affects the landscape by removing vegetation, depositing ash, influencing water-repellent soil formation, and physically weathering boulders and bedrock. These changes typically lead to increased erosion through sheetwash, rilling, dry ravel, and increased mass movement in the form of floods, debris flow, rockfall, and landslides. These process changes bring about landform changes as hillslopes are lowered and stream channels aggrade or incise at increased rates. Furthermore, development of alluvial fans, debris fans, and talus cones are enhanced. The window of disturbance to the landscape caused by wildfire is typically on the order of three to four years, with some effects persisting up to 30 years.
Adams, Morton S; Parisio, Steven J
2013-09-01
Climate change is expected to affect biodiversity elements in the Catskill High Peaks subecoregion of New York State with effects that are difficult to predict. The present communication details the species and communities of greatest conservation concern in this portion of the state and makes recommendations for monitoring the most pressing climate change-biodiversity vulnerabilities. Specifically, we present sites for monitoring representative old-growth and successional stands of red spruce/balsam fir and northern hardwood matrix forests, cliff communities, ice cave talus communities, and both minerotrophic inland poor fen and ombrotrophic perched peatlands. The proposed monitoring protocols vary among the various sites, but all are quantitative and are designed to document patterns of change. © 2013 New York Academy of Sciences.
Denlinger, Roger P.
2007-01-01
INTRODUCTION An active rockslide in Merced River Canyon was first noticed on April 29, 2006 when a few rocks rolled onto Highway 140 between mileposts 103 and 104, compromising traffic on this highway and signaling the onset of renewed activity of the Ferguson rockslide. State highway 140 is one of the main entrances to Yosemite National Park and is the primary road for large commercial trucks access into the park from the west. Continued rockslide activity during 2006 built a large talus cone that covered the highway and encroached into the Merced River below it. Observations by the US Forest Service (USFS), the California Department of Transportation (CALTRANS), and the U.S. Geological Survey (USGS) confirm that the rockslide remained active through 2006 and represents a potential threat to traffic along the rerouted highway as well as to recreational users of the Merced River in the runout path below the rockslide. Delineation of the hazards posed by the Ferguson rockslide is a necessary prerequisite to mitigating them. Field observations of the rockslide, shown in the photo of Figure 1, have constrained the geometry and structure of the slide mass (Beck, 2006; Gallegos and DeGraff, 2006). Based on initial estimates by geologists from USFS, CALTRANS and the USGS, the rockslide, active in 2006 and 2007, has an area of approximately 40,000 square meters and a volume of approximately 800,000 cubic meters. Structural mapping suggests that the motion of the slide is translational along a planar bed, and that differential motion of the slide from the toe to the headwall has resulted in formation of large tension cracks that transect the slide across the slope (Beck, 2006). These indications of persistent movement were confirmed during 2006 and 2007 by GPS measurements made by the USGS at three points on the rockslide (Rick LaHusen, USGS, written communication). The larger of these cracks divide the slide into regions that moved at different rates in 2006, with the toe of the rockslide moving five to ten times faster than the middle portion or headwall part of the slide. Downslope of the main rockslide mass, a talus slope consist in of angular blocks ranging in size from 0.1 to greater than 10 meters (Gallegos and DeGraff, 2006), buries Highway 140. Both the main rockslide and the talus consist of angular blocks ranging in size from 0.1 to more than 10 meters and are composed of highly fractured phyllite, slate, and chert from the Phyllite and Chert of Hite Cove (Bateman and Krauskopf, 1987). The purpose of this report is to assess the hazard posed by the Ferguson rockslide by simulating the runout and deposition of a portion of the slide if rapid failure occurs. As discussed by Gallegos and DeGraf (2006), a runout analysis is needed to delineate slide hazards. The report is restricted to calculations of potential runout and does not address the likelihood of rapid failure. Based on discussions with Allan Gallegos (USFS), two end-member initial slide volumes were chosen: (1) the toe of the slide along boundaries defined by Tim Beck (CALTRANS) in (Beck, 2006), and (2) the entire sliding rock mass, again along boundaries defined by Tim Beck. The simulated runout of these volumes during rapid failure uses granular flow mechanics developed by Iverson (1997) and the model developed by Denliner and Iverson, (2004). This model has been thoroughly tested against experimental data and provides plausible, defensible results.
NASA Astrophysics Data System (ADS)
Messenzehl, Karoline; Dikau, Richard
2016-04-01
Due to the emergent and (often non-linear) complex nature of mountain systems the key small-scale system properties responsible for rock slope instability contrast to those being dominant at larger spatial scales. This geomorphic system behaviour has major epistemological consequences for the study of rockfalls and associated form-process-relationships. As each scale requires its own scientific explanation, we cannot simply upscale bedrock-scale findings and, in turn, we cannot downscale the valley-scale knowledge to smaller phenomena. Here, we present a multi-scale study from the Turtmann Valley (Swiss Alps), that addresses rock slope properties at three different geomorphic levels: (i) regional valley scale, (ii) the hillslope scale and (iii) the bedrock scale. Using this hierarchical approach, we aim to understand the key properties of high-mountain systems responsible for rockfall initiation with respect to the resulting form-process-relationship at each scale. (i) At the valley scale (110 km2) rock slope instability was evaluated using a GIS-based modelling approach. Topo-climatic parameters, i.e. the permafrost distribution and the time since deglaciation after LGM were found to be the key variables causative for the regional-scale bedrock erosion and the storage of 62.3 - 65.3 x 106 m3 rockfall sediments in the hanging valleys (Messenzehl et al. 2015). (ii) At the hillslope scale (0.03 km2) geotechnical scanline surveys of 16 rock slopes and one-year rock temperature data of 25 ibuttons reveal that the local rockfall activity and the resulting deposition of individual talus slope landforms is mainly controlled by the specific rock mass strength with respect to the slope aspect, than being a paraglacial reaction. Permafrost might be only of secondary importance for the present-day rock mechanical state as geophysical surveys disprove the existence of frozen bedrock below 2600 m asl. (Messenzehl & Draebing 2015). (iii) At the bedrock scale (0.01 mm - 10 m) the spacing, persistence and orientation of joints turned out to be the most causative bedrock properties for the higher-scale rock mass strength. Rock temperature data suggest that high-frequent, surficial thermal processes, daily freeze-thaw cycles and seasonal ice segregation coupled with a winter snow cover are the major rock breakdown mechanisms. By linking the rockwalls' joint geometric pattern to the size and shape of rockfall blocks lying on the corresponding talus slopes, different rockfall magnitudes and frequencies were identified. Here we show, that the decrease in spatial scale is linked with a shift in variable importance, from topo-climatic and paraglacial factors at the largest scale to rock mechanical parameters at the smallest scale. Therefore, to understand the key destabilising factors of rock slopes in mountain systems and the resulting landforms, a holistic research approach is needed which considers the nested, hierarchical structure of geomorphic systems. Messenzehl, K., Meyer, H., Otto, J.-C., Hoffmann, T., Dikau, R., 2015. Regional-scale controls on the spatial activity of rockfalls. (Turtmann valley, Swiss Alps) - A multivariate modelling approach. In: Geomorphology. Messenzehl, K., Draebing, D., 2015. Multidisciplinary investigations on coupled rockwall talus-systems (Turtmann valley, Swiss Alps). Geophysical Research Abstracts, 17 (EGU2015-1935, 2015).
Ruiz-Fernández, Jesús; Oliva, Marc; García-Hernández, Cristina
2017-06-01
This article focuses on the spatial distribution of vegetation formations in Elephant Point, an ice-free area of 1.16km 2 located in Livingston Island (South Shetland Islands, Antarctica). Fieldwork carried out in January 2014 consisted of floristic surveys and designation of a vegetation map. We have examined these data in a GIS environment together with topographical and geomorphological features existing in the peninsula in order to infer the factors controlling vegetation distribution. This has allowed quantifying the total area covered by the four different vegetation formations distributed across the peninsula, proliferating mainly on bedrock plateaus and Holocene raised beaches. Grass formation is essentially composed of Deschampsia antarctica, distributed almost exclusively on raised beaches, and covering 4.1% of the ice-free surface. The remaining three formations are fundamentally composed of cryptogam species. The first of which is fruticose lichen and moss formation, present on high bedrock plateaus and principally formed by lichens such as Usnea aurantiaco-atra. The next is the crustose lichen formation, spreading on bedrock plateaus near the coast populated by bird colonies. In this case, ornitocoprophilous lichens such as Caloplaca regalis, Xanthoria elegans and Haematomma erythromma are predominant. Together, both formations have colonised 5.1% of the peninsula. The last variety, moss carpet and moss cushion formation, occupies 1.4% of the deglaciated surface, spreading primarily in flooded areas, stabilised talus slopes, and bedrock plateaus as well. Therefore, the total surface colonised by vegetation is 12.2ha, which comprises 10.5% of the peninsula. Due to the retreat of the Rotch Dome glacier, 20.1ha remain ice-free since 1956 (17.3% of the deglaciated area). Ever since, even though the Antarctic Peninsula has registered one of the most significant temperature rises on Earth, vegetation has only colonised 0.04ha of this new space, which merely represents 0.3% of the vegetated area in Elephant Point. Copyright © 2017 Elsevier B.V. All rights reserved.
Debris flow monitoring in the Acquabona watershed on the Dolomites (Italian Alps)
Berti, M.; Genevois, R.; LaHusen, R.; Simoni, A.; Tecca, P.R.
2000-01-01
In 1997 a field monitoring system was installed in Acquabona Creek in the Dolomites (Eastern Italian Alps) to observe the hydrologic conditions for debris flow occurrence and some dynamic properties of debris flow. The monitoring system consists of three remote stations: an upper one located at the head of a deeply-incised channel and two others located downstream. The system is equipped with sensors for measuring rainfall, pore pressures in the mobile channel bottom, ground vibrations, debris flow depth, total normal stress and fluid pore-pressure at the base of the flow. Two video cameras record events at the upper channel station and one video is installed at the lowermost station. During summer 1998, three debris flows (volumes from less than 1000 m3 up to 9000 m3) occurred at Acquabona. The following results were obtained from a preliminary analysis of the data: 1) All of the flows were triggered by rainfalls of less than 1 hour duration, with peak rainfall intensities ranging from 4.8 to 14.7 mm / 10 minute. 2) Debris flows initiated in several reaches of the channel, including the head of the talus slope. 3) The initial surges of the mature flows had a higher solid concentration and a lower velocity (up to 4 m/s) than succeeding, more dilute surges (more than 7 m/s). 4) Total normal stress and pore fluid pressures measured at the base of the flow (mean depth about 1.1 m) were similar (about 15 kPa), indicating a completely liquefied flow. 5) Peak flows entrained debris at a rate of about 6 m3/m of channel length and channel bed scouring was proportional to the local slope gradient and was still evident in the lower channel where the slope was 7??. ?? 2000 Elsevier Science Ltd. All rights reserved.
Potential efficiencies of open- and closed-cycle CO, supersonic, electric-discharge lasers
NASA Technical Reports Server (NTRS)
Monson, D. J.
1976-01-01
Computed open- and closed-cycle system efficiencies (laser power output divided by electrical power input) are presented for a CW carbon monoxide, supersonic, electric-discharge laser. Closed-system results include the compressor power required to overcome stagnation pressure losses due to supersonic heat addition and a supersonic diffuser. The paper shows the effect on the system efficiencies of varying several important parameters. These parameters include: gas mixture, gas temperature, gas total temperature, gas density, total discharge energy loading, discharge efficiency, saturated gain coefficient, optical cavity size and location with respect to the discharge, and supersonic diffuser efficiency. Maximum open-cycle efficiency of 80-90% is predicted; the best closed-cycle result is 60-70%.
Key variables influencing patterns of lava dome growth and collapse
NASA Astrophysics Data System (ADS)
Husain, T.; Elsworth, D.; Voight, B.; Mattioli, G. S.; Jansma, P. E.
2013-12-01
Lava domes are conical structures that grow by the infusion of viscous silicic or intermediate composition magma from a central volcanic conduit. Dome growth can be characterized by repeated cycles of growth punctuated by collapse, as the structure becomes oversized for its composite strength. Within these cycles, deformation ranges from slow long term deformation to sudden deep-seated collapses. Collapses may range from small raveling failures to voluminous and fast-moving pyroclastic flows with rapid and long-downslope-reach from the edifice. Infusion rate and magma rheology together with crystallization temperature and volatile content govern the spatial distribution of strength in the structure. Solidification, driven by degassing-induced crystallization of magma leads to the formation of a continuously evolving frictional talus as a hard outer shell. This shell encapsulates the cohesion-dominated soft ductile core. Here we explore the mechanics of lava dome growth and failure using a two-dimensional particle-dynamics model. This meshless model follows the natural evolution of a brittle carapace formed by loss of volatiles and rheological stiffening and avoids difficulties of hour-glassing and mesh-entangelment typical in meshed models. We test the fidelity of the model against existing experimental and observational models of lava dome growth. The particle-dynamics model follows the natural development of dome growth and collapse which is infeasible using simple analytical models. The model provides insight into the triggers that lead to the transition in collapse mechasnism from shallow flank collapse to deep seated sector collapse. Increase in material stiffness due to decrease in infusion rate results in the transition of growth pattern from endogenous to exogenous. The material stiffness and strength are strongly controlled by the magma infusion rate. Increase in infusion rate decreases the time available for degassing induced crystallization leading to a transition in the growth pattern, while a decrease in infusion rate results in larger crystals causing the material to stiffen leading to formation of spines. Material stiffness controls the growth direction of the viscous plug in the lava dome interior. Material strength and stiffness controled by rate of infusion influence lava dome growth more significantly than coefficient of frictional of the talus.
NASA Astrophysics Data System (ADS)
Messenzehl, Karoline; Meyer, Hanna; Otto, Jan-Christoph; Hoffmann, Thomas; Dikau, Richard
2017-06-01
In mountain geosystems, rockfalls are among the most effective sediment transfer processes, reflected in the regional-scale distribution of talus slopes. However, the understanding of the key controlling factors seems to decrease with increasing spatial scale, due to emergent and complex system behavior and not least to recent methodological shortcomings in rockfall modeling research. In this study, we aim (i) to develop a new approach to identify major regional-scale rockfall controls and (ii) to quantify the relative importance of these controls. Using a talus slope inventory in the Turtmann Valley (Swiss Alps), we applied for the first time the decision-tree based random forest algorithm (RF) in combination with a principal component logistic regression (PCLR) to evaluate the spatial distribution of rockfall activity. This study presents new insights into the discussion on whether periglacial rockfall events are controlled more by topo-climatic, cryospheric, paraglacial or/and rock mechanical properties. Both models explain the spatial rockfall pattern very well, given the high areas under the Receiver Operating Characteristic (ROC) curves of > 0.83. Highest accuracy was obtained by the RF, correctly predicting 88% of the rockfall source areas. The RF appears to have a great potential in geomorphic research involving multicollinear data. The regional permafrost distribution, coupled to the bedrock curvature and valley topography, was detected to be the primary rockfall control. Rockfall source areas cluster within a low-radiation elevation belt (2900-3300 m a.s.l,) consistent with a permafrost probability of > 90%. The second most important factor is the time since deglaciation, reflected by the high abundance of rockfalls along recently deglaciated (< 100 years), north-facing slopes. However, our findings also indicate a strong rock mechanical control on the paraglacial rockfall activity, declining either exponentially or linearly since deglaciation. The study demonstrates the benefit of combined statistical approaches for predicting rockfall activity in deglaciated, permafrost-affected mountain valleys and highlights the complex interplay between rock mechanical, paraglacial and topo-climatic controls at the regional scale.
Optimal suture anchor direction in arthroscopic lateral ankle ligament repair.
Yoshimura, Ichiro; Hagio, Tomonobu; Noda, Masahiro; Kanazawa, Kazuki; Minokawa, So; Yamamoto, Takuaki
2017-05-26
In this study, the distance between the insertion point of the suture anchors and posterior surface of the fibula during arthroscopic lateral ankle ligament repair was investigated on computed tomography (CT) images. The hypothesis of this study was that there is an optimal insertional direction of the suture anchor to avoid anchor-related complications. One hundred eleven ankles of 98 patients who had undergone three-dimensional CT scans for foot or ankle disorders without deformity of the fibula were assessed (59 males, 52 females; median age 25.5 years; age range 12-78 years). The shortest distance from the insertion point of the suture anchor to the deepest point of the fossa/top of the convex aspect of the fibula was measured on the axial plane, tilting from the longitudinal axis of the fibula at 90°, 75°, 60°, and 45°. The distance from the insertion point of the suture anchor to the posterior surface of the fibula was also measured in a direction parallel to the sagittal plane of the lateral surface of the talus on the axial plane, tilting from the longitudinal axis of the fibula at 90°, 75°, 60°, and 45°. The posterior fossa was observed in all cases on the 90° and 75° images. The distance from the insertion point to the posterior surface of the fibula in the parallel direction was 15.0 ± 3.4 mm at 90°, 17.5 ± 3.2 mm at 75°, 21.7 ± 3.3 mm at 60°, and 25.7 ± 3.6 mm at 45°. The posterior points in the parallel direction were located on the posterior fossa in 36.0% of cases at 90°, in 12.6% at 75°, and in 0.0% at 60° and 45°. The suture anchor should be directed from anterior to posterior at an angle of <45° to the longitudinal axis of the fibula, parallel to the lateral surface of the talus, to avoid passing through the fibula. Cohort study, Level III.
Li, Hong-Yun; Hua, Ying-Hui; Wu, Zi-Ying; Chen, Bo; Chen, Shi-Yi
2013-11-01
The purpose of this study was to compare the biomechanical characteristics of fixation with 2-suture anchors versus transosseous tunnel fixation in anatomic reconstruction of the ankle lateral ligaments. Six matched pairs of human cadaveric ankles underwent anatomic lateral ankle reconstruction, and fixation of the graft on the talus was achieved with 2 suture anchors or a transosseous tunnel. Ankles for the transosseous tunnel group were chosen at random, with the paired contralateral ankles used for the 2-suture anchor group. Half of the peroneus brevis tendon was harvested as a graft. For each technique, one end of the tendon was secured to the original insertion point of the anterior talofibular ligament (ATFL) at the talus, whereas the other end was armed with 2 No. 5 nonabsorbable sutures (Ethicon, Somerville, NJ) and passed through the bone tunnel in the fibula. Biomechanical testing was performed by applying the force in line with the graft. Load to failure was determined at a displacement rate of 50 mm/min. The load-displacement curve, maximum load at failure (N), and stiffness (N/mm) were recorded and compared between the 2 techniques. There was no difference between constructs in the 2-suture anchor group and the transosseous tunnel group in terms of the ultimate load and stiffness (161.8 ± 47.6 N v 171.9 ± 76.0 N; P = .92; 4.59 ± 1.85 N/mm v 5.77 ± 1.98 N/mm; P = .35). Most constructs failed because of anchor pullout in the 2-suture anchor group (5 of 6) and fracture of the bony bridge in the transosseous tunnel group (6 of 6). The strength of fixation with suture anchors in anatomic reconstruction of the ankle lateral ligaments was equivalent to transosseous tunnel fixation as determined with biomechanical testing. However, this study did not prove that one is advantageous over the other. Both techniques showed excellent biomechanical results. Therefore, the 2-suture anchor fixation approach can be safely used in anatomic reconstruction of the ankle lateral ligaments. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
40 CFR 98.433 - Calculating GHG contained in pre-charged equipment or closed-cell foams.
Code of Federal Regulations, 2014 CFR
2014-07-01
...-charged equipment or closed-cell foams. 98.433 Section 98.433 Protection of Environment ENVIRONMENTAL... Exporters of Fluorinated Greenhouse Gases Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.433 Calculating GHG contained in pre-charged equipment or closed-cell foams. (a) The total mass of each...
40 CFR 98.433 - Calculating GHG contained in pre-charged equipment or closed-cell foams.
Code of Federal Regulations, 2013 CFR
2013-07-01
...-charged equipment or closed-cell foams. 98.433 Section 98.433 Protection of Environment ENVIRONMENTAL... Exporters of Fluorinated Greenhouse Gases Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.433 Calculating GHG contained in pre-charged equipment or closed-cell foams. (a) The total mass of each...
40 CFR 98.433 - Calculating GHG contained in pre-charged equipment or closed-cell foams.
Code of Federal Regulations, 2011 CFR
2011-07-01
...-charged equipment or closed-cell foams. 98.433 Section 98.433 Protection of Environment ENVIRONMENTAL... Exporters of Fluorinated Greenhouse Gases Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.433 Calculating GHG contained in pre-charged equipment or closed-cell foams. (a) The total mass of each...
40 CFR 98.433 - Calculating GHG contained in pre-charged equipment or closed-cell foams.
Code of Federal Regulations, 2012 CFR
2012-07-01
...-charged equipment or closed-cell foams. 98.433 Section 98.433 Protection of Environment ENVIRONMENTAL... Exporters of Fluorinated Greenhouse Gases Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.433 Calculating GHG contained in pre-charged equipment or closed-cell foams. (a) The total mass of each...
Han, Jae Hwi; Yang, Jae-Hyuk; Bhandare, Nikhl N; Suh, Dong Won; Lee, Jong Seong; Chang, Yong Suk; Yeom, Ji Woong; Nha, Kyung Wook
2016-08-01
Medial opening wedge high tibial osteotomy (HTO) has become increasingly popular as an alternative to lateral closing wedge osteotomy for the treatment of medial compartment knee osteoarthritis with varus deformity. The present systematic review was conducted to provide an objective analysis of total knee arthroplasty (TKA) outcomes following previous knee osteotomy (medial opening wedge vs. lateral closing wedge). A literature search of online databases (MEDLINE, EMBASE, Cochrane Library database) was made, in addition to manual search of major orthopaedic journals. The methodological quality of each of the studies was assessed on the Newcastle-Ottawa Scale and Effective Practice and Organization of Care. A total of ten studies were included in the review. There were eight studies with Level IV and two studies with Level III evidence. Eight studies reported clinical and radiologic scores. Comparative studies between TKA following medial opening and lateral closing wedge HTO did not demonstrate statistically significant clinical and radiologic differences. The revision rates were similar. However, more technical issues during TKA surgery after lateral closing wedge HTO were mentioned than the medial open wedge group. The quadriceps snip, tibial tubercle osteotomy, and lateral soft tissue release were more frequently needed in the lateral closing wedge HTO group. In addition, because of loss of proximal tibia bone geometry in the lateral closing wedge HTO group, concerns such as tibia stem impingement in the lateral tibial cortex was noted. The present systematic review suggests that TKA after medial opening and lateral closing wedge HTO showed similar performance. Clinical and radiologic outcome including revision rates did not statistically differ from included studies. However, there are more surgical technical concerns in TKA conversion from lateral closing wedge HTO than from the medial opening wedge HTO group. IV.
Rietdijk, Rachael; Power, Emma; Brunner, Melissa; Togher, Leanne
To compare in-person with videoconferencing administration of a communication questionnaire for people with traumatic brain injury (TBI) and their close others. Repeated-measures design with randomized order of administration. Twenty adults with severe TBI and their close others. Both participants with TBI and their close others completed the La Trobe Communication Questionnaire (LCQ) via interview with a clinician, once via Skype and once during a home visit. Total LCQ score and time taken for completion. There were no significant differences between videoconferencing and in-person conditions in the total scores or time taken to complete the questionnaire. Videoconferencing-based administration of the LCQ is as reliable and efficient as in-person administration.
López-Rodríguez, Sandra; Fernández de-Las-Peñas, César; Alburquerque-Sendín, Francisco; Rodríguez-Blanco, Cleofás; Palomeque-del-Cerro, Luis
2007-01-01
This study assessed the immediate effects of talocrural joint manipulation on stabilometric and baropodometric outcomes in patients with grade II ankle sprain. Fifty-two field hockey players (35 men and 17 women) between 18 and 40 years old (mean = 22.5 years, SD = 3.6 years) were included in this study. A simple blind, intrapatient, placebo-controlled, and repeated-measures study was carried out. All the patients underwent a baropodometric study performed with a Foot Work force platform (4 times; pre-post placebo group and pre-post intervention group). The sample was subjected to two techniques of manipulative treatment: (a) talocrural joint manipulation and (b) posterior gliding manipulation over the talus. In a second instance, placebo manipulation was applied. Unilateral analysis of variance and multivariate analysis of variance were used for statistical analysis. The results in the intervention group revealed significant differences in the percentage of posterior load on the foot (P = .015) and the percentage of bilateral anterior load (P = .02) before and after the manipulation. The placebo group did not show any change in any of the variables except for area (P = .045). Intergroup comparison revealed statistically significant differences in the increase in percentage of posterior load on the manipulated foot, percentage of bilateral posterior load, percentage of anterior load on the manipulated foot, and percentage of bilateral anterior load (with the exception of the total load on the foot). The application of caudal talocrural joint manipulation, as compared with placebo manipulation, in athletic patients with grade II ankle sprain redistributed the load supports at the level of the foot.
Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail: a multicenter study.
Rammelt, Stefan; Pyrc, Jaroslaw; Agren, Per-Henrik; Hartsock, Langdon A; Cronier, Patrick; Friscia, David A; Hansen, Sigvard T; Schaser, Klaus; Ljungqvist, Jan; Sands, Andrew K
2013-09-01
Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis nail (HAN) in the treatment of patients with severe ankle and foot abnormalities. Seven participating clinics from Europe and North America recruited 38 patients who underwent ankle/subtalar arthrodesis using retrograde nailing with the HAN. Information was collected regarding technical details, complications, and functional and quality of life outcomes (Short Form-36 [SF-36], American Academy of Orthopaedic Surgeons-Foot and Ankle Outcomes [AAOS-FAO], and numeric rating scale [NRS] for pain) after an average of 2 years of follow-up. The rate of superficial wound infection was 2.4%. No deep soft tissue or bone infections were reported. The overall union rate was 84%. At the time of follow-up, low pain levels were reported, with a mean NRS of 2.2; the mean AAOS-FAO score was 38; and the SF-36 mean physical and mental health component scores were 41.2 and 52.5, respectively. All 13 patients who were unable to work prior to surgery were able to fully return to work. The HAN offered a safe and reliable salvage option for tibiotalocalcaneal arthrodesis in patients with severe ankle and hindfoot disease. It achieved acceptable functional outcome and low complication rates despite the challenging patient cohort. A considerable socioeconomic benefit appeared to result based on the high proportion of patients who were able to return to work postoperatively. Level IV, retrospective case series.
Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain.
Vega, Jordi; Peña, Fernando; Golanó, Pau
2016-04-01
The aim of this study was to determine which intra-articular injuries are associated with chronic anterolateral pain and functional instability after an ankle sprain. From 2008 to 2010, records of all patients who underwent ankle joint arthroscopy with anterolateral pain and functional instability after an ankle sprain were reviewed. A systematic arthroscopic examination of the intra-articular structures of the ankle joint was performed. Location and characteristics of the injuries were identified and recorded. A total of 36 ankle arthroscopic procedures were reviewed. A soft-tissue occupying mass over the lateral recess was present in 18 patients (50%). A partial injury of the anterior talofibular ligament (ATFL) was observed in 24 patients (66.6%). Cartilage abrasion due to the distal fascicle of the anteroinferior tibiofibular ligament coming into contact with the talus was seen in 21 patients (58.3%), but no thickening of the ligament was observed. Injury to the intra-articular posterior structures, including the transverse ligament in 19 patients (52.7%) and the posterior surface of the distal tibia in 21 patients (58.3%), was observed. Intra-articular pathological findings have been observed in patients affected by anterolateral pain after an ankle sprain. Despite no demonstrable abnormal lateral laxity, morphologic ATFL abnormality has been observed on arthroscopic evaluation. An injury of the ATFL is present in patients with chronic anterolateral pain and functional instability after an ankle sprain. A degree of microinstability due to a deficiency of the ATFL could explain the intra-articular pathological findings and the patients' complaints. IV.
Mbonde, Athanasio S.; Sitoki, Lewis; Kurmayer, Rainer
2017-01-01
This study was carried out in order to investigate the spatial variation of algal toxin (microcystin) concentrations along the shoreline of Lake Victoria. A total of 16 nearshore stations differing in connectivity to the main lake basin were categorized as either closed bays (ratio of bay area to bay opening < 1) or open bays (ratio ≥ 1) and sampled during November and December 2009. Water samples were analyzed for total phosphorus (TP), chlorophyll a, phytoplankton community composition and concentrations of microcystin (MC). Open and closed bays were significantly different for phytoplankton abundance and composition: Average phytoplankton biovolume was higher for closed bays (45 mm3 L-1 ± 11 SE) than open bays (5 ± 2 mm3 L-1). Cyanobacterial biovolume (mainly Microcystis spp., Anabaena spp. and Planktolyngbya spp.) also was significantly higher in closed bays (82 ± 9% of total biovolume) than in open bays (44 ± 5%). In contrast, diatom biovolume was lower in closed bays (7 ± 1%) than in open bays (36 ± 6%). MCs were found only among sites from closed bays and concentrations ranged from 0.4 to 13 μg L-1 MC-LR equiv. and coincided with high abundance of Microcystis spp. It is concluded that the level of water exchange from individual bays to the main basin is an important factor influencing eutrophication and microcystin production in nearshore habitats of Lake Victoria. PMID:28077928
Manning, Tom; Hagar, Joan C.
2011-01-01
The American pika (Ochotona princeps Richardson) has long been characterized in field guides and popular literature as an obligate inhabitant of alpine talus and as having relatively low dispersal capability. However, recent work reveals pikas to have broader habitat associations than previously reported. Over a large portion of the western slope of the Cascade Range in Oregon, pikas inhabit relatively low-elevation sites far from alpine areas and frequently occur in rocky man-made habitats such as roadcuts or rock quarries. We present observations of pikas in these previously overlooked habitats and discuss implications for (1) the proposed listing of the American pika as an endangered or threatened species; (2) furthering our understanding of pika population dynamics, habitat associations, and dispersal capabilites; and (3) management of federal, state, and private forest lands.
Influence of tectonic folding on rockfall susceptibility, American Fork Canyon, Utah, USA
Coe, J.A.; Harp, E.L.
2007-01-01
We examine rockfall susceptibility of folded strata in the Sevier fold-thrust belt exposed in American Fork Canyon in north-central Utah. Large-scale geologic mapping, talus production data, rock-mass-quality measurements, and historical rockfall data indicate that rockfall susceptibility is correlated with limb dip and curvature of the folded, cliff-forming Mississippian limestones. On fold limbs, rockfall susceptibility increases as dip increases. This relation is controlled by several factors, including an increase in adverse dip conditions and apertures of discontinuities, and shearing by flexural slip during folding that has reduced the friction angles of discontinuities by smoothing surface asperities. Susceptibility is greater in fold hinge zones than on adjacent limbs primarily because there are greater numbers of discontinuities in hinge zones. We speculate that susceptibility increases in hinge zones as fold curvature becomes tighter.
Stress fractures of the foot and ankle.
Welck, M J; Hayes, T; Pastides, P; Khan, W; Rudge, B
2017-08-01
Stress fractures occur as a result of microscopic injuries sustained when bone is subjected to repeated submaximal stresses. Overtime, with repeated cycles of loading, accumulation of such injuries can lead to macro-structural failure and frank fracture. There are numerous stress fractures about the foot and ankle of which a trauma and orthopaedic surgeon should be aware. These include: metatarsal, tibia, calcaneus, navicular, fibula, talus, medial malleolus, sesamoid, cuneiform and cuboid. Awareness of these fractures is important as the diagnosis is frequently missed and appropriate treatment delayed. Late identification can be associated with protracted pain and disability, and may predispose to non-union and therefore necessitate operative intervention. This article outlines the epidemiology and risk factors, aetiology, presentation and management of the range of stress fractures in the foot and ankle. Copyright © 2015 Elsevier Ltd. All rights reserved.
Geologic youth of galapagos islands confirmed by marine stratigraphy and paleontology.
Hickman, C S; Lipps, J H
1985-03-29
Six distinctive types of fossiliferous marine deposits occur on the Galádpagos Islands that provide evidence for the age of emergence of the islands above sea level and hence a maximum age for the islands' terrestrial biota. These subtidal to supratidal deposits include (i) volcanic tuffs with fossils, (ii) limestones and sandstones interbedded with basalt, (iii) terrace deposits, (iv) beach rock, (v) supratidal talus deposits, and (vi) recently uplifted tidal and subtidal rocks and sand. With the exception of (vi), the deposits were previously assigned ages varying from Miocene to Pleistocene, but all are less than about 2 million years old. This age, together with independently determined geologic ages, indicate that the islands emerged from the sea relatively recently and that all evolution of the islands' unique terrestrial biota occurred within the past 3 to 4 million years.
NASA Technical Reports Server (NTRS)
Seshan, P. K.; Ferrall, Joseph F.; Rohatgi, Naresh K.
1991-01-01
Several alternative configurations of life-support systems (LSSs) for a Mars missions are compared analytically on a quantitative basis in terms of weight, volume, and power. A baseline technology set is utilized for the illustrations of systems including totally open loop, carbon dioxide removal only, partially closed loop, and totally closed loop. The analytical model takes advantage of a modular, top-down hierarchical breakdown of LSS subsystems into functional elements that represent individual processing technologies. The open-loop systems are not competitive in terms of weight for both long-duration orbiters and short-duration lander vehicles, and power demands are lowest with the open loop and highest with the closed loop. The closed-loop system can reduce vehicle weight by over 70,000 lbs and thereby overcome the power penalty of 1600 W; the closed-loop variety is championed as the preferred system for a Mars expedition.
26 CFR 1.883-2T - Treatment of publicly-traded corporations (temporary).
Code of Federal Regulations, 2010 CFR
2010-04-01
... shareholders, as defined in § 1.883-4(b)(1); (B) The total percentage of the value of the shares owned... outstanding shares in that class of stock as of the close of the taxable year, and the value of each class of stock in relation to the total value of all the corporation's shares outstanding as of the close of the...
40 CFR 98.436 - Data reporting requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
... Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.436 Data reporting requirements. (a) Each importer of fluorinated GHGs contained in pre-charged equipment or closed-cell foams must submit an annual...) Total mass in metric tons of each fluorinated GHG imported in pre-charged equipment or closed-cell foams...
40 CFR 98.436 - Data reporting requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
... Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.436 Data reporting requirements. (a) Each importer of fluorinated GHGs contained in pre-charged equipment or closed-cell foams must submit an annual...) Total mass in metric tons of each fluorinated GHG imported in pre-charged equipment or closed-cell foams...
40 CFR 98.436 - Data reporting requirements.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Contained in Pre-Charged Equipment or Closed-Cell Foams § 98.436 Data reporting requirements. (a) Each importer of fluorinated GHGs contained in pre-charged equipment or closed-cell foams must submit an annual...) Total mass in metric tons of each fluorinated GHG imported in pre-charged equipment or closed-cell foams...
Wound closure in flexion versus extension following total knee arthroplasty: a systematic review.
Smith, Toby O; Davies, Leigh; Hing, Caroline B
2010-06-01
Optimising knee range of motion following total knee arthroplasty (TKA) is important for patient satisfaction, functional outcome and early rehabilitation to promote accelerated discharge. Historically, wound closure following TKA has been performed in extension. It has been suggested that knee position during wound closure may influence range of motion and clinical outcomes following TKA. The purpose of this study was to determine whether TKA wounds should be closed in flexion or extension. An electronic search of MEDLINE, EMBASE, CINAHL and AMED databases was made in addition to a review of unpublished material. All included papers were critically appraised using a modified PEDro (Physiotherapy Evidence Database) critical appraisal tool. Three papers were eligible, assessing 237 TKAs. On analysis, patients with TKA wounds closed in flexion had greater flexion range of motion and required less domiciliary physiotherapy compared to those with wounds closed in full extension. The specific degree of knee flexion used when closing total knee replacement wounds may be an important variable to clinical outcome. However, the present evidence-base is limited in both size and methodological quality.
Nett, Michael; Avelar, Rui; Sheehan, Michael; Cushner, Fred
2011-03-01
Standard medial parapatellar arthrotomies of 10 cadaveric knees were closed with either conventional interrupted absorbable sutures (control group, mean of 19.4 sutures) or a single running knotless bidirectional barbed absorbable suture (experimental group). Water-tightness of the arthrotomy closure was compared by simulating a tense hemarthrosis and measuring arthrotomy leakage over 3 minutes. Mean total leakage was 356 mL and 89 mL in the control and experimental groups, respectively (p = 0.027). Using 8 of the 10 knees (4 closed with control sutures, 4 closed with an experimental suture), a tense hemarthrosis was again created, and iatrogenic suture rupture was performed: a proximal suture was cut at 1 minute; a distal suture was cut at 2 minutes. The impact of suture rupture was compared by measuring total arthrotomy leakage over 3 minutes. Mean total leakage was 601 mL and 174 mL in the control and experimental groups, respectively (p = 0.3). In summary, using a cadaveric model, arthrotomies closed with a single bidirectional barbed running suture were statistically significantly more water-tight than those closed using a standard interrupted technique. The sample size was insufficient to determine whether the two closure techniques differed in leakage volume after suture rupture.
Sky brightness and color measurements during the 21 August 2017 total solar eclipse.
Bruns, Donald G; Bruns, Ronald D
2018-06-01
The sky brightness was measured during the partial phases and during totality of the 21 August 2017 total solar eclipse. A tracking CCD camera with color filters and a wide-angle lens allowed measurements across a wide field of view, recording images every 10 s. The partially and totally eclipsed Sun was kept behind an occulting disk attached to the camera, allowing direct brightness measurements from 1.5° to 38° from the Sun. During the partial phases, the sky brightness as a function of time closely followed the integrated intensity of the unobscured fraction of the solar disk. A redder sky was measured close to the Sun just before totality, caused by the redder color of the exposed solar limb. During totality, a bluer sky was measured, dimmer than the normal sky by a factor of 10,000. Suggestions for enhanced measurements at future eclipses are offered.
Tree-ring based reconstruction of rockfalls at Cofre de Perote volcano, Mexico
NASA Astrophysics Data System (ADS)
Franco-Ramos, Osvaldo; Stoffel, Markus; Vázquez-Selem, Lorenzo
2017-08-01
In this study, dendrogeomorphic techniques are employed to analyse the temporal frequency and spatial distribution of rockfalls on a talus slope of La Teta valley, located on the NW slopes of Cofre de Perote volcano at 4000 m above sea level. Based on the interpretation of disturbance signals in growth rings of old-growth Pinus hartwegii Lindl. trees, we identify 100 growth disturbances related with rockfall events dated between 1780 and 2011, with slightly more than half of these events being dated to the last 50 years. The sectors most susceptible to rockfall correspond with the young rock lobes located at the foot of scarps. Roughly three in ten events has been triggered by regional, M > 6 earthquakes, whereas half of the events activity coincides with periods characterized by severe, prolonged summer rainfalls such as the ones occurred in 1995, 1998, 2005 and 2011.
NASA Astrophysics Data System (ADS)
Osborne, Brooke B.; Baron, Jill S.; Wallenstein, Matthew D.
2016-03-01
Climate change is altering the timing and magnitude of biogeochemical fluxes in many highelevation ecosystems. The consequent changes in alpine nitrification rates have the potential to influence ecosystem scale responses. In order to better understand how changing temperature and moisture conditions may influence ammonia oxidizers and nitrification activity, we conducted laboratory incubations on soils collected in a Colorado watershed from three alpine habitats (glacial outwash, talus, and meadow). We found that bacteria, not archaea, dominated all ammonia oxidizer communities. Nitrification increased with moisture in all soils and under all temperature treatments. However, temperature was not correlated with nitrification rates in all soils. Site-specific temperature trends suggest the development of generalist ammonia oxidzer communities in soils with greater in situ temperature fluctuations and specialists in soils with more steady temperature regimes. Rapidly increasing temperatures and changing soil moisture conditions could explain recent observations of increased nitrate production in some alpine soils.
Shakirov, Babur M; Tagaev, Komil R; Tursunov, Bachron S; Achtamov, Dgamshed A
2009-03-01
The burn trauma of the posterior surface of calcaneus region and ankle joint followed by cicatrix formation in the Achilles tendon zone is often complicated by unhealing trophic ulcers. Eleven patients (seven men and four women, aged 9-54 years) have been operated on under our observation for prolonged unhealing ulcers and cicatrices located in the Achilles tendon zone. After cicatrices dissection, L-form plastic surgery was performed. The postoperative period was smooth; a skin graft was appropriately fixed to the proper tissues and the wound margins. Good results were achieved in 10 cases, and no complications were noted. However, in only one patient a marginal necrosis of the external talus part adjoining the ulcer due to tissue changes has been noted, but that had no influence on the good results of the operation.
López-Oliva, Felipe; Forriol, Francisco; Sánchez-Lorente, Tomás; Sanz, Yolanda Aldomar
2011-06-01
We presented the surgical technique and applicability of the Vira(®) system for severe calcaneus fractures treatment. The Vira(®) system is a minimal invasive method for the reconstruction of severe calcaneal fractures with primary subtalar fusion. It comprises a fixation implant and a specific jig for the reduction of the fracture and placement of the holed nail and two screws for fixation to the talus. Additional advantages of this system are its high strength and stability allowing early weight bearing and the fact that additional bone grafting is not needed in most of the cases. The Vira(®) system is a new concept in calcaneal surgery to provide a definitive solution for patients, low aggression and complication rates combined with high clinical effectiveness and sooner recovery. Copyright © 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Seasonal reversal at Miryang Eoreumgol (Ice Valley), Korea: observation and monitoring
NASA Astrophysics Data System (ADS)
Byun, Hi-Ryong; Tanaka, Hiroshi L.; Choi, Pom-Yong; Kim, Do-Woo
2011-12-01
We investigate an anomalous phenomenon evident in the Miryang Eoreumgol (Ice Valley), Korea: The wind and water are cold during summer and warm during winter, and ice formation does not occur in winter but in summer. We have initiated observations and investigations into the origin of heat sources particularly with regard to the mechanism of ice formation in summer. Previous theories, e.g., concerning underground gravity currents, water evaporation, diurnal and seasonal respirations of the talus, effects of ground heat, radiation and topography, etc., are considered. After a calculation of heat sources, we propose two new concepts—a repetitious heat separation mechanism and a positive feedback mechanism of cold air generation—to demonstrate that the heat mechanism of the seasonal reversal of the ice valley may be controlled by the use of the phase change between ice and water vapor with only a small amount of additional unknown energy.
Ankle and pantalar arthrodeses using vascularized fibular grafts.
Yajima, Hiroshi; Kobata, Yasunori; Tomita, Yasuharu; Kawate, Kenji; Sugimoto, Kazuya; Takakura, Yoshinori
2004-01-01
From 1989 to 1998 ankle and pantalar arthrodeses using vascularized fibular grafts were performed for seven patients. The indications for surgery were chronic nonunion following fracture of the distal tibia in four patients, rheumatoid arthritis in two, and talus necrosis in one. The ankle joint was fused in the two patients with a pilon fracture, and in the other five patients, both the ankle and subtalar joints were fused. In one patient, additional bone grafting was required for delayed union. In the other six patients, the mean period required to obtain radiographic bone union was 6 months (range, 4-9 months). The time until the patients could walk without braces ranged from 6 to 20 months (mean, 12.3 months). Local infection was not encountered in any patients. This procedure represents a viable option for patients in whom a standard, less complicated arthrodesis cannot be performed.
Delayed surgical treatment for neglected or mal-reduced talar fractures.
Huang, Peng-Ju; Cheng, Yuh-Min
2005-10-01
From 1993 to 2002, we treated nine patients for neglected or mal-reduced talar fractures. Average patient age was 39 (20-64) years and average follow-up 53 months. The time interval between injury and index operation ranged from 4 weeks to 4 years. Surgical procedures included open reduction with or without bone grafting in six cases, open reduction combined with ankle fusion in one case, talar neck osteotomy in one case, and talar neck osteotomy combined with subtalar fusion in one case. All cases had solid bone union. One patient developed avascular necrosis of the talus needing subsequent ankle arthrodesis. In six patients, adjacent hindfoot arthrosis occurred. The overall AOFAS ankle-hindfoot score was in average 77.4. We conclude that in neglected and mal-reduced talar fractures, surgical treatment can lead to a favourable outcome if the hindfoot joints are not arthritic.
NASA Technical Reports Server (NTRS)
Basilevsky, A. T.; Neukam, G.; Ivanov, B. A.; Werner, S. C.; vanGesselt, S.; Head, J. W.; Hauber, E.
2005-01-01
This study is based on the geological analysis of the HRSC images taken on the orbit 0143 (12 m/px in nadir channel). The study area includes the western segment of Olympus Mons and the adjacent lowland plains (Fig. 1). Part of the volcano above the scarp is rather flat and is called "summit plateau" below. What is often called the volcano scarp is a slope classified into three morphologic types: Type 1 (S1 in Fig.1) is the steepest and dominated by ravines in its upper part and by talus beneath; Type 2 (S2) is intermediate in steepness and dominated by downslope trending linear depressions, part of which have channel-like morphology; and Type 3 (S3), is the most gentle and covered by lava flows, continuing from the summit plateau down to the lowland plains.
Foot fractures frequently misdiagnosed as ankle sprains.
Judd, Daniel B; Kim, David H
2002-09-01
Most ankle injuries are straightforward ligamentous injuries. However, the clinical presentation of subtle fractures can be similar to that of ankle sprains, and these fractures are frequently missed on initial examination. Fractures of the talar dome may be medial or lateral, and they are usually the result of inversion injuries, although medial injuries may be atraumatic. Lateral talar process fractures are characterized by point tenderness over the lateral process. Posterior talar process fractures are often associated with tenderness to deep palpation anterior to the Achilles tendon over the posterolateral talus, and plantar flexion may exacerbate the pain. These fractures can often be managed nonsurgically with nonweight-bearing status and a short leg cast worn for approximately four weeks. Delays in treatment can result in long-term disability and surgery. Computed tomographic scans or magnetic resonance imaging may be required because these fractures are difficult to detect on plain films.
A system for the analysis of foot and ankle kinematics during gait.
Kidder, S M; Abuzzahab, F S; Harris, G F; Johnson, J E
1996-03-01
A five-camera Vicon (Oxford Metrics, Oxford, England) motion analysis system was used to acquire foot and ankle motion data. Static resolution and accuracy were computed as 0.86 +/- 0.13 mm and 98.9%, while dynamic resolution and accuracy were 0.1 +/- 0.89 and 99.4% (sagittal plane). Spectral analysis revealed high frequency noise and the need for a filter (6 Hz Butterworth low-pass) as used in similar clinical situations. A four-segment rigid body model of the foot and ankle was developed. The four rigid body foot model segments were 1) tibia and fibula, 2) calcaneus, talus, and navicular, 3) cuneiforms, cuboid, and metatarsals, and 4) hallux. The Euler method for describing relative foot and ankle segment orientation was utilized in order to maintain accuracy and ease of clinical application. Kinematic data from a single test subject are presented.
Using Shock Waves to Improve the Acoustic Properties of Closed-Cell Foams
NASA Astrophysics Data System (ADS)
Brouillette, M.; Hébert, C.; Atalla, N.; Doutres, O.
Foam microstructure can be seen as a collection of interlinked struts forming a packing of cells interconnected to others through pores. Materials with a totality of pores closed by thin membranes are called closed-cell foams. The filtration and acoustic efficiency of closed-cell foams is poor compared to open-cell foams since it is very difficult for the fluid or the acoustic waves to penetrate inside the material.
Forest Gaps Alter the Total Phenol Dynamics in Decomposing Litter in an Alpine Fir Forest
Li, Han; Xu, Liya; Wu, Fuzhong; Yang, Wanqin; Ni, Xiangyin; He, Jie; Tan, Bo; Hu, Yi
2016-01-01
The total phenol content in decomposing litter not only acts as a crucial litter quality indicator, but is also closely related to litter humification due to its tight absorption to clay particles. However, limited attention has been focused on the total phenol dynamics in foliar litter in relation to forest gaps. Here, the foliar litter of six representative tree species was incubated on the forest floor from the gap center to the closed canopy of an alpine Minjiang fir (Abies faxoniana) forest in the upper reaches of the Yangtze River and eastern Tibetan Plateau. The dynamics of total phenol concentration in the incubated litter was measured from November 2012 to October 2014. Over two-year incubation, 78.22% to 94.06% of total phenols were lost from the foliar litter, but 52.08% to 86.41% of this occurred in the first year. Forest gaps accelerated the loss of total phenols in the foliar litter in the winter, although they inhibited the loss of total phenols during the growing season in the first year. In comparison with the effects of forest gaps, the variations of litter quality among different species were much stronger on the dynamics of total phenols in the second year. Overall, the loss of total phenols in the foliar litter was slightly higher in both the canopy gap and the expanded gap than in the gap center and under the closed canopy. The results suggest that the predicted decline in snow cover resulting from winter warming or vanishing gaps caused by forest regeneration will retard the loss of total phenol content in the foliar litter of alpine forest ecosystems, especially in the first decomposition year. PMID:26849120
Dodrill, Michael J.; Yackulic, Charles B.; Gerig, Brandon; Pine, William E.; Korman, Josh; Finch, Colton
2015-01-01
Many management actions in aquatic ecosystems are directed at restoring or improving specific habitats to benefit fish populations. In the Grand Canyon reach of the Colorado River, experimental flow operations as part of the Glen Canyon Dam Adaptive Management Program have been designed to restore sandbars and associated backwater habitats. Backwaters can have warmer water temperatures than other habitats, and native fish, including the federally endangered humpback chub Gila cypha, are frequently observed in backwaters, leading to a common perception that this habitat is critical for juvenile native fish conservation. However, it is unknown how fish densities in backwaters compare with that in other habitats or what proportion of juvenile fish populations reside in backwaters. Here, we develop and fit multi-species hierarchical models to estimate habitat-specific abundances and densities of juvenile humpback chub, bluehead suckerCatostomus discobolus, flannelmouth sucker Catostomus latipinnis and speckled dace Rhinichthys osculus in a portion of the Colorado River. Densities of all four native fish were greatest in backwater habitats in 2009 and 2010. However, backwaters are rare and ephemeral habitats, so they contain only a small portion of the overall population. For example, the total abundance of juvenile humpback chub in this study was much higher in talus than in backwater habitats. Moreover, when we extrapolated relative densities based on estimates of backwater prevalence directly after a controlled flood, the majority of juvenile humpback chub were still found outside of backwaters. This suggests that the role of controlled floods in influencing native fish population trends may be limited in this section of the Colorado River.
NASA Astrophysics Data System (ADS)
Houghton, B. F.; Swanson, D. A.; Biass, S.; Fagents, S. A.; Orr, T. R.
2017-05-01
We describe the discrete ballistic and wind-advected products of a small, but exceptionally well-characterized, explosive eruption of wall-rock-derived pyroclasts from Kīlauea volcano on 19 March 2008 and, for the first time, integrate the size distribution of the two subpopulations to reconstruct the true size distribution of a population of pyroclasts as it exited from the vent. Based on thinning and fining relationships, the wind-advected fraction had a mass of 6.1 × 105 kg and a thickness half distance of 110 m, placing it at the bottom end of the magnitude and intensity spectra of pyroclastic falls. The ballistic population was mapped, in the field and by using structure-from-motion techniques, to a diameter of > 10-20 cm over an area of 0.1 km2, with an estimated mass of 1 × 105 kg. Initial ejection velocities of 50-80 m/s were estimated from inversion of isopleths. The total grain size distribution was estimated by using a mass partitioning of 98% of wind-advected material and 2% of ballistics, resulting in median and sorting values of -1.7ϕ and 3.1ϕ. It is markedly broader than those calculated for the products of magmatic explosive eruptions, because the grain size of 19 March 2008 clast population is unrelated to a volcanic fragmentation event and instead was "inherited" from a population of talus clasts that temporary blocked the vent prior to the eruption. Despite a conspicuous near-field presence, the ballistic subpopulation has only a minor influence on the grain size distribution because of its rapid thinning and fining away from source.
NASA Astrophysics Data System (ADS)
Glas, R. L.; Lautz, L.; McKenzie, J. M.; Mark, B. G.; Baker, E. A.; Aubry-Wake, C.; Somers, L. D.; Wigmore, O.
2015-12-01
As tropical glaciers rapidly recede in response to climate change, the storage and discharge of groundwater will play an increasing role in regulating river baseflow, particularly during the dry season, when stream flow is currently sustained predominantly by glacial melt. Little is understood regarding the hydrogeologic processes controlling base flow characteristics of low-gradient proglacial valleys of the Cordillera Blanca in Northwestern Peru, which has the world's highest density of tropical glaciers. To better understand the processes of groundwater storage and discharge in proglacial meadows, we completed seismic refraction surveys in three representative valleys of the Cordillera Blanca range: the Quilcayhuanca, Yanamarey, and Pachacoto valleys. The locations of survey transects were chosen based on locations of previous sediment core sampling, GPR lines, and quantification of groundwater-surface water interaction derived from dye and temperature tracing experiments. The seismic surveys consisted of 48 vertical component geophones with 2.5 m spacing. Across the three representative valleys a total of 15 surveys were conducted, covering a distance of 1800 m in cross, down, and oblique-valley directions. Preliminary interpretation of the seismic refraction data indicates a maximum imaging depth of 16 m below land surface, and a transition from glacio-lacustrine sediments to buried saturated talus at a depth of 6 m in the Quilcayhuanca valley. The organic-rich glacio-lacustrine sediments in the Yanamarey valley have seismic velocities ranging from 300 to 800 m/s and are >16 m in thickness at mid- valley. Weathered metasedimentary bedrock in the Pachacoto valley was imaged at ~5 m below the valley surface, exhibiting a p-wave velocity of 3400 m/s. The knowledge of hydrogeologic structure derived from seismic refraction surveys will provide crucial boundary conditions for future groundwater models of the valleys of the Cordillera Blanca.
Nature of Medical Malpractice Claims Against Radiation Oncologists.
Marshall, Deborah; Tringale, Kathryn; Connor, Michael; Punglia, Rinaa; Recht, Abram; Hattangadi-Gluth, Jona
2017-05-01
To examine characteristics of medical malpractice claims involving radiation oncologists closed during a 10-year period. Malpractice claims filed against radiation oncologists from 2003 to 2012 collected by a nationwide liability insurance trade association were analyzed. Outcomes included the nature of claims and indemnity payments, including associated presenting diagnoses, procedures, alleged medical errors, and injury severity. We compared the likelihood of a claim resulting in payment in relation to injury severity categories (death as referent) using binomial logistic regression. There were 362 closed claims involving radiation oncology, 102 (28%) of which were paid, resulting in $38 million in indemnity payments. The most common alleged errors included "improper performance" (38% of closed claims, 18% were paid; 29% [$11 million] of total indemnity), "errors in diagnosis" (25% of closed claims, 46% were paid; 44% [$17 million] of total indemnity), and "no medical misadventure" (14% of closed claims, 8% were paid; less than 1% [$148,000] of total indemnity). Another physician was named in 32% of claims, and consent issues/breach of contract were cited in 18%. Claims for injury resulting in death represented 39% of closed claims and 25% of total indemnity. "Improper performance" was the primary alleged error associated with injury resulting in death. Compared with claims involving death, major temporary injury (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.29-5.85, P=.009), significant permanent injury (OR 3.1, 95% CI 1.48-6.46, P=.003), and major permanent injury (OR 5.5, 95% CI 1.89-16.15, P=.002) had a higher likelihood of a claim resulting in indemnity payment. Improper performance was the most common alleged malpractice error. Claims involving significant or major injury were more likely to be paid than those involving death. Insights into the nature of liability claims against radiation oncologists may help direct efforts to improve quality of care and minimize the risk of being sued. Copyright © 2017 Elsevier Inc. All rights reserved.
Nature of Medical Malpractice Claims Against Radiation Oncologists
DOE Office of Scientific and Technical Information (OSTI.GOV)
Marshall, Deborah; Tringale, Kathryn; Connor, Michael
Purpose: To examine characteristics of medical malpractice claims involving radiation oncologists closed during a 10-year period. Methods and Materials: Malpractice claims filed against radiation oncologists from 2003 to 2012 collected by a nationwide liability insurance trade association were analyzed. Outcomes included the nature of claims and indemnity payments, including associated presenting diagnoses, procedures, alleged medical errors, and injury severity. We compared the likelihood of a claim resulting in payment in relation to injury severity categories (death as referent) using binomial logistic regression. Results: There were 362 closed claims involving radiation oncology, 102 (28%) of which were paid, resulting in $38more » million in indemnity payments. The most common alleged errors included “improper performance” (38% of closed claims, 18% were paid; 29% [$11 million] of total indemnity), “errors in diagnosis” (25% of closed claims, 46% were paid; 44% [$17 million] of total indemnity), and “no medical misadventure” (14% of closed claims, 8% were paid; less than 1% [$148,000] of total indemnity). Another physician was named in 32% of claims, and consent issues/breach of contract were cited in 18%. Claims for injury resulting in death represented 39% of closed claims and 25% of total indemnity. “Improper performance” was the primary alleged error associated with injury resulting in death. Compared with claims involving death, major temporary injury (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.29-5.85, P=.009), significant permanent injury (OR 3.1, 95% CI 1.48-6.46, P=.003), and major permanent injury (OR 5.5, 95% CI 1.89-16.15, P=.002) had a higher likelihood of a claim resulting in indemnity payment. Conclusions: Improper performance was the most common alleged malpractice error. Claims involving significant or major injury were more likely to be paid than those involving death. Insights into the nature of liability claims against radiation oncologists may help direct efforts to improve quality of care and minimize the risk of being sued.« less
NOAA Deepwater Exploration of the Marianas 2016: Pacific Plate, Mariana Trench, and Mariana Forearc
NASA Astrophysics Data System (ADS)
Fryer, P. B.; Glickson, D.; Kelley, C.; Drazen, J.; Stern, R. J.
2016-12-01
Legs 1 and 3 of NOAA Okeanos Explorer EX1605 made 18 (ROV) dives exploring the following: 7 Cretaceous-age, Pacific Plate guyots east of the Trench; 1 small volcano on a Pacific Plate fracture; 3 areas of the inner trench slope; 2 forearc serpentinite mud volcanoes; and 5 forearc fault blocks. The Pacific Plate guyots are heavily manganese encrusted. Part of the rationale for those dives was to make baseline characterization of biota and habitats before potential mining. These guyots had striking diversity and abundance of fauna. Dives on 2 guyots examined high-relief scarps, formed when both down-going plate and edifices fractured outboard of the trench. The scarp on one had Cretaceous reef sequences, whereas the other exposed layers of volcanics. The dive on a small (1 km diameter, 141 m high) volcano on a plate fracture near the trench affirmed that it was relatively young, maybe like Petit-Spot volcanoes east of the Japan Trench. A dive in a canyon west of Guam transitioned from a steep slope of volcanic talus to a gentle sediment-covered slope. The inner trench slope opposite the subducting guyot that exposes reef deposits, revealed similar sequences, suggesting that the guyot is being incorporated into the Mariana forearc. The other inner slope dive traversed talus with fragments of serpentinized peridotite and lies near a chain of forearc serpentinite mud volcanoes. The 2 serpentinite mud volcanoes explored have sedimented, apparently inactive, surfaces, though we recovered a serpentinized peridotite sample from one of them. Dives on the forearc fault blocks attest to dynamic vertical tectonism. Three in the northern forearc show sediment sequences of varying types and textures, all dipping trenchward. Spectacular mid-forearc fault scarps strike east-west, stair-stepping down southward and were traversed on 2 dives. We saw many sequences of indurated sediments. Mapping on Legs 2 and 3 of the expedition showed that these fault scarps are mirrored to the south by north-facing scarps. Thus, vertical tectonics on a grand scale has formed an immense and previously unknown graben across the forearc. These dive results provide a wealth of information for future research into the history of plate convergence processes associated with formation of the Mariana Trench in this Marine National Monument area.
Geology and ore deposits of the Chicago Creek area, Clear Creek County, Colorado
Harrison, J.E.; Wells, J.D.
1956-01-01
The Chicago Creek area, Clear Creek County, Colo., forms part of the Front Range mineral belt, which is a northeast-trending belt of coextensive porphyry intrusive rocks and hydrothermal veins of Tertiary age. More than $4.5 million worth of gold, silver, copper, lead, zinc, and uranium was produced from the mines in the area between 1859 and 1954. This investigation was made by the Geological survey on behalf of the Division of Raw Materials of the U.S. Atomic Energy Commission. The bedrock in the area is Precambrian and consists of igneous rocks, some of which have been metamorphosed , and metasedimentary rocks. The metasedimentary rocks include biotite-quartz-plagioclase gneiss that is locally garnetiferous, sillimanitic biotite-quartz gneiss, amphibolite, and lime-silicate gneiss. Rocks that may be metasedimentary or meta-igneous are quartz monzonite gneiss and granite gneiss and pegmatite. The granite gneiss and pegmatite locally form a migmatite with the biotitic metasedimentary rocks. These older rocks have been intruded by granodiorite, quartz, and granite pegmatite. During Tertiary time the Precambrian rocks were invaded by dikes and plugs of quartz monzonite porphyry, alaskite porphyry, granite porphyry, monzonite porphyry, bostonite and garnetiferous bostonite porphyry, quartz bostonite porphyry, trachytic granite porphyry, and biotite-quartz latite-porphyry. Solifluction debris of Wisconsin age forms sheets filling some of the high basins, covering some of the steep slopes, and filling parts of some of the valleys; talus and talus slides of Wisconsin age rest of or are mixed with solifluction debris in some of the high basins. Recent and/or Pleistocene alluvium is present along valley flats of the larger streams and gulches. Two periods of Precambrian folding can be recognized in the area. The older folding crumpled the metasedimentary rocks into a series of upright and overturned north-northeast plunging anticlines and synclines. Quartz monzonite gneiss, granite gneiss and pegmatite, granodiorite, and quartz diorite and associated hornblendite are metamorphosed during this period. The second period of folding appears to have been the reflection at depth of faulting nearer the surface; it resulted in crushing as well as some folding of the already folded rocks into terrace and monoclinal folds that plunge gently east-northeast. The biotite-muscovite granite, which is the youngest major Precambrian rock unit, is both concordant (phacolithic) and crosscutting along the older fold system and has been fractured by the younger fold system.
Geological mapping of the Rainbow Massif, Mid-Atlantic Ridge, 36°14'N
NASA Astrophysics Data System (ADS)
Ildefonse, B.; Fouquet, Y.; Hoisé, E.; Dyment, J.; Gente, P.; Thibaud, R.; Bissessur, D.; Yatheesh, V.; Momardream 2008 Scientific Party*, T.
2008-12-01
The Rainbow hydrothermal field at 36°14'N on the Mid-Atlantic Ridge is one of the few known sites hosted in ultramafic basement. The Rainbow Massif is located along the non-transform offset between the AMAR and South AMAR second-order ridge segments, and presents the characteristic dome morphology of oceanic core complexes, although no corrugated surface has been observed so far. One of the objectives of Cruises MOMAR DREAM (July 2007, R/V Pourquoi Pas ?; Aug-Sept 2008, R/V Atalante) was to study the petrological and structural context of the hydrothermal system at the scale of the Rainbow Massif. Our geological sampling complements previous ones achieved during Cruises FLORES (1997) and IRIS (2001), and consisted in dredge hauls, and submersible dives by manned submersible Nautile and ROV Victor. The tectonics of the Rainbow Massif is dominated by a N-S trending fault pattern on the western flank of the massif, and a series of SW-NW ridges on its northeastern side. The active hydrothermal site is located in the area were these two systems crosscut. The most abundant recovered rock type is peridotite (harzburgite and dunite) that presents a variety of serpentinization styles and intensity, and a variety of deformation styles (commonly undeformed, sometimes displaying ductile or brittle foliations). Serpentinites are frequently oxidized. Some peridotite samples have melt impregnation textures. Massive chromitite was recovered in one dredge haul. Variously evolved gabbroic rocks were collected as discrete samples or as centimeter to decimeter-thick dikes in peridotites. Basalts and fresh basaltic glass were also sampled in talus and sediments on the southwestern and northeastern flanks of the massif. Our sampling is consistent with the lithological variability encountered in oceanic core complexes along the Mid-Atlantic Ridge and Southwest Indian Ridge. The stockwork of the hydrothermal system has been sampled on the western side of the present-day hydrothermal field, along N-S trending normal fault scarps, and within the talus underneath. It is made of massive sulfides, strongly altered serpentinites, and breccias containing elements of iron sulfide/oxide impregnated serpentinites. * K. Bukas, V. Cueff Gauchard, L. Durand, F. Gaill, C. Konn, F. Lartaud, N. Le Bris, G. Musset, A. Nunes, J. Renard, V. Riou, A. Tasiemski, P. Torres, I. Vojdani, M. Zbinden
NASA Astrophysics Data System (ADS)
Fontana, G.; Mac Niocaill, C.; Brown, R.; Sparks, R. S.; Matthew, F.; Gernon, T. M.
2009-12-01
Kimberlites are complex, ultramafic and diamond-bearing volcanic rocks preserved in volcanic pipes, dykes and craters. The formation of kimberlite pipes is a strongly debated issue and two principal theories have been proposed to explain pipe formation: (1) the explosive degassing of magma, and (2) the interaction of rising magma with groundwater (phreatomagmatism). Progressive thermal demagnetization studies are a powerful tool for determining the emplacement temperatures of ancient volcanic deposits and we present the first application of such techniques to kimberlite deposits. Lithic clasts were sampled from a variety of lithofacies, from three pipes for which the internal geology is well constrained (A/K1 pipe, Orapa Mine, Botswana and the K1 and K2 pipes, Venetia Mine, South Africa). The sampled deposits included massive and layered vent-filling breccias with varying abundances of lithic inclusions and layered crater-filling pyroclastic deposits, talus breccias and volcaniclastic breccias. Lithic clasts sampled from layered and massive vent-filling pyroclastic deposits in A/K1 were emplaced at >590° C. Results from K1 and K2 provide a maximum emplacement temperature limit for vent-filling breccias of 420-460° C; and constrain equilibrium deposit temperatures at 300-340° C. Crater-filling volcaniclastic kimberlite breccias and talus deposits from A/K1 were emplaced at ambient temperatures, consistent with infilling of the pipe by post-eruption epiclastic processes. Identified within the epiclastic crater-fill succession is a laterally extensive 15-20 metre thick kimberlite pyroclastic flow deposit emplaced at temperatures of 220-440° C. It overlies the post-eruption epiclastic units and is considered an extraneous pyroclastic kimberlite deposit erupted from another kimberlite vent. The results provide important constraints on kimberlite emplacement mechanisms and eruption dynamics. Emplacement temperatures of >590°C for pipe-filling pyroclastic deposits are consistent with volatile-driven eruptions, and suggest phreatomagmatism did not play a major role in the generation of the deposits. The discovery of an extraneous pyroclastic flow deposit within the Orapa A/K1 epiclastic crater, which was erupted from another vent, suggests kimberlite eruptions are capable of producing sustained eruption columns and thick pyroclastic deposits involving significant transport away from source.
Bayer, J; Zajonc, H; Strohm, P C; Vohrer, M; Maier-Lenz, D; Südkamp, N P; Schwering, L
2009-01-01
Amputation injuries in children occur in motor vehicle, farming and, importantly, lawn mower accidents. Treatment of lawn mower related injuries is complicated by gross wound contamination, avascular tissue, soft tissue defects and exposed bone. Many treatment options exist and often an adequate prosthetic supply is needed for rehabilitation. We report on an 8-year old boy who got under a ride-on lawn mower and sustained a subtotal amputation of his right foot. After initial surgery an amputation was subsequently necessary. For this, it had to be taken into account that the traumatic loss of the talus, calcaneus and parts of the cuboid bone would result in a length shortening of the right leg and so far not injured metatarsal and tarsal bones had to be sacrificed. Thus, we aimed to develop a new operation technique to optimize stump length as well as preserve tarsal bones and the possibility of limb growth. In order to achieve this, we performed a new stump forming operation in which we integrated uninjured tarsal and metatarsal bones. First a Lisfranc's amputation was performed and a metatarsal bone was kept aside. The talus, calcaneus as well as the cuboid bone were either completely or almost completely destroyed and were removed. The remaining cuneiform bones were transfixed by a notched metatarsal bone, thus achieving a tarsal arthrodesis, and the cartilages of the proximal joint surfaces were removed. The cartilage of the cranial and caudal navicular as well as the distal tibial joint surface was also removed and an arthrodesis between the distal tibia and the navicular bone was achieved by crossed Kirschner wires. Finally the cuneiform bones were placed inferior to the navicular bone. Further stump coverage was managed by skin and muscle flaps as well as split skin graft. Our patient was discharged on day 34. A fluent gait without crutches as well as sports activities were possible again as early as 6 1/2 months after the injury. Using our stump forming technique we hope to prevent some complications of amputation injuries. Because of the intact epiphysis a bone overgrowth is hopefully prevented and growth potential is preserved and by inclusion of tarsal and metatarsal bones in the stump formation a length discrepancy is minimized. (c) Georg Thieme Verlag KG Stuttgart-New York.
26 CFR 1.883-2 - Treatment of publicly-traded corporations.
Code of Federal Regulations, 2012 CFR
2012-04-01
... closely-held block of stock. (ii) Exception. Paragraph (d)(3)(i) of this section shall not apply to a... block of stock to preclude nonqualified shareholders in the closely-held block of stock from owning 50 percent or more of the total value of the class of stock of which the closely-held block is a part for...
26 CFR 1.883-2 - Treatment of publicly-traded corporations.
Code of Federal Regulations, 2011 CFR
2011-04-01
... closely-held block of stock. (ii) Exception. Paragraph (d)(3)(i) of this section shall not apply to a... block of stock to preclude nonqualified shareholders in the closely-held block of stock from owning 50 percent or more of the total value of the class of stock of which the closely-held block is a part for...
26 CFR 1.883-2 - Treatment of publicly-traded corporations.
Code of Federal Regulations, 2013 CFR
2013-04-01
... closely-held block of stock. (ii) Exception. Paragraph (d)(3)(i) of this section shall not apply to a... block of stock to preclude nonqualified shareholders in the closely-held block of stock from owning 50 percent or more of the total value of the class of stock of which the closely-held block is a part for...
26 CFR 1.883-2 - Treatment of publicly-traded corporations.
Code of Federal Regulations, 2014 CFR
2014-04-01
... closely-held block of stock. (ii) Exception. Paragraph (d)(3)(i) of this section shall not apply to a... block of stock to preclude nonqualified shareholders in the closely-held block of stock from owning 50 percent or more of the total value of the class of stock of which the closely-held block is a part for...
26 CFR 1.883-2 - Treatment of publicly-traded corporations.
Code of Federal Regulations, 2010 CFR
2010-04-01
... closely-held block of stock. (ii) Exception. Paragraph (d)(3)(i) of this section shall not apply to a... block of stock to preclude nonqualified shareholders in the closely-held block of stock from owning 50 percent or more of the total value of the class of stock of which the closely-held block is a part for...
Implementing Tuberculosis Close-contact Investigation in a Tertiary Hospital in Iran.
Shamaei, Masoud; Esmaeili, Shahrbanoo; Marjani, Majid; Tabarsi, Payam
2018-01-01
Close contact investigation is the essential key in tuberculosis (TB) case finding and an effective strategy for TB control program within any society. In this prospective study, 1186 close family contacts of hospitalized TB patients (index) in a referral TB hospital in Tehran-Iran were passively studied. These people were studied to rollout TB infection and disease. Demographic characteristics, clinical and laboratory data of these individuals were reviewed and summarized for analysis. A total of 886 (74.4%) close-family contacts completed their investigation. The index TB patients of these individuals were sputum smear negative for acid-fast bacilli in 137 cases (11.6%) and the rest were smear positive. A total of 610 (68.8%) close-family contact ruled out for TB infection or disease (Group I). A total of 244 cases (27.5%) had latent TB infection (Group II) and active TB (Group III) was confirmed in 32 cases (3.6%). A significant difference was shown for female gender, signs and symptoms, family size, and positive radiological finding between Group I and Group II. The study of index parameter including positive sputum smear/culture did not reveal any significant difference, but positive cavitary lesion significantly more has seen in active TB group ( P = 0.004). This study emphasizes on sign and symptoms and radiological finding in TB contact investigation, where index parameters including positive smear/culture, does not implicate any priority. Although cavitary lesions in index patient have more accompanied by active TB, close contact study should include all of TB indexes. This investigation should include chest radiography for these individuals.
Optimal time travel in the Gödel universe
NASA Astrophysics Data System (ADS)
Natário, José
2012-04-01
Using the theory of optimal rocket trajectories in general relativity, recently developed in Henriques and Natário (2011), we present a candidate for the minimum total integrated acceleration closed timelike curve in the Gödel universe, and give evidence for its minimality. The total integrated acceleration of this curve is lower than Malament's conjectured value (Malament 1984), as was already implicit in the work of Manchak (Gen. Relativ. Gravit. 51-60, 2011); however, Malament's conjecture does seem to hold for periodic closed timelike curves.
2018-06-07
Surgical Wound; Revision Total Knee Arthroplasty; Wounds and Injuries; Joint Disease; Musculoskeletal Disease; Prosthesis-Related Infections; Infection; Postoperative Complications; Pathologic Processes
Froemke, Cecily C; Wang, Lian; DeHart, Matthew L; Williamson, Ronda K; Ko, Laura Matsen; Duwelius, Paul J
2015-10-01
Increasing demands for episodic bundled payments in total hip and knee arthroplasty are motivating providers to wring out inefficiencies and coordinate services. This study describes a care pathway and gainshare arrangement as the mechanism by which improvements in efficiency were realized under a bundled payment pilot. Analysis of cut-to-close time, LOS, discharge destination, implant cost, and total allowed claims between pre-pilot and pilot cohorts showed an 18% reduction in average LOS (70.8 to 58.2 hours) and a shift from home health and skilled nursing facility discharge to home self-care (54.1% to 63.7%). No significant differences were observed for cut-to-close time and implant cost. Improvements resulted in a 6% reduction in the average total allowed claims per case. Copyright © 2015 Elsevier Inc. All rights reserved.
Malpractice claims for endoscopy
Hernandez, Lyndon V; Klyve, Dominic; Regenbogen, Scott E
2013-01-01
AIM: To summarize the magnitude and time trends of endoscopy-related claims and to compare total malpractice indemnity according to specialty and procedure. METHODS: We obtained data from a comprehensive database of closed claims from a trade association of professional liability insurance carriers, representing over 60% of practicing United States physicians. Total payments by procedure and year were calculated, and were adjusted for inflation (using the Consumer Price Index) to 2008 dollars. Time series analysis was performed to assess changes in the total value of claims for each type of procedure over time. RESULTS: There were 1901 endoscopy-related closed claims against all providers from 1985 to 2008. The specialties include: internal medicine (n = 766), gastroenterology (n = 562), general surgery (n = 231), general and family practice (n = 101), colorectal surgery (n = 87), other specialties (n = 132), and unknown (n = 22). Colonoscopy represented the highest frequencies of closed claims (n = 788) and the highest total indemnities ($54 093 000). In terms of mean claims payment, endoscopic retrograde cholangiopancreatography (ERCP) ranked the highest ($374 794) per claim. Internists had the highest number of total claims (n = 766) and total claim payment ($70 730 101). Only total claim payments for colonoscopy and ERCP seem to have increased over time. Indeed, there was an average increase of 15.5% per year for colonoscopy and 21.9% per year for ERCP after adjusting for inflation. CONCLUSION: There appear to be differences in malpractice coverage costs among specialties and the type of endoscopic procedure. There is also evidence for secular trend in total claim payments, with colonoscopy and ERCP costs rising yearly even after adjusting for inflation. PMID:23596540
NASA Astrophysics Data System (ADS)
Fujinami, Taku; Kigami, Hiroshi; Unno, Noriyuki; Taniguchi, Jun; Satake, Shin-ichi
2018-06-01
Total internal reflection fluorescence microscopy (TIRFM) is a promising method for measuring fluid flow close to a wall with nanoscale resolution in a process that is termed "multilayer nanoparticle image velocimetry" (MnPIV). TIRFM uses evanescent light that is generated on a substrate (typically a glass slide) by total internal reflection of light. Many researchers have previously studied x- y- z (3D) flows of water close to flat glass slides using MnPIV. On the other hand, a fluid flow close to a structured surface is also important. To measure flows of water near micro-patterns, we previously developed an MnPIV technique that uses a refractive-index-matching method. In previous study, the micropattern is made of a thermoplastic material with a refractive index that closely matches that of water. In this study, ultraviolet nanoimprint lithography was used for fabricating the appropriate micro-patterns because this technique can fabricate a pattern with a high resolution. As a result, we succeeded in performing MnPIV in water with a circular hole array pattern made by ultraviolet nanoimprint using a refractive-index-matching method. We believe that this technique will be helpful in elucidating fluid flows around microstructures.
NASA Astrophysics Data System (ADS)
Fujinami, Taku; Kigami, Hiroshi; Unno, Noriyuki; Taniguchi, Jun; Satake, Shin-ichi
2018-03-01
Total internal reflection fluorescence microscopy (TIRFM) is a promising method for measuring fluid flow close to a wall with nanoscale resolution in a process that is termed "multilayer nanoparticle image velocimetry" (MnPIV). TIRFM uses evanescent light that is generated on a substrate (typically a glass slide) by total internal reflection of light. Many researchers have previously studied x-y-z (3D) flows of water close to flat glass slides using MnPIV. On the other hand, a fluid flow close to a structured surface is also important. To measure flows of water near micro-patterns, we previously developed an MnPIV technique that uses a refractive-index-matching method. In previous study, the micropattern is made of a thermoplastic material with a refractive index that closely matches that of water. In this study, ultraviolet nanoimprint lithography was used for fabricating the appropriate micro-patterns because this technique can fabricate a pattern with a high resolution. As a result, we succeeded in performing MnPIV in water with a circular hole array pattern made by ultraviolet nanoimprint using a refractive-index-matching method. We believe that this technique will be helpful in elucidating fluid flows around microstructures.
[Use of a linear stapler device in total laryngectomy].
Liu, Xue-kui; Li, Hao; Liu, Wei-wei; Li, Qiu-li; Li, Quan; Zhang, Xin-rui; Zhang, Xing; Guo, Zhu-ming; Zeng, Zong-yuan
2012-07-01
To evaluate the value of using a linear stapler device for the closure of the pharynx during total laryngectomy. Sixteen total laryngectomies were performed between August 2010 and December 2011, during the operation, the TA 60 linear stapler was used for pharyngeal closure. Among these patients, two patients had the history of pre-operative radiotherapy, four patients recurred after radiotherapy, ten patients were treated for the first time. 100 ml methylene blue was injected into the newly closed laryngopharyngeal cavity through the nasopharyngeal breather pipe for checking up whether it was watertight or not. Among the sixteen patients, methylene blue leakage from the mucosal joint of the gular cavity closed by the stapler were not found in fifteen patients, it was only found in one patient. The transudatory places were sutured with absorbable Vicryl sutures. This patient healed well without pharyngocutaneous fistula. Negative surgical margins were achieved in all patients. No patient needed to be transferred to open surgery. Using a linear stapler device in total laryngectomy, 45 minutes could be saved as compaired to manual suture. One patient developed a light pharyngocutaneous fistula. The incidence of pharyngocutaneous fistula was 6.25% (1/16). This stapled closed technique for pharyngoplasty is efficient, eliminates the risk of wound contamination, saves operation time and decreases the incidence of pharyngocutaneous fistula. This technique can be recommended as alternative for repairing the pharynx in patients undergoing total laryngectomy.
Khalpey, Zain; Kazui, Toshinobu; Ferng, Alice S; Connell, Alana; Tran, Phat L; Meyer, Mark; Rawashdeh, Badi; Smith, Richard G; Sweitzer, Nancy K; Friedman, Mark; Lick, Scott; Slepian, Marvin J; Copeland, Jack G
2016-01-01
The 70 cc total artificial heart (TAH) has been utilized as bridge to transplant (BTT) for biventricular failure. However, the utilization of 70 cc TAH has been limited to large patients for the low output from the pulmonary as well as systemic vein compression after chest closure. Therefore, the 50 cc TAH was developed by SynCardia (Tucson, AZ) to accommodate smaller chest cavity. We report the first TAH exchange from a 70 to 50 cc due to a fit difficulty. The patient failed to be closed with a 70 cc TAH, although the patient met the conventional 70 cc TAH fit criteria. We successfully closed the chest with a 50 cc TAH.
Close Relationships and Attributions for Peer Victimization among Late Adolescents
ERIC Educational Resources Information Center
Chen, Xiaochen; Graham, Sandra
2012-01-01
This study examined the effect of close relationships (best friendship and romantic relationship) on late adolescents' casual attributions for peer victimization. A total of 1106 twelfth grade students completed self-report measures of perceived peer victimization, self-blame attribution, psychological maladjustment (loneliness and social…
Comparison of closed and open methods of pneumoperitonium in laparoscopic cholecystectomy.
Akbar, Mohammad; Khan, Ishtiaq Ali; Naveed, Danish; Khattak, Irfanuddin; Zafar, Arshad; Wazir, Muhammad Salim; Khan, Asif Nawaz; Zia-ur-Rehman
2008-01-01
Pneumoperitonium is the first step in laparoscopic surgery including cholecystectomy. Two commonly used methods to create pneumoperitonium are closed and open technique. Both have advantages and disadvantages. The current study was designed to compare these two techniques in terms of safety and time required to complete the procedure. This was a randomized controlled prospective study conducted at Department of Surgery, Ayub Hospital Complex Abbottabad, from 1st June 2007 to 31st May 2008. Randomization was done into two groups randomly using sealed envelopes containing the questionnaire. Seventy envelopes were kept in the cupboard, containing 35 proformas for group A and 35 for group B. An envelope was randomly fetched and opened upon selection of the patient after taking the informed consent. Pneumoperitonium was created by closed technique in group A, and by open technique in group B. Time required for successful pneumoperitonium was calculated in each group. Failure to induce pneumoperitonium was determined for each technique. Time required to close the wounds at completion, total operating time and injuries sustained during induction of pneumoperitonium were compared in both techniques. Out of the total 70 patients included in study, 35 were in group A and 35 in group B. Mean time required for successful pneumoperitonium was 9.17 minutes in group A and 8.11 minutes in group B. Total operating time ranged from 55 minutes to 130 minutes in group A and from 45 minutes to 110 minutes in group B. Mean of total operating time was 78.34 and 67 minutes in group A and B respectively. Mean time needed to close the wound was 9.88 minutes in group A and 4.97 minutes in group B. Failure of technique was noted in three patients in group A while no failure was experienced in group B. In two cases in group A minor complications during creation of pneumoperitonium were observed while in group B no complication occurred. No patient died in the study. We concluded from this study that open technique of pneumoperitonium was, less time consuming and safer than the closed technique.
Klaffschenkel, R A; Biesemeier, A; Waidmann, M; Northoff, H; Steurer, W; Königsrainer, A; Lembert, N
2007-01-01
During the isolation of human islets of Langerhans the digest has repeated direct contact with the ambient atmosphere. In order to fulfill GMP requirements in clinical applications, the entire cell preparation must be performed in clean room facilities. We hypothesized that the use of a closed system, which avoids the direct exposure of tissue to the atmosphere, would significantly ease the preparation procedure. To avoid the direct atmosphere exposure we tested a modification of the isolation and purification process by performing all islet preparation steps in a closed system. In this study we compared the isolation outcome of the traditional open preparation technique with the new closed system. Pancreata from 6-month-old hybrid pigs were procured in the local slaughterhouse. After digestion/filtration the digest was cooled, collected, and concentrated in centrifugation containers and purified thereafter in the COBE2991 by top loading (control). In the control group 502 +/- 253 IEQ per gram pancreas were purified. The total preparation time amounted to 12 h. In the closed system the digest was cooled and directly pumped into the COBE2991 for centrifugation followed by supernatant expelling. Bag filling, centrifugation, and expelling were repeated several times. Islets in pellet form were then purified by adding a gradient (bottom loading). Using this closed system 1098 +/- 489 IEQ per gram pancreas were purified with a total cell viability of 67 +/- 10% and a beta-cell viability of 41 +/- 13%. The total preparation time reduced to 6 h. After 24 h of cell culture the viability of beta-cells was still 56 +/- 10% and was only reduced after the addition of proapoptotic IL-1 and TNF-alpha to 40 +/- 4%, indicating that freshly isolated islets are not apoptotic. In conclusion, the closed system preparation is much faster, more effective, and less expensive than the traditional islet preparation. The closed system may be applicable for human islets preparations to restrict the need of clean room facilities for islet preparations to a minimum and may open the way for islet preparations without clean room demand.
Premixed Digestion Salts for Kjeldahl Determination of Total Nitrogen in Selected Forest Soils
B. G. Blackmon
1971-01-01
Estimates of total soil nitrogen by a standard Kjeldahl procedure and a modified procedure employing packets of premixed digestion salts were closely correlated. (r2 = 0.983). The modified procedure appears to be as reliable all the standard method for determining total nitrogen in southern alluvial forest soils.
Turnaround in Texas: How One District Closed Its Minority Achievement Gap.
ERIC Educational Resources Information Center
Cook, Glenn
2003-01-01
Describes how one district closed its minority achievement gap by employing the Brazosport model, a combination of effective-schools research and Total Quality Management principles. The model includes an eight-step "plan-do-check" instructional cycle for teachers and emphasizes teacher training and tracking data. Student-achievement…
Facts about Total Anomalous Pulmonary Venous Return or TAPVR
... and the right atrium. The goal of the surgical repair of TAPVR is to restore normal blood flow through the heart. To repair this defect, doctors usually connect the pulmonary veins to the left atrium, close off any abnormal connections between blood vessels, and close the atrial septal ...
40 CFR 265.1033 - Standards: Closed-vent systems and control devices.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Standards: Closed-vent systems and control devices. 265.1033 Section 265.1033 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... total carbon working capacity -established as a requirement of § 265.1035(b)(4)(iii)(G), whichever is...
Wealth condensation in pareto macroeconomies
NASA Astrophysics Data System (ADS)
Burda, Z.; Johnston, D.; Jurkiewicz, J.; Kamiński, M.; Nowak, M. A.; Papp, G.; Zahed, I.
2002-02-01
We discuss a Pareto macroeconomy (a) in a closed system with fixed total wealth and (b) in an open system with average mean wealth, and compare our results to a similar analysis in a super-open system (c) with unbounded wealth [J.-P. Bouchaud and M. Mézard, Physica A 282, 536 (2000)]. Wealth condensation takes place in the social phase for closed and open economies, while it occurs in the liberal phase for super-open economies. In the first two cases, the condensation is related to a mechanism known from the balls-in-boxes model, while in the last case, to the nonintegrable tails of the Pareto distribution. For a closed macroeconomy in the social phase, we point to the emergence of a ``corruption'' phenomenon: a sizeable fraction of the total wealth is always amassed by a single individual.
van Wessem, K J P; Leenen, L P H
2016-03-01
High fibular spiral fractures are usually caused by pronation-external rotation mechanism. The foot is in pronation and the talus externally rotates, causing a rupture of the medial ligaments or a fracture of the medial malleolus. With continued rotation the anterior and posterior tibiofibular ligament will rupture, and finally, the energy leaves the fibula by creating a spiral fracture from anterior superior to posterior inferior. In this article we demonstrate a type of ankle fracture with syndesmotic injury and high fibular spiral fractures without a medial component. This type of ankle fractures cannot be explained by the Lauge-Hansen classification, since it lacks injury on the medial side of the ankle, but it does have the fibular fracture pattern matching the pronation external rotation injury (anterior superior to posterior inferior fracture). We investigated the mechanism of this injury illustrated by 3 cases and postulate a theory explaining the biomechanics behind this type of injury. Copyright © 2016 Elsevier Ltd. All rights reserved.
Medial joint space widening of the ankle in displaced Tillaux and Triplane fractures in children.
Gourineni, Prasad; Gupta, Asheesh
2011-10-01
Tillaux and Triplane fractures occur in children predominantly from external rotation mechanism. We hypothesized that in displaced fractures, the talus would shift laterally along with the distal fibula and the distal tibial epiphyseal fragment increasing the medial joint space. Consecutive cases evaluated retrospectively. Level I and Level II centers. Twenty-two skeletally immature patients with 14 displaced Triplane fractures and eight displaced Tillaux fractures were evaluated for medial joint space widening. Measurement of fracture displacement and medial joint space widening before and after intervention. Thirteen Triplane and six Tillaux fractures (86%) showed medial space widening of 1 to 9 mm and equal to the amount of fracture displacement. Reduction of the fracture reduced the medial space to normal. There were no known complications. Medial space widening of the ankle may be a sign of ankle fracture displacement. Anatomic reduction of the fracture reduces the medial space and may improve the results in Tillaux and Triplane fractures.
Michelitsch, C; Acklin, Y P; Stoffel, K; Bereiter, H
2014-04-01
It is often difficult in the acute phase to diagnose a lesion of the distal tibiofibular syndesmosis. If this lesion is overlooked, the patient will develop an incongruity of the upper ankle joint with a pathological external rotation of the talus. The risk of a possible premature arthritis is clearly increased. In this case study a distal rupture of the syndesmosis in a young patient was overlooked in the initial diagnostic work-up. A search of the relevant literature and a case report. In the case described the shortened fibula and chronic instability of the tibiofibular syndesmosis were repaired with a lengthening and derotational osteotomy and reconstruction using the gracilis muscle tendon. Through this method an exact reconstruction of the normal anatomy could be achieved. Posttraumatic misalignment in the ankle joint is associated with a high risk of secondary degenerative lesions. In cases with suspicion of a syndesmosis lesion, confirmation of the diagnosis is imperative so as to perform an anatomic repositioning and reconstruction of stability.
Lee, H.J.; Haeussler, P.J.; Kayen, R.E.; Hampton, M.A.; Locat, Jacques; Suleimani, E.; Alexander, C.R.
2007-01-01
The M9.2 Alaska earthquake of 1964 caused major damage to the port facilities and town of Valdez, most of it the result of submarine landslide and the consequent tsunamis. Recent bathymetric multibeam surveys, high-resolution subbottom profiles, and dated sediment cores in Port Valdez supply new information about the morphology and character of the landslide deposits. A comparison of pre- and post-earthquake bathymetry provides an estimate of the net volume of landslide debris deposited in the basin and the volume of sediment removed from the source region. Landslide features include (1) large blocks (up to 40-m high) near the location of the greatest tsunamiwave runup (~50 m), (2) two debris lobes associated with the blocks, (3) a series of gullies, channels and talus, near the fjord-head delta and badly damaged old town of Valdez, and (4) the front of a debris lobe that flowed half-way down the fjord from the east end.
Posterior ankle impingement in athletes: Pathogenesis, imaging features and differential diagnoses.
Hayashi, Daichi; Roemer, Frank W; D'Hooghe, Pieter; Guermazi, Ali
2015-11-01
Posterior ankle impingement is a clinical diagnosis which can be seen following a traumatic hyper-plantar flexion event and may lead to painful symptoms in athletes such as female dancers ('en pointe'), football players, javelin throwers and gymnasts. Symptoms of posterior ankle impingement are due to failure to accommodate the reduced interval between the posterosuperior aspect of the talus and tibial plafond during plantar flexion, and can be due to osseous or soft tissue lesions. There are multiple causes of posterior ankle impingement. Most commonly, the structural correlates of impingement relate to post-traumatic synovitis and intra-articular fibrous bands-scar tissue, capsular scarring, or bony prominences. The aims of this pictorial review article is to describe different types of posterior ankle impingement due to traumatic and non-traumatic osseous and soft tissue pathology in athletes, to describe diagnostic imaging strategies of these pathologies, and illustrate their imaging features, including relevant differential diagnoses. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Kromer, Ryan A.; Abellán, Antonio; Hutchinson, D. Jean; Lato, Matt; Chanut, Marie-Aurelie; Dubois, Laurent; Jaboyedoff, Michel
2017-05-01
We present an automated terrestrial laser scanning (ATLS) system with automatic near-real-time change detection processing. The ATLS system was tested on the Séchilienne landslide in France for a 6-week period with data collected at 30 min intervals. The purpose of developing the system was to fill the gap of high-temporal-resolution TLS monitoring studies of earth surface processes and to offer a cost-effective, light, portable alternative to ground-based interferometric synthetic aperture radar (GB-InSAR) deformation monitoring. During the study, we detected the flux of talus, displacement of the landslide and pre-failure deformation of discrete rockfall events. Additionally, we found the ATLS system to be an effective tool in monitoring landslide and rockfall processes despite missing points due to poor atmospheric conditions or rainfall. Furthermore, such a system has the potential to help us better understand a wide variety of slope processes at high levels of temporal detail.
Mapping critical loads of nitrogen deposition for aquatic ecosystems in the Rocky Mountains, USA
Nanus, Leora; Clow, David W.; Saros, Jasmine E.; Stephens, Verlin C.; Campbell, Donald H.
2012-01-01
Spatially explicit estimates of critical loads of nitrogen (N) deposition (CLNdep) for nutrient enrichment in aquatic ecosystems were developed for the Rocky Mountains, USA, using a geostatistical approach. The lowest CLNdep estimates (−1 yr−1) occurred in high-elevation basins with steep slopes, sparse vegetation, and abundance of exposed bedrock and talus. These areas often correspond with areas of high N deposition (>3 kg N ha−1 yr−1), resulting in CLNdep exceedances ≥1.5 ± 1 kg N ha−1 yr−1. CLNdep and CLNdep exceedances exhibit substantial spatial variability related to basin characteristics and are highly sensitive to the NO3− threshold at which ecological effects are thought to occur. Based on an NO3− threshold of 0.5 μmol L−1, N deposition exceeds CLNdep in 21 ± 8% of the study area; thus, broad areas of the Rocky Mountains may be impacted by excess N deposition, with greatest impacts at high elevations.
Mapping critical loads of nitrogen deposition for aquatic ecosystems in the Rocky Mountains, USA
Nanus, Leora; Clow, David W.; Saros, Jasmine E.; Stephens, Verlin C.; Campbell, Donald H.
2012-01-01
Spatially explicit estimates of critical loads of nitrogen (N) deposition (CLNdep) for nutrient enrichment in aquatic ecosystems were developed for the Rocky Mountains, USA, using a geostatistical approach. The lowest CLNdep estimates (-1 yr-1) occurred in high-elevation basins with steep slopes, sparse vegetation, and abundance of exposed bedrock and talus. These areas often correspond with areas of high N deposition (>3 kg N ha-1 yr-1), resulting in CLNdep exceedances ≥1.5 ± 1 kg N ha-1 yr-1. CLNdep and CLNdep exceedances exhibit substantial spatial variability related to basin characteristics and are highly sensitive to the NO3- threshold at which ecological effects are thought to occur. Based on an NO3- threshold of 0.5 μmol L-1, N deposition exceeds CLNdep in 21 ± 8% of the study area; thus, broad areas of the Rocky Mountains may be impacted by excess N deposition, with greatest impacts at high elevations.
NASA Astrophysics Data System (ADS)
Hafich, Katya A.
High elevation ecosystems throughout the Colorado Front Range are undergoing changes in biogeochemical cycling due to an increase in nitrogen deposition in precipitation and a changing climate. While nitrate concentrations continue to rise in surface water of the Green Lakes Valley (GLV) by 0.27 umol L-1 per year, atmospheric deposition of inorganic nitrogen has recently curtailed due to drought, leaving a gap in our understanding of the source of the increased export of nitrate. Here, we employ a novel triple isotope method, using Delta 17O-NO3- for the first time in an alpine catchment to quantify the terrestrial and atmospheric contribution of nitrate to numerous water types in GLV. Results show that nitrate in surface waters, including talus, soil water and rock glacier melt, is more than 75% terrestrial, with the strongest atmospheric signals present during snowmelt. Results suggest that alpine catchment biogeochemistry in GLV has transitioned to a net nitrification system.
Automatic Computer Mapping of Terrain
NASA Technical Reports Server (NTRS)
Smedes, H. W.
1971-01-01
Computer processing of 17 wavelength bands of visible, reflective infrared, and thermal infrared scanner spectrometer data, and of three wavelength bands derived from color aerial film has resulted in successful automatic computer mapping of eight or more terrain classes in a Yellowstone National Park test site. The tests involved: (1) supervised and non-supervised computer programs; (2) special preprocessing of the scanner data to reduce computer processing time and cost, and improve the accuracy; and (3) studies of the effectiveness of the proposed Earth Resources Technology Satellite (ERTS) data channels in the automatic mapping of the same terrain, based on simulations, using the same set of scanner data. The following terrain classes have been mapped with greater than 80 percent accuracy in a 12-square-mile area with 1,800 feet of relief; (1) bedrock exposures, (2) vegetated rock rubble, (3) talus, (4) glacial kame meadow, (5) glacial till meadow, (6) forest, (7) bog, and (8) water. In addition, shadows of clouds and cliffs are depicted, but were greatly reduced by using preprocessing techniques.
Jain, Nickul S; Lopez, Gregory D; Bederman, S Samuel; Wirth, Garrett A; Scolaro, John A
2016-08-01
High-energy injuries can result in complete or partial loss of the talus. Ipsilateral fractures to the lower limb increase the complexity of surgical management, and treatment is guided by previous case reports of similar injuries. A case of complex lower-extremity trauma with extruded and missing talar body and ipsilateral type IIIB open tibia fracture is presented. Surgical limb reconstruction and salvage was performed successfully with a single orthopaedic implant in a manner not described previously in the literature. The purpose of this case report is to present the novel use of a single orthopaedic implant for treatment of a complex, open traumatic injury. Previous case reports in the literature have described the management of complete or partial talar loss. We describe the novel use of a long hindfoot fusion nail and staged bone grafting to achieve tibiocalcaneal arthrodesis for the treatment of complex lower-extremity trauma. Therapeutic, Level IV: Case study. © 2015 The Author(s).
[New techniques in the operative treatment of calcaneal fractures].
Rammelt, S; Amlang, M; Sands, A K; Swords, M
2016-03-01
The ideal treatment of displaced intra-articular calcaneal fractures is still controversially discussed. Because of the variable fracture patterns and the vulnerable soft tissue coverage an individual treatment concept is advisable. In order to minimize wound edge necrosis associated with extended lateral approaches, selected fractures may be treated percutaneously or in a less invasive manner while controlling joint reduction via a sinus tarsi approach. Fixation in these cases is achieved with screws, intramedullary locking nails or modified plates that are slid in subcutaneously. A thorough knowledge of the three dimensional calcaneal anatomy and open reduction maneuvers is a prerequisite for good results with less invasive techniques. Early functional follow-up treatment aims at early rehabilitation independent of the kind of fixation. Peripheral fractures of the talus and calcaneus frequently result from subluxation and dislocation at the subtalar and Chopart joints. They are still regularly overlooked and result in painful arthritis if left untreated. If an exact anatomical reduction of these intra-articular fractures is impossible, resection of small fragments is indicated.
[Which foot deformities should be radiologist be familiar with?
von Stillfried, E
2018-05-01
Most deformities of the foot are visible at birth and can be diagnosed without imaging. They can be divided into congenital flexible, congenital structural and acquired foot deformities. The most common congenital flexible foot deformity in children is the metatarsus adductus, which usually requires no long-term therapy. Regarding congenital structural deformities, such as the clubfoot and talus verticalis, plaster therapy should be started during the first week of life, so that by the end of the first year of life and the beginning of the verticalization, a pain-free resilient foot with normal function is present. Imaging is usually only necessary if a relapse arises. Coalitio of the tarsal bones is often visible only in the course of growth through the development of a rigid flatfoot and always requires imaging to confirm the diagnosis. This article is intended to give the radiologist an overview of the most important deformities and to inform about their course and therapy.
High resolution space photometry as a method to reveal structure anomalies of the lunar surface
NASA Astrophysics Data System (ADS)
Kaydash, V. G.; Shkuratov, Yu. G.; Korokhin, V. V.
2015-11-01
We have reviewed studies of disturbed primordial structure of the lunar regolith, which is caused by both artificial and natural factors. To identify such disturbances, we used orbital high resolution photometry data in conjunction with the method of phase ratios, which makes it possible to evaluate the surface roughness of the light scattering element on the scale of less than imaging resolution. In particular, this method allows the identification of soil talus; it is also an efficient way to find new craters and places of falling meteoroid streams. The reliability of the new method is proved by the photometric detection of the anomalies associated with changes in the structure of the surface layer of regolith in landing sites of manned spacecraft, i.e., where the impact of human activity on the lunar regolith is well known. The results can be used in a planning and implementation of space missions to the Moon and other atmosphereless bodies of the solar system by the space agencies
Delayed presentation of a loose body in undisplaced paediatric talar neck fracture
Patel, Vishal; Bloch, Benjamin; Johnson, Nicholas; Mangwani, Jitendra
2014-01-01
Fractures of the talus are rare in children. A high index of suspicion is needed to avoid missing such an injury, which is not an uncommon occurrence especially with undisplaced fractures. We present an unusual case of an undisplaced talar neck fracture in a five-year-old child leading to a delayed presentation of a symptomatic osteochondral loose body in the ankle joint. To our knowledge there are no reports in the literature of osteochondral loose bodies occurring in conjunction with an associated undisplaced talar neck fracture in either children or adults. The loose body was removed using anterior ankle arthroscopy. The child had an uneventful post operative recovery and regained full range of movement and function of his ankle joint and was discharged at one year follow-up. We aim to highlight the need to have a low threshold to further evaluate symptomatic children after fracture healing of an undisplaced talar neck fracture for a possible associated loose body in the ankle joint. PMID:25035846
Mars and earth - Comparison of cold-climate features
NASA Technical Reports Server (NTRS)
Lucchitta, B. K.
1981-01-01
On earth, glacial and periglacial features are common in areas of cold climate. On Mars, the temperature of the present-day surface is appropriate for permafrost, and the presence of water is suspected from data relating to the outgassing of the planet, from remote-sensing measurements over the polar caps and elsewhere on the Martian surface, and from recognition of fluvial morphological features such as channels. These observations and the possibility that ice could be in equilibrium with the high latitudes north and south of + or - 40 deg latitude suggest that glacial and periglacial features should exist on the planet. Morphological studies based mainly on Viking pictures indicate many features that can be attributed to the action of ice. Among these features are extensive talus aprons; debris avalanches; flows that resemble glaciers or rock glaciers; ridges that look like moraines; various types of patterned ground, scalloped scarps, and chaotically collapsed terrain that could be attributed to thermokarst processes; and landforms that may reflect the interaction of volcanism and ice.
Nevalainen, Mika T; Repo, Jussi P; Pesola, Maija; Nyrhinen, Jukka P
2018-01-01
Osteonecrosis of the talus is a fairly rare condition. Many predisposing factors have been identified including previous trauma, use of corticosteroids, alcoholism, and smoking. As a gold standard, magnetic resonance imaging (MRI) is the most sensitive and specific diagnostic examination to detect osteonecrosis. While many treatment options for talar osteonecrosis exist, core decompression is suggested on young patients with good outcome results. More recently, intraosseous stem cell and platelet-rich plasma (PRP) injection has been added to the core decompression procedure. We report a successful treatment of early talar osteonecrosis ARCO I (Association Research Circulation Osseous) by core decompression combined with stem cell and PRP injection. On 3-month and 15-month follow-up, MRI showed complete resolution of the osteonecrotic changes together with clinical improvement. This modified technique is a viable treatment option for early talar osteonecrosis. Nevertheless, future prospects should include a study comparing this combined technique with plain core decompression.
ORTOLANI, ALESSANDRO; BEVONI, ROBERTO; RUSSO, ALESSANDRO; MARCACCI, MAURILIO; GIROLAMI, MAURO
2016-01-01
Isolated posteromedial ankle dislocation is a rare condition thanks to the highly congruent anatomical configuration of the ankle mortise, in which the medial and lateral malleoli greatly reduce the rotational movement of the talus, and the strength of the ligaments higher than the malleoli affords protection against fractures. However, other factors, like medial malleolus hypoplasia, laxity of the ligaments, peroneal muscle weakness and previous ankle sprains, could predispose to pure dislocation. In the absence of such factors, only a complex high-energy trauma, with a rotational component, can lead to this event. Irreducibility of an ankle dislocation, which is rarely encountered, can be due to soft tissue interposition. Dislocation of the posterior tibial tendon can be the cause of an irreducible talar dislocation; interposition of this tendon, found to have slid posteriorly to the distal tibia and then passed through the tibioperoneal syndesmosis, is reported in just a few cases of ankle fracture-dislocation. PMID:27900312
Osborne, Brooke B.; Baron, Jill S.; Wallenstein, Matthew D.
2016-01-01
Climate change is altering the timing and magnitude of biogeochemical fluxes in many high elevation ecosystems. The consequent changes in alpine nitrification rates have the potential to influence ecosystem scale responses. In order to better understand how changing temperature and moisture conditions may influence ammonia oxidizers and nitrification activity, we conducted laboratory incubations on soils collected in a Colorado watershed from three alpine habitats (glacial outwash, talus, and meadow). We found that bacteria, not archaea, dominated all ammonia oxidizer communities. Nitrification increased with moisture in all soils and under all temperature treatments. However, temperature was not correlated with nitrification rates in all soils. Site-specific temperature trends suggest the development of generalist ammonia oxidizer communities in soils with greater in situ temperature fluctuations and specialists in soils with more steady temperature regimes. Rapidly increasing temperatures and changing soil moisture conditions could explain recent observations of increased nitrate production in some alpine soils.
Rapp, Marion; Spiegler, Juliane; Härtel, Christoph; Gillessen-Kaesbach, Gabrielle; Kaiser, Martin M
2013-01-01
Congenital insensitivity to pain with anhidrosis is an autosomal recessive disorder caused by mutations in the neurotrophic tyrosine receptor kinase 1 (NTRK1) gene, which encodes the receptor for nerve growth factor. We report the clinical and radiological pitfalls in the diagnosis and treatment of two brothers, aged 5 and 8 years, with congenital insensitivity to pain with anhidrosis, the older brother having a proven NTRK1 mutation. In the neonatal period, both presented with recurrent episodes of fever of unknown origin, but their clinical problems changed later. In addition to severe mental retardation and self-harming behaviour, the older brother developed recurrent nonbacterial destructive infections of both the calcaneus and later the talus. No immunodeficiency was found. The younger brother had three complex fractures with a long history of healing problems: overwhelming production of callus, osteomyelitis and movement restrictions. He has less mental retardation than his older brother and shows no self-mutilation.
Ohlsson, Henrik; Kendler, Kenneth S; Lichtenstein, Paul; Sundquist, Jan; Sundquist, Kristina
2017-08-01
Using information from Swedish population registries, we attempt to decompose the shared environment (C) into four subcomponents: close family, family, household, and community. Among pairs differing in their genetic and geographical/household relationships, we examine three externalizing syndromes: drug abuse (DA), criminal behavior (CB), and alcohol use disorders (AUD). The best-fitting common pathway model suggested that total estimates for C were higher for DA (21% for males and 18% for females) than for AUD (16% and 14%) and CB (17% and 10%). Concerning syndrome-specific influences in males, close family effects were stronger for CB and AUD, while community effects were stronger for DA. The two C components in between community experiences and close family experiences (family and household) were estimated to almost entirely derive from the common latent factor. In females, among the four components of C, the community experiences were just slightly above zero, while the C components referred to as the household effect were almost zero. The total close family experiences were similar and most important across syndromes were also divided into common and specific components. For all syndromes, for both males and females, the effects of additive genetic factors were 2-4 times the size of the total effect of the shared environment. Applying standard methods to novel relationships, we expand our understanding of how the shared environment contributes to individual differences in three externalizing syndromes.
Closing Ranks: The Secret of Army Active and Reserve Component Harmony
1992-02-11
FUNDING NUMBERS PROGRAM I PROJECT TASK IWORK UNIT ELEMENT NO. NO. NO. [ACCESSION NO 11. TITLE (include Security Classification) Closing Ranks: The Secret of...and recently served on the DOD Total Force Policy Study Group Staff, Washington, DC. iv CLOSING RANKS: THE SECRET OF ARMY ACTIVE AND RESERVE COMPONENT...same old rebuff by the AC senior leadership. If we accept the premise that attitudes and perceptions are the secrets to AC/RC harmony, then the real
Rationale for evaluating a closed food chain for space habitats
NASA Technical Reports Server (NTRS)
Modell, M.; Spurlock, J. M.
1980-01-01
Closed food cycles for long duration space flight and space habitation are examined. Wash water for a crew of six is economically recyclable after a week, while a total closed loop water system is effective only if the stay exceeds six months' length. The stoichiometry of net plant growth is calculated and it is shown that the return of urine, feces, and inedible plant parts to the food chain, along with the addition of photosynthesis, closes the food chain loop. Scenarios are presented to explore the technical feasibility of achieving a closed loop system. An optimal choice of plants is followed by processing, waste conversion, equipment specifications, and control requirements, and finally, cost-effectiveness.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Alparslan, Burcu, E-mail: burcu.alparslan@gmail.com; Nas, Omer Fatih, E-mail: omerfatihnas@gmail.com; Eritmen, Ulku Turpcu, E-mail: drulkutur@hotmail.com.tr
PurposeThe aim of this study was to investigate the effect of stent cell geometry on midterm results of carotid artery stenting (CAS).Materials and MethodOne hundred fifty-five patients underwent CAS between February 2010 and December 2012. Ninety-one open- and 84 closed-cell stents were used in this non-randomized, retrospective study. Periprocedural complications were defined as the ones happened during the procedure or within 30 days afterwards. Starting from the 6th month after the procedure, in-stent restenosis was detected with multidetector computed tomography angiography and classified into four groups from focal restenosis to occlusion.ResultsEleven complications were encountered in the periprocedural period (four on themore » open- and seven on the closed-cell group). Total complication rate was 6.3 % (11/175). No significant difference was detected in terms of periprocedural complications between two groups (p = 0.643). There was statistically significant difference between stent design groups in regard to radiological findings (p = 0.002). Sixteen of open-cell stents and three of closed-cell stents had focal restenosis. One closed-cell stent had diffuse proliferative restenosis and one open-cell stent had total occlusion.ConclusionIn-stent restenosis was more common in open-cell stent group, which have larger free cell area than closed-cell stents. Although our radiologic findings promote us to use closed-cell design if ‘possible’, no difference was detected in terms of clinical outcomes.« less
NASA Astrophysics Data System (ADS)
Gitelson, A. A.; Gamon, J. A.
2013-12-01
There are at least three commonly used definitions of photosynthetic Light Use Efficiency (LUE) based on: (a) incident radiation (LUEinc); (b) total absorbed light (LUEtotal); and (c) radiation absorbed by photosynthetically active vegetation (LUEps). Consequently, LUE values reported do not have a common basis, bringing confusion and limiting the utility of reported LUE values for comparative analyses. Not surprisingly, the value of LUE reported in literature varies by a factor of three. Similarly, the Photochemical Reflectance Index (PRI) has different operational definitions, resulting in a wide range of reported values for comparable conditions. The objectives of this paper are to investigate (a) temporal behavior of each definition of LUE; and (b) factors affecting PRI, often used as a surrogate of LUE at leaf and canopy levels. We focused on annual and winter-deciduous vegetation where total chlorophyll content is closely tied to the seasonal dynamics of GPP. In these conditions, LUEinc is closely related to total plant chlorophyll (Chl) content. LUEtotal oscillates around a constant value during the vegetative stage, depending mainly on plant physiological status, PAR composition and magnitude, while in reproductive and senescence stages it relates closely to Chl content. LUEps may vary 2- to 3-fold during the growing season with no clear seasonal pattern, and does not seem to be related to any biophysical characteristic studied; rather, it depends on the physiological status of vegetation, PAR composition and magnitude as well as air temperature and soil moisture. At the leaf level, PRI depends greatly on pigment content and composition and relates closely to the ratio of Chl to carotenoid content. At the canopy and stand levels, both total plant Chl content and green LAI are responsible for more than 95% of PRI variation, demonstrating that PRI is confounded by pigment pool sizes and canopy structure in these conditions. Importantly, the close relationship between PRI, Chl, and green LAI varies with canopy growth stage. PRI relates to LUEinc over the whole growing season and to LUEtotal in reproductive and senescence stages. For estimating seasonal vegetation productivity, we recommend the establishment of standard LUE definitions and PRI applications that explicitly consider canopy structure and pigmentation. In cases where total chlorophyll content is closely tied to the seasonal dynamics of GPP, before using PRI as a proxy of LUEps one needs to accurately subtract the effect of Chl and LAI.
Interpersonal Identity Formation in Conversations with Close Friends about Dating Relationships
ERIC Educational Resources Information Center
Morgan, Elizabeth M.; Korobov, Neill
2012-01-01
The present study explores how close same-sex friendship groups participate in the co-construction of identities in the interpersonal domain during young adulthood. Participants included 24 same-sex college student friendship triads (12 male and 12 female; 72 total participants) who took part in semi-structured group interviews that elicited…
Spacing, Thinning, and Pruning Practices for Young Cottonwood Plantations
Leon S. Minckler
1970-01-01
The 5-year growth of cottonwood trees planted at five spacing levels is summarized. Wide spacing resulted in better diameter and height growth, but less total wood production per acre than close spacing. Early thinning of closely spaced trees did not maintain diameter growth equal to that of trees with initial wide spacing.
40 CFR 264.1033 - Standards: Closed-vent systems and control devices.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Standards: Closed-vent systems and control devices. 264.1033 Section 264.1033 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... no greater than 20 per-cent of the time required to con-sume the total carbon working cap-a-city...
Academics' Feedback on the Quality of Appraisal Evidence
ERIC Educational Resources Information Center
Nair, Chenicheri Sid; Li, Jinrui; Cai, Li Kun
2015-01-01
Purpose: This paper aims to explore academics' perspectives on the quality of appraisal evidence at a Chinese university. Design/methodology/approach: An online survey with both closed items and open-ended questions was distributed among all academics at the university (n = 1,538). A total of 512 responded to the questionnaire. The closed items…
Seismic monitoring of small alpine rockfalls - validity, precision and limitations
NASA Astrophysics Data System (ADS)
Dietze, Michael; Mohadjer, Solmaz; Turowski, Jens M.; Ehlers, Todd A.; Hovius, Niels
2017-10-01
Rockfall in deglaciated mountain valleys is perhaps the most important post-glacial geomorphic process for determining the rates and patterns of valley wall erosion. Furthermore, rockfall poses a significant hazard to inhabitants and motivates monitoring efforts in populated areas. Traditional rockfall detection methods, such as aerial photography and terrestrial laser scanning (TLS) data evaluation, provide constraints on the location and released volume of rock but have limitations due to significant time lags or integration times between surveys, and deliver limited information on rockfall triggering mechanisms and the dynamics of individual events. Environmental seismology, the study of seismic signals emitted by processes at the Earth's surface, provides a complementary solution to these shortcomings. However, this approach is predominantly limited by the strength of the signals emitted by a source and their transformation and attenuation towards receivers. To test the ability of seismic methods to identify and locate small rockfalls, and to characterise their dynamics, we surveyed a 2.16 km2 large, near-vertical cliff section of the Lauterbrunnen Valley in the Swiss Alps with a TLS device and six broadband seismometers. During 37 days in autumn 2014, 10 TLS-detected rockfalls with volumes ranging from 0.053 ± 0.004 to 2.338 ± 0.085 m3 were independently detected and located by the seismic approach, with a deviation of 81-29+59 m (about 7 % of the average inter-station distance of the seismometer network). Further potential rockfalls were detected outside the TLS-surveyed cliff area. The onset of individual events can be determined within a few milliseconds, and their dynamics can be resolved into distinct phases, such as detachment, free fall, intermittent impact, fragmentation, arrival at the talus slope and subsequent slope activity. The small rockfall volumes in this area require significant supervision during data processing: 2175 initially picked potential events reduced to 511 potential events after applying automatic rejection criteria. The 511 events needed to be inspected manually to reveal 19 short earthquakes and 37 potential rockfalls, including the 10 TLS-detected events. Rockfall volume does not show a relationship with released seismic energy or peak amplitude at this spatial scale due to the dominance of other, process-inherent factors, such as fall height, degree of fragmentation, and subsequent talus slope activity. The combination of TLS and environmental seismology provides, despite the significant amount of manual data processing, a detailed validation of seismic detection of small volume rockfalls, and revealed unprecedented temporal, spatial and geometric details about rockfalls in steep mountainous terrain.
Decomposition of fish samples for determination of mercury.
Prester, L; Juresa, D; Blanusa, M
1998-12-01
The aim of the study was to compare the efficiency of acid and alkaline decomposition of biological materials using an open and a closed system for total mercury determination. Acid digestion was performed with concentrated HNO3 in tubes at 80 degrees C and lasted five hours. Alkaline digestion was performed with a 45% NaOH and a 1% cysteine, heated at 120 degrees C for 20 minutes. Total mercury was measured by atomic absorption spectrometry using the cold vapour technique (CVAAS). The average recovery obtained for analysis of certified reference material in closed tubes for acid digested sample was superior to the alkaline one, 103 +/- 4% vs. 70 +/- 3%, respectively. In addition, the recoveries through the open system acid digestion (90 +/- 8%) and the open system alkaline digestion (57 +/- 2%) were lower than through the respective closed system digestions. Reproducibility of the acid decomposition method was superior to the alkaline one.
NASA Astrophysics Data System (ADS)
Nikolai Aljuri, A.; Bursac, Nenad; Marini, Robert; Cohen, Richard J.
2001-08-01
Prolonged exposure to microgravity in space flight missions (days) impairs the mechanisms responsible for defense of arterial blood pressure (ABP) and cardiac output (CO) against orthostatic stress in the post-flight period. The mechanisms responsible for the observed orthostatic intolerance are not yet completely understood. Additionally, effective counter measures to attenuate this pathophysiological response are not available. The aim of this study was to investigate the ability of our proposed system identification method to predict closed-loop dynamic changes in TPR induced by changes in mean arterial pressure (MAP) and right atrial pressure (RAP). For this purpose we designed and employed a novel experimental animal model for the examination of arterial and cardiopulmonary baroreceptors in the dynamic closed-loop control of total peripheral resistance (TPR), and applied system identification to the analysis of beat-to-beat fluctuations in the measured signals.
The basic features of a closed fuel cycle without fast reactors
NASA Astrophysics Data System (ADS)
Bobrov, E. A.; Alekseev, P. N.; Teplov, P. S.
2017-01-01
In this paper the basic features of a closed fuel cycle with thermal reactors are considered. The three variants of multiple Pu and U recycling in VVER reactors was investigated. The comparison of MOX and REMIX fuel approaches for closed fuel cycle with thermal reactors is presented. All variants make possible to recycle several times the total amount of Pu and U obtained from spent fuel. The reported study was funded by RFBR according to the research project № 16-38-00021
NASA Astrophysics Data System (ADS)
Iannucci, Roberto; Martino, Salvatore; Paciello, Antonella; D'Amico, Sebastiano; Galea, Pauline
2018-05-01
The cliff slope of the Selmun Promontory, located in the Northern part of the island of Malta (Central Mediterranean Sea) close to the coastline, is involved in a landslide process as exhibited by the large block-size talus at its bottom. The landslide process is related to the geological succession outcropping in the Selmun area, characterized by the overposition of a grained limestone on a plastic clay, that induces a lateral spreading phenomenon associated with detachment and collapse of different-size rock blocks. The landslide process shapes a typical landscape with a stable plateau of stiff limestone bordered by an unstable cliff slope. The ruins of Għajn Ħadid Tower, the first of the 13 watchtowers built in 1658 by the Grand Master Martin de Redin, stand out on the Selmun Promontory. The conservation of this important heritage site, already damaged by an earthquake which struck the Maltese Archipelago on 1856 October 12, is currently threatened by a progressive retreat of the landslide process towards the inland plateau area. During 2015 and 2016, field surveys were carried out to derive an engineering geological model of the Selmun Promontory. After a high-resolution geomechanical survey, the spatial distribution of the joints affecting the limestone was obtained. At the same time, 116 single-station noise measurements were carried out to cover inland and edge of the limestone plateau as well as the slope where the clays outcrop. The obtained 1-hour time histories were analysed through the horizontal to vertical spectral ratio technique, as well as polarization and ellipticity analysis of particle motion to define the local seismic response in zones having different stability conditions, that is, related to the presence of unstable rock blocks characterized by different vibrational modes. The results obtained demonstrate the suitability of passive seismic geophysical techniques for zoning landslide hazard in case of rock slopes and prove the relevance of anisotropies in conditioning the polarization of vibrational modes for dislodged rock masses.
Contrasts in Flushing Patterns Among Solutes
NASA Astrophysics Data System (ADS)
Shanley, J. B.; Sebestyen, S. D.; Boyer, E. W.; Ross, D. S.
2005-12-01
High-frequency sampling since 1991 at the 41-ha forested W-9 catchment at Sleepers River, Vermont provides a wealth of data to evaluate catchment flushing responses. Snowmelt and rain-on-snow account for about half the annual flow at Sleepers River during a 6-week period in early spring. Summer and fall storms produce frequent high-flows of short duration. Flushing of weathering products (Ca, Mg, Na, K, SO4 ANC, Si) is generally supply-limited, and is masked by rapid dilution with meteoric and soil water during events. In contrast, flushing dominates the stream dynamics of atmospheric and pedogenic solutes (NO3, DOC, Hg), causing concentration increases with increasing flow. During snowmelt, NO3 peaks well before the peak in discharge, whereas DOC tracks discharge closely and peaks concurrently. These patterns suggest that NO3 is supply-limited and DOC is transport-limited; W-9 is not N saturated and the available NO3 supply is readily leached from the soil, whereas stream DOC progressively increases as rising water tables and expanding saturated areas connect with new source areas. In summer storms, DOC and NO3 both peak simultaneously with discharge. Unlike DOC, however, NO3 concentrations are attenuated with subsequent storms that follow within a few days, consistent with a depletion of the NO3 pool available for flushing as observed during snowmelt. Sleepers River contrasts with the Snake River in Colorado, where NO3 and DOC reverse roles; DOC peaks early in snowmelt and may be supply-limited due to the paucity of organic matter. An ample supply of NO3 is available due to N saturation and N fixation, but NO3 may be transport-limited due to primary N sources in talus deposits far from the stream. Hg is an atmospheric solute that accumulates in soils because of its affinity for organic matter, and is flushed by high flows, mostly in association with suspended sediment. The concept of flushing provides a useful context for understanding the variable responses of solutes to the expansion of catchment saturation during high flow events.
Body frame close coupling wave packet approach to gas phase atom-rigid rotor inelastic collisions
NASA Technical Reports Server (NTRS)
Sun, Y.; Judson, R. S.; Kouri, D. J.
1989-01-01
The close coupling wave packet (CCWP) method is formulated in a body-fixed representation for atom-rigid rotor inelastic scattering. For J greater than j-max (where J is the total angular momentum and j is the rotational quantum number), the computational cost of propagating the coupled channel wave packets in the body frame is shown to scale approximately as N exp 3/2, where N is the total number of channels. For large numbers of channels, this will be much more efficient than the space frame CCWP method previously developed which scales approximately as N-squared under the same conditions.
NASA Technical Reports Server (NTRS)
Huo, Winifred M.; Dateo, Christopher E.
2005-01-01
The improved binary-encounter dipole (iBED) model [W.M. Huo, Phys. Rev. A64, 042719-1 (2001)l is used to study the total ionization cross sections of the DNA sugar-phosphate backbone by electron impact. Calculations using neutral fragments found that the total ionization cross sections of C3' - and C5', -deoxyribose-phospate, two conformers of the sugar-phosphate backbone, are close to each other. Furthermore, the sum of the ionization cross sections of the separate deoxyribose and phosphate fragments is in close agreement with the C3' - and C5" -deoxyribose-phospate cross sections, differing by less than 10%. The result implies that certain properties of the-DNA, like the total singly ionization cross section, are localized properties and a building-up or additivity principle may apply. This allows us to obtain accurate properties of larger molecular systems built up from the results of smaller subsystem fragments. Calculations are underway using a negatively charged sugar-phosphate backbone with a metal counter-ion.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-27
.... For example, to calculate the daily total return today, the previous day's closing market price for the component would be subtracted from today's closing market price for the component to determine a... dividend if today were an ``ex-dividend'' date to yield the Price Plus Dividend Difference for the...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-11
... daily total return today, the previous trading day's closing market price for the component would be subtracted from today's closing market price for the component to determine a price difference (the ``Price Difference''). The Price Difference would be added to any declared dividend, if today were an ``ex-dividend...
40 CFR Table 8 to Subpart Eeee of... - Continuous Compliance With Emission Limits
Code of Federal Regulations, 2010 CFR
2010-07-01
..., items 1 through 6 a. Reduce total organic HAP (or, upon approval, TOC) emissions from the closed vent... organic HAP (or, upon approval, TOC) in the exhaust of combustion devices i. Performing CMS monitoring and... HAP (or, upon approval, TOC) emissions during the loading of organic liquids from the closed vent...
Vapor Pressure Measurements in a Closed System
ERIC Educational Resources Information Center
Iannone, Mark
2006-01-01
An alternative method that uses a simple apparatus to measure vapor pressure versus temperature in a closed system, in which the total pressure is the vapor pressure of the liquid sample, is described. The use of this apparatus gives students a more direct picture of vapor pressure than the isoteniscope method and results have generally been quite…
A Reason to Live: The Protective Influence of Close Friendships on College Students
ERIC Educational Resources Information Center
Hope, Keely J.
2009-01-01
The purpose of this study was to examine the relationships among college age student's experiences in close friendship, emotional autonomy and reasons to live. This study was grounded in Attachment Theory and College Student Development. A sample of undergraduate students was drawn from one Southeastern U.S. university. A total of 441 participants…
12 CFR 7.1017 - National bank as guarantor or surety on indemnity bond.
Code of Federal Regulations, 2010 CFR
2010-01-01
... liabilities of its Edge corporations and Agreement corporations and of its corporate instrumentalities in... has a market value, at the close of each business day, equal to the bank's total potential liability... Federal Reserve Bank; or (iii) That has a market value, at the close of each business day, equal to 110...
Feng, Zhibin; Mi, Kun; Wei, Renzhi; Liu, Wu; Wang, Bin
2011-07-01
To study the operative procedure and the effectiveness of arthroscopic therapy for ankle joint impingement syndrome after operation of ankle joint fracture dislocation. Between March 2008 and April 2010, 38 patients with ankle joint impingement syndrome after operation of ankle joint fracture dislocation were treated. Among them, there were 28 males and 10 females with an average age of 28 years (range, 18 to 42 years). The time from internal fixation to admission was 12-16 months (mean, 13.8 months). There were pressing pain in anterolateral and anterior ankle. The dorsal extension ranged from -20 to -5 degrees (mean, -10.6 degrees), and the palmar flexion was 30-40 degrees (mean, 35.5 degrees). The total score was 48.32 +/- 9.24 and the pain score was 7.26 +/- 1.22 before operation according to American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score system. The X-ray films showed osteophyte formation in anterior tibia and talus; MRI showed cartilage injury in 22 cases. Arthroscopic intervention included removing osteophytes, debriding fabric scars and synovial membrane tissues, and removing osteochondral fragments. Arthroscopic microfracture technique was used in 22 patients with cartilage injury. All incisions healed primarily. Thirty-eight cases were followed up 10-26 months (mean, 16 months). At last follow-up, 26 patients had normal range of motion (ROM); the dorsal extension was 15-25 degrees (mean, 19.6 degrees) and the palmar flexion was 35-45 degrees (mean, 40.7 degrees). Eight patients had mild limited ROM; the dorsal extension was 5-15 degrees (mean, 7.2 degrees) and the palmar flexion was 35-45 degrees (mean, 39.5 degrees). Four patients had mild limited ROM and pain in posterior portion of the ankle after a long walking (3-4 hours); the dorsal extension was 0-5 degrees (mean, 2.6 degrees) and the palmar flexion was 35-40 degrees (mean, 37.5 degrees). The total score was 89.45 +/- 9.55 and the pain score was 1.42 +/- 1.26 after operation according to AOFAS ankle and hindfoot score system, showing significant differences when compared with preoperative ones (t=21.962, P=0.000; t=16.762, P=0.000). Arthroscopic treatment of ankle joint impingement syndrome after operation of ankle joint fracture dislocation is an effective, simple, and safe method.
Medium term follow-up of the AES ankle prosthesis: High rate of asymptomatic osteolysis.
Rodriguez, Dante; Bevernage, Bernhard Devos; Maldague, Pierre; Deleu, Paul-André; Tribak, Karim; Leemrijse, Thibaut
2010-06-01
The AES (Ankle Evolutive System) is a cobalt-chromium three-component ankle prosthesis with a hydroxyapatite coating, similar to the Buechel-Pappas ankle prosthesis, but with some modifications. Our objective was to assess its medium term follow-up results as well as its complications. 21 patients (mean age of 57.6 years) were operated by a total ankle arthroplasty (TAA), using the AES implant, according to the standard technique. Only 18 patients were included. The other three patients were excluded from the study: two had been revised for avascular talar necrosis and one patient was happy with her outcome but could not present for logistic reasons at the last follow-up. Indications for surgery included posttraumatic osteoarthritis, primary osteoarthritis, hemochromatosis, rheumatic arthritis and osteoarthritis as a sequel of ankle instability. All patients were analyzed clinically and radiologically. Special attention was given to the presence or not of areas of osteolysis around the implants as well on conventional radiography as on CT-scan imaging, according to a specific protocol. The mean follow-up was 39.4 months. Average American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score improved from 52.2 preoperatively to 86.6 postoperatively. No intra-operative complications or early complications have been noted. Delayed complications were the following: one valgus malalignment, one recurrent painful anterior heterotrophic bone formation. Above all, we noted on conventional X-ray the presence of osteolysis in 77% (14) of our patients, with a size of 0.5-1cm or greater on conventional X-ray. The most vulnerable area seemed to be the posterior tibial plafond. The four remaining patients did not show any cyst formation on X-ray but did also, just as the other 14 patients, on the CT-scan. CT-scan, on the contrary, found more osteolysis in the body of the talus, underneath the implant, an area masked on conventional X-ray. Only one patient was revised with allograft bone filling of a symptomatic osteolysis, without the need for implant removal. This retrospective study shows a high frequency of delayed appearance of osteolysis (77%) in 18 AES total ankle arthroplasties. Fortunately at this moment and considering one revision, this considerable amount of asymptomatic osteolysis could not warrant a durable uncomplicated outcome. Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Distribution and features of landslides induced by the 2008 Wengchuan Earthquake, Sichuan, China
NASA Astrophysics Data System (ADS)
Chigira, M.; Xiyong, W.; Inokuchi, T.; Gonghui, W.
2009-04-01
2008 Sichuan earthquake with a magnitude of Mw 7.9 induced numerous mass movements around the fault surface ruptures of which maximum separations we observed were 3.6 m vertical and 1.5 m horizontal (right lateral). The affected area was mountainous areas with elevations from 1000 m to 4500 m on the west of the Sichuan Basin. The NE-trending Longmenshan fault zone runs along the boundary between the mountains on the west and the Sichuan basin (He and Tsukuda, 2003), of which Yinghsiuwan-Beichuan fault was the main fault that generated the 2008 earthquake (Xu, 2008). The basement rocks of the mountainous areas range from Precambrian to Cretaceous in age. They are basaltic rocks, granite, phyllite, dolostone, limestone, alternating beds of sandstone and shale, etc. There were several types of landslides ranging from small, shallow rockslide, rockfall, debris slide, deep rockslide, and debris flows. Shallow rockslide, rock fall, and debris slide were most common and occurred on convex slopes or ridge tops. When we approached the epicentral area, first appearing landslides were of this type and the most conspicuous was a failure of isolated ridge-tops, where earthquake shaking would be amplified. As for rock types, slopes of granitic rocks, hornfels, and carbonate rocks failed in wide areas to the most. They are generally hard and their fragments apparently collided and repelled to each other and detached from the slopes. Alternating beds of sandstone and mudstone failed on many slopes near the fault ruptures, including Yinghsiuwan near the epicenter. Many rockfalls occurred on cliffs, which had taluses on their feet. The fallen rocks tumbled down and mostly stopped within the talus surfaces, which is quite reasonable because taluses generally develop by this kind of processes. Many rockslides occurred on slopes of carbonate rocks, in which dolostone or dolomitic limestone prevails. Deep-seated rockslide occurred on outfacing slopes and shallow rockslide and rockfall occurred on infacing slopes. Infacing slopes generally are steeper than outfacing slopes and hence surface rocks on infacing slopes tend to be loosened by gravity. Detachment surfaces of carbonate rocks are generally not smooth surfaces but are rough surfaces with dimple-like depressions, which are made by dissolution of these rocks. This feature is one of the most important causes to induce landslide in carbonate rocks. Many gravitational deformations were observed on phyllite slopes. Landslides on the west of Beichuan city is probably of weathered phyllite, which had been preceded by gravitational deformation beforehand. Taochishan landslide in Beichuan occurred on probable outfacing slope of phyllite. The Formosat II images on Google earth indicated that this landslide was also preceded by gravitational deformation, which appeared as spur-crossing depressions with upslope-convex traces on plan. Satellite images indicated that some landslides had long lobate forms, suggesting that they were flow. One of them was Shechadientsu landslide 34 km northeast of Dujiangyan, occurring across the probable earthquake fault rupture. It was 1.5 km long with a maximum width of 250 m and an apparent friction angle of 22°. The top of this landslide area was a steep cliff of Precambrian granite, which failed to go down a small valley. The volume of the slope failure was estimated much less than the volume of the deposit. The small valley had sporadic patches of bedrock consisting of alternating beds of sandstone and mudstone of Triassic in age. The bedrock was covered by bluish grey, clayey, water-saturated debris, which was not disturbed and in turn covered by water-saturated brownish debris with rubbles. The landslide deposits had wrinkles on the surface and streaks of same color rock fragments. In addition, cross section near the distal part had clearly defined reverse grading, in which larger rubbles with a maximum diameter of 5 m concentrated at the surface part. These characteristics strongly suggest that valley-fill sediments mobilized by the earthquake and flowed down the valley, getting higher at the outer side of the valley bent. The largest landslide with an estimated volume of 1 billion m3 occurred on an outfacing carbonate rock slope, which had been preceded by gravitational deformation appearing as a ridge-top depression. The second largest one occurred on a smooth outfacing slope that had been undercut.
DEMONSTRATION OF A CLOSED LOOP REUSE SYSTEM IN A FIBERGLAS TEXTILE PLANT
The report describes work done toward providing a totally recycled water system for Owens-Corning's textile fiber manufacturing plant at Anderson, SC. (The work was based on pre-1968 pilot plant work by Owens-Corning that resulted in development of totally recycled industrial was...
Editorial Selection in Newspaper TMC Publications.
ERIC Educational Resources Information Center
Adams, Paul D.
A study investigated the kinds of content total market coverage (TMC) publications carry, the role of the newsroom in publishing them, and how closely identified they are with the parent newspaper. These TMC publications, begun only a few years ago, are designed to cover the total market with selected, preprinted advertisements inserted into…
NASA Technical Reports Server (NTRS)
Mceachran, R. P.; Horbatsch, M.; Stauffer, A. D.
1990-01-01
A 5-state close-coupling calculation (5s-5p-4d-6s-6p) was carried out for positron-Rb scattering in the energy range 3.7 to 28.0 eV. In contrast to the results of similar close-coupling calculations for positron-Na and positron-K scattering the (effective) total integrated cross section has an energy dependence which is contrary to recent experimental measurements.
76 FR 19795 - Exelon Generation Company, LLC; Oyster Creek Nuclear Generating Station; Exemption
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-08
... Recirculation and close V-11- Motor Generator 63 and V-11-41. (MG) Set Room Elev. 23'-6''. Manually open V- 12... ``Alternate'' and operate Control Switch on Diesel Panel to start diesel). Manually re-close 6 MCC 1B32 Feeder... transfer Switches (3 total) to ``Alternate'' and operate Control Switch on Diesel Panel to start diesel...
Methods of measuring pumpage through closed-conduit irrigation systems
Kjelstrom, L.C.
1991-01-01
Methods of measuring volumes of water withdrawn from the Snake River and its tributaries and pumped through closed-conduit irrigation systems were needed for equitable management of and resolution of conflicts over water use. On the basis of evaluations and field tests by researchers from the University of Idaho, Water Resources Research Institute, Moscow, Idaho, an impeller meter was selected to monitor pumpage through closed-conduit systems. In 1988, impeller meters were installed at 20 pumping stations along the Snake River between the Upper Salmon Falls and C.J. Strike Dams. Impeller-derived pumpage data were adjusted if they differed substantially from ultrasonic flow-meter- or current-meter-derived values. Comparisons of pumpage data obtained by ultrasonic flow-meter and current-meter measurements indicated that the ultrasonic flow meter was a reliable means to check operation of impeller meters. The equipment generally performed satisfactorily, and reliable pumpage data could be obtained using impeller meters in closed-conduit irrigation systems. Many pumping stations that divert water from the Snake River for irrigation remain unmeasured; however, regression analyses indicate that total pumpage can be reasonably estimated on the basis of electrical power consumption data, an approximation of total head at a pumping station, and a derived coefficient.
Water limits to closing yield gaps
NASA Astrophysics Data System (ADS)
Davis, Kyle Frankel; Rulli, Maria Cristina; Garrassino, Francesco; Chiarelli, Davide; Seveso, Antonio; D'Odorico, Paolo
2017-01-01
Agricultural intensification is often seen as a suitable approach to meet the growing demand for agricultural products and improve food security. It typically entails the use of fertilizers, new cultivars, irrigation, and other modern technology. In regions of the world affected by seasonal or chronic water scarcity, yield gap closure is strongly dependent on irrigation (blue water). Global yield gap assessments have often ignored whether the water required to close the yield gap is locally available. Here we perform a gridded global analysis (10 km resolution) of the blue water consumption that is needed annually to close the yield gap worldwide and evaluate the associated pressure on renewable freshwater resources. We find that, to close the yield gap, human appropriation of freshwater resources for irrigation would have to increase at least by 146%. Most study countries would experience at least a doubling in blue water requirement, with 71% of the additional blue water being required by only four crops - maize, rice, soybeans, and wheat. Further, in some countries (e.g., Algeria, Morocco, Syria, Tunisia, and Yemen) the total volume of blue water required for yield gap closure would exceed sustainable levels of freshwater consumption (i.e., 40% of total renewable surface and groundwater resources).
Ion extraction capabilities of closely spaced grids
NASA Technical Reports Server (NTRS)
Rovang, D. C.; Wilbur, P. J.
1982-01-01
The ion extraction capabilities of accelerator systems with small screen hole diameters (less than 2.0 mm) are investigated at net-accelerating voltages of 100, 300, and 500 V. Results show that the impingement-limited perveance is not dramatically affected by reductions in screen hole diameter to 1.0 mm, but impingement-limited performance was found to be dependent on the grid separation distance, the discharge-to-total accelerating voltage ratio, and the net-to-total accelerating voltage ratio. Results obtained using small hole diameters and closely spaced grids indicate a new mode of grid operation where high current density operation can be achieved with a specified net acceleration voltage by operating the grids at a high rather than low net-to-total acceleration voltage. Beam current densities as high as 25 mA/sq cm were obtained using grids with 1.0 mm diameter holes operating at a net accelerating voltage of 500 V.
Preferential rifting of continents - A source of displaced terranes
NASA Technical Reports Server (NTRS)
Vink, G. E.; Morgan, W. J.; Zhao, W.-L.
1984-01-01
Lithospheric rifting, while prevalent in the continents, rarely occurs in oceanic regions. To explain this preferential rifting of continents, the total strength of different lithospheres is compared by integrating the limits of lithospheric stress with depth. Comparisons of total strength indicate that continental lithosphere is weaker than oceanic lithosphere by about a factor of three. Also, a thickened crust can halve the total strength of normal continental lithosphere. Because the weakest area acts as a stress guide, any rifting close to an ocean-continent boundary would prefer a continental pathway. This results in the formation of small continental fragments or microplates that, once accreted back to a continent during subduction, are seen as displaced terranes. In addition, the large crustal thicknesses associated with suture zones would make such areas likely locations for future rifting episodes. This results in the tendency of new oceans to open along the suture where a former ocean had closed.
Riskin, Melissa L.; Deacon, J.R.; Liebman, M.L.; Robinson, K.W.
2003-01-01
The U.S. Environmental Protection Agency is developing guidance to assist states with defining nutrient criteria for rivers and streams and to better describe nutrient-algal relations. As part of this effort, 13 wadeable stream sites were selected, primarily in eastern Massachusetts, for a nutrient-assessment study during the summer of 2001. The sites represent a range of water-quality impairment conditions (reference, moderately impaired, impaired) based on state regulatory agency assessments and previously assessed nitrogen, phosphorus, and dissolved-oxygen data. In addition, a combination of open- and closed-canopy locations were sampled at six of the sites to investigate the effect of sunlight on algal growth. Samples for nutrients and for chlorophyll I from phytoplankton and periphyton were collected at all stream sites. Total nitrogen (dissolved nitrite + nitrate + total ammonia + organic nitrogen) and total phosphorus (phosphorus in an unfiltered water sample) concentrations were lowest at reference sites and highest at impaired sites. There were statistically significant differences (p < 0.05) among reference, moderately impaired, and impaired sites for total nitrogen and total phosphorus. Chlorophyll a concentrations from phytoplankton were not significantly different among site impairment designations. Concentrations of chlorophyll a from periphyton were highest at nutrient-impaired open-canopy sites. Chlorophyll a concentrations from periphyton samples were positively correlated with total nitrogen and total phosphorus at the open- and closed-canopy sites. Correlations were higher at open-canopy sites (p < 0.05, rho = 0.64 to 0.71) than at closed-canopy sites (p < 0.05, rho = 0.36 to 0.40). Statistically significant differences in the median concentrations of chlorophyll a from periphyton samples were observed between the open- and closed-canopy sites (p < 0.05). Total nitrogen and total phosphorus data from moderately impaired and impaired sites in this study exceeded the preliminary U.S. Environmental Protection Agency nutrient criteria values for the coastal region of New England. In an effort to establish more appropriate nutrient and chlorophyll criteria for streams in the New England coastal region, relations between total nitrogen and total phosphorus to periphyton chlorophyll a in wadeable streams from this study were quantified to present potential techniques for determining nutrient concentrations. Linear regression was used to estimate the total nitrogen and total phosphorus concentrations that corresponded to various chlorophyll a concentrations. On the basis of this relation, a median concentration for moderately enriched streams of 21 milligrams per square meter (mg/m2) of periphyton chlorophyll a from the literature corresponded to estimated concentrations of 1.3 milligrams per liter (mg/L) for total nitrogen and 0.12 mg/L for total phosphorus. The median concentration for periphyton chlorophyll a from the literature is similar to the 50th-percentile concentration of periphyton chlorophyll a (17 mg/m2) calculated with the data from open-canopy sites in this study. The 25th-percentile concentration for periphyton chlorophyll a of all open-canopy sites (5.2 mg/m2) and the 75th-percentile concentration for periphyton chlorophyll a of open-canopy reference sites (16 mg/m2) also were plotted to provide additional estimates and methods for developing total nitrogen and total phosphorus criteria. The 25th-percentile concentrations of total nitrogen and total phosphorus were calculated based on all sites in this study and were used as another potential criteria estimation. A concentration of 0.64 mg/L for total nitrogen and 0.030 mg/L for total phosphorus were calculated. As another possible method to develop threshold concentrations, the 10th-percentile concentrations of total nitrogen and total phosphorus were calculated based on all the impaired sites in this study. A concentration threshold of 0
Chevron osteotomy in patients with scheduled osteotomy of the medial malleolus.
Gül, Murat; Yavuz, Umut; Çetinkaya, Engin; Aykut, Ümit Selçuk; Özkul, Barış; Kabukçuoğlu, Yavuz Selim
2015-01-01
The aim of the present study was to evaluate intermediate-term outcomes of Chevron osteotomy for treatment of osteochondral lesions of the talus with mosaicplasty and to assess its effect on surgery and whether it reduces complications that might occur intraoperatively. The present study included a total of 42 patients (31 men, 11 women) who underwent Chevron osteotomy of the medial malleolus and who had been followed for more than 2 years. Mean age of the patients was 34 years (range: 18-54 years). Preoperatively, size of the lesions was measured in millimeters in the coronal and sagittal planes using magnetic resonance imaging (MRI). The angle between the osteotomy with the long axis of the tibia was measured on the coronal plane, the angle between the arms and the angle for the screws to be directed to the osteotomy line were measured on the sagittal plane on the postoperative images. Nonunion, malunion, and complications from the screws were evaluated from X-ray images taken at the final follow-up. Mean duration for follow-up was 31.4 years (range: 24-46). On the X-ray images taken at the final follow-up, no distraction, migration of the distal part, or rotation was observed. Only 1 patient experienced radiological non-union. Mean duration to union was 5.8 weeks (range: 4-14 weeks). Screws of 8 patients were removed at an average of 7.4 months (range: 5-11 months). The angle between the osteotomy line and long axis of the tibia was 29.0°±6.5°, the angel between the osteotomy arms on the sagittal plane was 74.7°±8.3°, and the direction angle of the screws on the coronal plane was 85.7°±5.9°. Chevron osteotomy is an assistive surgical method used for treatment of osteochondral lesions located in the medial talar joint surface (TOL) which provides fast anatomical healing because it allows efficient fixation due to its geometry.
Biomechanical Comparison of an Open vs Arthroscopic Approach for Lateral Ankle Instability.
Drakos, Mark C; Behrens, Steve B; Paller, Dave; Murphy, Conor; DiGiovanni, Christopher W
2014-08-01
The current clinical standard for the surgical treatment of ankle instability remains the open modified Broström procedure. Modern advents in arthroscopic technology have allowed physicians to perform certain foot and ankle procedures arthroscopically as opposed to traditional open approaches. Twenty matched lower extremity cadaver specimens were obtained. Steinman pins were inserted into the tibia and talus with 6 sensors affixed to each pin. Specimens were placed in a Telos ankle stress apparatus in an anteroposterior and then lateral position, while a 1.7 N-m load was applied. For each of these tests, movement of the sensors was measured in 3 planes using the Optotrak Computer Navigation System. Changes in position were calculated and compared with the unloaded state. The anteriortalofibular ligament and the calcaneofibular ligament were thereafter sectioned from the fibula. The aforementioned measurements in the loaded and unloaded states were repeated on the specimens. The sectioned ligaments were then repaired using 2 corkscrew anchors. Ten specimens were repaired using a standard open Broström-type repair, while the matched pairs were repaired using an arthroscopic technique. Measurements were repeated and compared using a paired t test. There was a statistically significant difference between the sectioned state and the other 3 states (P < .05). There were no statistically significant differences between the intact state and either the open or arthroscopic state (P > .05). There were no significant differences between the open and arthroscopic repairs with respect to translation and total combined motion during the talar tilt test (P > .05). Statistically significant differences were demonstrated between the 2 methods in 3 specific axes of movement during talar tilt (P = .04). Biomechanically effective ankle stabilization may be amenable to a minimally invasive approach. A minimally invasive, arthroscopic approach can be considered for treating patients with lateral ankle instability who have failed conservative treatment. © The Author(s) 2014.
NASA Astrophysics Data System (ADS)
Beltran Torres, Silvana; Petrik, Attila; Zsuzsanna Szabó, Katalin; Jordan, Gyozo; Szabó, Csaba
2017-04-01
In order to estimate the annual dose that the public receive from natural radioactivity, the identification of the potential risk areas is required which, in turn, necessitates understanding the relationship between the spatial distribution of natural radioactivity and the geogenic risk factors (e.g., rock types, dykes, faults, soil conditions, etc.). A detailed spatial analysis of ambient gamma dose equivalent rate was performed in the western side of Velence Mountains, the largest outcropped granitic area in Hungary. In order to assess the role of local geology in the spatial distribution of ambient gamma dose rates, field measurements were carried out at ground level at 300 sites along a 250 m x 250 m regular grid in a total surface of 14.7 km2. Digital image processing methods were applied to identify anomalies, heterogeneities and spatial patterns in the measured gamma dose rates, including local maxima and minima determination, digital cross sections, gradient magnitude and gradient direction, second derivative profile curvature, local variability, lineament density, 2D autocorrelation and directional variogram analyses. Statistical inference showed that different gamma dose rate levels are associated with the rock types (i.e., Carboniferous granite, Pleistocene colluvial, proluvial, deluvial sediments and talus, and Pannonian sand and pebble), with the highest level on the Carboniferous granite including outlying values. Moreover, digital image processing revealed that linear gamma dose rate spatial features are parallel to the SW-NE dyke system and possibly to the NW-SE main fractures. The results of this study underline the importance of understanding the role of geogenic risk factors influencing the ambient gamma dose rate received by public. The study also demonstrates the power of the image processing techniques for the identification of spatial pattern in field-measured geogenic radiation.
Metastable phases of silver and gold in hexagonal structure
NASA Astrophysics Data System (ADS)
Jona, F.; Marcus, P. M.
2004-07-01
Metastable phases of silver and gold in hexagonal close-packed structures are investigated by means of first-principles total-energy calculations. Two different methods are employed to find the equilibrium states: determination of the minima along the hexagonal epitaxial Bain path, and direct determination of minima of the total energy by a new minimum-path procedure. Both metals have two equilibrium states at different values of the hexagonal axial ratio c/a. For both metals, the elastic constants show that the high-c/a states are stable, hence, since the ground states are face-centred cubic, these states represent hexagonal close-packed metastable phases. The elastic constants of the low-c/a states show that they are unstable.
NASA Technical Reports Server (NTRS)
Aljuri, A. N.; Bursac, N.; Marini, R.; Cohen, R. J.
2001-01-01
Prolonged exposure to microgravity in space flight missions (days) impairs the mechanisms responsible for defense of arterial blood pressure (ABP) and cardiac output (CO) against orthostatic stress in the post-flight period. The mechanisms responsible for the observed orthostatic intolerance are not yet completely understood. Additionally, effective counter measures to attenuate this pathophysiological response are not available. The aim of this study was to investigate the ability of our proposed system identification method to predict closed-loop dynamic changes in TPR induced by changes in mean arterial pressure (MAP) and right atrial pressure (RAP). For this purpose we designed and employed a novel experimental animal model for the examination of arterial and cardiopulmonary baroreceptors in the dynamic closed-loop control of total peripheral resistance (TPR), and applied system identification to the analysis of beat-to-beat fluctuations in the measured signals. Grant numbers: NAG5-4989. c 2001. Elsevier Science Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Li, Leyuan; Xie, Beizhen; Dong, Chen; Hu, Dawei; Wang, Minjuan; Liu, Guanghui; Liu, Hong
2015-11-01
Yellow mealworm (Tenebrio molitor L.) is one of the animal candidates for space bioregenerative life support systems. In this study, T. molitor was involved in a 105-day multi-crew closed integrative BLSS experiment for a tentative rearing study. The results showed that the overall bioconversion rate (ratio of T. molitor gained to the total feed consumed) of T. molitor reared in the closed system was 8.13%, while 78.43% of the feed was excreted as frass. T. molitor reared in the closed system had a good nutritional composition. The eight essential amino acids (EAAs) in T. molitor larvae accounted for 41.30% of its total amino acids, and most EAA contents were higher than the suggested amino acid pattern recommended by the FAO/WHO. T. molitor sample obtained in this work was high in polyunsaturated fatty acids, and low in saturated fatty acids, indicating that the composition of fatty acids was beneficial to human health. In the open environment outside the experimental system, we simultaneously reared three parallel groups of larval T. molitor using the same feeding regime and temperature condition. Compared with T. molitor reared in the open environment, larvae reared in the closed system grew slower. With the course of time t, the growth rate of T. molitor in the open environment was 0.839e0.017t times that of larvae in the closed system. This paper can provide data for future design and improvement of BLSS containing a T. molitor rearing unit.
Drobnitzky, Matthias; Klose, Uwe
2017-03-01
Magnetization-prepared rapid gradient-echo (MPRAGE) sequences are commonly employed for T1-weighted structural brain imaging. Following a contrast preparation radiofrequency (RF) pulse, the data acquisition proceeds under nonequilibrium conditions of the relaxing longitudinal magnetization. Variation of the flip angle can be used to maximize total available signal. Simulated annealing or greedy algorithms have so far been published to numerically solve this problem, with signal-to-noise ratios optimized for clinical imaging scenarios by adhering to a predefined shape of the signal evolution. We propose an unconstrained optimization of the MPRAGE experiment that employs techniques from resource allocation theory. A new dynamic programming solution is introduced that yields closed-form expressions for optimal flip angle variation. Flip angle series are proposed that maximize total transverse magnetization (Mxy) for a range of physiologic T1 values. A 3D MPRAGE sequence is modified to allow for a controlled variation of the excitation angle. Experiments employing a T1 contrast phantom are performed at 3T. 1D acquisitions without phase encoding permit measurement of the temporal development of Mxy. Image mean signal and standard deviation for reference flip angle trains are compared in 2D measurements. Signal profiles at sharp phantom edges are acquired to access image blurring related to nonuniform Mxy development. A novel closed-form expression for flip angle variation is found that constitutes the optimal policy to reach maximum total signal. It numerically equals previously published results of other authors when evaluated under their simplifying assumptions. Longitudinal magnetization (Mz) is exhaustively used without causing abrupt changes in the measured MR signal, which is a prerequisite for artifact free images. Phantom experiments at 3T verify the expected benefit for total accumulated k-space signal when compared with published flip angle series. Describing the MR signal collection in MPRAGE sequences as a Bellman problem is a new concept. By means of recursively solving a series of overlapping subproblems, this leads to an elegant solution for the problem of maximizing total available MR signal in k-space. A closed-form expression for flip angle variation avoids the complexity of numerical optimization and eases access to controlled variation in an attempt to identify potential clinical applications. © 2017 American Association of Physicists in Medicine.
[A Feasibility Study of closing the small bowel with high-frequency welding device].
Zhou, Huabin; Han, Shuai; Chen, Jun; Huang, Dequn; Peng, Liang; Ning, Jingxuan; Li, Zhou
2014-12-01
This study aimed to evaluate the feasibility and effectiveness of closing the small bowel in an ex vivo porcine model with high-frequency welding device. A total of 100 porcine small bowels were divided into two groups, and then were closed with two different methods. The fifty small bowels in experimental group were closed by the high-frequency welding device, and the other fifty small bowels in comparison group were hand-sutured. All the small bowels were subjected to leak pressure testing later on. The speed of closure and bursting pressure were compared. The 50 porcine small bowels closed by the high-frequency welding device showed a success rate of 100%. Compared with the hand-sutured group, the bursting pressures of the former were significantly lower (P<0.01) and the closing process was significantly shorter (P<0.01). The pathological changes of the closed ends mainly presented as acute thermal and pressure induced injury. Experimental results show that the high-frequency welding device has higher feasibility in closing the small bowel.
Code of Federal Regulations, 2012 CFR
2012-07-01
... included in the total open area calculation with the exception of access panels, doors, and/or hatches that... than 1.0 inch clearance. (7) The access panels, doors, and/or hatches that are part of the enclosure must close tightly. Damaged access panels, doors, and/or hatches that do not close tightly must be...
2007-04-14
Lunar CRater Observation and Sensing Satellite (LCROSS) and P.I. at NASA Ames Research Center - close up of Total Luminance Photometer: Metal shake table close up. Shows two units bolted on. The left one is the lens, sensor electronics and photometer sensor. The right is the digital electronics unit for the instrument. The two units, along with their cabling is one of the LCROSS science insruments.
Murray, A; Montgomery, J E; Chang, H; Rogers, W H; Inui, T; Safran, D G
2001-07-01
To examine the differences in physician satisfaction associated with open- versus closed-model practice settings and to evaluate changes in physician satisfaction between 1986 and 1997. Open-model practices refer to those in which physicians accept patients from multiple health plans and insurers (i.e., do not have an exclusive arrangement with any single health plan). Closed-model practices refer to those wherein physicians have an exclusive relationship with a single health plan (i.e., staff- or group-model HMO). Two cross-sectional surveys of physicians; one conducted in 1986 (Medical Outcomes Study) and one conducted in 1997 (Study of Primary Care Performance in Massachusetts). Primary care practices in Massachusetts. General internists and family practitioners in Massachusetts. Seven measures of physician satisfaction, including satisfaction with quality of care, the potential to achieve professional goals, time spent with individual patients, total earnings from practice, degree of personal autonomy, leisure time, and incentives for high quality. Physicians in open- versus closed-model practices differed significantly in several aspects of their professional satisfaction. In 1997, open-model physicians were less satisfied than closed-model physicians with their total earnings, leisure time, and incentives for high quality. Open-model physicians reported significantly more difficulty with authorization procedures and reported more denials for care. Overall, physicians in 1997 were less satisfied in every aspect of their professional life than 1986 physicians. Differences were significant in three areas: time spent with individual patients, autonomy, and leisure time (P < or =.05). Among open-model physicians, satisfaction with autonomy and time with individual patients were significantly lower in 1997 than 1986 (P < or =.01). Among closed-model physicians, satisfaction with total earnings and with potential to achieve professional goals were significantly lower in 1997 than in 1986 (P < or =.01). This study finds that the state of physician satisfaction in Massachusetts is extremely low, with the majority of physicians dissatisfied with the amount of time they have with individual patients, their leisure time, and their incentives for high quality. Satisfaction with most areas of practice declined significantly between 1986 and 1997. Open-model physicians were less satisfied than closed-model physicians in most aspects of practices.
Murray, Alison; Montgomery, Jana E; Chang, Hong; Rogers, William H; Inui, Thomas; Safran, Dana Gelb
2001-01-01
OBJECTIVE To examine the differences in physician satisfaction associated with open- versus closed-model practice settings and to evaluate changes in physician satisfaction between 1986 and 1997. Open-model practices refer to those in which physicians accept patients from multiple health plans and insurers (i.e., do not have an exclusive arrangement with any single health plan). Closed-model practices refer to those wherein physicians have an exclusive relationship with a single health plan (i.e., staff- or group-model HMO). DESIGN Two cross-sectional surveys of physicians; one conducted in 1986 (Medical Outcomes Study) and one conducted in 1997 (Study of Primary Care Performance in Massachusetts). SETTING Primary care practices in Massachusetts. PARTICIPANTS General internists and family practitioners in Massachusetts. MEASUREMENTS Seven measures of physician satisfaction, including satisfaction with quality of care, the potential to achieve professional goals, time spent with individual patients, total earnings from practice, degree of personal autonomy, leisure time, and incentives for high quality. RESULTS Physicians in open- versus closed-model practices differed significantly in several aspects of their professional satisfaction. In 1997, open-model physicians were less satisfied than closed-model physicians with their total earnings, leisure time, and incentives for high quality. Open-model physicians reported significantly more difficulty with authorization procedures and reported more denials for care. Overall, physicians in 1997 were less satisfied in every aspect of their professional life than 1986 physicians. Differences were significant in three areas: time spent with individual patients, autonomy, and leisure time (P ≤ .05). Among open-model physicians, satisfaction with autonomy and time with individual patients were significantly lower in 1997 than 1986 (P ≤ .01). Among closed-model physicians, satisfaction with total earnings and with potential to achieve professional goals were significantly lower in 1997 than in 1986 (P ≤ .01). CONCLUSIONS This study finds that the state of physician satisfaction in Massachusetts is extremely low, with the majority of physicians dissatisfied with the amount of time they have with individual patients, their leisure time, and their incentives for high quality. Satisfaction with most areas of practice declined significantly between 1986 and 1997. Open-model physicians were less satisfied than closed-model physicians in most aspects of practices.
Closing the N-use efficiency gap to achieve food and environmental security.
Cui, Zhenling; Wang, Guiliang; Yue, Shanchao; Wu, Liang; Zhang, Weifeng; Zhang, Fusuo; Chen, Xinping
2014-05-20
To achieve food and environmental security, closing the gap between actual and attainable N-use efficiency should be as important as closing yield gaps. Using a meta-analysis of 205 published studies from 317 study sites, including 1332 observations from rice, wheat, and maize system in China, reactive N (Nr) losses, and total N2O emissions from N fertilization both increased exponentially with increasing N application rate. On the basis of the N loss response curves from the literature meta-analysis, the direct N2O emission, NH3 volatilization, N leaching, and N runoff, and total N2O emission (direct + indirect) were calculated using information from the survey of farmers. The PFP-N (kilogram of harvested product per kilogram of N applied (kg (kg of N)(-1))) for 6259 farmers were relative low with only 37, 23, and 32 kg (kg of N)(-1) for rice, wheat, and maize systems, respectively. In comparison, the PFP-N for highest yield and PFP-N group (refers to fields where the PFP-N was within the 80-100th percentile among those fields that achieved yields within the 80-100th percentile) averaged 62, 42, and 53 kg (kg of N)(-1) for rice, wheat, and maize systems, respectively. The corresponding grain yield would increase by 1.6-2.3 Mg ha(-1), while the N application rate would be reduced by 56-100 kg of N ha(-1) from average farmer field to highest yield and PFP-N group. In return, the Nr loss intensity (4-11 kg of N (Mg of grain)(-1)) and total N2O emission intensity (0.15-0.29 kg of N (Mg of grain)(-1)) would both be reduced significantly as compared to current agricultural practices. In many circumstances, closing the PFP-N gap in intensive cropping systems is compatible with increased crop productivity and reductions in both Nr losses and total N2O emissions.
DOT National Transportation Integrated Search
2014-02-01
The purpose of this memorandum is to provide recommended Total System Error (TSE) models : for aircraft using RNAV (GPS) guidance when analyzing the wake encounter risk of proposed : simultaneous dependent (paired) approach operations to Closel...
Lu-Hf total-rock age for the Amîtsoq gneisses, West Greenland
Pettingill, H.S.; Patchett, P.J.
1981-01-01
Lu-Hf total-rock data for the Amîtsoq gneisses of West Greenland yield an age of 3.55±0.22Gy(2σ), based on the decay constant λ176Lu=1.96×10−11y−1, and an initial176Hf/177Hf ratio of 0.280482±33. The result is in good agreement with Rb-Sr total-rock and U-Pb zircon ages. In spite of severe metamorphism of the area at 2.9 Gy, zircons from two of the samples have remained on the total-rock line, and define points close to the initial Hf ratio. The initial176Hf/177Hf lies close to a chondritic Hf isotopic evolution curve from 4.55 Gy to present. This is consistent with the igneous precursors to the Amîtsoq gneisses having been derived from the mantle at or shortly before 3.6 Gy. Anomalous relationships between Hf concentration and the176Lu/177Hf ratio may suggest that trace element abundances in the Amîtsoq gneisses are partly controlled by processes related to metamorphism.
Lu-Hf total-rock age for the Amitsoq gneisses, West Greenland
NASA Technical Reports Server (NTRS)
Pettingill, H. S.; Patchett, P. J.
1981-01-01
Lu-Hf total-rock data for the Amitsoq gneisses of West Greenland yield an age of 3.55 + or - 0.22 billion years, based on the decay constant for Lu-176 of 1.96 x 10 to the -11th/year, and an initial Hf-176/Hf-177 ratio of 0.280482 + or - 33. The result is in good agreement with Rb-Sr total-rock and U-Pb zircon ages. In spite of severe metamorphism of the area at 2.9 billion years, zircons from two of the samples have remained on the total-rock line, and define points close to the initial Hf ratio. The initial Hf-176/Hf-177 lies close to a chondritic Hf isotopic evolution curve from 4.55 billion years to present. This is consistent with the igneous precursors to the Amitsoq gneisses having been derived from the mantle at or shortly before 3.6 billion years. Anomalous relationships between Hf concentration and the Lu-176/Hf-177 ratio may suggest that trace element abundances in the Amitsoq gneisses are partly controlled by processes related to metamorphism.
Neogene compressional deformation and possible thrust faulting in southwest Dominican Republic
NASA Technical Reports Server (NTRS)
Golombek, M. P.; Goreau, P.; Dixon, T. H.
1985-01-01
Analysis of regional and high resolution remote sensing data coupled with detailed field investigations indicates Neogene compressional deformation in the southwest Dominican Republic. Airborne synthetic aperture radar data and high resolution near infrared photography show folds in Tertiary sediments and possible thrust fault scarps implying NE to SW compression in the region. Large road cuts through the scarps allow study of otherwise poorly accessible, heavily vegetated karst terrain. Deformation increases toward scrap fronts where small bedding-plane thrust faults become more numerous. Analysis of mesoscopic faults with slickensides indicates compression oriented between N to S and E to W. The lowermost scarp has highly sheared fault breccia and undeformed frontal talus breccias implying it is the basal thrust into which the higher thrust faults sole. Thus, the scarps probably formed in a regional NE to SW compressional stress regime and are the toes of thrust sheets. Previous workers have suggested that these scarps are ancient shorelines. However, the gross morphology of the scarps differs substantially from well known erosional terraces on the north coast.
Aurell, Y; Johansson, A; Hansson, G; Wallander, H; Jonsson, K
2002-09-01
The aim of this study was to establish guidelines for US assessment of the talo-crural, the talo-navicular and the calcaneo-cuboid joints during the first year of life, which could serve as a reference while studying foot deformities. The feet of 54 healthy children were examined at birth and at the age of 4, 7 and 12 months by using three easily defined and reproducible US projections. With a medial projection the relation of the navicular in relation to the medial malleolus and the head of the talus was studied. A lateral projection revealed the calcaneo-cuboid relationship and a dorsal projection the talo-navicular alignment in the sagittal plane. Normal values for measurements of these cartilaginous relationships were established for the different age groups. Intra- and inter-observer reliability was assessed and found to be acceptable ( r=0.53-0.90, Pearson correlation coefficient). With US it is possible to obtain reproducible planes of investigation that give reliable information about the talo-crural, the talo-navicular and the calcaneo-cuboid relationships during the first year of life.
Lesiak, Alex C; Esposito, Paul W
2014-06-01
The fibula is an important stabilizer of the lateral ankle. Discontinuity of the fibular shaft can lead to progressive pain and shortening of the fibula, ultimately causing loss of lateral support to the ankle. Two children, who sustained segmental bone loss of the shaft of the fibula, developed progressive symptomatic valgus of the ankle with widening of the mortice and lateral subluxation of the talus. Both patients were treated with fibular plating and grafting with tricalcium sulfate with acute reconstitution of fibular length. Distal medial tibial hemiepiphysiodesis was simultaneously performed. One patient required revision plating and grafting 14 months after the index surgery because of plate failure. The valgus angulation and the widened medial mortice were corrected in the ankles of both patients, who returned to full activities. The patients were followed to maturity; the correction has been maintained, and they remain asymptomatic. The technique used in these cases can correct valgus angulation secondary to loss of fibular congruity rather than only halting progression of the deformity.
NASA Astrophysics Data System (ADS)
Schreiner, Björn; van Gasselt, Stephan; Neukum, Gerhard; HRSC Co-Investigator Team
2010-05-01
Mid-latitude regions of Mars, especially the crustal dichotomy boundary between highlands and northern lowlands are characterized by lineated valley fills (LVF) and lobate debris aprons (LDA). These features reveal evidence of ice-rich deposits. LDAs are assumed to consist of a mixture of ice and rock/debris consistent with models of apron formation such as rock glacier ice assisted creep of talus, ice-rich landslides, or debris-covered glaciers. Deposition of ice at these latitudes is consistent with athmospheric circulation models and predictions of spin axis and orbital variations for the past history of Mars. In this study we measured crater size frequency distributions of LVS and LDA including unrelaxed glacier-like convex bodies in the Coloe Fossae region (35°N, 55°E) and determined late amazonian crater retention ages of 30-50 Ma and 80-100 Ma which gives evidence of repeated deposition of mantling material from surrounding head walls with continuous resurfacing between active periods. We use new HRSC data for topography and imaging in conjunction with high resolution CTX imaging data.
Johnson, Michaela R.; Graham, Garth E.; Hubbard, Bernard E.; Benzel, William M.
2015-07-16
This Data Series summarizes results from July 2013 sampling in the western Alaska Range near Mount Estelle, Alaska. The fieldwork combined in situ and camp-based spectral measurements of talus/soil and rock samples. Five rock and 48 soil samples were submitted for quantitative geochemical analysis (for 55 major and trace elements), and the 48 soils samples were also analyzed by x-ray diffraction to establish mineralogy and geochemistry. The results and sample photographs are presented in a geodatabase that accompanies this report. The spectral, mineralogical, and geochemical characterization of these samples and the sites that they represent can be used to validate existing remote-sensing datasets (for example, ASTER) and future hyperspectral studies. Empirical evidence of jarosite (as identified by x-ray diffraction and spectral analysis) corresponding with gold concentrations in excess of 50 parts per billion in soil samples suggests that surficial mapping of jarosite in regional surveys may be useful for targeting areas of prospective gold occurrences in this sampling area.
Dzurisin, D.; Denlinger, R.P.; Rosenbaum, J.G.
1990-01-01
Our study of a magnetic anomaly associated with the recently active dacite dome at Mount St. Helens suggests that the dome consists of a hot, nonmagnetized core surrounded by a cool, magnetized carapace and flanking talus. Temporal changes in the magnetic anomaly indicate that the magnetized carapace thickened at an average rate of 0.03 ?? 0.01 m/d from 1984 to 1986. Petrographic and rock magnetic properties of dome samples indicate that the dominant process responsible for these changes is magnetization of extensively oxidized rock at progressively deeper levels within the dome as the rock cools through its blocking temperature, rather than subsequent changes in magnetization caused by further oxidation. Newly extruded material cools rapidly for a short period as heat is conducted outward in response to convective heat loss from its surface. The cooling rate gradually declines for several weeks, and thereafter the material cools at a relatively constant rate by convective heat loss from its interior along fractures that propagate inward. -from Authors
Carbonate to siliciclastic periplatform sediments: southwest Florida
Holmes, Charles W.
1988-01-01
Geophysical, geochemical, and sedimentological data suggest that the spatial relationships of these deposits are related to sea-level variations. During extreme lowstands, with much of the shelf exposed, the dominant sedimentation was in the form of siliciclastic deposition on the abyssal floor, and slope talus development at the edge of the shelf. During a subsequent rise in sea level, after carbonate production on the shelf was initiated, sediment was transported southward to the head of the canyons and funneled to the abyssal floor. Subsequent rising sea level shifted the axis of transport farther to the shelf, bypassing the canyons and funneling the sediment through breaks in the carbonate reef banks at the southern edge of the platform. At the sites of both the hemipelagic and the turbidite deposition, high-resolution seismic data indicate that at least three cycles of deposition have occurred. In the abyss, this cyclic nature has produced alternating layers of carbonate and noncarbonate sediments, recognizable in the sedimentary record as limestone units interlayered with fine shales. In the geologic record the hemipelagic deposits would be almost indistinguishable from deep-sea foraminiferal oozes.
Conservation genetics of the endangered Shenandoah salamander (Plethodon shenandoah, Plethodontidae)
Carpenter, D.W.; Jung, R.E.; Sites, J.W.
2001-01-01
The Shenandoah salamander (Plethodon shenandoah) is restricted to three isolated talus outcrops in Shenandoah National Park, VA, USA and has one of the smallest ranges of any tetrapod vertebrate. This species was listed as endangered under the US Endangered Species Act in 1989 over concern that direct competition with the red-backed salamander (Plethodon cinereus), successional habitat changes, and human impacts may cause its decline and possible extinction. We address two issues herein: (1) whether extensive introgression (through long-term hybridization) is present between the two species and threatens the survival of P. shenandoah, and (2) the level of population structure within P. shenandoah. We provide evidence from mtDNA haplotypes that shows no genetic differentiation among the three isolates of P. shenandoah, suggesting that their fragmentation is a geologically recent event, and/or that the isolates are still connected by occasional gene flow. There is also no evidence for extensive introgression of alleles in either direction between P. cinereus and P. shenandoah, which suggests that P. shenandoah may not be in danger of being genetically swamped out through hybridization with P. cinereus.
Zhao, Jiubo; Zhao, Jingbo; Xiao, Rong; Yang, Xueling; Zhang, Xiaoyuan
2013-08-01
To explore the incidence of suicide exposure and its association with suicide risk in Chinese college students, and study the modulatory effects of suicide exposure on the relations between life events and suicide risks. A total of 8202 college students from 12 Chinese colleges and universities in mainland China completed a cross-sectional survey that included suicidal behaviors questionnaire-revised (SBQ-R), Adolescent Self-Rating Life Events Check List (ASLEC), suicide exposure questionnaire, social and demographic characteristics questionnaire. The incidence of exposure to suicide events involving close relatives and acquaintances were 3.9% and 11.8% among sampled Chinese college students, respectively. Students exposed to suicide events involving close relatives had significantly higher total SBQ-R scores than those who did not (5.51∓2.44 vs 4.68∓2.11, P<0.01), and suicide events of acquaintances were also associated with significantly increased total SBQ-R scores (5.51∓2.44 vs 4.68∓2.11, P<0.01); these suicides events all contributed to significantly increased rates of suicidal ideation, suicide plans and suicide attempts in the college students (P<0.05). The life events showed a significant positive correlation with suicide risks (0.11≤r≤0.26, P<0.01). The interactions of exposure to suicide events involving close relatives and acquaintances and the interactions of life events and suicide of close relatives for suicide risk were not significant (P>0.05), but exposure to acquaintance suicide events moderated the effects of life events on suicide risk (P<0.01), and the college students with a high level of life events and history of acquaintance suicide had the highest risk for suicide. In Chinese college students, the risk of suicide is closely associated with exposure to suicide events and life events, and exposure to suicide events involving acquaintances can modulate the effects of life events on suicide risk.
Imagery use of athletes in individual and team sports that require open and closed skill.
Kizildag, Esen; Tiryaki, M Sefik
2012-06-01
This study compared use of imagery in elite male and female athletes in open and closed and individual or team sports. A total of 151 elite Turkish athletes ages 15 to 29 years old (males' M age=20.7 yr., SD=3.3; females' M age=20.0 yr., SD=3.5) from open-team sports (n=66), open-individual sports (n=26), and closed-individual sports (n=59) completed the sport imagery questionnaire. A significant multivariate effect of sport type was found. Univariate analyses indicated that male and female athletes in team open-skill sports and individual closed-skill sports used more motivational general-mastery imagery than did athletes in individual open-skill sports.
Effects of tritium gas exposure on the dynamic mechanical properties of EPDM elastomer
DOE Office of Scientific and Technical Information (OSTI.GOV)
Clark, E. A.; Staack, G. C.
2008-07-15
Samples of ethylene propylene diene monomer (EPDM) elastomer were exposed to tritium gas in closed containers at 101 kPa (1 atmosphere) pressure and ambient temperature for about one week. Tritium exposure effects on the samples were characterized by dynamic mechanical analysis (DMA) and radiolysis products were characterized by measuring the total final pressure and composition in the exposure containers at the end of exposure period. There was no effect of one week tritium exposure on the glass transition temperature, Tg, of the samples tested. Impurity gases produced in the closed containers included HT and lesser amounts of H{sub 2}, DTO,more » and CT{sub 4}. The total pressure remained the same during exposure. (authors)« less
EFFECTS OF TRITIUM GAS EXPOSURE ON THE DYNAMIC MECHANICAL PROPERTIES OF EPDM ELASTOMER
DOE Office of Scientific and Technical Information (OSTI.GOV)
Clark, E; Gregory Staack, G
2007-08-13
Samples of ethylene propylene diene monomer (EPDM) elastomer were exposed to tritium gas in closed containers initially at 101 kPa (1 atmosphere) pressure and ambient temperature for about one week. Tritium exposure effects on the samples were characterized by dynamic mechanical analysis (DMA) and radiolysis products were characterized by measuring the total final pressure and composition in the exposure containers at the end of exposure period. There was no effect of one week tritium exposure on the glass transition temperature, Tg, of the samples tested. Impurity gases produced in the closed containers included HT and lesser amounts of H{sub 2},more » DTO, and CT{sub 4}. The total pressure remained the same during exposure.« less
Observation of cavitation in a mechanical heart valve in a total artificial heart.
Lee, Hwansung; Tsukiya, Tomonori; Homma, Akihiko; Kamimura, Tadayuki; Takewa, Yoshiaki; Nishinaka, Tomohiro; Tatsumi, Eisuke; Taenaka, Yoshiyuki; Takano, Hisateru; Kitamura, Soichiro
2004-01-01
Recently, cavitation on the surface of mechanical heart valves has been studied as a cause of fractures occurring in implanted mechanical heart valves. The cause of cavitation in mechanical heart valves was investigated using the 25 mm Medtronic Hall valve and the 23 mm Omnicarbon valve. Closing of these valves in the mitral position was simulated in an electrohydraulic totally artificial heart. Tests were conducted under physiologic pressures at heart rates from 60 to 100 beats per minute with cardiac outputs from 4.8 to 7.7 L/min. The disk closing motion was measured by a laser displacement sensor. A high-speed video camera was used to observe the cavitation bubbles in the mechanical heart valves. The maximum closing velocity of the Omnicarbon valve was faster than that of the Medtronic Hall valve. In both valves, the closing velocity of the leaflet, used as the cavitation threshold, was approximately 1.3-1.5 m/s. In the case of the Medtronic Hall valve, cavitation bubbles were generated by the squeeze flow and by the effects of the venturi and the water hammer. With the Omnicarbon valve, the cavitation bubbles were generated by the squeeze flow and the water hammer. The mechanism leading to the development of cavitation bubbles depended on the valve closing velocity and the valve stop geometry. Most of the cavitation bubbles were observed around the valve stop and were generated by the squeeze flow.
3D Analysis of Porosity in a Ceramic Coating Using X-ray Microscopy
NASA Astrophysics Data System (ADS)
Klement, Uta; Ekberg, Johanna; Kelly, Stephen T.
2017-02-01
Suspension plasma spraying (SPS) is a new, innovative plasma spray technique using a feedstock consisting of fine powder particles suspended in a liquid. Using SPS, ceramic coatings with columnar microstructures have been produced which are used as topcoats in thermal barrier coatings. The microstructure contains a wide pore size range consisting of inter-columnar spacings, micro-pores and nano-pores. Hence, determination of total porosity and pore size distribution is a challenge. Here, x-ray microscopy (XRM) has been applied for describing the complex pore space of the coatings because of its capability to image the (local) porosity within the coating in 3D at a resolution down to 50 nm. The possibility to quantitatively segment the analyzed volume allows analysis of both open and closed porosity. For an yttria-stabilized zirconia coating with feathery microstructure, both open and closed porosity were determined and it could be revealed that 11% of the pore volumes (1.4% of the total volume) are closed pores. The analyzed volume was reconstructed to illustrate the distribution of open and closed pores in 3D. Moreover, pore widths and pore volumes were determined. The results on the complex pore space obtained by XRM are discussed in connection with other porosimetry techniques.
NASA Technical Reports Server (NTRS)
1981-01-01
The locations of total ozone stations and of stratospheric ozone samplings were presented. The samplings are concentrated in three areas: Japan, Europe, and India. Approximately 75% of the total ozone measurements are made with Dobson instruments which offer the best international measurements. When well calibrated their accuracy is on the order of a few percent. It is found that although the total ozone percent is similar in both hemispheres, the northern hemisphere has 3 to 10% more ozone than the southern hemisphere. The close association between total ozone distribution and pressure distribution in the atmosphere is noted.
On total noncommutativity in quantum mechanics
NASA Astrophysics Data System (ADS)
Lahti, Pekka J.; Ylinen, Kari
1987-11-01
It is shown within the Hilbert space formulation of quantum mechanics that the total noncommutativity of any two physical quantities is necessary for their satisfying the uncertainty relation or for their being complementary. The importance of these results is illustrated with the canonically conjugate position and momentum of a free particle and of a particle closed in a box.
USDA-ARS?s Scientific Manuscript database
Soil erosion and sediment loss with runoff are closely linked to global carbon and nitrogen cycles. Reducing tillage has been shown to reduce erosion and runoff sediment-bound carbon (C) and nitrogen (N) losses. However, published studies represent only a few soil types and regions and rarely direct...
NASA Astrophysics Data System (ADS)
Melo, Carlos S.; Ramalho, Ricardo S.; Quartau, Rui; Hipólito, Ana; Gil, Artur; Borges, Paulo A.; Cardigos, Frederico; Ávila, Sérgio P.; Madeira, José; Gaspar, João L.
2018-06-01
Supratidal talus-platforms are low-relief subaerial accumulations of debris produced by mass wasting along high coastal cliffs, being particularly abundant at reefless volcanic islands subjected to high wave energy. Known as "fajãs" across the Portuguese-speaking Atlantic archipelagos, these coastal features, on rare occasions, may exhibit lagoons, constituting sites of high geological, biological, landscape, and social value. Whilst the origin of fajãs is firmly established as being the product of coastal landslides, little is known about the processes that shape fajãs with lagoons. In particular, doubts still remain concerning whether fajãs featuring lagoons are a fortuitous product of mass wasting, or result from marine reworking (by waves and currents) after emplacement. On October 30, 2012, a coastal landslide ( 0.001 km3) occurred on Corvo Island, Azores Archipelago, forming a nearshore gravel islet that later migrated to the island's coast, resulting in a fajã with an ephemeral lagoon (Fajã dos Milagres). This event provided a unique opportunity to study the generation and development of fajãs with lagoons, and therefore a 3-year survey was carried out to record its evolution. This GIS-based study used aerial oblique photography and satellite optical imagery, complemented with a land survey for a more precise topographic reconstruction. Analysis of data concerning bathymetry, precipitation, and wave regime was also employed to investigate the driving forces behind the morphodynamic evolution of the deposit. "Fajã dos Milagres" evolved very rapidly, through an evolutionary pattern with five main stages: 1) "islet stage"; 2) "gravel spit stage"; 3) "early lagoon stage"; 4) "mature lagoon stage"; and 5) "fajã (without lagoon) stage". Our reconstructions show that, for fajãs with lagoons to be formed, several factors should converge: a) presence of high coastal cliffs, made up of composite volcanic sequences, capable of producing large landslides that supply sufficient mobile sediment to the shelf; b) presence of a shallow, wide insular shelf where the sediments can be transported without significant loss to the submarine slopes; and c) a wave-dominated, high-energy regime, capable of significant cross-shore and longshore sediment drift. These observations allowed us to propose a preliminary conceptual evolutionary model for the generation of fajãs with lagoons, where marine reworking plays a fundamental role. Finally, this study documents the generation and very rapid subsequent evolution of a clastic coastal morphology solely driven by the action of waves and currents, and without interference from relative sea level and/or external sediment replenishment, with possible implications to other settings.
[Tibiotalocalcaneal arthrodesis using a retrograde nail locked in the sagittal plane].
Veselý, R; Procházka, V; Visna, P; Valentová, J; Savolt, J
2008-04-01
To evaluate our experience with the use of a retrograde nail locked in the sagittal plane for tibiotalocalcaneal arthrodesis indicated in severe post-traumatic arthritis of the ankle. Twenty patients, 16 men and four women at an average age of 58.7 years (range, 23 to 72) were evaluated. All patients had severe post-traumatic changes in the talocrural and talocalcaneal joints. Five patients also had an equinus deformity. In two patients arthrodesis followed the treatment of purulent arthritis of the talocrural joint. A local fasciocutaneous flap was used for soft tissue reconstruction in three patients. All patients were operated on using the standard surgical technique. METHODS With the patient in a supine position, reamed by hand with the use of a driving rod, a straight retrograde AAN Orthofix nail was inserted through the heel bone and talus into the distal tibia and locked in these bones in the sagittal plane. No complications such as injury to the neurovascular plexus or pseudoarthrosis were recorded. Four patients showed a reaction to the proximal locking screw on the proximal tibial surface, which was treated by earlier screw removal under topical anaesthesia. Due to infectious complications, the nail had to be removed prematurely in one patient. The average Foot Function Index was 12 points (range, 10 to 15) and the average ankle-hindfoot score was 67.6 points (range, 59 to 84). Thirteen patients (65 %) were not limited in their daily activities or recreational sports, six (30 %) experienced pain in sports but not daily activities and one patient (5 %) reported pain even when walking. All fusions healed in the correct position within 18 weeks. Tibiotalocalcaneal arthrodesis is not a frequent surgical procedure in either trauma surgery or orthopaedics. For this complicated procedure, rather than intramedullary nails, internal fixation with screws or plates or external fixation are preferred. The high rate of bony healing can be explained by maintenance of exact nail locking in the sagittal plane. The antero- posterior approach provides a more secure locking in the bone and assists in neutralizing sagittal forces at the site of arthrodesis. The use of reamed interlocking nails can therefore be accepted not only for treatment of long-bone fractures, but also for treating pseudoarthrosis and in complicated or failed arthrodesis. Patients' satisfaction is the primary goal we strive to achieve in severe post-traumatic conditions of the talus and foot. Repeat surgery, spongioplasty, external fixation revision for pin-tract infection, persistent pain, activity restriction and poor clinical results reduce patients' satisfaction. In our group, the rate of healed arthrodesis was high and the number of complications was low, therefore our patients' satisfaction was high.
Adrian, B.M.; Frisken, J.G.; Bradley, L.A.; Taylor, Cliff D.; McHugh, J.B.
1987-01-01
In the summer of 1985, the U.S. Geological Survey conducted a reconnaissance geochemical survey of the Skedaddle (CA-020-612) and Dry Valley Rim (CA-020-615) Wilderness Study Areas in Lassen County, California, and Washoe County, Nevada.Skedaddle and Dry Valley Rim are contiguous wilderness study areas (WSA) located in the eastern part of the Modoc Plateau in Lassen County, northeastern California, and Washoe County, northwestern Nevada (fig. 1). The Skedaddle study area encompasses 39,420 acres and the Dry Valley Rim study area encompasses 54,480 acres of Bureau of Land Management administered public land about 25 mi east of Susanville, California. The Skedaddle study area is bounded on the east by the Skedaddle road, on the north by the Smoke Creek Road, on the south by the Wendel road, and on the west by the rim west of Wendel Canyon. The Dry Valley Rim study area is bounded on the east by the lower Smoke Creek road, the Dry Valley road, and the Pipe Springs Road. The northern boundary is the Smoke Creek Ranch road, the southern boundary the Wendel road, and the western boundary the east-side Skedaddle road. Access to the study areas is provided by several light-duty dirt roads and ways that join the boundary roads. Elevations range from 3,800 (1158 m) to 7,552 ft (2302 m). Steep rim rock walls and talus-covered canyons are common in the eastern third of the Dry Valley Rim study area, and the western third of the Skedaddle study area, while the majority of both study areas is gradually sloping, covered only by sparse sagebrush. Existing geologic maps that cover the two study areas consist of Lydon and others (I960), Bonham (1969), and Diggles and others (1986).The Skedaddle Wilderness Study Area consists of two parallel ridges, the Skedaddle Mountains and the Amedee Mountains. The ridges bound the Wendel and Spencer basins, an area of bleached and silicified rocks. Dry Valley Rim is a 17-mi (5.2 m)-long north-south-trending fault block that is situated 1,500 ft (457 m) above the Smoke Creek Desert to the east. The rim provides good exposure of the thick sequences of volcanic rocks that underlie the wilderness study area.The rocks of the study areas consist mostly of Tertiary basalt, andesite, and lahar with minor amounts of rhyolitic ash-flow tuff, rhyolite, and dacite. Surficial deposits consist of colluvium, alluvium, and talus, as well as aeolian, lacustrine, and fluvial deposits.
Surgical margins in head and neck squamous cell carcinoma: what is 'close'?
Alicandri-Ciufelli, Matteo; Bonali, Marco; Piccinini, Alessia; Marra, Laura; Ghidini, Angelo; Cunsolo, Elio Maria; Maiorana, Antonino; Presutti, Livio; Conte, Pier Franco
2013-09-01
The aim of this systematic review is to evaluate the definition of close margin in head and neck squamous cell carcinoma (HNSCC), and its possible prognostic significance. An appropriate string was run on PubMed to retrieve articles discussing the 'close' surgical margin issue in HNSCC. A double cross-check was performed on citations and full-text articles retrieved. In total, 348 articles were identified. Further references were included by using the option "Titles in your search terms" option in PubMed. 15 papers were finally included for qualitative synthesis. In vocal cord surgery of HNSCC, a close margin could be considered to be ≤1 mm, in the larynx ≤5 mm, in the oral cavity ≤4 mm, and in the oropharynx ≤5 mm. In each patient, the choice of extent of close margin should be balanced against general condition, tumor stage, and functional issues to indicate appropriate adjuvant therapy.
Li, Leyuan; Xie, Beizhen; Dong, Chen; Hu, Dawei; Wang, Minjuan; Liu, Guanghui; Liu, Hong
2015-11-01
Yellow mealworm (Tenebrio molitor L.) is one of the animal candidates for space bioregenerative life support systems. In this study, T. molitor was involved in a 105-day multi-crew closed integrative BLSS experiment for a tentative rearing study. The results showed that the overall bioconversion rate (ratio of T. molitor gained to the total feed consumed) of T. molitor reared in the closed system was 8.13%, while 78.43% of the feed was excreted as frass. T. molitor reared in the closed system had a good nutritional composition. The eight essential amino acids (EAAs) in T. molitor larvae accounted for 41.30% of its total amino acids, and most EAA contents were higher than the suggested amino acid pattern recommended by the FAO/WHO. T. molitor sample obtained in this work was high in polyunsaturated fatty acids, and low in saturated fatty acids, indicating that the composition of fatty acids was beneficial to human health. In the open environment outside the experimental system, we simultaneously reared three parallel groups of larval T. molitor using the same feeding regime and temperature condition. Compared with T. molitor reared in the open environment, larvae reared in the closed system grew slower. With the course of time t, the growth rate of T. molitor in the open environment was 0.839e(0.017t) times that of larvae in the closed system. This paper can provide data for future design and improvement of BLSS containing a T. molitor rearing unit. Copyright © 2015 The Committee on Space Research (COSPAR). Published by Elsevier Ltd. All rights reserved.
Manzo-Delgado, Lilia; López-García, José; Alcántara-Ayala, Irasema
2014-06-01
With international concern about the rates of deforestation worldwide, particular attention has been paid to Latin America. Forest conservation programmes in Mexico include Payment for Environmental Services (PES), a scheme that has been successfully introduced in the Monarch Butterfly Biosphere Reserve. To seek further evidence of the role of PES in lessening land degradation processes in a temperate region, the conservation state of the Cerro Prieto ejido within the Reserve was assessed by an analysis of changes in vegetation cover and land-use between 1971 and 2013. There were no changes in the total forest surface area, but the relative proportions of the different classes of cover density had changed. In 1971, closed and semi-closed forest occupied 247.81 ha and 5.38 ha, 82.33% and 1.79% of the total area of the ejido, respectively. By 2013, closed forest had decreased to 230.38 ha (76.54% of the ejido), and semi-closed cover was 17.23 ha (5.72% of the ejido), suggesting that some semi-closed forest had achieved closed status. The final balance between forest losses and recovery was: 29.63 ha were lost, whereas 13.72 ha were recovered. Losses were mainly linked to a sanitation harvest programme to control the bark beetle Scolytus mundus. Ecotourism associated with forest conservation in the Cerro Prieto ejido has been considered by inhabitants as a focal alternative for economic development. Consequently, it is essential to develop a well-planned and solidly structured approach based on social cohesion to foster a community-led sustainable development at local level. Copyright © 2013 Elsevier Ltd. All rights reserved.
Convergent close-coupling calculations of positron-magnesium scattering
DOE Office of Scientific and Technical Information (OSTI.GOV)
Savage, Jeremy S.; Fursa, Dmitry V.; Bray, Igor
2011-06-15
The single-center convergent close-coupling method has been applied to positron-magnesium scattering at incident energies from 0.01 to 100 eV. Cross sections are presented for elastic scattering and excitation of 3 {sup 1}P, as well as for the total ionization and total scattering processes. We also provide an estimate of the positronium formation cross section. The results agree very well with the measurements of the total cross section by Stein et al. [Nucl. Instrum. Methods Phys. Res. Sect. B 143, 68 (1998)], and consistent with the positronium formation measurements of Surdutovich et al. [Phys. Rev. A 68, 022709 (2003)] for positronmore » energies above the ionization threshold. For energies below the positronium formation threshold (0.8 eV) we find a large P-wave resonance at 0.17 eV. A similar resonance behavior was found by Mitroy and Bromley [Phys. Rev. Lett. 98, 173001 (2007)] at an energy of 0.1 eV.« less
NASA Astrophysics Data System (ADS)
Buchholz, Bernhard; Afchine, Armin; Klein, Alexander; Schiller, Cornelius; Krämer, Martina; Ebert, Volker
2017-01-01
The novel Hygrometer for Atmospheric Investigation (HAI) realizes a unique concept for simultaneous gas-phase and total (gas-phase + evaporated cloud particles) water measurements. It has been developed and successfully deployed for the first time on the German HALO research aircraft. This new instrument combines direct tunable diode laser absorption spectroscopy (dTDLAS) with a first-principle evaluation method to allow absolute water vapor measurements without any initial or repetitive sensor calibration using a reference gas or a reference humidity generator. HAI contains two completely independent dual-channel (closed-path, open-path) spectrometers, one at 1.4 and one at 2.6 µm, which together allow us to cover the entire atmospheric H2O range from 1 to 40 000 ppmv with a single instrument. Both spectrometers each comprise a separate, wavelength-individual extractive, closed-path cell for total water (ice and gas-phase) measurements. Additionally, both spectrometers couple light into a common open-path cell outside of the aircraft fuselage for a direct, sampling-free, and contactless determination of the gas-phase water content. This novel twin dual-channel setup allows for the first time multiple self-validation functions, in particular a reliable, direct, in-flight validation of the open-path channels. During the first field campaigns, the in-flight deviations between the independent and calibration-free channels (i.e., closed-path to closed-path and open-path to closed-path) were on average in the 2 % range. Further, the fully autonomous HAI hygrometer allows measurements up to 240 Hz with a minimal integration time of 1.4 ms. The best precision is achieved by the 1.4 µm closed-path cell at 3.8 Hz (0.18 ppmv) and by the 2.6 µm closed-path cell at 13 Hz (0.055 ppmv). The requirements, design, operation principle, and first in-flight performance of the hygrometer are described and discussed in this work.
Marvin, Christopher C.; Voight, Eric A.; Suh, Judy M.; Paradise, Christopher L.; Burke, Steven D.
2009-01-01
The synthesis of didemniserinolipid B utilizing a ketalization/ring-closing metathesis (K/RCM) strategy is described. In the course of this work, a novel 2-allyl-4-fluorophenyl auxiliary for relay ring-closing metathesis (RRCM) was developed which increased the yield of the RCM. The resulting 6,8-dioxabicyclo[3.2.1]octene core was selectively functionalized by complimentary dihydroxylation and epoxidation routes to install the C10 axial alcohol. This bicyclic ketal core was further functionalized by etherification and an alkene cross metathesis with an unsaturated α-phenylselenyl ester en route to completing the total synthesis. PMID:18811201
Franck, Géraldine; Brödner, Kerstin; Helmchen, Günter
2010-09-03
A modular synthesis of cyclohexenones is described and applied to the first enantioselective total syntheses of (+)-crypto- and (+)-infectocaryone. Key steps in the synthesis of cyclohexenones are an iridium-catalyzed allylic alkylation, nucleophilic allylation, and ring-closing metathesis. On the way to (+)-cryptocaryone, a catch and release strategy involving an iodolactonization/elimination and a regioselective C-acylation were used.
Urban storm-runoff modelling; Madison, Wisconsin
Grant, R. Stephen; Goddard, Gerald
1979-01-01
A brief inconclusive evaluation of the water-quality subroutines of the model was made. Close agreement was noted between observed and simulated loads for nitrates, organic nitrogen, total phosphate, and total solids. Ammonia nitrogen and orthophosphate computed by the model ranged 7 to 11 times greater than the observed loads. Observed loads are doubtful because of the sparsity of water-quality data.
Patterns of change in climate and Pacific salmon production
Nathan J. Mantua
2009-01-01
For much of the 20th century a clear north-south inverse production pattern for Pacific salmon had a time dynamic that closely followed that of the Pacific Decadal Oscillation (PDO), which is the dominant pattern of North Pacific sea surface temperature variability. Total Alaska salmon production was high during warm regimes of the PDO, and total Alaska salmon...
USDA-ARS?s Scientific Manuscript database
A feeding trial was conducted in a closed system with Nile tilapia (Oreochromis niloticus) juveniles (mean weight, 2.84 g) to examine the effects of total replacement of fish meal (FM), with and without supplementation of DL-methionine (Met) and L-lysine (Lys), by plant protein sources. Fish were f...
Electromagnetic pulses, localized and causal
NASA Astrophysics Data System (ADS)
Lekner, John
2018-01-01
We show that pulse solutions of the wave equation can be expressed as time Fourier superpositions of scalar monochromatic beam wave functions (solutions of the Helmholtz equation). This formulation is shown to be equivalent to Bateman's integral expression for solutions of the wave equation, for axially symmetric solutions. A closed-form one-parameter solution of the wave equation, containing no backward-propagating parts, is constructed from a beam which is the tight-focus limit of two families of beams. Application is made to transverse electric and transverse magnetic pulses, with evaluation of the energy, momentum and angular momentum for a pulse based on the general localized and causal form. Such pulses can be represented as superpositions of photons. Explicit total energy and total momentum values are given for the one-parameter closed-form pulse.
NASA Technical Reports Server (NTRS)
Bagdigian, R. M.; Traweek, M. S.; Griffith, G. K.; Griffin, M. R.
1991-01-01
A series of tests has been conducted at the NASA Marshall Space Flight Center (MSFC) to evaluate the performance of a predevelopment water recovery system. Potable, hygiene, and urine reclamation subsystems were integrated with end-use equipment items and successfully operated in open and partially closed-loop modes, with man-in-the-loop, for a total of 28 days. Several significant subsystem physical anomalies were encountered during testing. Reclaimed potable and hygiene water generally met the current Space Station Freedom (SSF) water quality specifications for inorganic and microbiological constituents, but exceeded the maximum allowable concentrations for Total Organic Carbon (TOC). This paper summarizes the test objectives, system design, test activities/protocols, significant results/anomalies, and major lessons learned.
NASA Technical Reports Server (NTRS)
Muller, Matthew S.; Bauer, Clarence F.
1994-01-01
Performance of NASA's prototype CELSS Breadboard Project Closed Aquaculture System was evaluated by estimating gas exchange quantification and preliminary carbon and nitrogen balances. The total system oxygen consumption rate was 535 mg/hr kg/fish (cv = 30%) when stocked with Tilapia aurea populations (fresh weights of 97 +/- 19 to 147 +/- 36 g/fish for various trials). Oxygen consumption by T. aurea (260 mg/hr kg/fish) contributed to approximately one-half of total system demand. Continuous carbon dioxide quantification methods were analyzed using the,relation of carbon dioxide to oxygen consumption. Overall food conversion rates averaged 18.2 +/- 3.2%. Major pathways for nitrogen and carbon in the system were described with preliminary mass closure of 60-80% and 60% for nitrogen and carbon.
a Multi Objective Model for Optimization of a Green Supply Chain Network
NASA Astrophysics Data System (ADS)
Paksoy, Turan; Özceylan, Eren; Weber, Gerhard-Wilhelm
2010-06-01
This study develops a model of a closed-loop supply chain (CLSC) network which starts with the suppliers and recycles with the decomposition centers. As a traditional network design, we consider minimizing the all transportation costs and the raw material purchasing costs. To pay attention for the green impacts, different transportation choices are presented between echelons according to their CO2 emissions. The plants can purchase different raw materials in respect of their recyclable ratios. The focuses of this paper are conducting the minimizing total CO2 emissions. Also we try to encourage the customers to use recyclable materials as an environmental performance viewpoint besides minimizing total costs. A multi objective linear programming model is developed via presenting a numerical example. We close the paper with recommendations for future researches.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Pederson, Mark R., E-mail: mark.pederson@science.doe.gov
2015-02-14
A recent modification of the Perdew-Zunger self-interaction-correction to the density-functional formalism has provided a framework for explicitly restoring unitary invariance to the expression for the total energy. The formalism depends upon construction of Löwdin orthonormalized Fermi-orbitals which parametrically depend on variational quasi-classical electronic positions. Derivatives of these quasi-classical electronic positions, required for efficient minimization of the self-interaction corrected energy, are derived and tested, here, on atoms. Total energies and ionization energies in closed-shell singlet atoms, where correlation is less important, using the Perdew-Wang 1992 Local Density Approximation (PW92) functional, are in good agreement with experiment and non-relativistic quantum-Monte-Carlo results albeitmore » slightly too low.« less
Cattani, M; Tagliapietra, F; Maccarana, L; Hansen, H H; Bailoni, L; Schiavon, S
2014-03-01
This study compared measured gas production (GP) and computed CH4 production values provided by closed or vented bottles connected to gas collection bags. Two forages and 3 concentrates were incubated. Two incubations were conducted, where the 5 feeds were tested in 3 replicates in closed or vented bottles, plus 4 blanks, for a total of 64 bottles. Half of the bottles were not vented, and the others were vented at a fixed pressure (6.8 kPa) and gas was collected into one gas collection bag connected to each bottle. Each bottle (317 mL) was filled with 0.4000 ± 0.0010 g of feed sample and 60 mL of buffered rumen fluid (headspace volume = 257 mL) and incubated at 39.0°C for 24 h. At 24 h, gas samples were collected from the headspace of closed bottles or from headspace and bags of vented bottles and analyzed for CH4 concentration. Volumes of GP at 24 h were corrected for the gas dissolved in the fermentation fluid, according to Henry's law of gas solubility. Methane concentration (mL/100mL of GP) was measured and CH4 production (mL/g of incubated DM) was computed using corrected or uncorrected GP values. Data were analyzed for the effect of venting technique (T), feed (F), interaction between venting technique and feed (T × F), and incubation run as a random factor. Closed bottles provided lower uncorrected GP (-18%) compared with vented bottles, especially for concentrates. Correction for dissolved gas reduced but did not remove differences between techniques, and closed bottles (+25 mL of gas/g of incubated DM) had a greater magnitude of variation than did vented bottles (+1 mL of gas/g of incubated DM). Feeds differed in uncorrected and corrected GP, but the ranking was the same for the 2 techniques. The T × F interaction influenced uncorrected GP values, but this effect disappeared after correction. Closed bottles provided uncorrected CH4 concentrations 23% greater than that of vented bottles. Correction reduced but did not remove this difference. Methane concentration was influenced by feed but not by the T × F interaction. Corrected CH4 production was influenced by feed, but not by venting technique or the T × F interaction. Closed bottles provide good measurements of CH4 production but not of GP. Venting of bottles at low pressure permits a reliable evaluation of total GP and CH4 production. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
2010-01-01
Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI) and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass) infusion containers. Methods A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases) and patients without CLABSI (controls) were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days) associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143); 56% of the cases and 57% of the controls were females (p = 0.922). The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p < 0.001). Overall, the mean total costs of patients with and without CLABSI were € 18,241 and € 9,087, respectively (p < 0.001). On average, the extra cost for drugs was € 843 (p < 0.001), for supplies € 133 (p = 0.116), for lab tests € 171 (p < 0.001), and for specialist visits € 15 (p = 0.019). The mean extra cost for hospital stay (overhead) was € 7,180 (p < 0.001). The closed infusion container was a dominant strategy. It resulted in lower CLABSI rates (3.5 vs. 8.2 CLABSIs per 1000 central line days for closed vs. open infusion container) without any significant difference in total production costs. The higher acquisition cost of the closed infusion container was offset by savings incurred in other phases of production, especially waste management. Conclusions CLABSI results in considerable and significant increase in utilization of hospital resources. Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets. PMID:20459753
Tarricone, Rosanna; Torbica, Aleksandra; Franzetti, Fabio; Rosenthal, Victor D
2010-05-10
The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI) and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass) infusion containers. A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases) and patients without CLABSI (controls) were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days) associated with the two infusion containers. A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143); 56% of the cases and 57% of the controls were females (p = 0.922). The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p < 0.001). Overall, the mean total costs of patients with and without CLABSI were euro 18,241 and euro 9,087, respectively (p < 0.001). On average, the extra cost for drugs was euro 843 (p < 0.001), for supplies euro 133 (p = 0.116), for lab tests euro 171 (p < 0.001), and for specialist visits euro 15 (p = 0.019). The mean extra cost for hospital stay (overhead) was euro 7,180 (p < 0.001). The closed infusion container was a dominant strategy. It resulted in lower CLABSI rates (3.5 vs. 8.2 CLABSIs per 1000 central line days for closed vs. open infusion container) without any significant difference in total production costs. The higher acquisition cost of the closed infusion container was offset by savings incurred in other phases of production, especially waste management. CLABSI results in considerable and significant increase in utilization of hospital resources. Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets.
Kovatchev, Boris P; Renard, Eric; Cobelli, Claudio; Zisser, Howard C; Keith-Hynes, Patrick; Anderson, Stacey M; Brown, Sue A; Chernavvsky, Daniel R; Breton, Marc D; Farret, Anne; Pelletier, Marie-Josée; Place, Jérôme; Bruttomesso, Daniela; Del Favero, Simone; Visentin, Roberto; Filippi, Alessio; Scotton, Rachele; Avogaro, Angelo; Doyle, Francis J
2013-07-01
To evaluate the feasibility of a wearable artificial pancreas system, the Diabetes Assistant (DiAs), which uses a smart phone as a closed-loop control platform. Twenty patients with type 1 diabetes were enrolled at the Universities of Padova, Montpellier, and Virginia and at Sansum Diabetes Research Institute. Each trial continued for 42 h. The United States studies were conducted entirely in outpatient setting (e.g., hotel or guest house); studies in Italy and France were hybrid hospital-hotel admissions. A continuous glucose monitoring/pump system (Dexcom Seven Plus/Omnipod) was placed on the subject and was connected to DiAs. The patient operated the system via the DiAs user interface in open-loop mode (first 14 h of study), switching to closed-loop for the remaining 28 h. Study personnel monitored remotely via 3G or WiFi connection to DiAs and were available on site for assistance. The total duration of proper system communication functioning was 807.5 h (274 h in open-loop and 533.5 h in closed-loop), which represented 97.7% of the total possible time from admission to discharge. This exceeded the predetermined primary end point of 80% system functionality. This study demonstrated that a contemporary smart phone is capable of running outpatient closed-loop control and introduced a prototype system (DiAs) for further investigation. Following this proof of concept, future steps should include equipping insulin pumps and sensors with wireless capabilities, as well as studies focusing on control efficacy and patient-oriented clinical outcomes.
Journal of Rehabilitation Research and Development, Spring 1991. Volume 28, Number 2
1991-01-01
diameter extruded bars of nylon 6/6. Total requested to be returned to the ankle following the test manufacturing cost has been reduced drastically and part...Open bottle cap Spoon-feed meals Close bottle cap Feed snack Place drinking straw Remove drinking straw Open small refrigerator door Close small...Observed in this Study as Being Performed by a Monkey Helper Feeding Manipulating Objects Spoon-feed meals Feed snacks Wipe table top Hold sandwich
Modelling of the 10-micrometer natural laser emission from the mesospheres of Mars and Venus
NASA Technical Reports Server (NTRS)
Deming, D.; Mumma, M. J.
1983-01-01
The NLTE radiative transfer problem is solved to obtain the 00 deg 1 vibrational state population. This model successfully reproduces the existing center-to-limb observations, although higher spatial resolution observations are needed for a definitive test. The model also predicts total fluxes which are close to the observed values. The strength of the emission is predicted to be closely related to the instantaneous near-IR solar heating rate.
Modeling of the 10-micron natural laser emission from the mesospheres of Mars and Venus
NASA Technical Reports Server (NTRS)
Deming, D.; Mumma, M. J.
1983-01-01
The NLTE radiative transfer problem is solved to obtain the 00 deg 1 vibrational state population. This model successfully reproduces the existing center-to-limb observations, although higher spatial resolution observations are needed for a definitive test. The model also predicts total fluxes which are close to the observed values. The strength of the emission is predicted to be closely related to the instantaneous near-IR solar heating rate.
General closeup view of the swing span bridge in the ...
General close-up view of the swing span bridge in the close position, looking upriver. The pivot/center pier is positioned in the center of Tennessee River. Note: Each arm of the continuous swing span acts as simple spans. The total span over four (4) supports is partially continuous-- the middle panel at the center pier is continuous for bending moments, but discontinuous for shears. - Bridgeport Swing Span Bridge, Spanning Tennessee River, Bridgeport, Jackson County, AL
Open- and closed-state fast inactivation in sodium channels
Lehmann-Horn, Frank; Holzherr, Boris D
2011-01-01
The role of sodium channel closed-state fast inactivation in membrane excitability is not well understood. We compared open- and closed-state fast inactivation, and the gating charge immobilized during these transitions, in skeletal muscle channel hNaV1.4. A significant fraction of total charge movement and its immobilization occurred in the absence of channel opening. Simulated action potentials in skeletal muscle fibers were attenuated when pre-conditioned by subthreshold depolarization. Anthopleurin A, a site-3 toxin that inhibits gating charge associated with the movement of DIVS4, was used to assess the role of this voltage sensor in closed-state fast inactivation. Anthopleurin elicited opposing effects on the gating mode, kinetics and charge immobilized during open- versus closed-state fast inactivation. This same toxin produced identical effects on recovery of channel availability and remobilization of gating charge, irrespective of route of entry into fast inactivation. Our findings suggest that depolarization promoting entry into fast inactivation from open versus closed states provides access to the IFMT receptor via different rate-limiting conformational translocations of DIVS4. PMID:21099342
Development and assessment of sterility of a closed-system pediatric peritoneal dialysis.
Biazi, Ana Paula Pereira; Croti, Ulisses Alexandre; Braile, Domingo Marcolino; Oliveira, Marcos Aurélio Barboza de; Costa, Jane Gonçalves Soares; Cardoso, Lucas Monteiro
2009-01-01
To develop an easy-handling totally closed pediatric peritoneal dialysis system and assess the sterility assurance level. From February to December 2008 was designed and developed a closed-system pediatric peritoneal dialysis at the Bioengineering Division of Braile Biomédica Indústria, Comércio e Representações S/A. Twenty systems were manufactured and submitted to sterility assurance level testing, and were divided into Group A (10)--using the sterility test--and B (10)--ethylene oxide gas penetration. In Group A, the sterility test was negative for bacteria and fungi proliferation within 14 days in all systems. In Group B, the gas penetration test showed that there was gas penetration in all points assessed. It was possible to develop a new easy-handling closed-system pediatric peritoneal dialysis and ensure its sterility.
Rover Team Decides: Safety First
NASA Technical Reports Server (NTRS)
2006-01-01
NASA's Mars Exploration Rover Spirit recorded this view while approaching the northwestern edge of 'Home Plate,' a circular plateau-like area of bright, layered outcrop material roughly 80 meters (260 feet) in diameter. The images combined into this mosaic were taken by Spirit's navigation camera during the rover's 746th, 748th and 750th Martian days, or sols (Feb. 7, 9 and 11, 2006). With Martian winter closing in, engineers and scientists working with NASA's Mars Exploration Rover Spirit decided to play it safe for the time being rather than attempt to visit the far side of Home Plate in search of rock layers that might show evidence of a past watery environment. This feature has been one of the major milestones of the mission. Though it's conceivable that rock layers might be exposed on the opposite side, sunlight is diminishing on the rover's solar panels and team members chose not to travel in a counterclockwise direction that would take the rover to the west and south slopes of the plateau. Slopes in that direction are hidden from view and team members chose, following a long, thorough discussion, to have the rover travel clockwise and remain on north-facing slopes rather than risk sending the rover deeper into unknown terrain. In addition to studying numerous images from Spirit's cameras, team members studied three-dimensional models created with images from the Mars Orbiter Camera on NASA's Mars Globel Surveyor orbiter. The models showed a valley on the southern side of Home Plate, the slopes of which might cause the rover's solar panels to lose power for unknown lengths of time. In addition, images from Spirit's cameras showed a nearby, talus-covered section of slope on the west side of Home Plate, rather than exposed rock layers scientists eventually hope to investigate. Home Plate has been on the rover's potential itinerary since the early days of the mission, when it stood out in images taken by the Mars Orbiter Camera shortly after the rover landed on Mars. Spirit arrived at Home Plate after traveling 4 miles (6.4 kilometers) across the plains of Gusev Crater, up the slopes of 'West Spur' and 'Husband Hill,' and down again. Scientists are studying the origin of the layering in the outcrop using the Athena science instruments on the rover's arm.Navarro, José Francisco; Maldonado, Enrique
2002-10-01
3,4-Methylenedioxymethamphetamine (MDMA) is a compound structurally similar to methamphetamine, which has become one of the most widely used illicit substances. Animal studies investigating acute effects of MDMA on anxiety are unclear since, although an anxiogenic-like action of MDMA in different animal models of anxiety has been mainly described, there is also evidence supporting an anxiolytic-like effect for this drug. An attempt was made to clarify the possible anxiogenic-like profile of MDMA (1, 8 and 15 mg/kg i.p.) by analyzing its effect on behavior of male mice in the elevated plus-maze test. Moreover, the possible development of tolerance to the effects of MDMA on anxiety after its subchronic administration for 5 consecutive days was examined. The parameters evaluated included: (1) total time in open arms, (2) total time in closed arms, (3) total time in central area, (4) number of open arm entries, (5) number of closed arm entries and (6) number of central area entries. Acute treatment with MDMA (8 mg/kg) significantly reduced the time spent in the open arms, as well as markedly increasing the number of entries in the closed arms and in the central area, as compared with the control group, suggesting that MDMA, at this dose, has an anxiogenic-like activity. Mice subchronically treated with the drug (1 and 8 mg/kg) displayed a notable reduction in the time spent in the open arms, accompanied by an increase in the time spent in the closed arms and in the central platform. These results indicate that the anxiogenic-like effect found after acute treatment is not only maintained but also more marked after subchronic treatment. In contrast, mice treated subchronically with the highest dose of MDMA (15 mg/kg) exhibited a significant increase in the time spent in the open arms as well as a marked reduction in the time spent in the closed arms, supporting an anxiolytic-like activity of the drug. A possible dual pharmacological property of MDMA on anxiety is suggested.
Medical malpractice in urology, 1985 to 2004: 469 consecutive cases closed with indemnity payment.
Perrotti, Michael; Badger, William; Prader, Susan; Moran, Michael E
2006-11-01
Malpractice premiums have increased by up to 57% for urologists in the last 3 years, for which the reasons are not clearly reported. We sought to better understand factors contributing to the current medical malpractice crisis in urology. Working with the Medical Liability Mutual Insurance Company of New York State we evaluated malpractice claims in urology that were closed with indemnity payment between 1985 and 2004. Individual claims were assessed for the purported negligent act, the procedure when applicable and the expense incurred. We also evaluated the impact of new technologies, eg laparoscopic nephrectomy, on reported claims. A total of 469 urology malpractice claims were closed with indemnity payment during the period evaluated for a total loss indemnity of Dollars 99,335,431. The number of files closed with indemnity payment yearly remained relatively constant at an average of 22 claims. The average indemnity payment increased each year and after correcting for inflation a 191% increase was observed for the period evaluated. The greatest number of claims was related to postoperative events (total of 101), followed by intraoperative events (96), failure to diagnose a given condition (60), medication administration error (21) and a foreign body left following surgery (20). In the area of new technologies laparoscopic surgery accounted for 4 claims and transurethral needle ablation accounted for 1. Vasectomy accounted for 8 claims. In the current study surgical procedures were the greatest generator of claims with the most common being oncological. Emerging and new technologies, eg laparoscopy and robotics, did not account for the increase in indemnity payments observed to date. Only further investigation will determine whether this is secondary to a lag time in the closure of suits related to these emerging technologies or to a lack of such suits. The actual number of claims closed with indemnity payment yearly remained relatively constant. However, the indemnity payment per claim far outpaced that expected for inflation. The observed increase in indemnity payment per claim would appear to be a significant contributing factor to the current malpractice crisis in urology.
Research of cartographer laser SLAM algorithm
NASA Astrophysics Data System (ADS)
Xu, Bo; Liu, Zhengjun; Fu, Yiran; Zhang, Changsai
2017-11-01
As the indoor is a relatively closed and small space, total station, GPS, close-range photogrammetry technology is difficult to achieve fast and accurate indoor three-dimensional space reconstruction task. LIDAR SLAM technology does not rely on the external environment a priori knowledge, only use their own portable lidar, IMU, odometer and other sensors to establish an independent environment map, a good solution to this problem. This paper analyzes the Google Cartographer laser SLAM algorithm from the point cloud matching and closed loop detection. Finally, the algorithm is presented in the 3D visualization tool RViz from the data acquisition and processing to create the environment map, complete the SLAM technology and realize the process of indoor threedimensional space reconstruction
40 CFR 63.544 - What are my total enclosure standards?
Code of Federal Regulations, 2014 CFR
2014-07-01
... where lead bearing material is stored in closed containers or enclosed mechanical conveyors, and areas... area within the building. (d) You must inspect enclosures and facility structures that contain any lead...
Charge Transfer in Collisions of S^4+ with He.
NASA Astrophysics Data System (ADS)
Wang, J. G.; Stancil, P. C.; Turner, A. R.; Cooper, D. L.; Schultz, D. R.; Rakovic, M. J.; Fritsch, W.; Zygelman, B.
2001-05-01
Charge transfer processes due to collisions of ground state S^4+ ions with atomic helium were investigated for energies between 0.1 meV/u and 10 MeV/u. Total and state-selective cross sections and rate coefficients were obtained utilizing the quantum-mechanical molecular-orbital close-coupling (MOCC), atomic-orbital close-coupling, classical trajectory Monte Carlo (CTMC), and continuum distorted wave methods. The MOCC calculations utilized ab initio adiabatic potentials and nonadiabatic radial coupling matrix elements obtained with the spin-coupled valence-bond approach. A number of variants of the CTMC approach were also explored. Previous data are limited to an earlier Landau-Zener calculation of the total rate coefficient for which our results are two orders of magnitude larger. An observed multichannel interference effect in the MOCC results will also be discussed.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gazo, F.M.
1997-12-31
The Philippine geothermal energy development is now considered in a state of maturity. After more than 20 years of geothermal experience, the total geothermal installed capacity in the Philippines reached 1,455 MW (1996) or about 12% of the total installed power plant capacity. This also enabled the Philippines to become the second largest producer of geothermal energy in the world. The country`s track record in harnessing geothermal energy is considered a revelation, as it continues with its vision of {open_quotes}full steam ahead{close_quotes}, originally conceived when commercial geothermal operation started in 1973. It is thus proper and timely to refer tomore » historical highlights and experiences in geothermal energy development for planning and implementation of the country`s geothermal energy program.« less
The Time Window Vehicle Routing Problem Considering Closed Route
NASA Astrophysics Data System (ADS)
Irsa Syahputri, Nenna; Mawengkang, Herman
2017-12-01
The Vehicle Routing Problem (VRP) determines the optimal set of routes used by a fleet of vehicles to serve a given set of customers on a predefined graph; the objective is to minimize the total travel cost (related to the travel times or distances) and operational cost (related to the number of vehicles used). In this paper we study a variant of the predefined graph: given a weighted graph G and vertices a and b, and given a set X of closed paths in G, find the minimum total travel cost of a-b path P such that no path in X is a subpath of P. Path P is allowed to repeat vertices and edges. We use integer programming model to describe the problem. A feasible neighbourhood approach is proposed to solve the model
Low-energy electron-impact single ionization of helium
DOE Office of Scientific and Technical Information (OSTI.GOV)
Colgan, J.; Pindzola, M. S.; Childers, G.
2006-04-15
A study is made of low-energy electron-impact single ionization of ground-state helium. The time-dependent close-coupling method is used to calculate total integral, single differential, double differential, and triple differential ionization cross sections for impact electron energies ranging from 32 to 45 eV. For all quantities, the calculated cross sections are found to be in very good agreement with experiment, and for the triple differential cross sections, good agreement is also found with calculations made using the convergent close-coupling technique.
Strong decays of DJ(3000 ) and Ds J(3040 )
NASA Astrophysics Data System (ADS)
Li, Si-Chen; Wang, Tianhong; Jiang, Yue; Tan, Xiao-Ze; Li, Qiang; Wang, Guo-Li; Chang, Chao-Hsi
2018-03-01
In this paper, we systematically calculate two-body strong decays of newly observed DJ(3000 ) and Ds J(3040 ) with 2 P (1+) and 2 P (1+') assignments in an instantaneous approximation of the Bethe-Salpeter equation method. Our results show that both resonances can be explained as the 2 P (1+') with broad width via 3P1 and 1P1 mixing in D and Ds families. For DJ(3000 ), the total width is 229.6 MeV in our calculation, close to the upper limit of experimental data, and the dominant decay channels are D2*π , D*π , and D*(2600 )π . For Ds J(3040 ), the total width is 157.4 MeV in our calculation, close to the lower limit of experimental data, and the dominant channels are D*K and D*K*. These results are consistent with observed channels in experiments. Given the very little information that has been obtained from experiments and the large error bars of the total decay widths, we recommend the detection of dominant channels in our calculation.
NASA Astrophysics Data System (ADS)
Griffin, R. E. M.; Fioletov, V.; McConnell, J. C.
2006-06-01
We report new determinations of total ozone obtained by reanalyzing a unique set of astronomical observations that were made in the mid-20th century at observatories in France (Haute-Provence) and Switzerland (Jungfraujoch) for the purpose of calculating nightly atmospheric extinction coefficients in the UV (Rayleigh scattering and total ozone) as part of a program to measure absolute stellar fluxes. Only a small fraction of the original ozone results, corresponding to data obtained during 1958-1959, are in the public domain at the World Ozone and Ultraviolet Data Centre; the rest were on handwritten sheets and were stored at Haute-Provence. Both astronomical sites are close enough geographically to Arosa (Switzerland) that the respective ozone values can be compared directly. The comparison reveals a generally very close resemblance, even down to the pattern of daily variations, with a correlation coefficient of 0.78, but an overall negative bias of 6-7% in the stellar results. The bias appears to be slightly larger prior to 1958.
Managing a closed-loop supply chain inventory system with learning effects
NASA Astrophysics Data System (ADS)
Jauhari, Wakhid Ahmad; Dwicahyani, Anindya Rachma; Hendaryani, Oktiviandri; Kurdhi, Nughthoh Arfawi
2018-02-01
In this paper, we propose a closed-loop supply chain model consisting of a retailer and a manufacturer. We intend to investigate the impact of learning in regular production, remanufacturing and reworking. The customer demand is assumed deterministic and will be satisfied from both regular production and remanufacturing process. The return rate of used items depends on quality. We propose a mathematical model with the objective is to maximize the joint total profit by simultaneously determining the length of ordering cycle for the retailer and the number of regular production and remanufacturing cycle. The algorithm is suggested for finding the optimal solution. A numerical example is presented to illustrate the application of using a proposed model. The results show that the integrated model performs better in reducing total cost compared to the independent model. The total cost is most affected by the changes in the values of unit production cost and acceptable quality level. In addition, the changes in the defective items proportion and the fraction of holding costs significantly influence the retailer's ordering period.
Neutral heel lateral push test: The first clinical examination of spring ligament integrity.
Pasapula, Chandra; Devany, Adam; Magan, Ahmed; Memarzadeh, A; Pasters, V; Shariff, S
2015-06-01
The spring (calcaneonavicular) ligament is an intricate multiligament complex whose primary role is to stabilise the medial longitudinal arch and head of talus. Clinical suspicion of a spring ligament injury in isolation is roused when persistent medial midfoot pain is present with associated pes planus following trauma. We undertook a cadaveric study on 21 specimens to assess the use of a neutral heel lateral push test to examine the spring ligament in a standardised procedure, measuring lateral translation with graduated antegrade and retrograde defunctioning of surrounding structures and the spring ligament. In all specimens, a significant displacement occurred on incision of the spring ligament regardless of order of dissection. The degree of displacement increased by an insignificant amount as surrounding structures were incised at each incremental force applied. The neutral heel push test is the first clinical examination to be described to determine integrity of the spring ligament complex. Our study objectively demonstrates that lateral displacement in relation to the mid and hind-foot is influenced most significantly by the integrity of the spring ligament and to a lesser extent by tibialis posterior and flexor digitorum longus. Copyright © 2015 Elsevier Ltd. All rights reserved.
Plastic pikas: Behavioural flexibility in low-elevation pikas (Ochotona princeps)
Varner, Johanna; Horns, Joshua J.; Lambert, Mallory S.; Westberg, Elizabeth; Ruff, James; Wolfenberger, Katelyn; Beever, Erik; Dearing, M. Denise
2016-01-01
Behaviour is an important mechanism for accommodating rapid environmental changes. Understanding a species’ capacity for behavioural plasticity is therefore a key, but understudied, aspect of developing tractable conservation and management plans under climate-change scenarios. Here, we quantified behavioural differences between American pikas (Ochotona princeps) living in an atypical, low-elevation habitat versus those living in a more-typical, alpine habitat. With respect to foraging strategy, low-elevation pikas spent more time consuming vegetation and less time caching food for winter, compared to high-elevation pikas. Low-elevation pikas were also far more likely to be detected in forested microhabitats off the talus than their high-elevation counterparts at midday. Finally, pikas living in the atypical habitat had smaller home range sizes compared to those in typical habitat or any previously published home ranges for this species. Our findings indicate that behavioural plasticity likely allows pikas to accommodate atypical conditions in this low-elevation habitat, and that they may rely on critical habitat factors such as suitable microclimate refugia to behaviourally thermoregulate. Together, these results suggest that behavioural adjustments are one important mechanism by which pikas can persist outside of their previously appreciated dietary and thermal niches.
New early Pleistocene hominin teeth from the Swartkrans Formation, South Africa.
Pickering, Travis Rayne; Heaton, Jason L; Sutton, Morris B; Clarke, Ron J; Kuman, Kathleen; Senjem, Jess Hutton; Brain, C K
2016-11-01
We describe 14 hominin teeth and tooth fragments excavated recently from Swartkrans Cave (South Africa). The fossils derive from Members 1 (Lower Bank) and 3, from the Member 2/3 interface and from two deposits not yet assigned to member (the "Talus Cone Deposit" and the "Underground North Excavation" [UNE]) of the Swartkrans Formation, and include the first hominin fossil from the UNE, the two smallest Paranthropus robustus deciduous maxillary second molars in the entire hominin fossil record, and one of the smallest P. robustus permanent maxillary second molars from Swartkrans. The small permanent molar is accompanied by another tooth from a different individual but from the same stratigraphic level of the Swartkrans Formation; this second tooth is among, if not, the largest P. robustus permanent maxillary first molars known from anywhere-lending credence to assertions that degrees of body size sexual dimorphism previously ascribed to this species may be underestimated. It is more equivocal whether this evidence also supports hypotheses proposing that P. robustus assemblages from Swartkrans (as well as those from other South African cave sites) formed through the taphonomically biasing actions of large carnivores. Copyright © 2016 Elsevier Ltd. All rights reserved.
Classification of surface types using SIR-C/X-SAR, Mount Everest Area, Tibet
Albright, Thomas P.; Painter, Thomas H.; Roberts, Dar A.; Shi, Jiancheng; Dozier, Jeff; Fielding, Eric
1998-01-01
Imaging radar is a promising tool for mapping snow and ice cover in alpine regions. It combines a high-resolution, day or night, all-weather imaging capability with sensitivity to hydrologic and climatic snow and ice parameters. We use the spaceborne imaging radar-C/X-band synthetic aperture radar (SIR-C/X-SAR) to map snow and glacial ice on the rugged north slope of Mount Everest. From interferometrically derived digital elevation data, we compute the terrain calibration factor and cosine of the local illumination angle. We then process and terrain-correct radar data sets acquired on April 16, 1994. In addition to the spectral data, we include surface slope to improve discrimination among several surface types. These data sets are then used in a decision tree to generate an image classification. This method is successful in identifying and mapping scree/talus, dry snow, dry snow-covered glacier, wet snow-covered glacier, and rock-covered glacier, as corroborated by comparison with existing surface cover maps and other ancillary information. Application of the classification scheme to data acquired on October 7 of the same year yields accurate results for most surface types but underreports the extent of dry snow cover.
NASA Astrophysics Data System (ADS)
Bouligand, Claire; Coutant, Olivier; Glen, Jonathan M. G.
2016-07-01
In this study, we present the analysis and interpretation of a new ground magnetic survey acquired at the Soufrière volcano on Guadeloupe Island. Observed short-wavelength magnetic anomalies are compared to those predicted assuming a constant magnetization within the sub-surface. The good correlation between modeled and observed data over the summit of the dome indicates that the shallow sub-surface displays relatively constant and high magnetization intensity. In contrast, the poor correlation at the base of the dome suggests that the underlying material is non- to weakly-magnetic, consistent with what is expected for a talus comprised of randomly oriented and highly altered and weathered boulders. The new survey also reveals a dipole anomaly that is not accounted for by a constant magnetization in the sub-surface and suggests the existence of material with decreased magnetization beneath the Soufrière lava dome. We construct simple models to constrain its dimensions and propose that this body corresponds to hydrothermally altered material within and below the dome. The very large inferred volume for such material may have implications on the stability of the dome.
The Treatment Effect of Porous Titanium Alloy Rod on the Early Stage Talar Osteonecrosis of Sheep
Zhang, Yong-Quan; Zhang, Zhi-Yong; Guo, Zheng
2013-01-01
Osteonecrosis of the talus (ONT) may severely affect the function of the ankle joint. Most orthopedists believe that ONT should be treated at an early stage, but a concise and effective surgical treatment is lacking. In this study, porous titanium alloy rods were prepared and implanted into the tali of sheep with early-stage ONT (IM group). The curative effect of the rods was compared to treatment by core decompression (DC group). No significant differences in bone reconstruction were observed between the two groups at 1 month after intervention. After 3 months, the macroscopic view of gross specimens of the IM group showed ordinary contours, but the specimens of the DC group showed obvious partial bone defects and cartilage degeneration. Quantitative analysis of the reconstructed trabeculae by micro-CT and histological study suggested that the curative effect of the IM group was superior to that of the DC group at 3 months after intervention. These favorable short-term results of the implantation of porous titanium alloy rods into the tali of sheep with early-stage ONT may provide insight into an innovative surgical treatment for ONT. PMID:23516485
Ankle arthrodesis: A systematic approach and review of the literature
Yasui, Youichi; Hannon, Charles P; Seow, Dexter; Kennedy, John G
2016-01-01
Ankle arthrodesis is a common treatment used for patients with end-stage ankle arthritis (ESAA). The surgical goal of ankle arthrodesis is to obtain bony union between the tibia and talus with adequate alignment [slight valgus (0°-5°)], neutral dorsiflexion, and slight external rotation positions) in order to provide a pain-free plantigrade foot for weightbearing activities. There are many variations in operative technique including deferring approaches (open or arthroscopic) and differing fixation methods (internal or external fixation). Each technique has its advantage and disadvantages. Success of ankle arthrodesis can be dependent on several factors, including patient selection, surgeons’ skills, patient comorbidities, operative care, etc. However, from our experience, the majority of ESAA patients obtain successful clinical outcomes. This review aims to outline the indications and goals of arthrodesis for treatment of ESAA and discuss both open and arthroscopic ankle arthrodesis. A systematic step by step operative technique guide is presented for both the arthroscopic and open approaches including a postoperative protocol. We review the current evidence supporting each approach. The review finishes with a report of the most recent evidence of outcomes after both approaches and concerns regarding the development of hindfoot arthritis. PMID:27900266
Wang, Shanxi; Li, Jun; Huang, Fuguo; Liu, Lei
2017-05-01
To review the application and research progress of subtalar distraction bone block arth-rodesis in the treatment of calcaneus fracture malunion. The recent literature concerning the history, surgical technique, postoperative complication, indications, and curative effect of subtalar distraction arthrodesis with bone graft block interposition in the treatment of calcaneus fracture malunion was summarized and analyzed. Subtalar distraction bone block arthrodesis is one of the main ways to treat calcaneus fracture malunion, including a combined surgery with subtalar arthrodesis and realignment surgery for hindfoot deformity using bone block graft. The advantage is on the base of subtalar joint fusion, through one-time retracting subtalar joint, the posterior articular surface of subtalar joint implants bone block can partially restore calcaneal height, thus improving the function of the foot. Compared with other calcaneal malunion treatments, subtalar distraction arthrodesis is effective to correct complications caused by calcaneus fracture malunion, and it can restore the height of talus and calcaneus, correct loss of talocalcaneal angle, and ease pain. Subtalar distraction bone block arthrodesis has made remarkable progress in the treatment of calcaneus fracture malunion, but it has the disadvantages of postoperative nonunion and absorption of bone block, so further study is needed.
Naviculocuneiform Coalition: Case Reports of Two Sibling Soccer Players.
Saxena, Amol; Fournier, Magali
2016-01-01
Tarsal coalitions are an abnormal union between 2 tarsal bones. They occur most commonly between the calcaneus and talus or the calcaneus and navicular but can also arise from other joints in the foot. Isolated cases of coalitions between the medial cuneiform and navicular are extremely rare, and only a few cases have been reported. Treatment recommendations are, therefore, sparse, and no long-term follow-up data have been reported. We present the case of 2 sisters, each diagnosed with a symptomatic naviculocuneiform coalition. To our knowledge, this is the first reported case in 2 first-degree relatives. Both sisters were involved in sports and presented with pain during physical activities. After conservative treatment had failed, they were both treated successfully with surgical excision of the coalition and arthrodiastasis, followed by a progressive return to activities. At the last follow-up examination at 5 and 3 years postoperatively, they remained pain free and fully involved in college soccer, making excision of a naviculocuneiform coalition with arthrodiastasis a valid treatment in the young athletic population. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Hattori, Hiromu; Kaufmann, Elias; Miyatake-Ondozabal, Hideki; Berg, Regina; Gademann, Karl
2018-04-12
The commercial macrolide antibiotic fidaxomicin was synthesized in a highly convergent manner. Salient features of this synthesis include a β-selective noviosylation, a β-selective rhamnosylation, a ring-closing metathesis, a Suzuki coupling, and a vinylogous Mukaiyama aldol reaction. Careful choice of protecting groups and fine-tuning of the glycosylation reactions led to the first total synthesis of fidaxomicin. In addition, a relay synthesis of fidaxomicin was established, which gives access to a conveniently protected intermediate from the natural material for derivatization. The first total synthesis of a related congener, tiacumicin A, is presented.
Anjema, Karen; van Rijn, Margreet; Verkerk, Paul H; Burgerhof, Johannes G M; Heiner-Fokkema, M Rebecca; van Spronsen, Francjan J
2011-11-01
In phenylketonuria, knowledge about the relation between behavior and plasma phenylalanine is scarce. The aim of this study was to determine whether high phenylalanine is associated with disturbed behavior noticed by the patient and or close environment (parents or partners). 48 early treated PKU patients (median age 8.5, range 0-35 years) participated (median phenylalanine concentration in total sample 277 (range 89-1171) μmol/l; and in patients <12 years 238 (range 89-521) μmol/l). After sending blood samples, patients or close environment were interviewed with a standardized questionnaire whether they noticed hyperactivity, annoying behavior, mood swings and introvert or extravert behavior. The interviewer as well as the respondents were blinded with regard to the phenylalanine concentration. Patients reported less deviant behavior compared to close environment. Mood swings were positively associated with phenylalanine concentrations in the total group (P=0.039) and patients <12 years (P=0.042). The relationships between temporary high phenylalanine concentrations and hyperactivity, annoying behavior, introvert and extravert behavior were not statistically significant. there is a positive association between phenylalanine concentrations and mood swings. Copyright © 2011 Elsevier Inc. All rights reserved.
Hong, Huachang; Qiu, Jianwen; Liang, Yan
2010-01-01
The Pearl River Delta (PRD) is one of the most developed and densely populated regions in China. Quantifying the amount of pathogens in the source of drinking water is important for improving water quality. We collected water samples from six major water storage reservoirs in the PRD region in both wet and dry seasons in 2006. Results showed that external environmental factors, such as precipitation, location, as well as the internal environmental factors, i.e., physicochemical properties of the water, were closely related with the distribution of coliforms. Seasonally, the coliform bacterial concentrations in wet season were one to two orders of magnitude greater than those in dry season. Spatially, coliform bacterial levels in reservoirs near urban and industrial areas were significantly higher (p < 0.05) than those in remote areas. Correlation analyses showed that the levels of coliforms had close relationships with pH, temperature, suspended solid, organic and inorganic nutrients in water. Principal components analysis further demonstrated that total coliforms in the reservoirs were closely related with water physicochemical properties, while fecal coliforms were more associated with external input brought in by seasonal runoff.
Lau, David Pang Cheng; Zhang, Edward Zhiyong; Wong, Seng Mun; Lee, Gwyneth; Chan, Yiong Huak
2010-08-01
1) Determine the correlation between voice handicap index and quantitative videostroboscopy for patients undergoing injection laryngoplasty for unilateral vocal paralysis; 2) assess which videostroboscopy measurements correlate best with voice handicap index in patients demonstrating progressive improvement beyond six months following injection laryngoplasty. Case series with chart review. Patients undergoing outpatient injection laryngoplasty with hyaluronic acid between 2005 and 2007. Twenty-eight patients were assessed preoperatively and postoperatively using voice handicap index and videostroboscopy. Various videostroboscopy measurements were quantified: glottic open area (ratio of open to total glottic area during closed phase of phonation), glottic closed phase (frame ratio of closed phase to total glottic cycle), supraglottic compression (percent encroachment of supraglottis onto best-fit ellipse around glottis), wave amplitude (difference in glottic open area between open and closed phases), and wave duration (number of frames per glottic cycle). Correlation coefficients were calculated using Spearman's r. One hundred seventeen separate recordings were analyzed. Correlation coefficients between voice handicap index (normalized to preoperative values) and glottic closed phase showed moderate-strong correlation (r = -0.733, P < 0.001), while glottic open area and wave duration showed weak-moderate correlation (r = 0.465, P < 0.001 and r = -0.404, P < 0.001 respectively). Other parameters showed poor correlation. A subset of 25 recordings from eight patients with progressive voice handicap index improvement beyond six months showed highest correlation with supraglottic compression (r = 0.504, P < 0.05). Voice handicap index correlates best with glottic closed phase, suggesting duration of vocal fold closure during the glottic cycle best represents patients' subjective outcome post-procedure. Progressive improvement in voice handicap index beyond six months may relate to gradual reduction in compensatory supraglottic compression, with moderate correlation. Copyright (c) 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
Cultured Skin Substitutes Reduce Donor Skin Harvesting for Closure of Excised, Full-Thickness Burns
Boyce, Steven T.; Kagan, Richard J.; Yakuboff, Kevin P.; Meyer, Nicholas A.; Rieman, Mary T.; Greenhalgh, David G.; Warden, Glenn D.
2002-01-01
Objective Comparison of cultured skin substitutes (CSS) and split-thickness skin autograft (AG) was performed to assess whether donor-site harvesting can be reduced quantitatively and whether functional and cosmetic outcome is similar qualitatively in the treatment of patients with massive cutaneous burns. Summary Background Data Cultured skin substitutes consisting of collagen-glycosaminoglycan substrates populated with autologous fibroblasts and keratinocytes have been shown to close full-thickness skin wounds in preclinical and clinical studies with acceptable functional and cosmetic results. Methods Qualitative outcome was compared between CSS and AG in 45 patients on an ordinal scale (0, worst; 10, best) with primary analyses at postoperative day 28 and after about 1 year for erythema, pigmentation, pliability, raised scar, epithelial blistering, and surface texture. In the latest 12 of the 45 patients, tracings were performed of donor skin biopsies and wounds treated with CSS at postoperative days 14 and 28 to calculate percentage engraftment, the ratio of closed wound:donor skin areas, and the percentage of total body surface area closed with CSS. Results Measures of qualitative outcome of CSS or AG were not different statistically at 1 year after grafting. Engraftment at postoperative day 14 exceeded 75% in the 12 patients evaluated. The ratio of closed wound:donor skin areas for CSS at postoperative day 28 was significantly greater than for conventional 4:1 meshed autografts. The percentage of total body surface area closed with CSS at postoperative day 28 was significantly less than with AG. Conclusions The requirement for harvesting of donor skin for CSS was less than for conventional skin autografts. These results suggest that acute-phase recovery of patients with extensive burns is facilitated and that complications are reduced by the use of CSS together with conventional skin grafting. PMID:11807368
Aalund, Peter K; Larsen, Kristian; Hansen, Torben B; Bandholm, Thomas
2013-02-01
To investigate which of the 2 muscle-impairment measures for the operated leg, normalized knee extension strength or leg press power, was most closely associated with performance-based and self-reported measures of function shortly after total knee arthroplasty (TKA). Cross-sectional, exploratory study. Laboratory at a regional hospital. Individuals (N=39) with an average age ± SD of 65.5±10.3 years, who all had unilateral TKA 28 days prior. None. The patients performed maximal isometric knee extensions and dynamic leg presses to determine their body-mass normalized knee extension strength and leg press power, respectively. The 10-meter fast speed walking- and 30-second chair stand tests were used to determine performance-based function, while the Western Ontario and McMaster Universities Osteoarthritis Index and Oxford Knee Scores were used to determine self-reported function. Normalized leg press power was more closely associated with both performance-based (r=.82, P<.001) and self-reported (r=.48, P=.002) measures of function compared with normalized knee extension strength (r=.51, P=.001 and r=.39, P=.015, respectively). Normalized leg press power was more closely associated with both performance-based and self-reported function early after TKA than normalized knee extension strength. It may be explained by the fact that performance-based measures of function are typically closed kinetic chain tasks, such as walking or rising from a chair, and self-reported measures of function typically include questions that address perceived difficulty with performing these same tasks. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Cultured skin substitutes reduce donor skin harvesting for closure of excised, full-thickness burns.
Boyce, Steven T; Kagan, Richard J; Yakuboff, Kevin P; Meyer, Nicholas A; Rieman, Mary T; Greenhalgh, David G; Warden, Glenn D
2002-02-01
Comparison of cultured skin substitutes (CSS) and split-thickness skin autograft (AG) was performed to assess whether donor-site harvesting can be reduced quantitatively and whether functional and cosmetic outcome is similar qualitatively in the treatment of patients with massive cutaneous burns. Cultured skin substitutes consisting of collagen-glycosaminoglycan substrates populated with autologous fibroblasts and keratinocytes have been shown to close full-thickness skin wounds in preclinical and clinical studies with acceptable functional and cosmetic results. Qualitative outcome was compared between CSS and AG in 45 patients on an ordinal scale (0, worst; 10, best) with primary analyses at postoperative day 28 and after about 1 year for erythema, pigmentation, pliability, raised scar, epithelial blistering, and surface texture. In the latest 12 of the 45 patients, tracings were performed of donor skin biopsies and wounds treated with CSS at postoperative days 14 and 28 to calculate percentage engraftment, the ratio of closed wound:donor skin areas, and the percentage of total body surface area closed with CSS. Measures of qualitative outcome of CSS or AG were not different statistically at 1 year after grafting. Engraftment at postoperative day 14 exceeded 75% in the 12 patients evaluated. The ratio of closed wound:donor skin areas for CSS at postoperative day 28 was significantly greater than for conventional 4:1 meshed autografts. The percentage of total body surface area closed with CSS at postoperative day 28 was significantly less than with AG. The requirement for harvesting of donor skin for CSS was less than for conventional skin autografts. These results suggest that acute-phase recovery of patients with extensive burns is facilitated and that complications are reduced by the use of CSS together with conventional skin grafting.
USDA-ARS?s Scientific Manuscript database
Over 10,000 new mutants have been added to the UniformMu reverse genetics resource in release 7, bringing the total to over 67,000 germinal transposon insertions. These are available in 11,140 independent seed stocks. Close to half of the maize filtered gene set (42%) is represented by at least one ...
40 CFR 63.544 - What are my total enclosure standards?
Code of Federal Regulations, 2012 CFR
2012-07-01
... where lead bearing material is stored in closed containers or enclosed mechanical conveyors, and areas... structures that contain any lead-bearing materials at least once per month. You must repair any gaps, breaks...
What Would Happen If We Stopped Vaccinations?
... of the last century, diseases like whooping cough, polio, measles, Haemophilus influenzae , and rubella struck hundreds of ... smallpox — has been totally erased from the planet. Polio is close to being eliminated, but still exists ...
Reactive Nitrogen Monitoring Gaps: Issues, Activities and Needs
In this article we demonstrate the importance of ammonia and organic nitrogen to total N deposition budgets and review the current activities to close these monitoring gaps. Finally, remaining monitoring needs and issues are discussed.