Science.gov

Sample records for international joint study

  1. International reasons for joint learning and studying.

    PubMed

    Tschudin, V

    2000-01-01

    That medical and nursing students should learn at least certain subjects together has long been discussed. The implementation of such learning is becoming more important. The reasons are cultural diversity and differing values. Evidence points to conflicting values among health care personnel. It is by listening to each other that we learn of our own and others' values. The international scene is so accessible now that international joint learning is becoming imperative, otherwise the person of the patient gets excluded. Because people--and patients--matter, we cannot ignore the need to hear and respond to their values.

  2. 77 FR 39560 - International Joint Commission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-03

    ... International Joint Commission International Joint Commission Invites Public Comment on Upper Great Lakes Report The International Joint Commission (IJC) announced today that it is inviting public comment on the final report of its International Upper Great Lakes Study Board, Lake Superior Regulation:...

  3. Rigid internal fixation and the effects on the temporomandibular joint and masticatory system: a prospective study.

    PubMed

    Smith, V; Williams, B; Stapleford, R

    1992-12-01

    A prospective study of 22 patients who underwent a bilateral sagittal osteotomy to advance the mandible and subsequent rigid internal fixation, were examined for signs and symptoms of temporomandibular joint (TMJ) pain and masticatory dysfunction. A modified Helkimo index was used to analyze the anamnestic, clinical, and occlusal data. In addition, 12 of the cases chosen at random were mounted on a semiadjustable (SAM2) articulator and analyzed with the mandibular position indicator (MPI) to determine the amount and the direction of condylar displacement postoperatively. Anamnestic dysfunction decreased because of a reported decrease in muscular pain, joint noise, headache frequency, and parafunctional habits postoperatively. Clinical dysfunction remained unchanged, with a decrease in muscular soreness but with an increased incidence of joint clicking of 7%. The increased incidence of temporomandibular joint pain postoperatively was 4%. Increase in clinical dysfunction was most often seen in women and older patients. Occlusal dysfunction decreased, with the majority of interferences remaining after surgery as a result of insufficient lingual crown torque of the maxillary buccal segments. Occlusion is thought to have played only a minor role in temporomandibular joint and masticatory dysfunction. Reduction in range of motion was 10%, indicating the added benefit of early mobilization with rigid internal fixation procedures. The MPI study found the condyles inferiorly or inferoposteriorly displaced less than 1 mm from their preoperative position. These findings suggest that rigid internal fixation had no adverse effects on the temporomandibular and masticatory system. The variable responses and results can be attributed, at least in part, to the heterogenous population of patients studied and the variations in surgical techniques employed.

  4. Reactive arthritis in relation to internal derangements of the temporomandibular joint: a case control study.

    PubMed

    Lund, Bodil; Holmlund, Anders; Wretlind, Bengt; Jalal, Shah; Rosén, Annika

    2015-09-01

    The aim of this study was to find out if reactive arthritis was involved in the aetiology of chronic closed lock of the temporomandibular joint (TMJ) by looking for bacterial antigens in the synovial membrane of the TMJ, and by studying the antibody serology and carriage of human leucocyte antigen (HLA) B27 in patients with chronic closed lock. Patients with reciprocal clicking and healthy subjects acted as controls. We studied a total of 43 consecutive patients, 15 with chronic closed lock, 13 with reciprocal clicking, and 15 healthy controls with no internal derangements of the TMJ. Venous blood samples were collected from all subjects for measurement of concentrations of HLA tissue antigen and serology against Chlamydia trachomatis, Yersinia enterocolitica, Salmonella spp., Campylobacter jejuni, and Mycoplasma pneumoniae. Samples of synovial tissue from patients with closed lock and reciprocal clicking were obtained during discectomy and divided into two pieces, the first of which was tested by strand displacement amplification for the presence of C trachomatis, and the second of which was analysed for the presence of species-specific bacterial DNA using 16s rRNA pan-polymerase chain reaction (PCR). There were no significant differences between the groups in the incidence of antibodies against M pneumoniae, Salmonella spp. or Y enterocolitica. No patient had antibodies towards C trachomatis or C jejuni. We found no bacterial DNA in the synovial fluid from any patient. The HLA B27 antigen was present in 2/15 subjects in both the closed lock and control groups, and none in the reciprocal clicking group. In conclusion, reactive arthritis does not seem to be the mechanism of internal derangement of the TMJ.

  5. A prospective study of midfoot osteotomy combined with adjacent joint sparing internal fixation in treatment of rigid pes cavus deformity.

    PubMed

    Zhou, You; Zhou, Binghua; Liu, Junpeng; Tan, Xiaokang; Tao, Xu; Chen, Wan; Tang, Kanglai

    2014-06-05

    Midfoot osteotomy has been previously confirmed to be a good method to correct pes cavus. How to fix the osteotomy and which point to choose for the procedure has been a focus for most surgeons. The aim of this study was to analyse the outcomes of a series of patients who had been treated for pes cavus deformity using midfoot osteotomy combined with adjacent joint sparing internal fixation. Between 2008 and 2012, 17 patients with a mean age of 16.8 years (12-36 years) were tracked after treatment by midfoot osteotomy combined with adjacent joint sparing internal fixation with three cannulated screws between the Lisfranc line and Cyma line. Clinical outcomes were assessed by measuring improvements of appearance and function, American Orthopedic Foot and Ankle Society (AOFAS) scores, and radiographic changes. The mean follow-up time was 25.3 months (range, 10-50). The mean healing time from the osteotomy was 7.8 weeks (range, 6-12). The appearance and weight-bearing function were significantly improved in all patients. At a final follow-up, the mean AOFAS score was 75.8/100 points (range, 63-90). The mean Meary's angle, calcaneal pitch angle, tibiotalar angle, and Hibb's angle values improved from 26.3 to 5.5, 44.5 to 28.3, 133.1 to 100.8 and 66.9 to 41.1, respectively. Adjacent joints presented no obviously arthritic degeneration at the follow-up. Subjectively, 94.1% of patients were very satisfied or satisfied with minor reservations. Objective outcomes were excellent or good in 88.2% of feet. For the treatment of rigid pes cavus deformity, extra-articular midfoot osteotomy combined with adjacent joint sparing internal fixation is effective and safe. This surgical technique is especially effective with low rates of arthritic degeneration and joint stiffness in the adjacent joints and little reduction of ankle and foot flexibility.

  6. Joint EM-NE-International Study of Glass Behavior over Geologic Time Scales

    SciTech Connect

    Ryan, Joseph V.; Ebert, W. L.; Icenhower, Jonathan P.; Schreiber, Daniel K.; Strachan, Denis M.; Vienna, John D.

    2012-03-30

    Vitrification has been chosen as the best demonstrated available technology for waste immobilization worldwide. To date, the contributions of physical and chemical processes controlling the long-term glass dissolution rate in geologic disposal remain uncertain; leading to a lack of international consensus on a glass corrosion rate law. Existing rate laws have overcome the uncertainty through conservatism, but a thorough mechanistic understanding of waste form durability in geologic environments would improve public and regulator confidence, as well as lead to cost savings if it is possible to take credit for the true durability of the waste form itself in system evaluations. To this end, six nations have joined together to formulate a joint plan for collaborative research into the mechanisms controlling the long-term corrosion of glass. This report highlights the technical program plan behind the US portion of this effort, with an emphasis on the current understanding (and limitations) of several mechanistic theories for glass corrosion. Some recent results are presented to provide an example of the ongoing research.

  7. Hospital for joint diseases participates in international spine registry Spine Tango after successful pilot study.

    PubMed

    Röder, Christoph; Errico, Thomas J; Spivak, Jeffrey M; Murray, M; Protopsaltis, T; Lis, A; Nordin, Margareta; Bendo, John

    2012-01-01

    Spine Tango is currently the only international spine registry in existence. It was developed under the auspices of Eurospine, the Spine Society of Europe, and is hosted at the University of Bern, Switzerland. The HJD Spine Center successfully tested Spine Tango during a 3-month pilot study and has since expanded documentation activities to more surgeons. Workflow integration and dedicated research staff are key factors for such an endeavor. Participation enables benchmarking against national and international peers and outcome research and quality assurance of surgical and non-surgical treatments.

  8. In vivo kinematics of the talocrural and subtalar joints with functional ankle instability during weight-bearing ankle internal rotation: a pilot study.

    PubMed

    Kobayashi, Takumi; No, Yumi; Yoneta, Kei; Sadakiyo, Masashi; Gamada, Kazuyoshi

    2013-06-01

    Functional ankle instability (FAI) may involve abnormal kinematics. However, reliable quantitative data for kinematics of FAI have not been reported. The objective of this study was to determine if the abnormal kinematics exist in the talocrural and subtalar joints in patients with FAI. Five male subjects with unilateral FAI (a mean age of 33.4 ± 13.2 years) were enrolled. All subjects were examined with stress radiography and found to have no mechanical ankle instability (MAI). Lateral radiography at weight-bearing ankle internal rotation of 0° and 20° was taken with the ankle at 30° dorsiflexion and 30° plantar flexion. Patients underwent computed tomography scan at 1.0 mm slice pitch spanning distal one third of the lower leg and the distal end of the calcaneus. Three-dimensional (3D) kinematics of the talocrural and subtalar joints as well as the ankle joint complex (AJC) were determined using a 3D-to-2D registration technique using a 3D-to-2D registration technique with 3D bone models and plain radiography. FAI joints in ankle dorsiflexion demonstrated significantly greater subtalar internal rotation from 0° to 20° internal rotation. No statistical differences in plantar flexion were detected in talocrural, subtalar or ankle joint complex kinematics between the FAI and contralateral healthy joints. During ankle internal rotation in dorsiflexion, FAI joints demonstrated greater subtalar internal rotation. The FAI joints without mechanical instability presented abnormal kinematics. This suggests that abnormal kinematics of the FAI joints may contribute to chronic instability. FAI joints may involve unrecognized abnormal subtalar kinematics during internal rotation in ankle dorsiflexion which may contribute to chronic instability and frequent feelings of instability.

  9. A prospective international Aspergillus terreus survey: an EFISG, ISHAM and ECMM joint study.

    PubMed

    Risslegger, B; Zoran, T; Lackner, M; Aigner, M; Sánchez-Reus, F; Rezusta, A; Chowdhary, A; Taj-Aldeen, S J; Arendrup, M C; Oliveri, S; Kontoyiannis, D P; Alastruey-Izquierdo, A; Lagrou, K; Lo Cascio, G; Meis, J F; Buzina, W; Farina, C; Drogari-Apiranthitou, M; Grancini, A; Tortorano, A M; Willinger, B; Hamprecht, A; Johnson, E; Klingspor, L; Arsic-Arsenijevic, V; Cornely, O A; Meletiadis, J; Prammer, W; Tullio, V; Vehreschild, J-J; Trovato, L; Lewis, R E; Segal, E; Rath, P-M; Hamal, P; Rodriguez-Iglesias, M; Roilides, E; Arikan-Akdagli, S; Chakrabarti, A; Colombo, A L; Fernández, M S; Martin-Gomez, M T; Badali, H; Petrikkos, G; Klimko, N; Heimann, S M; Houbraken, J; Uzun, O; Edlinger, M; Fuente, S de la; Lass-Flörl, C

    2017-10-01

    A prospective international multicentre surveillance study was conducted to investigate the prevalence and amphotericin B susceptibility of Aspergillus terreus species complex infections. A total of 370 cases from 21 countries were evaluated. The overall prevalence of A. terreus species complex among the investigated patients with mould-positive cultures was 5.2% (370/7116). Amphotericin B MICs ranged from 0.125 to 32 mg/L, (median 8 mg/L). Aspergillus terreus species complex infections cause a wide spectrum of aspergillosis and the majority of cryptic species display high amphotericin B MICs. Copyright © 2017. Published by Elsevier Ltd.

  10. Internal derangement of the temporomandibular joint: morphologic description with correlation to joint function.

    PubMed

    Westesson, P L; Bronstein, S L; Liedberg, J

    1985-04-01

    Internal derangement of the temporomandibular joint has mainly been studied arthrographically from the standpoint of anterior disk displacement with or without reduction. Frequent clinical observations of disk deformation in joints with internal derangement implied the need for a systematic study of morphologic alterations associated with internal derangement. Therefore, morphology, internal derangement, and joint function were studied in 58 randomly selected autopsy specimens of the temporomandibular joint. The results showed that joints with superior disk position rarely demonstrated morphologic alterations. In joints with partially anterior disk position, disk deformation occurred somewhat more frequently (31%) and was consistently located in the part of the disk that was positioned anteriorly. Joints with completely anteriorly positioned disks showed disk deformation in 77% and irregularities of the articular surfaces in 65%. It appears that anterior disk position precedes disk deformation. Therefore, early causal treatment to correct symptomatic internal derangement appears indicated to decrease the possibility of development of disk deformation. Disk deformation was also closely associated with disturbed joint function and should therefore be an important consideration when one is planning treatment of internal derangement of the temporomandibular joint.

  11. Designing an International Joint Venture Negotiation Game.

    ERIC Educational Resources Information Center

    Kenkel, Phil; And Others

    1996-01-01

    Evaluates a simulation game that models management problems encountered in negotiating and managing international joint ventures. Designed to instruct executives of state-owned agribusinesses in Indonesia in abstract concepts such as partner rapport, transfer price conflicts, and marketing disagreements, its success suggests that simulation games…

  12. Designing an International Joint Venture Negotiation Game.

    ERIC Educational Resources Information Center

    Kenkel, Phil; And Others

    1996-01-01

    Evaluates a simulation game that models management problems encountered in negotiating and managing international joint ventures. Designed to instruct executives of state-owned agribusinesses in Indonesia in abstract concepts such as partner rapport, transfer price conflicts, and marketing disagreements, its success suggests that simulation games…

  13. A cross-sectional study of the relationship between serum sexual hormone levels and internal derangement of temporomandibular joint.

    PubMed

    Madani, A S; Shamsian, A A; Hedayati-Moghaddam, M R; Fathi-Moghadam, F; Sabooni, M R; Mirmortazavi, A; Golmohamadi, M

    2013-08-01

    Temporomandibular disorders (TMD) are defined as clinical conditions that involve the masticatory muscles, temporomandibular joint (TMJ) or both. The aim of this study was to evaluate serum 17β-oestradiol and progesterone levels in menstruating women affected by internal derangement of the TMJ. A total of 142 women (mean age 30·2 ± 6·7) who referred to medical diagnostic laboratory of Iranian Academic Centre for Education, Culture and Research (ACECR), Mashhad Branch, were enrolled during 2007 and 2008. Forty-seven individuals had disc displacement with reduction (Group IIa) according to Research Diagnostic Criteria (RDC)/TMD Axis I diagnosis. Radioimmunoassay was used for the detection of serum 17β-oestradiol and progesterone levels in all 142 subjects. The mean progesterone level was significantly higher in control group (11·6 ± 10·4 ng mL(-1) ) compared to women with TMD (8·4 ± 6·8 ng mL(-1) , P = 0·03). No significant difference was found in two groups regarding 17β-oestradiol level. Lower progesterone level in women with TMD can suggest the more important role of this hormone in the development of the disorder.

  14. Predicting the Functional Roles of Knee Joint Muscles from Internal Joint Moments.

    PubMed

    Flaxman, Teresa E; Alkjær, Tine; Simonsen, Erik B; Krogsgaard, Michael R; Benoit, Daniel L

    2017-03-01

    Knee muscles are commonly labeled as flexors or extensors and aptly stabilize the knee against sagittal plane loads. However, how these muscles stabilize the knee against adduction-abduction and rotational loads remains unclear. Our study sought 1) to classify muscle roles as they relate to joint stability by quantifying the relationship between individual muscle activation patterns and internal net joint moments in all three loading planes and 2) to determine whether these roles change with increasing force levels. A standing isometric force matching protocol required subjects to modulate ground reaction forces to elicit various combinations and magnitudes of sagittal, frontal, and transverse internal joint moments. Surface EMG measured activities of 10 lower limb muscles. Partial least squares regressions determined which internal moment(s) were significantly related to the activation of individual muscles. Rectus femoris and tensor fasciae latae were classified as moment actuators for knee extension and hip flexion. Hamstrings were classified as moment actuators for hip extension and knee flexion. Gastrocnemius and hamstring muscles were classified as specific joint stabilizers for knee rotation. Vastii were classified as general joint stabilizers because activation was independent of moment generation. Muscle roles did not change with increasing effort levels. Our findings indicate muscle activation is not dependent on anatomical orientation but perhaps on its role in maintaining knee joint stability in the frontal and transverse loading planes. This is useful for delineating the roles of biarticular knee joint muscles and could have implications in robotics, musculoskeletal modeling, sports sciences, and rehabilitation.

  15. An Ex Vivo Study on Immunohistochemical Localization of MMP-7 and MMP-9 in Temporomandibular Joint Discs with Internal Derangement

    PubMed Central

    Loreto, C.; Leonardi, R.; Musumeci, G.; Pannone, G.; Castorina, S.

    2013-01-01

    Internal derangement (ID) is among the most common disorders of the temporomandibular joint (TMJ). Previous research by our group highlighted a correlation between apoptosis and TMJ ID. Metalloproteinases (MMP)-7 and -9 have been shown to play an important role in extracellular matrix ECM) homeostasis and, through it, in joint disc remodelling. The immunohistochemical expression of MMP-7 and -9 was investigated in discs from patients with TMJ ID and from healthy donors and compared with the degree of histological tissue degeneration. The collagen fibre arrangement in pathological discs exhibited varying degrees of disruption. New vessels were consistently detected; endothelial cells from these vessels were immunolabelled with both MMP-7 and MMP-9. More or less intense MMP-7 and MMP-9 immunolabelling was detected in the cytoplasm of disc cells from all patients. MMP-7 and MMP-9 immunostaining was significantly different between pathological and normal discs and correlated with the extent of histopathological degeneration. MMP-7 and MMP-9 upregulation in discs from patients with TMJ ID demonstrates their involvement in disc damage in this disorder. A greater understanding of these processes could help identify ways to curb MMP overproduction without affecting their tissue remodelling action. The design of specific inhibitors for these MMPs would not only help to gain insights into the biological roles of MMPs, but would also aid in developing therapeutic interventions for diseases associated with abnormal ECM degradation. PMID:23807291

  16. Selection of Partners for International Joint Degree Programs

    ERIC Educational Resources Information Center

    Brown, Jennifer Lauren

    2013-01-01

    This case study investigates the selection of partner institutions for international joint degree programs at the graduate level utilizing Knight's (2008) challenges to the development of such partnerships which are: Academic Alignment, Mobility and Language concerns, and Recognition and Legitimacy concerns. This study focuses on the criteria used…

  17. Selection of Partners for International Joint Degree Programs

    ERIC Educational Resources Information Center

    Brown, Jennifer Lauren

    2013-01-01

    This case study investigates the selection of partner institutions for international joint degree programs at the graduate level utilizing Knight's (2008) challenges to the development of such partnerships which are: Academic Alignment, Mobility and Language concerns, and Recognition and Legitimacy concerns. This study focuses on the criteria used…

  18. Temporomandibular joint internal derangements: CT diagnosis

    SciTech Connect

    Helms, C.A.; Vogler, J.B. III; Morrish, R.B. Jr.; Goldman, S.M.; Capra, R.E.; Proctor, E.

    1984-08-01

    Two hundred patients with suspected displaced temporomandibular joint meniscus were studied with computed tomography. In 75 cases confirmation of the CT diagnosis was subsequently obtained via surgery or arthrography; correlation was found in 73 cases (97%), with one false-negative and one false-positive examination. When meniscus displacement was graded as mild, moderate, or severe, those cases diagnosed as moderate or severe were more likely to require surgery. The technique and interpretation of this technique is described; in most cases CT can replace arthrography in diagnosing displaced temporomandibular joint menisci.

  19. [Case-control study on measurement of coracoclavicular and acromioclavicular ligament injuries during internal fixation operation for the treatment of fresh acromioclavicular joint dislocation of Tossy type III].

    PubMed

    Guan, Ting-Jin; Sun, Peng; Zheng, Liang-Guo; Qi, Xiang-Yang

    2014-01-01

    To study measurement methods of acromioclavicular and coracoclavicular ligament injuries,its therapeutic effects and complications during internal fixation operation for the treatment of fresh acromioclavicular joint dislocations of Tossy type III. From July 2003 to May 2012,127 patients with acromioclavicular joint dislocations of Tossy type III were treated with wire fixation from coracoid process to clavicle or hook-plate fixation. The patients were divided into group A (63 cases) and group B (64 cases) according to whether acromioclavicular ligament and coracoclavicular ligament were repaired or not. In group A (ligaments repaired), there were 39 males and 24 females with an average age of (33.25 +/- 8.46) years old (ranged from 17 to 59 years). And in group B (no ligaments repaired), there were 41 males and 23 females with an average age of (34.10 +/- 7.19) years (ranged from 19 to 57 years). The operation times, intraoperative blood loss, postoperative infections, internal fixation failure, recurrence and other complications, together with therapeutic effects were compared between two groups. The outcome was analyzed according to Karlsson standard. In group A, 54 patients got an excellent result and 9 good according to Karlsson standard;the average operative time was (55.90 +/- 26.56) min; the average intraoperative bleeding amount was (99.80 +/- 50.30) ml; 1 patient had wire broken without re-dislocation at 16 weeks after operation, 3 patients got wound fat liquefaction and recovered after treatment, 1 patient had pain after shoulder joint motion and pain disappeared after implants were taken out. In group B, 52 patients got an excellent result and 12 good according to Karlsson standard; the average operative time was (49.50 +/- 23.14) min; the average intraoperative bleeding amount was (87.30 +/- 46.41) ml; 2 patients got wound fat liquefaction, and 2 patients had pain after shoulder joint motion. All the patients were followed up, and the duration ranged

  20. 49 CFR 1039.21 - International joint through rates.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 8 2011-10-01 2011-10-01 false International joint through rates. 1039.21 Section... joint through rates. Rail carriers are exempt from the provisions of § 1312.37 that require the filing of tariffs containing international joint through rates. Rail carriers must continue to comply...

  1. 49 CFR 1039.21 - International joint through rates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false International joint through rates. 1039.21 Section... joint through rates. Rail carriers are exempt from the provisions of § 1312.37 that require the filing of tariffs containing international joint through rates. Rail carriers must continue to comply...

  2. 49 CFR 1039.21 - International joint through rates.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 8 2012-10-01 2012-10-01 false International joint through rates. 1039.21 Section... joint through rates. Rail carriers are exempt from the provisions of § 1312.37 that require the filing of tariffs containing international joint through rates. Rail carriers must continue to comply with...

  3. 49 CFR 1039.21 - International joint through rates.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 8 2013-10-01 2013-10-01 false International joint through rates. 1039.21 Section... joint through rates. Rail carriers are exempt from the provisions of § 1312.37 that require the filing of tariffs containing international joint through rates. Rail carriers must continue to comply with...

  4. 49 CFR 1039.21 - International joint through rates.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 8 2014-10-01 2014-10-01 false International joint through rates. 1039.21 Section... joint through rates. Rail carriers are exempt from the provisions of § 1312.37 that require the filing of tariffs containing international joint through rates. Rail carriers must continue to comply with...

  5. Joint Defense Capabilities Study

    DTIC Science & Technology

    2003-12-01

    program does not best meet Joint needs, or provide the best value for the nation’s defense investment. Capabilities-Based Process The Study Team...planning function integrates the highly related logistics support functions of supply, maintenance, and transportation . In addition, current logistics...strengthens the role of the Defense Logistics Executive (DLE) as the single Logistics Global Supply Chain Manager with oversight and decision authority

  6. Making an International Impact: A Joint International Astronomy Project

    ERIC Educational Resources Information Center

    Scott, Robert; Shen, Xinrong; Mulley, Ian

    2012-01-01

    Early in 2010, a group of year 11 students (age 15-16) studying GCSE (General Certificate of Secondary Education) Astronomy at The Radclyffe School, Oldham, in the UK, teamed up with a similar age group from Tianyi High School, Wuxi City, in China, to undertake a joint astronomy investigation. This article outlines the outcome of the first stage…

  7. Making an International Impact: A Joint International Astronomy Project

    ERIC Educational Resources Information Center

    Scott, Robert; Shen, Xinrong; Mulley, Ian

    2012-01-01

    Early in 2010, a group of year 11 students (age 15-16) studying GCSE (General Certificate of Secondary Education) Astronomy at The Radclyffe School, Oldham, in the UK, teamed up with a similar age group from Tianyi High School, Wuxi City, in China, to undertake a joint astronomy investigation. This article outlines the outcome of the first stage…

  8. Musculoskeletal exam and joint injection training for internal medicine residents.

    PubMed

    Wilcox, Tracie; Oyler, Julie; Harada, Caroline; Utset, Tammy

    2006-05-01

    We developed a musculoskeletal education intervention for internal medicine residents consisting of lectures, anatomic models, and a joint injection clinic. Written tests, observed musculoskeletal exams, and self-confidence scales were administered to 27 internal medicine residents before and after the intervention. Improvement was found in observed physical exam and self-reported confidence levels in performing knee injections. Confidence in shoulder injection skills improved, but remained low. Improved scores on written examination, though statistically significant, were not educationally significant. This single-institution pilot study demonstrates that a simple educational program results in improved knee and shoulder examination skills and confidence in performing knee injections.

  9. Correlation of clinical and MRI findings of tempero-mandibular joint internal derangement.

    PubMed

    Chowdary, U V; Rajesh, P; Neelakandan, R S; Nandagopal, C M

    2006-01-01

    The most common clinical features of tempero-mandibular joint internal derangement are correlated with the MRI findings of shape of the disc in an attempt to find the etiology of tempero-mandibular joint internal derangement. In this study, the clinical parameters of pain, muscle tenderness, clicking with in the joint (like early, middle and late) are correlated with the MRI findings of disc shapes. (like biconcave, thick, lengthened, folded, adhesion). The study reveals any trauma that leads to muscle tenderness results in internal derangement of tempero-mandibular joint.

  10. Is lumbar facet joint tropism developmental or secondary to degeneration? An international, large-scale multicenter study by the AOSpine Asia Pacific Research Collaboration Consortium.

    PubMed

    Samartzis, Dino; Cheung, Jason Pui Yin; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D K; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat Anant; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Goss, Ben; Sham, Phoebe; Williams, Richard

    2016-01-01

    Facet joint tropism is asymmetry in orientation of the bilateral facets. Some studies have shown that tropism may increase the risk of disc degeneration and herniations, as well as degenerative spondylolisthesis (DS). It remains controversial whether tropism is a pre-existing developmental phenomena or secondary to progressive remodeling of the joint structure due to degenerative changes. As such, the following study addressed the occurrence of tropism of the lower lumbar spine (i.e. L3-S1) in a degenerative spondylolisthesis patient model. An international, multi-center cross-sectional study that consisted of 349 patients with single level DS recruited from 33 spine institutes in the Asia Pacific region was performed. Axial MRI/CT from L3-S1 were utilized to assess left and right facet joint sagittal angulation in relation to the coronal plane. The angulation difference between the bilateral facets was obtained. Tropism was noted if there was 8° or greater angulation difference between the facet joints. Tropism was noted at levels of DS and compared to immediate adjacent and distal non-DS levels, if applicable, to the index level. Age, sex-type and body mass index (BMI) were also noted and assessed in relation to tropism. Of the 349 subjects, there were 63.0 % females, the mean age was 61.8 years and the mean BMI was 25.6 kg/m(2). Overall, 9.7, 76.5 and 13.8 % had L3-L4, L4-L5 and L5-S1 DS, respectively. Tropism was present in 47.1, 50.6 and 31.3 % of L3-L4, L4-L5 and L5-S1 of levels with DS, respectively. Tropism involved 33.3 to 50.0 % and 33.3 to 58.8 % of the immediate adjacent and most distal non-DS levels from the DS level, respectively. Patient demographics were not found to be significantly related to tropism at any level (p > 0.05). To the authors' knowledge, this is one of the largest studies conducted, in particular in an Asian population, addressing facet joint tropism. Although levels with DS were noted to have tropism, immediate adjacent

  11. Internal derangements of the temporomandibular joint: description of clinical syndromes.

    PubMed

    Schwartz, H C; Kendrick, R W

    1984-07-01

    Clinical findings and diagnostic criteria for internal derangements of the temporomandibular joint are outlined. Pathophysiology is discussed, including the role of predisposing factors and the relationship with myofascial pain-dysfunction syndrome.

  12. The Cultural Context of Learning in International Joint Ventures.

    ERIC Educational Resources Information Center

    Liu, Shimin; Vince, Russ

    1999-01-01

    A study of Chinese-Western joint business ventures showed that cultural context and different modes of managing and organizing must be considered. Successful joint ventures involve a process of collective, two-way learning. (SK)

  13. The Cultural Context of Learning in International Joint Ventures.

    ERIC Educational Resources Information Center

    Liu, Shimin; Vince, Russ

    1999-01-01

    A study of Chinese-Western joint business ventures showed that cultural context and different modes of managing and organizing must be considered. Successful joint ventures involve a process of collective, two-way learning. (SK)

  14. Sound analysis of temporomandibular joint internal derangements with phonographic recordings.

    PubMed

    Ogütcen-Toller, Melahat

    2003-03-01

    Temporomandibular joint (TMJ) sound recordings could be analyzed to assess the state of TMJ internal derangements. The aim of the study was to assess the value of sound analysis in the diagnosis of the type of the TMJ internal derangements. After clinical and radiologic examinations, phonographic sound recordings on mandibular excursions were obtained in 52 patients with TMJ internal derangements and 12 control individuals. Sound correlations were made on the basis of opening-closing, protrusive-retrusive, and lateral excursions of the mandible. Clicking was a consistent finding of anterior disc displacement with reduction, whereas crepitation was found in varying degrees in anterior disc displacement and osteodegenerative arthritis. Silent TMJs were the feature of normal TMJs, except for the situations of acute lock. Although in 29 TMJs opening click was followed by a closing click (reciprocal clicking), 46 TMJs with opening click also had clicking on protrusion. On the other hand, 19 TMJs with opening click also had clicking on ipsilateral motion, and 40 TMJs with opening click had clicking on contralateral motion of the mandible. The sound patterns were found to be similar in opening-protrusive clicks and opening-contralateral clicks. The lack of protrusive clicking in the presence of opening click was considered an indication of late disc reduction on opening. Crepitation was observed in advanced cases of TMJ internal derangements. Within the limitations of this study, the results suggest that TMJ sound analysis on mandibular excursions was indicative for diagnosis and establishment of severity of TMJ internal derangements. Clicking and crepitation may be looked on as signs of abnormal joint disorder, clicking indicating anterior disc displacement with reduction, and crepitation, indicating progression from anterior disc displacement without reduction to osteodegenerative arthritis.

  15. In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation.

    PubMed

    Koishi, Hayato; Goto, Akira; Tanaka, Makoto; Omori, Yasushi; Futai, Kazuma; Yoshikawa, Hideki; Sugamoto, Kazuomi

    2011-10-01

    The purpose of this study was to assess accurately the three-dimensional movements of the scapula and humerus relative to the thorax during internal/external rotation motion with abduction of the shoulder joint. Ten right shoulders of ten healthy volunteers were examined using a wide-gantry open magnetic resonance imaging (MRI) system. MRI was performed every 30° from 90° external rotation to 90° internal rotation of the shoulder joint. The contribution ratio of the scapulothoracic joint was 12.5% about the long axis of the humerus during internal/external rotation motion. With arm position changes from 90° external rotation to 60° internal rotation, most movement was performed by the glenohumeral joint. Conversely, at internal rotation of ≥60°, the scapula began to markedly tilt in the anterior direction. At 90° internal rotation, the scapula was significantly tilted anteriorly (p < 0.05) when compared with the other positions. We clarified the existence of a specific scapulohumeral motion pattern, whereby the glenohumeral joint moves with internal rotation and the scapulothoracic joint moves with anterior tilt together with internal rotation motion of the shoulder joint.

  16. Knee joint position sense ability in elite athletes who have returned to international level play following ACL reconstruction: A cross-sectional study.

    PubMed

    Relph, Nicola; Herrington, Lee

    2016-12-01

    Following an ACL injury, reconstruction (ACL-R) and rehabilitation, athletes may return to play with a proprioceptive deficit. However, literature is lacking to support this hypothesis in elite athletic groups who have returned to international levels of performance. It is possible the potentially heightened proprioceptive ability evidenced in athletes may negate a deficit following injury. The purpose of this study was to consider the effects of ACL injury, reconstruction and rehabilitation on knee joint position sense (JPS) on a group of elite athletes who had returned to international performance. Using a cross-sectional design ten elite athletes with ACL-R and ten controls were evaluated. JPS was tested into knee extension and flexion using absolute error scores. Average data with 95% confidence intervals between the reconstructed, contralateral and uninjured control knees were analyzed using t-tests and effect sizes. The reconstructed knee of the injured group demonstrated significantly greater angle of error scores when compared to the contralateral and uninjured control into knee flexion (p=0.0001, r=0.98) and knee extension (p=0.0001, r=0.91). There were no significant differences between the contralateral uninjured knee of the injured group and the uninjured control group. Elite athletes who have had an ACL injury, reconstruction, rehabilitation and returned to international play demonstrate lower JPS ability compared to control groups. It is unclear if this deficiency affects long-term performance or secondary injury and re-injury problems. In the future physical therapists should monitor athletes longitudinally when they return to play. Copyright © 2016 Elsevier B.V. All rights reserved.

  17. Dorsal fracture-dislocation of the proximal interphalangeal joint: a comparative study of percutaneous Kirschner wire fixation versus open reduction and internal fixation.

    PubMed

    Aladin, A; Davis, T R C

    2005-05-01

    Nineteen patients with a dorsal fracture-dislocation of the proximal interphalangeal joint of a finger were treated with either closed reduction and transarticular Kirschner wire fixation (eight cases) or open reduction and internal fixation, using either one or two lag screws (six cases) or a cerclage wire (five cases). At a mean follow-up of 7 (range 6-9) years, most patients reported satisfactory finger function, even though some of the injuries healed with proximal interphalangeal joint incongruency (seven cases) or subluxation (four cases). Those treated by open reduction complained of more "loss of feeling" in the affected finger and those specifically treated by cerclage wire fixation reported more cold intolerance and had a significantly larger fixed flexion deformity (median, 30 degrees : range 18-38 degrees ) and a smaller arc of motion (median, 48 degrees : range 45-60 degrees ) at the proximal interphalangeal joint, despite having the best radiological outcomes. Closed reduction and transarticular Kirschner wire fixation produced satisfactory results, with none of the eight patients experiencing significant persistent symptoms despite a reduced arc of proximal interphalangeal joint flexion (median=75 degrees ; range 60-108 degrees ). The results of this relatively simple treatment appear at least as satisfactory as those obtained by the two techniques of open reduction and internal fixation, both of which were technically demanding.

  18. Proceedings of the Third International Workshop on Jointed Structures.

    SciTech Connect

    Starr, Michael James; Brake, Matthew Robert; Segalman, Daniel Joseph; Bergman, Lawrence A.; Ewins, David J.

    2013-08-01

    The Third International Workshop on Jointed Structures was held from August 16th to 17th, 2012, in Chicago Illinois, following the ASME 2012 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. Thirty two researchers from both the United States and international locations convened to discuss the recent progress of mechanical joints related research and associated efforts in addition to developing a roadmap for the challenges to be addressed over the next five to ten years. These proceedings from the workshop include the minutes of the discussions and follow up from the 2009 workshop [1], presentations, and outcomes of the workshop. Specifically, twelve challenges were formulated from the discussions at the workshop, which focus on developing a better understanding of uncertainty and variability in jointed structures, incorporating high fidelity models of joints in simulations that are tractable/efficient, motivating a new generation of researchers and funding agents as to the importance of joint mechanics research, and developing new insights into the physical phenomena that give rise to energy dissipation in jointed structures. The ultimate goal of these research efforts is to develop a predictive model of joint mechanics.

  19. [Constraints on the knee caused by meniscal and ligament derangement. Study of the internal condylotibial joint. Experimental cinematic method].

    PubMed

    Frain, P; Fontaine, C; D'Hondt, D

    1984-01-01

    In a previous paper the authors have demonstrated that the polycentric curve of the surface of the medial condyle of the femur is a logarithmic spiral arch whose centre is the point of attachment of the medial ligament. In the present study, the totality of the menisco-ligamentous system was considered and studied on cadavers following a geometric model. It is shown that the ligament system controls combined or successive movements of gliding or rotation of the condyle on the tibial plateau in such a way as to avoid any cam effect or additional strain. Division of ligaments or excision of a meniscus leads to an increase in strain which varies in relation to the type of lesion. The increase is moderate after division of the anterior cruciate ligament, greater after division of the posterior cruciate ligament and severe after meniscectomy especially when associated with ligamentous division.

  20. 77 FR 58204 - International Joint Commission Invites Public Comment on Upper Great Lakes Report via...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... International Joint Commission Invites Public Comment on Upper Great Lakes Report via Teleconference and Extends... teleconference to invite public comment on the final report of its International Upper Great Lakes Study Board, Lake Superior Regulation: Addressing Uncertainty in Upper Great Lakes Water Levels. The teleconference...

  1. Critical Values of Facet Joint Angulation and Tropism in the Development of Lumbar Degenerative Spondylolisthesis: An International, Large-Scale Multicenter Study by the AOSpine Asia Pacific Research Collaboration Consortium

    PubMed Central

    Samartzis, Dino; Cheung, Jason Pui Yin; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D. K.; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Goss, Ben; Sham, Phoebe; Williams, Richard

    2015-01-01

    Study Design  An international, multicenter cross-sectional image-based study performed in 33 institutions in the Asia Pacific region. Objective  The study addressed the role of facet joint angulation and tropism in relation to L4–L5 degenerative spondylolisthesis (DS). Methods  The study included 349 patients (63% females; mean age: 61.8 years) with single-level DS; 82 had no L4–L5 DS (group A) and 267 had L4–L5 DS (group B). Axial computed tomography and magnetic resonance imaging were utilized to assess facet joint angulations and tropism (i.e., asymmetry between facet joint angulations) between groups. Results  There was a statistically significant difference between group A (left mean: 46.1 degrees; right mean: 48.2 degrees) and group B (left mean: 55.4 degrees; right mean: 57.5 degrees) in relation to bilateral L4–L5 facet joint angulations (p < 0.001). The mean bilateral angulation difference was 7.4 and 9.6 degrees in groups A and B, respectively (p = 0.025). A critical value of 58 degrees or greater significantly increased the likelihood of DS if unilateral (adjusted OR: 2.5; 95% CI: 1.2 to 5.5; p = 0.021) or bilateral facets (adjusted OR: 5.9; 95% CI: 2.7 to 13.2; p < 0.001) were involved. Facet joint tropism was found to be relevant between 16 and 24 degrees angulation difference (adjusted OR: 5.6; 95% CI: 1.2 to 26.1; p = 0.027). Conclusions  In one of the largest studies assessing facet joint orientation in patients with DS, greater sagittal facet joint angulation was associated with L4-L5 DS, with a critical value of 58 degrees or greater increasing the likelihood of the condition for unilateral and bilateral facet joint involvement. Specific facet joint tropism categories were noted to be associated with DS. PMID:27433424

  2. The Joint Airport Weather Studies Project.

    NASA Astrophysics Data System (ADS)

    McCarthy, John; Wilson, James W.; Theodore Fujita, T.

    1982-01-01

    The Joint Airport Weather Studies (JAWS) Project will investigate the microburst event, having 2-10 km spatial and 2-10 min temporal scales, at Denver's Stapleton International Airport during the summer of 1982. JAWS applications and technology transfer objectives include: broadening the data base; providing data for real-time detection of thunderstorm hazards for dissemination to the public and avaiation communities; examining aircraft performance in wind shear; providing a real-time test for display software; identifying which scales of atmospheric motion are pertinent to applied objectives; providing a test of optimal Doppler radar placement suitable for metropolitan and airport terminal coverage; and describing in more detail the microburst hazard.

  3. Investigation Leads to Improved Understanding of Space Shuttle RSRM Internal Insulation Joints

    NASA Technical Reports Server (NTRS)

    McWhorter, Bruce B.; Bolton, Doug E.; Hicken, Steve V.; Allred, Larry D.; Cook, Dave J.

    2003-01-01

    The Space Shuttle Reusable Solid Rocket Motor (RSRM) uses an internal insulation J-joint design for the mated insulation interface between two assembled RSRM segments. In this assembled (mated) segment configuration, this J-joint design serves as a thermal barrier to prevent hot gases from affecting the case field joint metal surfaces and O-rings. A pressure sensitive adhesive (PSA) provides some adhesion between the two mated insulation surfaces. In 1995, after extensive testing, a new ODC-free PSA (free of ozone depleting chemicals) was selected for flight on RSRM-55 (STS-78). Post-flight inspection revealed that the J-joint, equipped with the new ODC-free PSA, did not perform well. Hot gas seeped inside the J-joint interface. Although not a flight safety threat, the J-joint hot gas intrusion on RSRM-55 was a mystery to the investigators since the PSA had previously worked well on a full-scale static test. A team was assembled to study the J-joint and PSA further. All J-joint design parameters, measured data, and historical performance data were re-reviewed and evaluated by subscale testing and analysis. Although both the ODC-free and old PSA were weakened by humidity, the ODC-free PSA strength was lower to start with. Another RSRM full-scale static test was conducted in 1998 and intentionally duplicated the gas intrusion. This test, along with many concurring tests, showed that if a J-joint was 1) mated with the new ODC-free PSA, 2) exposed to a history of high humidity (Kennedy Space Center levels), and 3) also a joint which experienced significant but normal joint motion (J-joint deformation resulting from motor pressurization dynamics) then that J-joint would open (allow gas intrusion) during motor operation. When all of the data from the analyses, subscale tests, and full-scale tests were considered together, a theory emerged. Most of the joint motion on the RSRM occurs early in motor operation at which point the J-joints are pulled into tension. If the new

  4. Trophoblastic disease review for diagnosis and management: a joint report from the International Society for the Study of Trophoblastic Disease, European Organisation for the Treatment of Trophoblastic Disease, and the Gynecologic Cancer InterGroup.

    PubMed

    Mangili, Giorgia; Lorusso, Domenica; Brown, Jubilee; Pfisterer, Jacobus; Massuger, Leon; Vaughan, Michelle; Ngan, Hextan Y S; Golfier, Francois; Sekharan, Paradan K; Charry, Rafael Cortés; Poveda, Andres; Kim, Jae-Weon; Xiang, Yang; Berkowtiz, Ross; Seckl, Michael J

    2014-11-01

    The objective of this study was to provide a consensus review on gestational trophoblastic disease diagnosis and management from the combined International Society for the Study of Trophoblastic Disease, European Organisation for the Treatment of Trophoblastic Disease, and the Gynecologic Cancer InterGroup. A joint committee representing various groups reviewed the literature obtained from PubMed searches. Guidelines were constructed on the basis of literature review. After initial diagnosis in local centers, centralization of pathology review and ongoing care is recommended to achieve the best outcomes.

  5. The International Space Station Solar Alpha Rotary Joint Anomaly Investigation

    NASA Technical Reports Server (NTRS)

    Harik, Elliot P.; McFatter, Justin; Sweeney, Daniel J.; Enriquez, Carlos F.; Taylor, Deneen M.; McCann, David S.

    2010-01-01

    The Solar Alpha Rotary Joint (SARJ) is a single-axis pointing mechanism used to orient the solar power generating arrays relative to the sun for the International Space Station (ISS). Approximately 83 days after its on-orbit installation, one of the two SARJ mechanisms aboard the ISS began to exhibit high drive motor current draw. Increased structural vibrations near the joint were also observed. Subsequent inspections via Extravehicular Activity (EVA) discovered that the nitrided case-hardened steel bearing race on the outboard side of the joint had extensive damage to one of its three rolling surfaces. A farreaching investigation of the anomaly was undertaken. The investigation included metallurgical inspections, coupon tests, traction kinematics tests, detailed bearing measurements, and thermal and structural analyses. The results of the investigation showed that the anomaly had most probably been caused by high bearing edge stresses that resulted from inadequate lubrication of the rolling contact. The profile of the roller bearings and the metallurgical properties of the race ring were also found to be significant contributing factors. To mitigate the impact of the damage, astronauts cleaned and lubricated the race ring surface with grease. This corrective action led to significantly improved performance of the mechanism both in terms of drive motor current and induced structural vibration.

  6. The International Space Station Solar Alpha Rotary Joint Anomaly Investigation

    NASA Technical Reports Server (NTRS)

    Harik, Elliot P.; McFatter, Justin; Sweeney, Daniel J.; Enriquez, Carlos F.; Taylor, Deneen M.; McCann, David S.

    2010-01-01

    The Solar Alpha Rotary Joint (SARJ) is a single-axis pointing mechanism used to orient the solar power generating arrays relative to the sun for the International Space Station (ISS). Approximately 83 days after its on-orbit installation, one of the two SARJ mechanisms aboard the ISS began to exhibit high drive motor current draw. Increased structural vibrations near the joint were also observed. Subsequent inspections via Extravehicular Activity (EVA) discovered that the nitrided case hardened steel bearing race on the outboard side of the joint had extensive damage to one of its three rolling surfaces. A far-reaching investigation of the anomaly was undertaken. The investigation included metallurgical inspections, coupon tests, traction kinematics tests, detailed bearing measurements, and thermal and structural analyses. The results of the investigation showed that anomaly had most probably been caused by high bearing edge stresses that resulted from inadequate lubrication of the rolling contact. The profile of the roller bearings and the metallurgical properties of the race ring were also found to be significant contributing factors. To mitigate the impact of the damage astronauts cleaned and lubricated the race ring surface with grease. This corrective action led to significantly improved performance of the mechanism both in terms of drive motor current and induced structural vibration.

  7. Comparative study in patients with symptomatic internal derangements of the temporomandibular joint: analgesic outcomes of arthrocentesis with or without intra-articular morphine and tramadol.

    PubMed

    Sipahi, A; Satilmis, T; Basa, S

    2015-04-01

    Our aim was to find out whether pain was better controlled if morphine or tramadol was injected intra-articularly after arthrocentesis with Ringer's lactate in patients with painful temporomandibular joints (TMJ). This placebo-controlled, double-blind study involved 30 patients who had not responded to conservative treatment and who were divided randomly into 3 groups of 10 patients each. All patients had arthrocentesis, and the drugs were given as intra-articular injections immediately after the procedure. One group was give 5% Ringer's lactate 1ml, the second morphine 1mg, and the third tramadol 50mg. Visual analogue scales (VAS) for pain were recorded at maximum mouth opening and at rest before intra-articular injection and after 15 and 30min; at 1, 2, 3, 8, 12, 24, 36 and 48h; and at 1, 3, and 6 monthly follow-up. The mean (SD) VAS decreased from 6.90 (1.45) to 2.6 (2.5) in the control group, from 7.30 (1.64) to 1.20 (0.79) in the morphine group (p=0.005), and from 7.10 (1.73) to 1.50 (1.78) in the tramadol group (p=0.005). We conclude that morphine given by intra-articular injection after arthrocentesis gives a significant, sustained (6 months) improvement in pain relief compared with simple arthrocentesis alone. The effect was similar with tramadol except that it was shorter lived. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  8. An International Multicenter Study Assessing the Role of Ethnicity on Variation of Lumbar Facet Joint Orientation and the Occurrence of Degenerative Spondylolisthesis in Asia Pacific: A Study from the AOSpine Asia Pacific Research Collaboration Consortium

    PubMed Central

    Williams, Richard; Cheung, Jason Pui Yin; Goss, Ben; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D. K.; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Sham, Phoebe; Samartzis, Dino

    2015-01-01

    Study Design A multinational, multiethnic, cross-sectional image-based study was performed in 33 institutions, representing 10 countries, which were part of the AOSpine Asia Pacific Research Collaboration Consortium. Objective Lumbar facet joint orientation has been reported to be associated with the development of degenerative spondylolisthesis (DS). The role of ethnicity regarding facet joint orientation remains uncertain. As such, the following study was performed across a wide-ranging population base to assess the role of ethnicity in facet joint orientation in patients with DS in the Asia Pacific region. Methods Lateral standing X-rays and axial magnetic resonance imaging scans were obtained for patients with lumbar DS. The DS parameters and facet joint angulations were assessed from L3–S1. Sex, age, body mass index (BMI), and ethnicity were also noted. Results The study included 371 patients with known ethnic origin (mean age: 62.0 years; 64% males, 36% females). The mean BMI was 25.6 kg/m2. The level of DS was most prevalent at L4–L5 (74.7%). There were 28.8% Indian, 28.6% Japanese, 18.1% Chinese, 8.6% Korean, 6.5% Thai, 4.9% Caucasian, 2.7% Filipino, and 1.9% Malay patients. Variations in facet joint angulations were noted from L3 to S1 and between patients with and without DS (p < 0.05). No differences were noted with regards to sex and overall BMI to facet joint angulations (p > 0.05); however, increasing age was found to increase the degree of angulation throughout the lumbar spine (p < 0.05). Accounting for age and the presence or absence of DS at each level, no statistically significant differences between ethnicity and degree of facet joint angulations from L3–L5 were noted (p > 0.05). Ethnic variations were noted in non-DS L5–S1 facet joint angulations, predominantly between Caucasian, Chinese, and Indian ethnicities (p < 0.05). Conclusions This study is the first to suggest that ethnicity may not play a role in

  9. An International Multicenter Study Assessing the Role of Ethnicity on Variation of Lumbar Facet Joint Orientation and the Occurrence of Degenerative Spondylolisthesis in Asia Pacific: A Study from the AOSpine Asia Pacific Research Collaboration Consortium.

    PubMed

    Williams, Richard; Cheung, Jason Pui Yin; Goss, Ben; Rajasekaran, Shanmuganathan; Kawaguchi, Yoshiharu; Acharya, Shankar; Kawakami, Mamoru; Satoh, Shigenobu; Chen, Wen-Jer; Park, Chun-Kun; Lee, Chong-Suh; Foocharoen, Thanit; Nagashima, Hideki; Kuh, Sunguk; Zheng, Zhaomin; Condor, Richard; Ito, Manabu; Iwasaki, Motoki; Jeong, Je Hoon; Luk, Keith D K; Prijambodo, Bambang; Rege, Amol; Jahng, Tae-Ahn; Luo, Zhuojing; Tassanawipas, Warat; Acharya, Narayana; Pokharel, Rohit; Shen, Yong; Ito, Takui; Zhang, Zhihai; Aithala P, Janardhana; Kumar, Gomatam Vijay; Jabir, Rahyussalim Ahmad; Basu, Saumyajit; Li, Baojun; Moudgil, Vishal; Sham, Phoebe; Samartzis, Dino

    2016-02-01

    Study Design A multinational, multiethnic, cross-sectional image-based study was performed in 33 institutions, representing 10 countries, which were part of the AOSpine Asia Pacific Research Collaboration Consortium. Objective Lumbar facet joint orientation has been reported to be associated with the development of degenerative spondylolisthesis (DS). The role of ethnicity regarding facet joint orientation remains uncertain. As such, the following study was performed across a wide-ranging population base to assess the role of ethnicity in facet joint orientation in patients with DS in the Asia Pacific region. Methods Lateral standing X-rays and axial magnetic resonance imaging scans were obtained for patients with lumbar DS. The DS parameters and facet joint angulations were assessed from L3-S1. Sex, age, body mass index (BMI), and ethnicity were also noted. Results The study included 371 patients with known ethnic origin (mean age: 62.0 years; 64% males, 36% females). The mean BMI was 25.6 kg/m(2). The level of DS was most prevalent at L4-L5 (74.7%). There were 28.8% Indian, 28.6% Japanese, 18.1% Chinese, 8.6% Korean, 6.5% Thai, 4.9% Caucasian, 2.7% Filipino, and 1.9% Malay patients. Variations in facet joint angulations were noted from L3 to S1 and between patients with and without DS (p < 0.05). No differences were noted with regards to sex and overall BMI to facet joint angulations (p > 0.05); however, increasing age was found to increase the degree of angulation throughout the lumbar spine (p < 0.05). Accounting for age and the presence or absence of DS at each level, no statistically significant differences between ethnicity and degree of facet joint angulations from L3-L5 were noted (p > 0.05). Ethnic variations were noted in non-DS L5-S1 facet joint angulations, predominantly between Caucasian, Chinese, and Indian ethnicities (p < 0.05). Conclusions This study is the first to suggest that ethnicity may not play a role in facet

  10. Development of Common International Specifications to Support Future Joint Missions

    NASA Astrophysics Data System (ADS)

    Kminek, Gerhard; Rummel, John; Conley, Catharine

    Scientific exploration of the solar system is becoming more complex and costly, while featuring both astrobiologically compelling targets and the need for increasingly capable scientific instru-mentation and spacecraft. Recently, an increasing number of countries are joining the club of spacefaring nations, providing a greater base of capabilities in space exploration from which to work. Both trends are positive and may be expected to lead to both an increased number of cooperative missions. A focus on "better" future cooperative missions to Mars and the Outer Planets satellites—with a concentration on the potential of these bodies to support life—will necessarily require con-tinued attention to the planetary protection policies that govern their exploration. Agencies conducting joint missions to these worlds have long recognized the utility of COSPAR's plane-tary protection policy as the international consensus standard applied to support their scientific exploration. As such, a formal role for COSPAR's policy in joining agency efforts is expected to continue, while in an informal sense COSPAR will also continue to work to harmonize the technical side of requirements among space agencies and to provide an international forum to develop future thinking on planetary protection issues. In this way, COSPAR can help to aid agencies to develop bilateral and multilateral cooperative efforts, such as the 2007 agreement reached by NASA and ESA, as well as to expand the level of coordination among space agencies of other spacefaring nations. Such coordination and the successful implementation of COSPAR requirements on joint mis-sions suggests the need for frequent exchanges of information among the planetary protection authorities of the respective spacefaring nation and the COSPAR planetary protection panel. To be effective, such exchanges should ideally start already before mission categorization and continue until the end-of-mission report. This is considered of

  11. Role conflict and ambiguity of CEOs in international joint ventures: a transaction cost perspective.

    PubMed

    Gong, Y; Shenkar, O; Luo, Y; Nyaw, M K

    2001-08-01

    Insights from transaction cost economics were used to study the boundary conditions underlying the role conflict and ambiguity of 265 CEOs in Chinese-based international joint ventures. Role conflict and ambiguity were lower when the contract between parents was more complete. Contract completeness fully mediated the effects of parent objective gap and parent formalization on role ambiguity but only partially so in the case of role conflict. Role conflict was lower when the foreign parent was dominant in the venture but higher when the local parent was dominant. Role conflict and ambiguity were inversely related to cultural distance. Neither construct had a detrimental effect on international joint venture performance. Implications for role theory are discussed.

  12. Clinical evaluation of physical therapy in the management of internal derangement of the temporomandibular joint.

    PubMed

    Kirk, W S; Calabrese, D K

    1989-02-01

    This clinical cross-sectional study examines the favorable functional improvement in patients undergoing physical therapy for mild to moderate internal disc derangements of the temporomandibular joint. Sixty-eight patients with internal derangements were treated with physical therapeutic modalities as described by Rocabado. A success rate of 86% was achieved in patients with early- to mid-opening and late- to mid-closing clicks of the temporomandibular joint. Approximately one third of these patients required short-term occlusal bite appliances to assist in their management. A success rate of 7% was achieved in patients with late-opening and late-closing clicks. No patient with clicking on mediolateral movement was successfully managed with physical therapy. Likewise, patients with nonreducing anteriorly displaced discs of the temporomandibular joint did not respond well to physical therapy. Pain management was evaluated separately and showed subjective improvement in 82% of patients with mild to moderate disc dysfunction and pain. Only 29% of patients with late-opening clicking or locked joints experienced pain relief. When patients were classified according to occurrence of the clicking phenomenon, interesting trends relating to duration of symptoms were found. Twenty-two patients who did not respond favorably to physical therapy underwent surgical procedures. Findings in these patients offer suggestions about why nonsurgical therapy is not successful in certain cases.

  13. PREFACE: Joint Varenna-Lausanne International Workshop 2014

    NASA Astrophysics Data System (ADS)

    2014-11-01

    The 2014 joint Varenna-Lausanne international workshop on the theory of fusion plasmas was once more a great meeting. The programme covers a wide variety of topics, namely turbulence, MHD, edge physics and RF wave heating. The broad spectrum of skills involved in this meeting, from fundamental to applied physics, is striking. The works published in this special issue combine mathematics, numerics and physics at various levels - confirming the increasing integration of expertise in our community. As an incentive to read this cluster, let us mention a few outstanding results. Several papers address fundamental issues in turbulent transport, in particular the dynamics of structures. It is quite remarkable that this subject is now mature enough to propose signatures that can be tested by measurements. Linear and non linear MHD was also at the forefront. Several works illustrate the increasing level of realistic description of a fusion device, in particular by implementing complicated wall geometries. Moreover some noticeable progress has been made in the understanding of reconnection processes in collisionless regimes. The activity on radio-frequency heating and current drive is well represented, driven by the future operation of W7-X, ITER, and DEMO on a longer time scale. Finally the development of innovative numerical techniques, an old tradition of the conference, has driven several nice articles. The programme committee is traditionally keen in promoting young scientists. A number of senior scientists also attend the meeting on a regular basis, so that the attendance was nicely balanced. We believe that these efforts have been particularly fruitful this year. The number of young (and less young) faces was particularly impressive and this special issue illustrates this feature. The success of the 2014 edition brings evidence that the joint Varenna-Lausanne is the right place for presenting th The quality and size of the scientific production is illustrated by the

  14. The influence of femoral internal and external rotation on cartilage stresses within the patellofemoral joint.

    PubMed

    Besier, Thor F; Gold, Garry E; Delp, Scott L; Fredericson, Michael; Beaupré, Gary S

    2008-12-01

    Internal and external rotation of the femur plays an important role in defining the orientation of the patellofemoral joint, influencing contact areas, pressures, and cartilage stress distributions. The purpose of this study was to determine the influence of femoral internal and external rotation on stresses in the patellofemoral cartilage. We constructed finite element models of the patellofemoral joint using magnetic resonance (MR) images from 16 volunteers (8 male and 8 female). Subjects performed an upright weight-bearing squat with the knee at 60 degrees of flexion inside an open-MR scanner and in a gait laboratory. Quadriceps muscle forces were estimated for each subject using an electromyographic-driven model and input to a finite element analysis. Hydrostatic and octahedral shear stresses within the cartilage were modeled with the tibiofemoral joint in a "neutral" position and also with the femur rotated internally or externally by 5 degrees increments to +/-15 degrees . Cartilage stresses were more sensitive to external rotation of the femur, compared with internal rotation, with large variation across subjects. Peak patellar shear stresses increased more than 10% with 15 degrees of external rotation in 75% of the subjects. Shear stresses were higher in the patellar cartilage compared to the femoral cartilage and patellar cartilage stresses were more sensitive to femoral rotation compared with femoral cartilage stress. Large variation in the cartilage stress response between individuals reflects the complex nature of the extensor mechanism and has clinical relevance when considering treatment strategies designed to reduce cartilage stresses by altering femoral internal and external rotation.

  15. Lubricin in synovial fluid of mild and severe temporomandibular joint internal derangements

    PubMed Central

    Perrotta, Rosario E.; Almeida, Luis-Eduardo; Loreto, Carla; Musumeci, Giuseppe

    2016-01-01

    Background To understand the molecular basis of temporomandibular joint (TMJ) pathologies, we aimed to investigate the lubricin levels in the TMJ synovial fluid (SF) of patients with mild to severe internal derangements (IDs). Material and Methods A total, 34 joints were the study group. Only patients, with a Wilkes stage of III, IV and V were included, in this sample. Control group consisted of SF from eight joints, from patients undergoing to orthognatic surgery. Concentrations of lubricin in the SF from both samples were measured using ELISA system. Results The mean lubricin concentration was 7.029 ± 0.21 µg/mL in stage III patients; 5.64 ± 0.10 µg/mL in stage IV patients, and 4.78 ± 0.11 µg/mL in stage V patients. The lubricin levels from stage IV and stage V patients differed significantly (P ≤ 0.001) from those of control subjects. Lubricin levels were inversely correlated with age and to VAS score. Conclusions The results of this cross-sectional study highlight the relationship between disease severity and the levels of lubricin in TMJ SF. Our findings suggest that novel biotherapeutic approaches, including the administration of recombinant lubricin in the joint cavity, for the treatment of TMJ diseases can be developed. Key words:Lubricin, TMJ, derangements, synovial fluid. PMID:27694778

  16. Languages and International Studies

    ERIC Educational Resources Information Center

    Knoll, Samson B.

    1976-01-01

    International studies are defined as multicultural studies and students should be taught awareness and appreciation of diverse cultures as they relate to each other. Language study should be integrated into an interdisciplinary curriculum where languages receive new meaning and make new contributions. (CHK)

  17. Microbiological investigation of retrodiscal tissues from patients with advanced internal derangement of the temporomandibular joint.

    PubMed

    McIntosh, M; Dimitroulis, G

    2012-03-01

    The aim of this study was to investigate the presence of bacteria in samples of retrodiscal tissues taken from patients suffering from advanced internal derangement of the temporomandibular joint (TMJ). 12 fresh retrodiscal tissue samples were taken from 12 consecutive patients who underwent unilateral TMJ discectomy for advanced TMJ internal derangement (Wilkes stage IV). The retrodiscal tissue samples were stained and cultured for the presence of micro-organisms in microbiology laboratories. No evidence of bacteria or other micro-organisms was found in any of the tissue specimens procured from the TMJ. This study failed to identify the presence of bacteria or other micro-organisms in fresh retrodiscal tissue specimens of the TMJ in patients with advanced TMJ internal derangement.

  18. Effects of hand grip exercise on shoulder joint internal rotation and external rotation peak torque.

    PubMed

    Lee, Dong-Rour; Jong-Soon Kim, Laurentius

    2016-08-10

    The goal of this study is to analyze the effects of hand grip training on shoulder joint internal rotation (IR)/external rotation (ER) peak torque for healthy people. The research was conducted on 23 healthy adults in their 20 s-30 s who volunteered to participate in the experiment. Hand grip power test was performed on both hands of the research subjects before/after the test to study changes in hand grip power. Isokinetic machine was used to measure the concentric IRPT (internal rotation peak torque) and concentric ERPT (external rotation peak torque) at the velocity of 60°/sec, 90°/sec, and 180°/sec before/after the test. Hand grip training was performed daily on the subject's right hand only for four weeks according to exercise program. Finally, hand grip power of both hands and the maximum torque values of shoulder joint IR/ER were measured before/after the test and analyzed. There was a statistically significant difference in the hand grip power of the right hand, which was subject to hand grip training, after the experiment. Also, statistically significant difference for shoulder ERPT was found at 60°/sec. Hand grip training has a positive effect on shoulder joint IRPT/ERPT and therefore can help strengthen muscles around the shoulder without using weight on the shoulder. Consequently, hand grip training would help maintain strengthen the muscles around the shoulder in the early phase of rehabilitation process after shoulder surgery.

  19. International Study Tour Groups

    ERIC Educational Resources Information Center

    O'Reilly, Frances L.; Matt, John J.; McCaw, William P.; Kero, Patty; Stewart, Courtney; Haddouch, Reda

    2014-01-01

    Using the context of international study tour groups, this study examined the personal and professional transformation that occurred among host faculty and staff at The University of Montana-Missoula as a result of their interactions with traveling academics from other countries. Data were collected from participant responses (n = 27) using a…

  20. Study Canada: International Outlook.

    ERIC Educational Resources Information Center

    Monahan, Robert L.; And Others

    This self-contained unit of study on Canada is one of a series which can be used to supplement secondary level courses of social studies, contemporary world problems, government, history, and geography. Developed by teachers, the unit focuses on international relations. A comparative approach is used which stresses understanding Canada from…

  1. Chondrogenic effect of the perichondrium graft on the internal derangement and osteoarthritis of the temporomandibular joint of the rabbit.

    PubMed

    Taylan Filinte, Gaye; Akan, Mithat; Bilgic, Ilker; Karaca, Mustafa; Akoz, Tayfun

    2011-07-01

    Internal derangement of the temporomandibular joint is usually defined as the disruption of the condyle and disc relationship. In addition to this description the other elements of the joint including the cartilage surface, synovial fluid, the ligaments and the bony surface itself demonstrate varying degrees of pathology in concordance with the stage of the internal derangement, as well. This study is designed to create an osteoarthritic model in the rabbit temporomandibular joint. A 2×2mm defect was performed on the cartilage surface of the both condyles of each animal (n=30). The osteoarthritic changes were demonstrated by computerised tomography sections. The right joints of the animals constituted the control group and the left, the study group. At the time of the defect generation, a perichondrium graft from the animal's ear was implanted onto the defect in the study group. The control group was left to heal secondarily. The joints of three randomized groups of 10 animals for each were inspected at the 4th, 6th, and 8th weeks. Cartilage regeneration and regression of the osteoarthritic changes were demonstrated in the study group both in the 6th and 8th week groups. However, the control group showed less cartilage regeneration and progression of the osteoarthritic changes in all weeks, with progression with time. The perichondrium graft has demonstrated chondrogenic effect on the condyle and this in turn changed the progression to internal derangement. Copyright © 2010 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  2. A cadaveric study on sacroiliac joint injection.

    PubMed

    Zou, Yu-Cong; Li, Yi-Kai; Yu, Cheng-Fu; Yang, Xian-Wen; Chen, Run-Qi

    2015-02-01

    The scope of this study was to explore the possibility as well as the feasibility of sacroiliac joint injection following simple X-ray clip location. For the cadaveric study, 10 fixed sacroiliac joint (SIJ) sectional specimens, 4 dried cadaveric pelvises and 21 embalmed adult cadaveric pelvises were dissected, followed by an injection of contrast agent into the joint. The irrigation of the agent was observed through CT scanning. For the radiologic study, 188 CT scans of ankylosing spondylitis patients (143 male, 45 female) were collected from 2010 to 2012, in Nanfang Hospital. What was measured was (1) Distance between the posterior midline and sagittal synovium; (2) Length of the sagittal synovium; (3) Distance between the midpoint of the sagittal synovium and posterior superior iliac spine; and (4) Distance between the superficial skin vertical to the sagittal synovium point were measured. For the practice-based study: 20 patients (17 males and 3 females) with early ankylosing spondylitis, from Nanfang Hospital affiliated with Southern Medical University were recruited, and sacroiliac joint unguided injections were done on the basis of the cadaveric and radiologic study. Only the inferior 1/3(rd) portion parallel to the posterior midline could be injected into since the superior 2/3(rd) portion were filled with interosseous ligaments. Thirteen of the 20 patients received successful injections as identified by CT scan using the contrast agent. Sacroiliac joint injection following simple X-ray clip location is possible and feasible if the operation is performed by trained physicians familiar with the sacroiliac joint and its surrounding anatomic structures.

  3. Biomechanical study of tarsometatarsal joint fusion using finite element analysis.

    PubMed

    Wang, Yan; Li, Zengyong; Zhang, Ming

    2014-11-01

    Complications of surgeries in foot and ankle bring patients with severe sufferings. Sufficient understanding of the internal biomechanical information such as stress distribution, contact pressure, and deformation is critical to estimate the effectiveness of surgical treatments and avoid complications. Foot and ankle is an intricate and synergetic system, and localized intervention may alter the functions to the adjacent components. The aim of this study was to estimate biomechanical effects of the TMT joint fusion using comprehensive finite element (FE) analysis. A foot and ankle model consists of 28 bones, 72 ligaments, and plantar fascia with soft tissues embracing all the segments. Kinematic information and ground reaction force during gait were obtained from motion analysis. Three gait instants namely the first peak, second peak and mid-stance were simulated in a normal foot and a foot with TMT joint fusion. It was found that contact pressure on plantar foot increased by 0.42%, 19% and 37%, respectively after TMT fusion compared with normal foot walking. Navico-cuneiform and fifth meta-cuboid joints sustained 27% and 40% increase in contact pressure at second peak, implying potential risk of joint problems such as arthritis. Von Mises stress in the second metatarsal bone increased by 22% at midstance, making it susceptible to stress fracture. This study provides biomechanical information for understanding the possible consequences of TMT joint fusion.

  4. Designing and Managing Successful International Joint Development Programs

    DTIC Science & Technology

    2016-04-30

    joint development programs are important because of their potential to reduce costs and increase partnership benefits such as interoperability, economies ...affordability. There is a tradeoff between achieving leading-edge technology and affordability structures, specifically economies of scale... Economies of scale exist when the scale of output increases to a point where the average per-unit costs of production begins to decrease. The exceptionally

  5. Conformational Statistics of Semi-Flexible Macromolecular Chains with Internal Joints

    PubMed Central

    Zhou, Yu

    2010-01-01

    Fluctuations in the bending angles at internal irregularities of DNA and RNA (such as symmetric loops, bulges, and nicks/gaps) have been observed from various experiments. However, little effort has been made to computationally predict and explain the statistical behavior of semi-flexible chains with internal defects. In this paper, we describe the general structure of these macromolecular chains as inextensible elastic chains with one or more internal joints which have limited ranges of rotation, and propose a method to compute the probability density functions of the end-to-end pose of these macromolecular chains. Our method takes advantage of the operational properties of the non-commutative Fourier transform for the group of rigid-body motions in three-dimensional space, SE(3). Two representative types of joints, the hinge for planar rotation and the ball joint for spatial rotation, are discussed in detail. The proposed method applies to various stiffness models of semi-flexible chain-like macromolecules. Examples are calculated using the Kratky-Porod model with specified stiffness, angular fluctuation, and joint locations. Entropic effects associated with internal angular fluctuations of semi-flexible macromolecular chains with internal joints can be computed using this formulation. Our method also provides a potential tool to detect the existence of internal irregularities. PMID:21243113

  6. Probabilistic Accident Consequence Uncertainty - A Joint CEC/USNRC Study

    SciTech Connect

    Gregory, Julie J.; Harper, Frederick T.

    1999-07-28

    The joint USNRC/CEC consequence uncertainty study was chartered after the development of two new probabilistic accident consequence codes, MACCS in the U.S. and COSYMA in Europe. Both the USNRC and CEC had a vested interest in expanding the knowledge base of the uncertainty associated with consequence modeling, and teamed up to co-sponsor a consequence uncertainty study. The information acquired from the study was expected to provide understanding of the strengths and weaknesses of current models as well as a basis for direction of future research. This paper looks at the elicitation process implemented in the joint study and discusses some of the uncertainty distributions provided by eight panels of experts from the U.S. and Europe that were convened to provide responses to the elicitation. The phenomenological areas addressed by the expert panels include atmospheric dispersion and deposition, deposited material and external doses, food chain, early health effects, late health effects and internal dosimetry.

  7. The peroneocuboid joint: morphogenesis and anatomical study

    PubMed Central

    Guimerá, V; Lafuente, A; Zambrana, L; Rodriguez-Niedenführ, M; Sañudo, J R; Vazquez, T

    2015-01-01

    The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56–57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8–9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes. PMID:25384452

  8. The peroneocuboid joint: morphogenesis and anatomical study.

    PubMed

    Guimerá, V; Lafuente, A; Zambrana, L; Rodriguez-Niedenführ, M; Sañudo, J R; Vazquez, T

    2015-01-01

    The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56-57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8-9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes.

  9. Adaptive Shape Functions and Internal Mesh Adaptation for Modelling Progressive Failure in Adhesively Bonded Joints

    NASA Technical Reports Server (NTRS)

    Stapleton, Scott; Gries, Thomas; Waas, Anthony M.; Pineda, Evan J.

    2014-01-01

    Enhanced finite elements are elements with an embedded analytical solution that can capture detailed local fields, enabling more efficient, mesh independent finite element analysis. The shape functions are determined based on the analytical model rather than prescribed. This method was applied to adhesively bonded joints to model joint behavior with one element through the thickness. This study demonstrates two methods of maintaining the fidelity of such elements during adhesive non-linearity and cracking without increasing the mesh needed for an accurate solution. The first method uses adaptive shape functions, where the shape functions are recalculated at each load step based on the softening of the adhesive. The second method is internal mesh adaption, where cracking of the adhesive within an element is captured by further discretizing the element internally to represent the partially cracked geometry. By keeping mesh adaptations within an element, a finer mesh can be used during the analysis without affecting the global finite element model mesh. Examples are shown which highlight when each method is most effective in reducing the number of elements needed to capture adhesive nonlinearity and cracking. These methods are validated against analogous finite element models utilizing cohesive zone elements.

  10. The Joint Airport Weather Studies (JAWS) project

    NASA Technical Reports Server (NTRS)

    Mccarthy, J.; Wilson, J.; Fujita, T. T.

    1983-01-01

    A block diagram of the joint airport weather studies program is presented. Background leading to the development of the program is reviewed. Basic studies, aircraft performance, and detection and warning techniques used to develop fine scale structure of thunderstorm dynamics and kinematics in the vicinity of a major airport; effect of thunderstorm low level wind shear on aircraft performance; and development of real time testing of flow level wind shear detection and warning techniques and displays are described.

  11. The role of molecular pain biomarkers in temporomandibular joint internal derangement.

    PubMed

    Ernberg, M

    2017-06-01

    There is evidence that low-grade inflammation may be responsible for pain and development of degenerative changes in temporomandibular joint internal derangement. This article reviews the current knowledge of the molecular mechanisms behind TMJ internal derangements. A non-systematic search was carried out in PubMed, Embase and the Cochrane library for studies regarding pathophysiological mechanisms behind internal derangements focusing on pain-mediating inflammatory and cartilage-degrading molecules. Recent data suggest that release of cytokines may be the key event for pain and cartilage destruction in TMJ internal derangements. Cytokines promote the release of matrix metalloproteinases (MMPs), and due to hypoxia, vascular endothelial growth factor (VEGF) is released. This activates chondrocytes to produce MMPs and reduce their tissue inhibitors (TIMPs) as well as the recruitment of osteoclasts, ultimately leading to cartilage and bone resorption. Also, proteoglycans have an important role in this process. Several cytokines, MMPs, TIMPs and VEGF have been identified in higher concentrations in the TMJ synovial fluid of patients with painful internal derangements and shown to be associated with the degree of degeneration. Other molecules that show elevated levels include hyaluronic acid synthase, disintegrin and metalloproteinase with thrombospondin motifs (ADAMTs), aggrecan, fibromodulin, biglycan and lumican. Taken together, more or less pronounced inflammation of TMJ structures with release of cytokines, MMPs and other molecular markers that interact in a complex manner may be responsible for tissue degeneration in internal derangements. As internal derangements may be symptom-free, the degree of inflammation, but also other mechanisms, may be important for pain development. © 2017 John Wiley & Sons Ltd.

  12. Internally supported flexible duct joint. [device for conducting fluids in high pressure systems

    NASA Technical Reports Server (NTRS)

    Kuhn, R. F., Jr. (Inventor)

    1975-01-01

    An internally supported, flexible duct joint for use in conducting fluids under relatively high pressures in systems where relatively large deflection angles must be accommodated is presented. The joint includes a flexible tubular bellows and an elongated base disposed within the bellows. The base is connected through radiating struts to the bellows near mid-portion and to each of the opposite end portions of the bellows through a pivotal connecting body. A motion-controlling linkage is provided for linking the connecting bodies, whereby angular displacement of the joint is controlled and uniformity in the instantaneous bend radius of the duct is achieved as deflection is imposed.

  13. [International cohort studies].

    PubMed

    Ahrens, W; Pigeot, I

    2012-06-01

    Among observational studies, cohort studies, i.e. longitudinal observations of selected population groups, provide the highest possible evidence of a causal association between specific risk factors (exposure) and the occurrence of disease in populations. Besides the fact that many exposures cannot be investigated in experimental designs, cohort studies have the advantage over randomized clinical trials that they are conducted in free living populations and not in restrictive, clinical settings. In this paper we describe the aims and features of international cohorts that have been selected because of their impact, their size or their endpoints. We do not only present the study designs and survey instruments used but we also highlight some of the most important results gained by these studies. Most of these prospective studies investigated common chronic diseases in the elderly, such as cancer, diabetes, cardiovascular or neurodegenerative diseases, osteoporosis and ophthalmologic disorders. Newer cohorts and recent reassessments of existing cohorts almost always include the collection and storage of biological samples. In recent years technological developments allowed the implementation of cutting edge measurement procedures, such as imaging techniques for phenotyping. Finally, we discuss on the one hand whether these designs can be transferred to the German situation and on the other hand to what degree the results obtained from foreign cohorts can be generalized for the German population. We conclude with recommendations for future cohort studies.

  14. Viscoelastic study of an adhesively bonded joint

    NASA Technical Reports Server (NTRS)

    Joseph, P. F.

    1983-01-01

    The plane strain problem of two dissimilar orthotropic plates bonded with an isotropic, linearly viscoelastic adhesive is considered. Both the shear and the normal stresses in the adhesive are calculated for various geometries and loading conditions. Transverse shear deformations of the adherends are taken into account, and their effect on the solution is shown in the results. All three inplane strains of the adhesive are included. Attention is given to the effect of temperature, both in the adhesive joint problem and to the heat generation in a viscoelastic material under cyclic loading. This separate study is included because heat generation and or spatially varying temperature are at present too difficult to account for in the analytical solution of the bonded joint, but whose effect can not be ignored in design.

  15. Subluxation of the hip joint after internal fixation of a trochanteric fracture.

    PubMed

    Kaneko, Kazuo; Murotani, Rentaroh; Mogami, Atsuhiko; Okahara, Hitoshi; Ohbayashi, Osamu; Iwase, Hideaki; Fujita, Hidemine; Kurosawa, Hisashi

    2004-02-01

    The authors report an unusual case of hip subluxation after internal fixation without associated sepsis. We report one recently treated case in which a 75-year-old female experienced subluxation of her hip joint after open reduction and internal fixation for a trochanteric fracture. In this paper, we describe a case of progressive, spontaneous subluxation of the hip joint over several weeks. Most previously reported cases are associated with cerebral palsy. This entity has not been reported previously. Our patient was treated by hemi-arthroplasty and repair of the disrupted capsule, and achieved a good long-term functional result. The cause of this particular condition is discussed.

  16. Arthroscopic disc fixation to the condylar head. Use of resorbable pins for internal derangement of the temporomandibular joint (stage II-IV). Preliminary report of 34 joints.

    PubMed

    Goizueta-Adame, Carlos C; Pastor-Zuazaga, Daniel; Orts Bañón, Juan E

    2014-06-01

    The study describes the arthoscopic use of resorbable pins for the internal derangement of the temporomandibular joint with McCain's technique. Clinical and image features are reported retrospectively. Twenty-seven consecutive patients (34 joints) were included. Symptomatic internal derangement and anterior-medial disc displacement with or without reduction in magnetic resonance images (MRI) were diagnosed in all cases. Two resorbable pins (SmartNail) were placed in each joint employing arthroscopic surgery with a third portal for disc recapture and fixation to condylar head. Clinical data 24 months after surgery are reported (movements, pain score, clicking, laterodeviation, occlusal changes). In eight joints a MRI control was required between 1 and 2 years after surgery. Visual analogue scale values (0-100) decreased from 70.8 to 11.9 (p < 0.001) in the first control (week) and kept down after 24 months of follow-up (VAS: 4.8). Movements began to recover in 3 months and mouth opening increased from 34 mm to 43.2 mm 1 year after surgery (p < 0.001). Clicking, laterodeviation and contralateral excursions improvement were statistically significant (p < 0.001). MRI showed disc fixation to condyle head in closed and opened mouth. Disc fixation to condylar head with resorbable pins is a safe and satisfactory procedure. Pain becomes drastically reduced and mandibular function recovers normal parameters in patients with internal derangement. Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  17. World Association of Sleep Medicine (WASM) 2016 standards for recording and scoring leg movements in polysomnograms developed by a joint task force from the International and the European Restless Legs Syndrome Study Groups (IRLSSG and EURLSSG).

    PubMed

    Ferri, R; Fulda, S; Allen, R P; Zucconi, M; Bruni, O; Chokroverty, S; Ferini-Strambi, L; Frauscher, B; Garcia-Borreguero, D; Hirshkowitz, M; Högl, B; Inoue, Y; Jahangir, A; Manconi, M; Marcus, C L; Picchietti, D L; Plazzi, G; Winkelman, J W; Zak, R S

    2016-10-01

    This report presents the results of the work by a joint task force of the International and European Restless Legs Syndrome Study Groups and World Association of Sleep Medicine that revised and updated the current standards for recording and scoring leg movements (LM) in polysomnographic recordings (PSG). First, the background of the decisions made and the explanations of the new rules are reported and then specific standard rules are presented for recording, detecting, scoring and reporting LM activity in PSG. Each standard rule has been classified with a level of evidence. At the end of the paper, Appendix 1 provides algorithms to aid implementation of these new standards in software tools. There are two main changes introduced by these new rules: 1) Candidate LM (CLM), are any monolateral LM 0.5-10 s long or bilateral LM 0.5-15 s long; 2) periodic LM (PLM) are now defined by runs of at least four consecutive CLM with an intermovement interval ≥10 and ≤ 90 s without any CLM preceded by an interval <10 s interrupting the PLM series. There are also new options defining CLM associated with respiratory events. The PLM rate may now first be determined for all CLM not excluding any related to respiration (providing a consistent number across studies regardless of the rules used to define association with respiration) and, subsequently, the PLM rate should also be calculated without considering the respiratory related events. Finally, special considerations for pediatric studies are provided. The expert visual scoringof LM has only been altered by the new standards to require accepting all LM > 0.5 s regardless of duration, otherwise the technician scores the LM as for the old standards. There is a new criterion for the morphology of LM that applies only to computerized LM detection to better match expert visual detection. Available automatic scoring programs will incorporate all the new rules so that the new standards should reduce technician burden for

  18. International Business Studies.

    ERIC Educational Resources Information Center

    Hendon, Donald W.

    The new International Business major within the School of Business, begun in fall 1989, is an ongoing, enriched program for highly motivated students of above-average scholastic achievement. Its primary purposes are to (1) prepare students to understand America's trading partners and (2) teach the technical knowledge needed in an international…

  19. International Business Studies.

    ERIC Educational Resources Information Center

    Hendon, Donald W.

    The new International Business major within the School of Business, begun in fall 1989, is an ongoing, enriched program for highly motivated students of above-average scholastic achievement. Its primary purposes are to (1) prepare students to understand America's trading partners and (2) teach the technical knowledge needed in an international…

  20. [Surgery of ipsilateral Hawkins Ⅲ talus neck and ankle joint fractures via internal and lateral approaches with Herbert screws].

    PubMed

    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

  1. International Research and Studies Program

    ERIC Educational Resources Information Center

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The International Research and Studies Program supports surveys, studies, and instructional materials development to improve and strengthen instruction in modern foreign languages, area studies, and other international fields. The purpose of the program is to improve and strengthen instruction in modern foreign languages, area studies and other…

  2. Student perspectives on the development and evaluation of a joint international education to promote employability in Europe.

    PubMed

    Craig, Claire; Piškur, Barbara

    2012-01-01

    This article presents a student evaluation of a joint international education developed as part of a European project which sought to equip health care practitioners with the skills to support employability of individuals furthest removed from the labour market, disadvantaged on account of age, gender, migration or ethnicity. Thirty eight students out of the forty one students that participated in the pilot of four modules (NL, UK, SE, DE) returned completed digital questionnaires (92.6% response rate). The study is descriptive by nature. A questionnaire was used to collect the data from students. Additionally students attending the module in the UK also took part in a series of qualitative interviews which sought to explore their experiences in more detail. These were recorded, transcribed and analyzed. Students reported that joint education facilitates competence development. The competencies they identified (Information Communications Technology) were recognised as being key to enhancing employability of disadvantaged groups. The joint international education exemplified by EEE4all offers one model of how to build a responsive international curriculum to ensure that the workforce of the future is well placed to meet the needs of this changing world.

  3. Joint Airport Weather Studies (AWS) project

    NASA Technical Reports Server (NTRS)

    Mccarthy, J.

    1983-01-01

    The joint airport weather studies (JAWS) project is discussed. The major objectives of the JAWS Project are a fundamental description of the phenomenon, a determination of the hazard potential and a definition of a protection and warning system, all of which are relative to low level wind shear. Aspects of the low level wind shear phenomenon. The principal focus, however, is the microburst. The microburst is fundamentally a rather simple atmospheric flow. It is a downdraft that, upon approaching the surface, spreads out horizontally, producing a diverging radial flow in all directions. For any direction that an aircraft flies through the microburst, it will first encounter increasing head winds; then the remnants of the downdraft; and then, increasing tail wind.

  4. PREFACE: International Conference on High Pressure Science and Technology, Joint AIRAPT-22 & HPCJ-50

    NASA Astrophysics Data System (ADS)

    Viña, Luis; Tejedor, Carlos; Calleja, José M.

    2010-01-01

    The International Joint AIRAPT-22 & HPCJ-50 Conference was held in Odaiba, Tokyo, on 26-31 July 2009. About 480 scientists from 24 countries attended the conference and 464 papers, including 3 plenary lectures, 39 invited talks, and 156 oral presentations, were presented. It is my great pleasure to present this proceedings volume, which is based on the high quality scientific works presented at the conference. The International AIRAPT conference has been held every two years in various countries around the world since 1965, while High Pressure Conference of Japan (HPCJ) has been held annually since 1959 in various Japanese cities. Pressure is a fundamental parameter to control the property of matter. As a result, both AIRAPT and HPCJ have become highly multidisciplinary, and cover Physics, Chemistry, Materials Science, Earth and Planetary Sciences, Biosciences, Food Science, and Technology. Although each discipline has a unique target, they all have high-pressure research in common. This proceedings volume includes about 200 papers of state-of-the-art studies from numerous fields. I hope this proceedings volume provides excellent pieces of information in various fields to further advance high-pressure research. Conference logo Takehiko Yagi Conference Chairman Institute for Solid State Physics The University of Tokyo 7 December 2009 Conference photograph Participants at the conference venue, Tokyo International Exchange Center, Odaiba, Tokyo, Japan. Editor in Chief TAKEMURA Kenichi National Institute for Materials Science, Japan Editorial board Tadashi KONDO Osaka University, Japan Hitoshi MATSUKI The University of Tokushima, Japan Nobuyuki MATUBAYASI Kyoto University, Japan Yoshihisa MORI Okayama University of Science, Japan Osamu OHTAKA Osaka University, Japan Chihiro SEKINE Muroran Institute of Technology, Japan

  5. Paired organs--Should they be treated jointly or separately in internal dosimetry?

    SciTech Connect

    Parach, Ali-Asghar; Rajabi, Hossein; Askari, Mohammad-Ali

    2011-10-15

    Purpose: Size, shape, and the position of paired organs are different in abdomen. However, the counterpart organs are conventionally treated jointly together in internal dosimetry. This study was performed to quantify the difference of specific absorbed fraction of organs in considering paired organs jointly like single organs or as two separate organs. Methods: Zubal phantom and GATE Monte Carlo package were used to calculate the SAF for the self-absorption and cross-irradiation of the lungs, kidneys, adrenal glands (paired organs), liver, spleen, stomach, and pancreas (single organs). The activity was assumed uniformly distributed in the organs, and simulation was performed for monoenergetic photons of 10, 50, 100, 500, 1000 keV and mono-energetic electrons of 350, 500, 690, 935, 1200 keV. Results: The results demonstrated that self-absorption of left and right counterpart organs may be different depending upon the differences in their masses. The cross-irradiations between left-to-right and right-to-left counterpart organs are always equal irrespective of difference in their masses. Cross-irradiation from the left and right counterpart organs to other organs are different (4-24 times in Zubal phantom) depending on the photon energy and organs. The irradiation from a single source organ to the left and right counterpart paired organs is always different irrespective of activity concentration. Conclusions: Left and right counterpart organs always receive different absorbed doses from target organs and deliver different absorbed doses to target organs. Therefore, in application of radiopharmaceuticals in which the dose to the organs plays a role, counterpart organs should be treated separately as two separate organs.

  6. Effect of Joint Commission International Accreditation on the Nursing Work Environment in a Tertiary Medical Center.

    PubMed

    Kagan, Ilya; Farkash-Fink, Naomi; Fish, Miri

    2016-01-01

    How might a tertiary hospital's nursing staff respond to the huge improvement effort required for external accreditation if they are encouraged to lead the change process themselves? This article reports the results of a concurrent evaluation of the nursing work climate at ward level, before and after accreditation by the Joint Commission International. Physician-nurse relations improved; the involvement of social workers, dieticians, and physiotherapists increased; support services responded more quickly to requests; and management-line staff relations became closer.

  7. Internal derangements of the temporomandibular joint: diagnosis by direct sagittal computed tomography

    SciTech Connect

    Manzione, J.V.; Katzberg, R.W.; Brodsky, G.L.; Seltzer, S.E.; Mellins, H.Z.

    1984-01-01

    The authors performed direct sagittal computed tomography (CT) on 4 cadaver temporomandibular joints (TMJ) and examined 51 TMJs in 47 patients clinically. The results were correlated with cadaver anatomical sections and clinical arthrographic findings. A fat plane between the bellies of the lateral pterygoid muscles, termed the ''lateral pterygoid fat pad,'' served as the anatomical basis for detection of internal derangements by CT. CT was 94% accurate in detecting meniscal derangements and 96% accurate in detecting degenerative arthritis. The authors suggest that CT rather than arthrography be employed as the primary TMJ imaging modality when internal derangement or arthritis is suspected.

  8. Biomechanical study of patellofemoral joint instability

    NASA Astrophysics Data System (ADS)

    Senavongse, Wongwit

    2005-04-01

    Patellofemoral joint instability is a complex clinical problem. It may be a consequence of pre-existing anatomical abnormality or trauma. The objectives of this study were to use experimental mechanics to measure patellar stability and to quantify the effects of pathological abnormalities on patellar stability in vitro. Eight fresh-frozen cadaver knees were studies. The patellar stability was measured using an Instron material testing machine. A total load of 175N was applied to the quadriceps muscles. Patellar force-displacement was tested at different knee flexion angles as the patella was cyclically displaced 10mm laterally and medially. Three pathological abnormalities were applied; VMO malfunction, flat lateral trochlea, and medial retinacular structure rupturing. For the first time, this study has shown comparative and quantitative influence of pathological abnormalities on patellar stability. It was found that a flat lateral trochlea has greater effect than the medial retinacular rupturing whereas the medial retinacular rupturing has greater effect than VMO malfunction on patellar lateral stability. These results are important for future investigations on the treatment of patellofemoral instability.

  9. Sacroiliac joint dysfunction: a case study.

    PubMed

    Murray, William

    2011-01-01

    Pain is a widespread issue in the United States. Nine of 10 Americans regularly suffer from pain, and nearly every person will experience low back pain at one point in their lives. Undertreated or unrelieved pain costs more than $60 billion a year from decreased productivity, lost income, and medical expenses. The ability to diagnose and provide appropriate medical treatment is imperative. This case study examines a 23-year-old Active Duty woman who is preparing to be involuntarily released from military duty for an easily correctable medical condition. She has complained of chronic low back pain that radiates into her hip and down her leg since experiencing a work-related injury. She has been seen by numerous providers for the previous 11 months before being referred to the chronic pain clinic. Upon the first appointment to the chronic pain clinic, she has been diagnosed with sacroiliac joint dysfunction. This case study will demonstrate the importance of a quality lower back pain assessment.

  10. Internalized stigma in psoriasis: A multicenter study.

    PubMed

    Alpsoy, Erkan; Polat, Mualla; FettahlıoGlu-Karaman, Bilge; Karadag, Ayse Serap; Kartal-Durmazlar, Pelin; YalCın, Basak; Emre, Selma; Didar-Balcı, Didem; Bilgic-Temel, Asli; Arca, Ercan; Koca, Rafet; Gunduz, Kamer; Borlu, Murat; Ergun, Tulin; Dogruk-Kacar, Seval; Cordan-Yazici, Ayca; Dursun, Pınar; BilgiC, Ozlem; Gunes-Bilgili, Serap; Sendur, Neslihan; Baysal, Ozge; Halil-Yavuz, Ibrahim; Yagcioglu, Gizem; Yilmaz, Ertan; Kavuzlu, Ufuk; Senol, Yesim

    2017-08-01

    Internalized stigma is the adoption of negative attitudes and stereotypes of the society regarding a person's illness. It causes decreased self-esteem and life-satisfaction, increased depression and suicidality, and difficulty in coping with the illness. The primary aim of this study was to investigate the internalized stigma state of psoriatic patients and to identify the factors influencing internalized stigma. The secondary aim was to identify the correlation of internalized stigma with quality of life and perceived health status. This multicentre, cross-sectional study comprised 1485 patients. There was a significant positive correlation between mean values of Psoriasis Internalized Stigma Scale (PISS) and Psoriasis Area and Severity Index, Body Surface Area, Dermatological Life Quality Index and General Health Questionnaire-12 (P < 0.001 in all). Lower percieved health score (P = 0.001), early onset psoriasis (P = 0.016), family history of psoriasis (P = 0.0034), being illiterate (P < 0.001) and lower income level (P < 0.001) were determinants of high PISS scores. Mean PISS values were higher in erythrodermic and generalized pustular psoriasis. Involvement of scalp, face, hand, genitalia and finger nails as well as arthropathic and inverse psoriasis were also related to significantly higher PISS scores (P = 0.001). Our findings imply that psoriatic patients experience high levels of internalized stigma which are associated with psoriasis severity, involvement of visible body parts, genital area, folds or joints, poorer quality of life, negative perceptions of general health and psychological illnesses. Therefore, internalized stigma may be one of the major factors responsible from psychosocial burden of the disease. © 2017 Japanese Dermatological Association.

  11. Internal morphology of human facet joints: comparing cervical and lumbar spine with regard to age, gender and the vertebral core

    PubMed Central

    Wilke, Hans-Joachim; Zanker, Daniel; Wolfram, Uwe

    2012-01-01

    Back pain constitutes a major problem in modern societies. Facet joints are increasingly recognised as a source of such pain. Knowledge about the internal morphology and its changes with age may make it possible to include the facets more in therapeutic strategies, for instance joint replacements or immobilisation. In total, 168 facets from C6/7 and L4/5 segments were scanned in a micro-computed tomography. Image analysis was used to investigate the internal morphology with regard to donor age and gender. Additional data from trabecular bone of the vertebral core allowed a semi-quantitative comparison of the morphology of the vertebral core and the facets. Porosity and pore spacing of the cortical sub-chondral bone does not appear to change with age for either males or females. In contrast, bone volume fraction decreases in females from approximately 0.4 to 0.2 , whereas it is constant in males. Trabecular thickness decreases during the ageing process in females and stays constant in males , whereas trabecular separation increases during the ageing process in both genders. The results of this study may help to improve the understanding of pathophysiological changes in the facet joints. Such results could be of value for understanding back pain and its treatment. PMID:22257304

  12. [Relationship between the mandibular hypoplasia and temporomandibular joint internal derangement in adolescents with skeletal class Ⅱ malocclusion].

    PubMed

    Fang, B

    2017-03-09

    Mandibular hypoplasia is very common clinically. Studies have reported that temporomandibular joint internal derangement (TMJID) might manifest as mandibular retrusion, and whether there is a direct correlation between them remains controversial in academia. On the other hand, for adolescent patients with skeletal class Ⅱ malocclusion, the growth of mandible could be motivated by orthopedic force, and then the mandibular retrusion corrected. However, if TMJID is the direct cause of mandibular retrusion, orthopedic treatment will not have a significant effect on it. Base on literature review and analysis as well as our own research, this article will review the distribution of structural abnormalities of the temporomandibular joint in adolescents with mandibular hypoplasia and its association with skeletal class Ⅱ malocclusion, as well as the effect of TMJID on the treatment of skeletal class Ⅱ malocclusion in adolescents.

  13. Joint Design Method Based on Internal Structure of 2DOF Control System

    NASA Astrophysics Data System (ADS)

    Yubai, Kazuhiro

    In many cases, control system design is formulated as minimization of some prescribed closed loop performance reflecting a control requirement. Since the closed loop performance is a function of a controlled plant and a controller, the model identification and controller design must interact with each other. This motivates us to consider the model identification and controller design simultaneously. However, most of the previous joint design methods are not applicable to unstable plants because the identified plant model is usually used as the design parameter, i.e. a weighting function in the controller design. On the other hand, we have analyzed the internal structure of 2DOF control system using coprime factorization on RH∞ and shown that two free parameters, K and Q ∈ RH∞, specify tracking performance and feedback performance, respectively. Also, Tay et al. have proposed a parameterization of the plant dynamics by switching the role of the controlled plant and controller, and introduced a free parameter R ∈ RH∞. In this paper, we propose a new joint design strategy based on the identification of R and the design of Q. Since the identified plant parameter R is always stable, the proposed joint design strategy can be applied to wider class than the conventional joint design methods. Moreover, it is known that R is well approximated as a less order model than the plant itself. This leads to the advantage in designing Q with less order. Finally, the usefulness of the proposed method is verified by some simulations and experiments.

  14. Pierre Auger Observatory and Telescope Array: Joint Contributions to the 33rd International Cosmic Ray Conference (ICRC 2013)

    SciTech Connect

    Abu-Zayyad, T.; et al.

    2013-10-02

    Joint contributions of the Pierre Auger and Telescope Array Collaborations to the 33rd International Cosmic Ray Conference, Rio de Janeiro, Brazil, July 2013: cross-calibration of the fluorescence telescopes, large scale anisotropies and mass composition.

  15. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction.

    PubMed

    Sultan, Abdul H; Monga, Ash; Lee, Joseph; Emmanuel, Anton; Norton, Christine; Santoro, Giulio; Hull, Tracy; Berghmans, Bary; Brody, Stuart; Haylen, Bernard T

    2017-01-01

    The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal Terminology. Appropriate core clinical categories and sub classifications were developed to give an alphanumeric coding to each definition. An extensive process of twenty rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). A Terminology Report for anorectal dysfunction, encompassing over 130 separate definitions, has been developed. It is clinically based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Female-specific anorectal investigations and imaging (ultrasound, radiology and MRI) has been included whilst appropriate figures have been included to supplement and help clarify the text. Interval review (5-10 years) is anticipated to keep the document updated and as widely acceptable as possible. A consensus-based Terminology Report for female anorectal dysfunction terminology has been produced aimed at being a significant aid to clinical practice and a stimulus for research.

  16. Root Cause Investigation of the Starboard Solar Alpha Rotary Joint Anomaly on the International Space Station

    NASA Technical Reports Server (NTRS)

    Taylor, Deneen; Enriquez, Carlos; McCann, David; McFatter, Justin

    2010-01-01

    The Solar Alpha Rotary Joint (SARJ) is a single-axis pointing mechanism used to orient the solar power generating arrays relative to the sun for the International Space Station (ISS). Approximately 83 days after its on-orbit installation, one of the two SARJ mechanisms aboard the ISS began to exhibit high current draw. Later inspections via Extravehicular Activity (EVA) discovered that the case hardened steel race ring on the outboard side of the joint had extensive damage to one of its three rolling surfaces. A far-reaching investigation of the anomaly was undertaken, comprising metallurgical inspections, coupon tests, traction kinematics tests, detailed bearing measurements, and thermal and structural analyses. The investigation found that the race ring damage had been caused by high bearing edge stresses that resulted from inadequate lubrication of the rolling contact. The profile of the roller bearings and the metallurgical properties of the race ring were also found to be significant contributing factors.

  17. Success factors for international HTA projects: evaluating EUnetHTA Joint Action as an exemplar.

    PubMed

    Guegan, Eleanor Woodford; Cook, Andrew

    2014-11-01

    Evaluation is essential for the management of international projects or networks in health technology assessment (HTA). It extends beyond the normal process of project management by incorporating qualitative dimensions and provides information about a project's effectiveness and achievements. This article aimed to identify the factors that are important for the success of international HTA projects. The European network for Health Technology Assessment Joint Action (EUnetHTA JA) is presented as an exemplar. METHODS for the evaluation of international HTA projects include interviews, focus groups, questionnaires, observations and documentary review, and the key points of these approaches have been summarized. The impact and effectiveness of the EUnetHTA JA was evaluated by questionnaires of project participants and external stakeholders, and by documentary review. The response rate for the three annual questionnaires sent to project participants ranged from 86 percent to 88 percent and for external stakeholders ranged from 65 percent to 88 percent. Key factors for project success included production of deliverables according to the workplan, achievement of objectives, added value generated, effective communication, involvement of external stakeholders, workstream management and progress from the preceding EUnetHTA 2006-2008 project. The experience of this project can inform the evaluation of future international HTA collaborations, such as the EUnetHTA 2nd Joint Action and HTAsiaLink. A high response rate was achieved to the self-completion questionnaires and the strategy followed is recommended for evaluation of international HTA projects. Future assessments of international HTA projects should strive to measure outcomes and impact, not just outputs and process.

  18. Physiological coxa varus-genu valgus influences internal knee and ankle joint moments in females during crossover cutting.

    PubMed

    Nyland, J A; Caborn, D N M

    2004-07-01

    This study evaluated the ankle and knee electromyographic, kinematic, and kinetic differences of 20 nonimpaired females with either neutral (group 1) or coxa varus-genu valgus (group 2) alignment during crossover cutting stance phase. Two-way mixed model ANOVA (group, session) assessed mean differences ( p<0.05) and correlation analysis further delineated relationships. During impact absorption, group 2 displayed earlier peak horizontal braking (anterior-posterior) ground reaction force timing, decreased and earlier peak internal knee extension moments (eccentric function), and earlier peak internal ankle dorsiflexion moment timing (eccentric function). During the pivot phase, group 2 displayed later and eccentrically-biased peak ankle plantar flexion moments, increased peak internal knee flexion moments (eccentric function), and later peak knee internal rotation timing. Correlation analysis revealed that during impact absorption, subjects with coxa varus-genu valgus alignment (group 2) displayed a stronger relationship between knee internal rotation velocity and peak internal ankle dorsiflexion moment onset timing ( r= -0.64 vs r = -0.26) and between peak horizontal braking ground reaction forces and peak internal ankle dorsiflexion moment onset timing ( r= 0.61 vs r= 0.24). During the pivot phase these subjects displayed a stronger relationship between peak horizontal braking ground reaction forces and peak internal ankle plantar flexion moment onset timing ( r= -0.63 vs r= -0.09) and between peak horizontal braking forces and peak internal ankle plantar flexion moments ( r= -0.72 vs r= -0.26). Group differences suggest that subjects with coxa varus-genu valgus frontal-plane alignment have an increased dependence on both ankle dorsiflexor and plantar flexor muscle group function during crossover cutting. Greater dependence on ankle muscle group function during the performance of a task that requires considerable 3D dynamic knee joint control suggests a greater

  19. Inherited thrombophilia: memorandum from a joint WHO/International Society on Thrombosis and Haemostasis meeting.

    PubMed Central

    1997-01-01

    Inherited thrombophilias are common disorders with a worldwide distribution, including antithrombin, protein C, and protein S deficiencies as well as resistance to activated protein C. Increased understanding of these disorders suggests that thrombophilia can arise from interaction between defective genes and environmental factors. WHO and the international Society on Thrombosis and Haemostasis (ISTH) discussed the problems of inherited thrombophilia at a joint meeting held in Geneva on 6-8 November 1995. The present article reports on the various possibilities for controlling the disorder and makes a series of recommendations for diagnosis, treatment, and research into the condition. PMID:9277004

  20. Distal radioulnar joint instability (Galeazzi type injury) after internal fixation in relation to the radius fracture pattern.

    PubMed

    Korompilias, Anastasios V; Lykissas, Marios G; Kostas-Agnantis, Ioannis P; Beris, Alexandros E; Soucacos, Panayiotis N

    2011-05-01

    The purpose of this study was to classify Galeazzi type injuries and determine the association of residual instability after rigid fixation with the fracture pattern of the shaft of the radius, using a system that is based on anatomic landmarks of the radial shaft. The clinical records of 95 patients (72 men and 23 women) with Galeazzi type injuries requiring open reduction and internal fixation of the fractures were retrospectively reviewed. The mean follow-up was 6.8 years (range, 18 mo to 11 y) after injury. Sixty-nine fractures occurred in the distal third of the radial shaft (type I), 17 fractures were in the middle third (type II), and 9 fractures were in the proximal third of the shaft of the radius (type III). Gross instability of the distal radioulnar joint (DRUJ) was determined intraoperatively by manipulation after radial fixation as compared to the uninjured side. Forty patients had DRUJ instability after internal fixation and were treated with temporary pinning with a K-wire placed transversely proximal to the sigmoid notch. Distal radioulnar joint instability after internal fixation was recorded in 37 type I fractures, 2 type II fractures, and 1 type III fracture. Distal radioulnar joint instability following radial shaft fracture fixation is significantly higher in patients with type I fractures than in patients with type II or type III fractures. The location of the radius fracture can be sufficiently used for preoperative estimation of percentage chance of potential DRUJ instability after fracture fixation. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  1. A prospective study of 138 arthroscopies of the temporomandibular joint.

    PubMed

    Silva, Paulo Alexandre da; Lopes, Maria Teresa de Fatima Fernandes; Freire, Fernando Silva

    2015-01-01

    Internal derangements (ID) of the temporomandibular joint (TMJ) have a multifactorial etiology and are most often treated conservatively by splints, physical therapy and medications. Only in 2-5% of cases are the treatment surgical, either by arthroscopy or arthrotomy. To evaluate improvement of mouth opening, pain relief during function, position of the articular disk and complications following Arthroscopic Lyse and Lavage (ALL). A prospective study of 78 patients (138 TMJs) with TMJ ID, 5 males and 73 females, mean age 29.7 years, treated between January 2010 and April 2013, who were refractory to conservative treatment, had limited mouth opening and pain localized to the TMJ during function, and who were submitted to TMJ ALL and followed for a period of 12 months, with periodic reviews. ALL was effective in 93.6% of cases, with 85.3% experiencing improvement in mouth opening and 91.2% in pain reduction during function, 63% improvement in disk position and a rate of complications of 6.2%. In this study the ALL exhibited a high rate of success with low morbidity in internal derangements of the TMJ. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  2. International Instructional Systems: Social Studies

    ERIC Educational Resources Information Center

    Brant, Jacek; Chapman, Arthur; Isaacs, Tina

    2016-01-01

    This paper reports on research conducted as part of the International Instructional System Study that explored five subject areas across nine jurisdictions in six high-performing countries. The Study's overall aim was to understand what, if anything, there is in common in the curricula and assessment arrangements among the high-performing…

  3. International Instructional Systems: Social Studies

    ERIC Educational Resources Information Center

    Brant, Jacek; Chapman, Arthur; Isaacs, Tina

    2016-01-01

    This paper reports on research conducted as part of the International Instructional System Study that explored five subject areas across nine jurisdictions in six high-performing countries. The Study's overall aim was to understand what, if anything, there is in common in the curricula and assessment arrangements among the high-performing…

  4. International Studies Program Procedures Manual.

    ERIC Educational Resources Information Center

    Finkelston, Theodore

    This eleven-part procedures manual provides information on the operations of the International Studies Program (ISP) at St. Louis Community College. After introductory material on the program, which provides off-campus credit courses involving travel and field study of life and the cultures in foreign countries, Section I presents the philosophy…

  5. Explosives Hazard Reduction (EHR) Studies Joint Operations

    DTIC Science & Technology

    2010-07-01

    Analysts, Inc. (ISA) Explosives Hazard Reduction (EHR) ProgramAs of: 2 ● Identify / Quantify Explosives Hazards ● Minimize Risks ● Resolve long...Siting Recommendations ● Produce DDESB Compliant Explosives Safety Site plans EHR Goals & Objectives Explosives Hazard Reduction (EHR) ProgramAs of: 3...of Barricades ● Automated Wash Rack ● Use ISO Trailers in MSA Explosives Hazard Reduction (EHR) ProgramAs of: 6 Proposed Facilities Joint Operations

  6. Internal derangements of the temporomandibular joint: findings in the pediatric age group

    SciTech Connect

    Katzberg, R.W.; Tallents, R.H.; Hayakawa, K.; Miller, T.L.; Goske, M.J.; Wood, B.P.

    1985-01-01

    Findings in 31 pediatric patients with pain and dysfunction of the temporomandibular joint (TMJ) are reported. The average age was 14 years and the average duration of symptoms was 21.4 months. Internal derangements were found in 29 patients (94%) and degenerative arthritis in 13 (42%). In 12 patients (39%), the problem could be traced to an injury to the jaw. Secondary condylar hypoplasia was associated with the meniscal abnormality in 3 patients (10%). Further awareness of internal derangements of the TMJ in the pediatric population should permit greater recognition of their etiology. It is important that threatment be initiated as soon as possible, not only to minimize the development of osseous disease in young adults but also to prevent facial growth deformities.

  7. Internal derangements of the temporomandibular joint: A review of the anatomy, diagnosis, and management

    PubMed Central

    Young, Andrew L.

    2015-01-01

    Internal derangements of the temporomandibular joint are conditions in which the articular disc has become displaced from its original position the condylar head. Relevant anatomic structures and their functional relationships are briefly discussed. The displacement of the disc can result in numerous presentations, with the most common being disc displacement with reduction (with or without intermittent locking), and disc displacement without reduction (with or without limited opening). These are described in this article according to the standardized Diagnostic Criteria for Temporomandibular Disorders, as well as the less common posterior disc displacement. Appropriate management usually ranges from patient education and monitoring to splints, physical therapy, and medications. In rare and select cases, surgery may be necessary. However, in for the majority of internal derangements, the prognosis is good, particularly with conservative care. PMID:26929478

  8. Normal sacroiliac joint: a CT study of asymptomatic patients

    SciTech Connect

    Vogler, J.B. III; Brown, W.H.; Helms, C.A.; Genant, H.K.

    1984-05-01

    The sacroiliac (SI) joints of 45 asymptomatic subjects were prospectively studied to define better the normal appearance of SI joints on CT scans and therby attach appropriate significance to CT signs of sacroiliitis. Joint space narrowing, subchondral sclerosis, erosions, ankylosis, osteophytes, subchondral cysts, and symmetry were evaluted. The results indicate that the SI joints demonstrate symmetry in patients under the age of 30 (100% of subjects in this age group). Those CT findings of sacroiliitis that occurred infrequently in the asymptomatic population, and hence may represent good indicators of sacroiliac disease, include increased sacral subchondral sclerosis in subjects under the age of 40 (11%), bilateral or unilateral uniform joint space of less than 2 mm (2% or 0%, respectively), erosions (2%), and intraarticular ankylosis (0%).

  9. Metacarpophalangeal joint implants. II. Roentgenographic study of the Niebauer--Cutter Metacarpophalangeal Joint Prosthesis.

    PubMed

    Hagert, C G

    1975-01-01

    A roentgenographic study was carried out on 41 Niebauer -- Cutter Metacarpophalangeal Joint Prosthesis from 1 to 36 months postoperatively, a total of 105 examinations. The examinations were performed in the AP-projection and in the lateral projection by tomography in maximum active extension and flexion. The tomographic examinations revealed implant damage of three kinds: cracking within the midsection; fragmentation of the midsection; fracture of the hinge. Cracking within the midsection was found in 8 implants between 6 and 12 months postoperatively and in 1 implant later than 12 months. Later examinations revealed fragmentation of the midsection in 2 implants previously showing cracks. Hinge fracture was observed in 22 implants. Implant damage was found in a total frequency of 26/41. Bone reaction was found on the tomograms in all the operated joints, and could not be evaluated on the AP-projections. A bony spur was found to develop on the metacarpal bone volarly at the site of the osteotomy in 35 joints. In 2 of these the bony spur reached the base of the proximal phalanx, causing anchylosis. Bone resorption was found in 23 joints, constantly dorsally in the metacarpal bone and volarly in the proximal phalanx. The mechanism of the implant damage is discussed with respect to the shearing forces in the joint and the two materials of differing elasticity constituting the implant. The bone reaction is discussed with respect to the intended fixation of the intramedullary stems.

  10. First Chinese public hospital wins Joint Commission International accreditation: the Health Information Department played a key role in the process.

    PubMed

    Shaffer, Audrey; Jun, Cheng Li

    2008-07-01

    Sir Run Run Shaw Hospital in Hangzhou, China spent five years preparing for a Joint Commission International accreditation survey. In March 2007 it became the first public hospital on the Chinese mainland to attain international accreditation. The Health Information Department, managed according to Western standards, played an integral role in preparing the hospital for the survey.

  11. Geographic Considerations in International Studies.

    ERIC Educational Resources Information Center

    Kott, Richard F.

    Based on students' generally shallow knowledge of geographic concepts on the one hand and a new and almost universal awareness of man in his milieu on the other, the author seeks to draw attention to the discipline of geography, and more specifically, political geography as an essential, fundamental component of international studies. The…

  12. The Zeitgeist of Challenging the Evidence. A Perspective on the International Consensus Meeting on Periprosthetic Joint Infection.

    PubMed

    Fayaz, Hangama C; Jupiter, Jesse B

    2017-01-01

    The economic burden of the treatment of periprosthetic joint infection (PJI) is high and the treatment of PJI has a high degree of international controversy. Several papers have declared the International Consensus Meeting on Periprosthetic Joint Infection (ICMPJI) to be the "flawless pledge of international academics" to overcome the challenges of musculoskeletal infections. The purpose of this paper is to highlight for the first time some essential insights into the key dilemmas that are associated with this international consensus process. The proceedings of the ICMPJI was reviewed, and the critical consensus agreements that were reached were communicated via e-mail to 48 leading orthopaedic surgeons, microbiologists and statisticians around the world. Of these, 30 responded, 8 did not, and 10 of respondents were not aware of the ICMPJI. A thorough review of the ICMPJI proceedings identified a clear need to resolve some of the dilemmas that we highlight in this paper. The Delphi procedure has been described as a survey technique that enables a group dynamic-based practice. Although there have been several published reports on this procedure, its scientific merit is still being debated. Several challenges and questions have been raised regarding the application of the Delphi technique, but there is no doubt that it is a vital approach for achieving consensus on subjects where none currently exists. Performing prospective clinical studies in this area is currently the best and only option to overcome this challenge. In the long term, this approach will not only incorporate the standard of clinical evidence but also adopt regional mores for treating infection, which include patient values, cultural differences and local financial resources.

  13. The Zeitgeist of Challenging the Evidence. A Perspective on the International Consensus Meeting on Periprosthetic Joint Infection

    PubMed Central

    Fayaz, Hangama C.; Jupiter, Jesse B.

    2017-01-01

    Background: The economic burden of the treatment of periprosthetic joint infection (PJI) is high and the treatment of PJI has a high degree of international controversy. Several papers have declared the International Consensus Meeting on Periprosthetic Joint Infection (ICMPJI) to be the “flawless pledge of international academics” to overcome the challenges of musculoskeletal infections. The purpose of this paper is to highlight for the first time some essential insights into the key dilemmas that are associated with this international consensus process. Methods: The proceedings of the ICMPJI was reviewed, and the critical consensus agreements that were reached were communicated via e-mail to 48 leading orthopaedic surgeons, microbiologists and statisticians around the world. Of these, 30 responded, 8 did not, and 10 of respondents were not aware of the ICMPJI. Results: A thorough review of the ICMPJI proceedings identified a clear need to resolve some of the dilemmas that we highlight in this paper. The Delphi procedure has been described as a survey technique that enables a group dynamic-based practice. Although there have been several published reports on this procedure, its scientific merit is still being debated. Several challenges and questions have been raised regarding the application of the Delphi technique, but there is no doubt that it is a vital approach for achieving consensus on subjects where none currently exists. Conclusion: Performing prospective clinical studies in this area is currently the best and only option to overcome this challenge. In the long term, this approach will not only incorporate the standard of clinical evidence but also adopt regional mores for treating infection, which include patient values, cultural differences and local financial resources. PMID:28271085

  14. Range Corrections for Airborne Radar - A Joint STARS Study

    DTIC Science & Technology

    1984-05-01

    ESD-TR-84-169 MTR-9055 RANGE CORRECTIONS FOR AIRBORNE RADAR - A JOINT STARS STUDY By • _,.G. A. ROBERTSHAW MAY 1984 - Prepared for DEPUTY COMMANDER...NO NO Hanscom AFB, MA 01731 6460 11. TITLE •Include securi,•,cleaficatton) Range Corrections Tor Airborne Radar - A Joint STARS Study 12. PERSONAL...SUPPLEMENTARY NOTATION 17 COSATI CODES 18. SUBJECT TERMS (Continue on reuera if necemary and identify by block number) FIELD GROUP SUB GR. Airborne Radar

  15. A study of the cracking sounds from the metacarpophalangeal joint.

    PubMed

    Watson, P; Kernohan, W G; Mollan, R A

    1989-01-01

    The familiar cracking sounds produced by distraction of the metacarpophalangeal joints were studied using accelerometers and a computerized signal analysis system. The joints were distracted in a controlled manner using a motorized device which simultaneously monitored the load on the joint and its extension. The load and extension parameters and those from the signal analysis were used to examine diurnal variation, the effects of multiple distractions, distraction speed, hand temperature and loading between distractions, and to show that in many cases, the energy contained in a crack signal, expressed as a ratio of the articular cartilage volume, exceeded a known level needed to produce articular cartilage damage.

  16. Experimental studies of mechanical joints by automated grating (moire) interferometry

    NASA Astrophysics Data System (ADS)

    Dymny, G.; Kujawinska, M.; Salbut, L.; Boronski, D.

    2005-06-01

    Current design, analysis and control engineering applications require effective experimental methodologies and tools for determination of displacement and strain fields as well as material characterization. One of the most important problem in engineering objects is proper design and quality of joints between elements in the form of welds, glued and riveted joints and many others. Specificly the fatigue and fracture mechanics problems in joints are difficult to analyze numerically, therefore they need experimental support. In the paper we present the results of static, dynamic and fatigue experiments performed by grating (moire) interferometry systems. These full-field optical extensometers provide information about in-plane displacement field (u,v) and strain fields (ɛx, ɛy, γxy) in the region of a joint subjected to various modes of loads. It is shown that proper design of full-field extensometer (insensitivity to vibration, good quality of interferogram, automatic analysis of long series of interferograms) allows to use it efficiently directly at conventional loading machine in workshop environment and for long term fatigue tests. In the paper we present results of studies of: conventional laser welds (static, fatigue tests), friction stir weld (static tests), riveted joint (static, fatigue tests). The methodology of determination of local material constants in different zones of a joint (inc. Poisson ratio, Young"s modulus) is given. The future trends in hybrid experimental-numerical analysis of joints in conventional and novel material are discussed.

  17. [THE MANIFESTATIONS OF THE PATHOLOGICAL CHANGES OF THE INTERNAL ORGANS IN PATIENTS WITH DISEASES OF TEMPOROMANDIBULAR JOINT].

    PubMed

    Volovar, O S

    2015-01-01

    The results of a survey of 248 patients (mean age--26.0 years +/- 7.4 years), from which 222 patients (mean age--26.3 years +/- 8.0 years) with diseases of temporomandibular joint. Identified and visceral connection between the local changes in the iris, the state of the body's connective tissue, the presence of visceral disease (cardiovascular, respiratory, digestive, urinary system), diseases of the temporomandibular joints. Key words: temporomandibular joint, connective tissue, iris, iridodiagnostic, internal organs, concomitant diseases, topical. diagnostics.

  18. Joint attention studies in normal and autistic children using NIRS

    NASA Astrophysics Data System (ADS)

    Chaudhary, Ujwal; Hall, Michael; Gutierrez, Anibal; Messinger, Daniel; Rey, Gustavo; Godavarty, Anuradha

    2011-03-01

    Autism is a socio-communication brain development disorder. It is marked by degeneration in the ability to respond to joint attention skill task, from as early as 12 to 18 months of age. This trait is used to distinguish autistic from nonautistic. In this study Near infrared spectroscopy (NIRS) is being applied for the first time to study the difference in activation and connectivity in the frontal cortex of typically developing (TD) and autistic children between 4-8 years of age in response to joint attention task. The optical measurements are acquired in real time from frontal cortex using Imagent (ISS Inc.) - a frequency domain based NIRS system in response to video clips which engenders a feeling of joint attention experience in the subjects. A block design consisting of 5 blocks of following sequence 30 sec joint attention clip (J), 30 sec non-joint attention clip (NJ) and 30 sec rest condition is used. Preliminary results from TD child shows difference in brain activation (in terms of oxy-hemoglobin, HbO) during joint attention interaction compared to the nonjoint interaction and rest. Similar activation study did not reveal significant differences in HbO across the stimuli in, unlike in an autistic child. Extensive studies are carried out to validate the initial observations from both brain activation as well as connectivity analysis. The result has significant implication for research in neural pathways associated with autism that can be mapped using NIRS.

  19. Histologic appearance of the bilaminar zone in internal derangement of the temporomandibular joint.

    PubMed

    Hall, M B; Brown, R W; Baughman, R A

    1984-10-01

    Light microscopy was used to examine twenty-six specimens of bilaminar zone tissue excised during surgery for correction of internal derangement of the temporamandibular joint. Each of the specimens was examined for the presence of inflammation, amount of vascularity, arterial wall thickness, presence of fat, appearance of collagen, and amount of elastin present. Wide variation in the histologic appearance was noted among the specimens, although no significant inflammation was observed in any of them. Some indications that this tissue is undergoing adaptive changes include the presence of thickened arterial walls suggesting a decreased blood flow and the tendency for decreased amounts of elastin to be associated with denser-appearing collagen. There is also a tendency for patients with complete dislocation to exhibit less elastin than those with partial dislocation of the meniscus.

  20. [Hospital Doctors Should Receive Lecture for Sedation According to Joint Commission International].

    PubMed

    Ueshima, Hironobu; Komasawa, Nobuyasu; Kitamura, Akira

    2015-08-01

    At our hospital, intending to obtaining an approval from the Joint Commission International (JCI), we conducted a workshop on sedation for all staff physicians. A sedation instructor authorized by the Japanese Association for Medical Simulation gave a lecture using the "practice guidelines for sedation and administration of analgesics for non-anesthesiologists", revised in 2002 by the American Society of Anesthesiologists, following which, a test using 10 true-false questions was conducted, while before and after the lecture a questionnaire survey on the sedation lecture was carried out Among 191 physicians attending the lecture, except for one person, 7 or more questions were answered correctly. From the questionnaires, the sedation lectures were also generally accepted favourably. In the test of understanding, the mistakes were mostly in the sections on "sedation evaluation" "intraoperative monitoring" "pharmaceutical knowledge" and "airway management methods". The sedation lecture in the hospital was effective.

  1. Multilateral Biomedical Data Sharing in the One-year Joint US-Russian Mission on the International Space Station

    NASA Technical Reports Server (NTRS)

    Charles, John B.; Haven, C.; Johnson-Throop, K.; Van Baalen, M.; McFather, J.

    2014-01-01

    The One Year Mission (1YM) by two astronauts on the International Space Station (ISS), starting in March 2015, offers a unique opportunity to expand multilateral collaboration by sharing data and resources among the partner agencies in preparation for planned space exploration missions beyond low Earth orbit. Agreements and protocols will be established for the collection, distribution, analysis and reporting of both research and clinical data. Data will be shared between the agencies sponsoring the investigators, and between the research and clinical medicine communities where common interests are identified. The assignment of only two astronauts, one Russian and the other American, to the 1YM necessitated creativity in bilateral efforts to maximize the biomedical return from the opportunity. Addition of Canadian, European and Japanese investigations make the effort even more integrative. There will be three types of investigations: joint, cross-participation and data-exchange. The joint investigations have US and Russian coprincipal investigators, and the data acquired will be their common responsibility. The other two types must develop data sharing agreements and processes specific to their needs. A multilateral panel of ISS partner space agencies will develop policies for international exchange of scientific information to meet their science objectives and priorities. They will promote archiving of space flight data and will inform each other and the scientific community at large about the results obtained from space life sciences studies. Integration tasks for the 1YM are based on current experience from the ISS and previous efforts on the Russian space station Mir. Closer coordination between international partners requires more common approaches to remove barriers to multilateral resource utilization on the ISS. Greater integration in implementation should increase utilization efficiency to benefit all participants in spaceflight human research. This

  2. Comparing International Curriculum Systems: The International Instructional Systems Study

    ERIC Educational Resources Information Center

    Creese, Brian; Gonzalez, Alvaro; Isaacs, Tina

    2016-01-01

    This paper sets out the main findings of the International Instructional Systems Study (IISS), conducted by the UCL Institute of Education and funded by the Center on International Education Benchmarking (CIEB). The study examined the instructional systems and intended curricula of six "high performing" countries and two US states. The…

  3. Comparing International Curriculum Systems: The International Instructional Systems Study

    ERIC Educational Resources Information Center

    Creese, Brian; Gonzalez, Alvaro; Isaacs, Tina

    2016-01-01

    This paper sets out the main findings of the International Instructional Systems Study (IISS), conducted by the UCL Institute of Education and funded by the Center on International Education Benchmarking (CIEB). The study examined the instructional systems and intended curricula of six "high performing" countries and two US states. The…

  4. Method of help for the diagnosis of the temporomandibular joint internal derangements. Discriminant analysis applied to the temporomandibular derangements.

    PubMed

    Pesquera-Velasco, Jorge; Casares-García, Guillermo; Jiménez-Pasamontes, Nieves; García-Gómez, Francisco Antonio

    2005-01-01

    The purpose of the study is to find an objective method of help for the clinician in the diagnosis of the pathology of the temporomandibular joint, different of the image methods habitually utilized until this moment. This study is based initially on the data obtained of a sample of 1164 patients with symptoms and/or signs of pathology of the temporomandibular joint. Nine different and excluding diagnostic groups settled down, according to the classification of the American Academy of Orofacial Pain (AAOP), in collaboration with the International Headache Society (IHS). We realized magnetic resonances to the patients and were selected those that adjust to the clinical criterion and of diagnosis for the image, and could only in a diagnostic group. Finally 449 patients were selected, 390 women and 59 men. The results obtained (expressed in percentage of well classified cases) by means of the proposed method were: Arthrosis 98.9%, Anterior Disk Displacement with Reduction (ADDR) 87.5%, Anterior Disk Displacement without Reduction (ADD) 100%, Capsulitis 100%, Disk Immobile (DIN) 97.9%, Hypermobility Condylar (HC)95.8%, Lateral Displacement Without Reduction (LD) 100%, Pathology Muscular (PM)100%, Disk Hipomobile (DHM) 86.4%. The proposed method reaches a fine percentage of successes in the diagnosis of these processes good enough, through its effectiveness as for its cost and should be considered an alternative in the diagnosis of temporomandibular derangements.

  5. Evaluating the international humanitarian system: rationale, process and management of the joint evaluation of the international response to the Rwanda genocide.

    PubMed

    Dabelstein, N

    1996-12-01

    The Rwanda evaluation has been termed a landmark in evaluation, not only because of its quality and the insights it has produced. It was also an unprecedented international collaboration to learn the lessons from the immense tragedy that was the genocide in Rwanda and its aftermath. This paper reports on the rationale, process and management of the joint evaluation of the international response to the Great Lakes crisis of 1994-5.

  6. Carpal joint injuries in cats - an epidemiological study.

    PubMed

    Nakladal, B; vom Hagen, F; Brunnberg, M; Gross, M; Nietz, H; Brunnberg, L

    2013-01-01

    Injuries of the carpal joint are rare in cats. The most common cause is a fall from a height, known as 'high-rise syndrome'. So far, only limited data about carpal joint injuries (CJI) in cats are available. The aim of this study was to investigate the epidemiology, aetiology, location, and type of CJI in cats. Case records of cats diagnosed with CJI between 1998 and 2010 were retrospectively analysed. Data concerning signalment, history and type of CJI, accompanying systemic injuries and further orthopaedic injuries were collected. During the study period, 73 cats were diagnosed with CJI (87 injured carpal joints) and the prevalence in our hospital population was 0.26% (73 out of  28,482). Cats with CJI were more likely to be presented in the period from April-October (85%, p = 0.003) compared with the rest of the year. Carpal joint injuries were caused by a fall from a height in 72.6% of the cases. Of all carpal joints, the antebrachiocarpal joint was predominantly injured (50.6%, p = 0.001) and this was commonly caused by a fall from the fourth floor or higher (p = 0.002). The carpometacarpal joint was predominantly affected by a fall from heights up to the third floor (p = 0.004). The data of this study confirm previous data with respect to time of occurrence and cause of injury. Of note, the height of the fall appears to influence the location of the injury within the carpus of cats.

  7. Educational Destruction and Reconstruction in Disrupted Societies. Final Report and Case Studies of the Workshop Held on 15-16 May 1997, Geneva, Switzerland, Organized Jointly by the International Bureau of Education and the University of Geneva.

    ERIC Educational Resources Information Center

    Tawil, Sobhi, Ed.

    This volume addresses the dual problems of providing rapid educational responses in global conflict and crisis situations and assessing the role of education in the root causes of these conflicts. Education and training are key components of international relief responses to emergencies resulting from conflicts. Even more important, rehabilitation…

  8. Use of Joint Commission International standards to evaluate and improve pediatric oncology nursing care in Guatemala.

    PubMed

    Day, Sara W; McKeon, Leslie M; Garcia, Jose; Wilimas, Judith A; Carty, Rita M; de Alarcon, Pedro; Antillon, Federico; Howard, Scott C

    2013-05-01

    Inadequate nursing care is a major impediment to development of effective programs for treatment of childhood cancer in low-income countries. When the International Outreach Program at St. Jude Children's Research Hospital established partner sites in low-income countries, few nurses had pediatric oncology skills or experience. A comprehensive nursing program was developed to promote the provision of quality nursing care, and in this manuscript we describe the program's impact on 20 selected Joint Commission International (JCI) quality standards at the National Pediatric Oncology Unit in Guatemala. We utilized JCI standards to focus the nursing evaluation and implementation of improvements. These standards were developed to assess public hospitals in low-income countries and are recognized as the gold standard of international quality evaluation. We compared the number of JCI standards met before and after the nursing program was implemented using direct observation of nursing care; review of medical records, policies, procedures, and job descriptions; and interviews with staff. In 2006, only 1 of the 20 standards was met fully, 2 partially, and 17 not met. In 2009, 16 were met fully, 1 partially, and 3 not met. Several factors contributed to the improvement. The pre-program quality evaluation provided objective and credible findings and an organizational framework for implementing change. The medical, administrative, and nursing staff worked together to improve nursing standards. A systematic approach and involvement of all hospital disciplines led to significant improvement in nursing care that was reflected by fully meeting 16 of 20 standards. Copyright © 2012 Wiley Periodicals, Inc.

  9. Outcome measures in older persons with acquired joint contractures: a systematic review and content analysis using the ICF (International Classification of Functioning, Disability and Health) as a reference.

    PubMed

    Bartoszek, Gabriele; Fischer, Uli; Müller, Martin; Strobl, Ralf; Grill, Eva; Nadolny, Stephan; Meyer, Gabriele

    2016-02-09

    Joint contractures are a common health problem in older persons with significant impact on activities of daily living. We aimed to retrieve outcome measures applied in studies on older persons with joint contractures and to identify and categorise the concepts contained in these outcome measures using the ICF (International Classification of Functioning, Disability and Health) as a reference. Electronic searches of Medline, EMBASE, CINAHL, Pedro and the Cochrane Library were conducted (1/2002-8/2012). We included studies in the geriatric rehabilitation and nursing home settings with participants aged ≥ 65 years and with acquired joint contractures. Two independent reviewers extracted the outcome measures and transferred them to concepts using predefined conceptual frameworks. Concepts were subsequently linked to the ICF categories. From the 1057 abstracts retrieved, 60 studies met the inclusion criteria. We identified 52 single outcome measures and 24 standardised assessment instruments. A total of 1353 concepts were revealed from the outcome measures; 96.2% could be linked to 50 ICF categories in the 2nd level; 3.8% were not categorised. Fourteen of the 50 categories (28%) belonged to the component Body Functions, 4 (8%) to the component Body Structures, 26 (52%) to the component Activities and Participation, and 6 (12%) to the component Environmental Factors. The ICF is a valuable reference for identifying and quantifying the concepts of outcome measures on joint contractures in older people. The revealed ICF categories remain to be validated in populations with joint contractures in terms of clinical relevance and personal impact.

  10. 78 FR 40260 - International Joint Commission: Public Comment on a Proposal for Lake Ontario and St. Lawrence...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... degrading coastal wetlands on Lake Ontario and the upper St. Lawrence River. This degradation impacts the... International Joint Commission: Public Comment on a Proposal for Lake Ontario and St. Lawrence River Regulation... the water levels and flows in Lake Ontario and the St. Lawrence River that will continue to...

  11. Neurology of the temporomandibular joints: an experimental study.

    PubMed Central

    Clark, R. K.

    1976-01-01

    Experiments on anaesthetized cats are described in which the reflex effects of stimulation of the mechanoreceptors in the temporomandibular joints on the ipsilateral and contralateral mandibular muscles were studied. The effects on this reflex activity and on dynamic manidublar muscle activity of the production of temporary and permanent dysfunction of the mechanoreceptors in different regions of the joint capsule were also studied. The significance of the findings in relation to the maintenance of normal jaw posture and the disturbance of mandibular muscular function by trauma, disease, and malocclusion is discussed. PMID:1259326

  12. Prevalence of functioning and disability in older patients with joint contractures: a cross-sectional study.

    PubMed

    Fischer, U; Müller, M; Strobl, R; Bartoszek, G; Meyer, G; Grill, E

    2015-06-01

    Joint contractures are a common problem for older, frail people, particularly in rehabilitation, nursing home and homecare settings. Joint contractures are underreported and sparsely empirically investigated despite their high prevalence. The objective of this study was to examine the prevalence of functional impairments, activity limitations and participation restrictions of patients with joint contractures using the International Classification of Functioning, Disability and Health (ICF) as a framework. We also examined contextual factors as potential mediators for functioning and disability. Cross-sectional study- Three acute-geriatric hospitals in and around Munich (Germany). Patients aged 65 and over with confirmed joint contractures requiring rehabilitation care. The patients were asked to answer a questionnaire that comprised 124 categories of the ICF. Patients' problems in functioning were registered separately for each category. Data were collected through face-to-face interviews with patients and health professionals and from patients' medical records. One hundred and fifty patients were eligible and agreed to participate. Mean age was 82.5 years (SD: 7.4), 64.8% of the patients were female. Problems in "muscle power functions" (95.9%) and "driving human-powered transportation" (89,6%) were those most frequently identified. 'Health services, systems and policies' (98,6%) was the most frequent environmental facilitator. Aged persons with joint contractures experience high levels of disability. Specifically, mobility, participation restrictions and interactions with the environment emerged as important issues of our study. Mobility and support by others were frequently mentioned as aspects relevant for persons with joint contractures. These aspects have to be considered when assessing the impact of joint contractures.

  13. Coracoclavicular joint: osteologic study of 1020 human clavicles

    PubMed Central

    Gumina, S; Salvatore, M; De Santis, P; Orsina, L; Postacchini, F

    2002-01-01

    We examined 1020 dry clavicles from cadavers of Italian origin to determine the prevalence of the coracoclavicular joint (ccj), a diarthrotic synovial joint occasionally present between the conoid tubercle of the clavicle and the superior surface of the horizontal part of the coracoid process. Five hundred and nine clavicles from individuals of different ages were submitted to X-ray examination. Using radiography, we measured the entire length and the index of sinuosity of the anterior lateral curve, on which the distance between the conoid tubercle and the coracoid process depends. We also used radiography to record the differences in prevalence of arthritis in two neighbouring joints, the acromioclavicular and sternoclavicular joints. Of the 1020 clavicles, eight (0.8%) displayed the articular facet of the ccj. No statistical correlation was found between clavicular length and the index of sinuosity of the anterior lateral curve. The prevalence of arthritis in clavicles with ccj was higher than that revealed in clavicles without ccj. The prevalence of ccj in the studied clavicles is lower than that observed in Asian cohorts. Furthermore, ccj is not conditioned by either length or sinuosity of the anterior lateral curve of the clavicle. Finally, the assumption that ccj is a predisposing factor for degenerative changes of neighbouring joints is statistically justified. PMID:12489763

  14. Epilepsy and driving: an international perspective. Joint Commission on Drivers' Licensing of the International Bureau for Epilepsy and the International League Against Epilepsy.

    PubMed

    Fisher, R S; Parsonage, M; Beaussart, M; Bladin, P; Masland, R; Sonnen, A E; Rémillard, G

    1994-01-01

    Individuals with a history of seizures may be granted driving privileges if the risks of future seizure while driving are relatively low. Different nations have defined these risks in a wide variety of ways. Some countries, e.g., Japan, Greece, Brazil, India, and Russia, preclude driving after a single seizure. Other countries, such as Canada and the United States, allow driving < or = 3 months after certain types of seizures. A Joint Commission of the International Bureau for Epilepsy/International League Against Epilepsy has summarized regulations in several countries. From a consideration of medical literature and existing practices, a series of proposed guidelines for driving and epilepsy is recommended. In general, these guidelines suggest use of a seizure-free interval, generally 1-2 years but less in particular instances, to determine fitness to drive. Required physician reporting is discouraged, but physicians should report patients whom they believe pose a danger to themselves and to public safety. Individualized consideration should be given to special circumstances that may modify a general driving prohibition. Education and information programs are necessary for medical and regulatory authorities to develop a rational approach to driving and epilepsy worldwide.

  15. MRI alone versus MRI-CBCT registered images to evaluate temporomandibular joint internal derangement.

    PubMed

    Al-Saleh, Mohammed A Q; Alsufyani, Noura A; Lagravere, Manuel; Nebbe, Brian; Lai, Hollis; Jaremko, Jacob L; Major, Paul W

    2016-11-01

    To evaluate the effect of magnetic resonance imaging-cone beam computed tomography (MRI-CBCT) image registration on inter- and intraexaminer consistency when evaluating temporomandibular joint (TMJ) internal derangement compared to MRI alone. MRI and CBCT images of 25 patients (50 TMJs) were obtained and coregistered using mutual-information rigid image registration via Mirada XD software. Two experienced radiologists independently and blindly evaluated two types of images (MRI alone and MRI-CBCT registered images) at two different times (T1 and T2) for TMJ internal derangement, based on sagittal and coronal articular disc position in relation to the head of the condyle and the posterior slope of the articular eminence. The intraexaminer consistency with MRI alone (examiner 1 = 0.85 [0.74-0.92]; examiner 2 = 0.91 [0.84-0.95]) was lower than for the MRI-CBCT registered images (examiner 1 = 0.95 [0.91-0.97]; examiner 2 = 0.97 [0.96-0.99]). The interexaminer consistency of evaluating internal derangement with MRI alone (0.52 [0.18-0.73] at T1; 0.71 [0.45-0.84] at T2) was lower than for the MRI-CBCT registered images (0.97 [0.95-0.98] at T1; 0.98 [0.96-0.99] at T2). When disc position classification was dichotomized to normal versus anteriorly displaced, intraexaminer agreement for the two examiners was 0.52 and 0.63 for MRI alone, but was 0.91 and 0.92 for MRI-CBCT registered images. Interexaminer agreement for MRI alone was 0.29 at T1 and 0.42 at T2, but was 0.96 at both examination times for MRI-CBCT registered images. The MRI-CBCT registered images improved intra- and interexaminer consistency in the evaluation of internal derangement of TMJ. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Joint HVAC transmission EMF environmental study

    SciTech Connect

    Stormshak, F.; Thompson, J. )

    1992-05-01

    This document describes the rationale, procedures, and results of a carefully controlled study conducted to establish whether chronic exposure of female (ewe) Suffolk lambs to the environment of a 500-kV 60-Hz transmission line would affect various characteristics of growth, endocrine function, and reproductive development. This experiment used identical housing and management schemes for control and line-exposed ewes, thus minimizing these factors as contributors to between-group experimental error. Further, throughout the 10-month duration of this study, changes in electric and magnetic fields, audible noise, and weather conditions were monitored continuously by a computerized system. Such measurements provided the opportunity to identify any relationship between environmental factors and biological responses. Because of reports in the literature that electric and magnetic fields alter concentrations of melatonin in laboratory animals, the primary objective of this study was to ascertain whether a similar effect occurs in lambs exposed to a 500-kV a-c line in a natural setting. In addition, onset of puberty, changes in body weight, wool growth, and behavior were monitored. To determine whether the environment of a 500-kV line caused stress in the study animals, serum levels of cortisol were measured. The study was conducted at Bonneville Power Administration's Ostrander Substation near Estacada, Oregon.

  17. [The pathology of temporomandibular joint luxations--anatomical studies on temporomandibular joint preparations].

    PubMed

    Pinkert, R

    1976-01-01

    After a description of the published hypothesis of luxation and subluxation in the temporomandibular joint the preparations of five temporomandibular joints is described. The results refer to the movement of the discus and the capitulum mandibulae and to the effects of the musculus temporalis and of the facies articularis ossis temporalis. In addition a hypothesis is established according to which the temporomandibular-joint-luxation may be considered to occur in the menisco-condylar part of the joint.

  18. Planning Joint Vietnam Ocean Circulation Studies

    DTIC Science & Technology

    2013-09-30

    inertial or tidal nature. 6 Figure 4: RD track. The RD moved 16.2 nm between October 11, 2011 11:10 UTC and October 13, 2011 09:15 UTC...bathymetry data represents a novel approach in the study of the hydrodynamics of estuaries and lagoons . RELATED PROJECTS Vietnam DRI

  19. ULS Joint Committee to Study Library Periodical Services. Final Report.

    ERIC Educational Resources Information Center

    Hirshon, Arnold; And Others

    Developed in response to issues raised about the circulation of bound periodicals, the cost of photocopies, and the condition of the photocopiers, this report of the Joint Committee to Study Library Periodical Services at the Virginia Commonwealth University libraries recommends goals for periodicals services for both campuses of the university.…

  20. Overview of Carbon Dioxide Control Issues During International Space Station/Space Shuttle Joint Docked Operations

    NASA Technical Reports Server (NTRS)

    Matty, Christopher M.; Hayley, Elizabeth P.

    2009-01-01

    Manned space vehicles have a common requirement to remove the Carbon Dioxide (CO2) created by the metabolic processes of the crew. The Space Shuttle and International Space Station (ISS) each have systems in place to allow control and removal of CO2 from the habitable cabin environment. During periods where the Space Shuttle is docked to ISS, known as joint docked operations, the Space Shuttle and ISS share a common atmosphere environment. During this period there is an elevated production of CO2 caused by the combined metabolic activity of the Space Shuttle and ISS crew. This elevated CO2 production, combined with the large effective atmosphere created by the collective volumes of the docked vehicles, creates a unique set of requirements for CO2 removal. This paper will describe the individual CO2 control plans implemented by the Space Shuttle and ISS engineering teams, as well as the integrated plans used when both vehicles are docked. In addition, the paper will discuss some of the issues and anomalies experienced by both engineering teams.

  1. Overview of Carbon Dioxide Control Issues During International Space Station/Space Shuttle Joint Docked Operations

    NASA Technical Reports Server (NTRS)

    Matty, Christopher M.

    2010-01-01

    Crewed space vehicles have a common requirement to remove the carbon dioxide (CO2) created by the metabolic processes of the crew. The space shuttle [Space Transportation System (STS)] and International Space Station (ISS) each have systems in place that allow control and removal of CO2 from the habitable cabin environment. During periods in which the space shuttle is docked to the ISS, known as "joint docked operations," the space shuttle and ISS share a common atmosphere environment. During this period, an elevated amount of CO2 is produced through the combined metabolic activity of the STS and ISS crews. This elevated CO2 production, together with the large effective atmosphere created by collective volumes of the docked vehicles, creates a unique set of requirements for CO2 removal. This paper will describe individual CO2 control plans implemented by STS and ISS engineering teams, as well as the integrated plans used when both vehicles are docked. The paper will also discuss some of the issues and anomalies experienced by both engineering teams.

  2. A frictional study of total hip joint replacements

    NASA Astrophysics Data System (ADS)

    Scholes, S. C.; Unsworth, A.; Goldsmith, A. A. J.

    2000-12-01

    Polymeric wear debris produced by articulation of the femoral head against the ultra-high-molecular-weight polyethylene socket of a total hip replacement has been implicated as the main cause of osteolysis and subsequent failure of these implants. Potential solutions to this problem are to employ hard bearing surface combinations such as metal-on-metal or ceramic-on-ceramic prostheses. The aim of this study was to investigate the difference in lubrication modes and friction of a range of material combinations using synthetic and biological fluids as the lubricants. The experimental results were compared with theoretical predictions of film thicknesses and lubrication modes. A strong correlation was observed between experiment and theory when employing carboxy methyl cellulose (CMC) fluids as the lubricant. Under these conditions the ceramic-on-ceramic joints showed full fluid film lubrication while the metal-on-metal, metal-on-plastic, diamond-like carbon-coated stainless steel (DLC)-on-plastic and ceramic-on-plastic prostheses operated under a mixed lubrication regime. With bovine serum as the lubricant in the all ceramic joints, however, the full fluid film lubrication was inhibited due to adsorbed proteins. In the metal-on-metal joints this adsorbed protein layer acted to reduce the friction while in the ceramic coupling the friction was increased. The use of bovine serum as the lubricant also significantly increased the friction in both the metal-on-plastic and ceramic-on-plastic joints. The friction produced by the DLC-on-plastic joints depended on the quality of the coating. Those joints with a less consistent coating and therefore a higher surface roughness gave significantly higher friction than the smoother, more consistently coated heads.

  3. The effects of orientation of lumbar facet joints on the facet joint contact forces: an in vitro biomechanical study.

    PubMed

    Liu, Xiang; Huang, Zhiping; Zhou, Ruozhou; Zhu, Qingan; Ji, Wei; Long, Yaowu; Wang, Jixing

    2017-07-28

    A biomechanical human cadaveric study. The aim of this study was to measure L2-L3 facet joint contact forces in a flexibility test using thin film electroresistive sensors, and facet joint orientation on CT scan images, to examine the effects of orientation of lumbar facet joint on the facet joint contact forces. Biomechanically the bilateral facet joints play a critical role in maintaining stability of the lumbar spine by sharing load. The effect of orientation of lumbar facet joints on the contact forces remains unknown. Eight human cadaveric lumbar spine specimens (L2-L3) were tested by applying a pure moment of ± 7.5 Nm in 3 directions of loading(flexion-extension, lateral bending and axial rotation) with and without a follower preload of 300 N. The orientation of the lumbar facet joints at the L2-L3 was measured on axial CT scans. Bilateral facet contact forces were measured during flexibility tests using thin film electroresistive sensors (Tekscan 6900). The average total peak facet loads was 66 N in axial rotation, 27 N in extension and 20 N in lateral bending under a pure moment. Under a pure moment and with a follower preload of 300N, the average total peak facet loads was 53 N in axial rotation, 43 N in extension and 24 N in lateral bending. The facet joint forces were correlated positively and significantly with the orientation in all directions with and without a compressive follower preload (P < 0.05). In addition, the facet joint contact forces at neutral position with a follower preload were correlated positively with the orientation (rs = 0.759, P = 0.001). This study identified that the greater coronal orientation of lumbar facet joints are, the higher the facet joint contact forces are. 3.

  4. Joint HVDC Agricultural Study : Final Project Report.

    SciTech Connect

    Raleigh, Robert J.

    1989-02-01

    A 3-year long study was conducted in central Oregon to determine the possible effects of a +-500-kV d-c transmission line on cattle and crops. Two herds totaling 100 beef cows and 6 bulls were confined in pens beneath the d-c line. The cows were paired and the other members of the pairs were maintained in two herds in control pens 2000 ft west of the line. The management facilities under the power line were duplicated in the control area. There were no significant differences in consumption of feed, minerals or water between the line and control herds. Also, no effects were found on breeding, conception, calving, calf birth date, calving interval, average daily gain, adjusted weaning weight, cow weight, condition, carcass weight, and mortality. Differences were found between years for calf birth date, average daily gain, adjusted weaning weight, and cow weight. These differences were attributed to condition and age of the cows entering the study and their adjustment to pen confinement. 67 refs., 50 figs., 106 tabs.

  5. Sacroiliac joint pain: Prospective, randomised, experimental and comparative study of thermal radiofrequency with sacroiliac joint block.

    PubMed

    Cánovas Martínez, L; Orduña Valls, J; Paramés Mosquera, E; Lamelas Rodríguez, L; Rojas Gil, S; Domínguez García, M

    2016-05-01

    To compare the analgesic effects between the blockade and bipolar thermal radiofrequency in the treatment of sacroiliac joint pain. Prospective, randomised and experimental study conducted on 60 patients selected in the two hospitals over a period of nine months, who had intense sacroiliac joint pain (Visual Analogue Scale [VAS]>6) that lasted more than 3 months. Patients were randomised into three groups (n=20): Group A (two intra-articular sacroiliac injections of local anaesthetic/corticosteroid guided by ultrasound in 7 days). Group B: conventional bipolar radiofrequency "palisade". Target points were the lateral branch nerves of S1, S2, and S3, distance needles 1cm. Group C: modified bipolar radiofrequency "palisade" (needle distance >1cm). Patients were evaluated at one month, three months, and one year. Demographic data, VAS reduction, and side effects of the techniques were assessed. One month after the treatment, pain reduction was >50% in the three groups P<.001. Three and 12 months after the technique, the patients of the group A did not have a significant reduction in pain. At 3 months, almost 50% patients of the group B referred to improvement of the pain (P=.03), and <25% at 12 months, and those results were statistically significant (P=.01) compared to the baseline. Group C showed an improvement of 50% at 3 and 12 months (P<.001). All patients completed the study. Bipolar radiofrequency "palisade", especially when the distance between the needles was increased, was more effective and lasted longer, compared to join block and steroids, in relieving pain sacroiliac joint. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Effect of Resistance Training Maintaining the Joint Angle-torque Profile Using a Haptic-based Machine on Shoulder Internal and External Rotation.

    PubMed

    Kim, Yeonghun; Lee, Kunwoo; Moon, Jeheon; Koo, Dohoon; Park, Jaewoo; Kim, Kyengnam; Hong, Daehie; Shin, Inshik

    2014-04-01

    [Purpose] The aim of this study was to present an individualized resistance training method to enable exercise while maintaining an exercise load that is set according to an individual's joint angle-torque using a haptic-based resistance training machine. [Methods] Five participants (machine group) performed individualized shoulder internal and external rotation training with a haptic resistance training machine, while another five participants performed general dumbbell-based shoulder internal and external rotation training for eight weeks. Internal and external rotation powers of subjects were measured using an isokinetic machine before and after training. [Results] The average powers of both shoulder internal and external rotation has been improved after training (25.72%, 13.62%). The improvement in power of external rotation in the machine group was significantly higher than that in the control group. [Conclusion] This study proposes a haptic-based individualized rotator cuff muscle training method. The training protocol maintaining the joint angle-torque profile showed better improvement of shoulder internal/external rotation than dumbbell training.

  7. Effect of Resistance Training Maintaining the Joint Angle-torque Profile Using a Haptic-based Machine on Shoulder Internal and External Rotation

    PubMed Central

    Kim, Yeonghun; Lee, Kunwoo; Moon, Jeheon; Koo, Dohoon; Park, Jaewoo; Kim, Kyengnam; Hong, Daehie; Shin, Inshik

    2014-01-01

    [Purpose] The aim of this study was to present an individualized resistance training method to enable exercise while maintaining an exercise load that is set according to an individual’s joint angle-torque using a haptic-based resistance training machine. [Methods] Five participants (machine group) performed individualized shoulder internal and external rotation training with a haptic resistance training machine, while another five participants performed general dumbbell-based shoulder internal and external rotation training for eight weeks. Internal and external rotation powers of subjects were measured using an isokinetic machine before and after training. [Results] The average powers of both shoulder internal and external rotation has been improved after training (25.72%, 13.62%). The improvement in power of external rotation in the machine group was significantly higher than that in the control group. [Conclusion] This study proposes a haptic-based individualized rotator cuff muscle training method. The training protocol maintaining the joint angle-torque profile showed better improvement of shoulder internal/external rotation than dumbbell training. PMID:24764626

  8. Joint Antarctic School Expedition - An International Collaboration for High School Students and Teachers on Antarctic Science

    NASA Astrophysics Data System (ADS)

    Botella, J.; Warburton, J.; Bartholow, S.; Reed, L. F.

    2014-12-01

    The Joint Antarctic School Expedition (JASE) is an international collaboration program between high school students and teachers from the United States and Chile aimed at providing the skills required for establishing the scientific international collaborations that our globalized world demands, and to develop a new approach for science education. The National Antarctic Programs of Chile and the United States worked together on a pilot program that brought high school students and teachers from both countries to Punta Arenas, Chile, in February 2014. The goals of this project included strengthening the partnership between the two countries, and building relationships between future generations of scientists, while developing the students' awareness of global scientific issues and expanding their knowledge and interest in Antarctica and polar science. A big component of the project involved the sharing by students of the acquired knowledge and experiences with the general public. JASE is based on the successful Chilean Antarctic Science Fair developed by Chile´s Antarctic Research Institute. For 10 years, small groups of Chilean students, each mentored by a teacher, perform experimental or bibliographical Antarctic research. Winning teams are awarded an expedition to the Chilean research station on King George Island. In 2014, the Chileans invited US participation in this program in order to strengthen science ties for upcoming generations. On King George Island, students have hands-on experiences conducting experiments and learning about field research. While the total number of students directly involved in the program is relatively small, the sharing of the experience by students with the general public is a novel approach to science education. Research experiences for students, like JASE, are important as they influence new direction for students in science learning, science interest, and help increase science knowledge. We will share experiences with the

  9. Are the Kinematics of the Knee Joint Altered during the Loading Response Phase of Gait in Individuals with Concurrent Knee Osteoarthritis and Complaints of Joint Instability? A Dynamic Stereo X-ray Study

    PubMed Central

    Farrokhi, Shawn; Tashman, Scott; Gil, Alexandra B.; Klatt, Brian A.; Fitzgerald, G. Kelley

    2011-01-01

    Background Joint instability has been suggested as a risk factor for knee osteoarthritis and a cause of significant functional declines in those with symptomatic disease. However, the relationship between altered knee joint mechanics and self-reports of instability in individuals with knee osteoarthritis remains unclear. Methods Fourteen subjects with knee osteoarthritis and complaints of joint instability and 12 control volunteers with no history of knee disease were recruited for this study. Dynamic stereo X-ray technology was used to assess the three-dimensional kinematics of the knee joint during the loading response phase of gait. Findings Individuals with concurrent knee osteoarthritis and joint instability demonstrated significantly reduced flexion and internal/external rotation knee motion excursions during the loading response phase of gait (P < 0.01), while the total abduction/adduction range of motion was increased (P < 0.05). In addition, the coronal and transverse plane alignment of the knee joint at initial contact was significantly different (P < 0.05) for individuals with concurrent knee osteoarthritis and joint instability. However, the anteroposterior and mediolateral tibiofemoral joint positions at initial contact and the corresponding total joint translations were similar between groups during the loading phase of gait. Interpretations The rotational patterns of tibiofemoral joint motion and joint alignments reported for individuals with concurrent knee osteoarthritis and joint instability are consistent with those previously established for individuals with knee osteoarthritis. Furthermore, the findings of similar translatory tibiofemoral motion between groups suggest that self-reports of episodic joint instability in individuals with knee osteoarthritis may not necessarily be associated with adaptive alterations in joint arthrokinematics. PMID:22071429

  10. [Results of endocrinologic studies of the 3d international crew of the scientific orbital station complex: Soyuz 29--Salyut 6--Soyuz 31 (joint space flight enterprise of the USSR--GDR). 1. Condition of the sympathico-adrenal system].

    PubMed

    Tigranjan, R A; Davydova, N A; Haase, H; Jarsumbeck, B; Chmel'kov, V P

    1982-07-01

    The present paper deals with the activity of the sympatho-adrenal system (SAS) in the third international crew of the scientific orbital station "Salyut-6" on the basis of catecholamines (CA) as well as of some of their primary stages and metabolites. Plasma adrenaline (A), noradrenaline (NA), and dopamine (DA) were determined on the 30th day before the flight and on the first day after landing. The parameters of A, NA, DA, DOPA, metanephrine (MN), and normetanephrine (NMN) as well as their conjugates were analysed in urine on day 30 and from days 5 to 1 before launching the spaceship and from days 0 to 5 after landing. Moreover, at the same occasions the urinary excretion of vanillilmandelic acid (VMA) and homovanillic acid (HVA) was measured. For a qualitative evaluation of the responses of SAS indices were computed providing information on the activity of the single links of CA metabolism. During the last five days before launching a gradual increase of A, NA, DA, and DOPA excretion with the urine was found in both the cosmonauts. The A/NA quotient rose to 360% in the commander and to 200% in the spacecraft engineer. The inactivation processes of A (MN/A) and NA (NMN/NA) were clearly reduced in both crew members before launching. The highest excretion of A, NA, DA and their conjugates as well as of DOPA was observed on the day of landing. The total results ascertained in the post-flight period indicate psychonerval strains experienced by the cosmonauts. However, marked stress reactions were not found. This conclusion is drawn on the basis of general criteria of the indices of CA metabolism during stress (increased secretory activity of SAS and excretion of free CA, synthesis activation, relative hypometabolism of conjugation). The rapid normalisation of the investigated parameters after the flight gave evidence of the cosmonauts' quick readaptation, which again is an expression of a high state of preparatory training.

  11. Internal Model Deficits Impair Joint Action in Children and Adolescents with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Stoit, Astrid M. B.; van Schie, Hein T.; Riem, Madelon; Meulenbroek, Ruud G. J.; Newman-Norlund, Roger D.; Slaats-Willemse, Dorine I. E.; Bekkering, Harold; Buitelaar, Jan K.

    2011-01-01

    Qualitative differences in social interaction and communication are diagnostic hallmarks in autism spectrum disorders (ASD). The present study investigated the hypothesis that impaired social interaction in ASD reflects a deficit to internally model the behavior of a co-actor. Children and adolescents with ASD and matched controls performed a…

  12. Indigenous Studies as an International Field.

    ERIC Educational Resources Information Center

    Pino-Robles, Rodolfo

    This paper proposes the development of Indigenous Studies as an international field, both in the sense of advancing the discipline internationally, wherever there are Indigenous peoples, and in the sense of incorporating international perspectives into curricula. In Canada, Indigenous Studies has been and is still treated as something to be done…

  13. A study of temporomandibular joint osteoarthritis using computed tomographic imaging.

    PubMed

    Massilla Mani, F; Sivasubramanian, S Satha

    2016-06-01

    This study aimed to determine the various bony changes in osteoarthritis (OA) of elderly patients who are suffering from temporomandibular joint dysfunction (TMD) and to find if all the changes manifesting in generalized OA were presented in temporomandibular joint (TMJ). Thirty TMJs of fifteen elderly patients who were diagnosed with TMD were selected for the study. Patient with TMD were subjected to computerized tomographic (CT) imaging, and the various bony changes in the TMJ were recorded. CT study of TMJ showed that there is a positive evidence of joint involvement in 80% of the cases. In this study, female patients were more commonly affected by OA than the males. The condylar changes (69.93%) are more common than the changes in the articular eminence (6.6%) and condylar fossa (10%). About 56.6% of TMJ in the study was affected by the early manifestations of the OA. CT study showed that there is a positive evidence of TMJ involvement in the elderly patients with TMD. The results show that condylar changes are more common than the changes in the articular eminence and condylar fossa. The study also shows that most of the patients are affected by early TMJ OA; hence, initiating treatment at early stages may prevent the disease progression. Copyright © 2016 Chang Gung University. Published by Elsevier B.V. All rights reserved.

  14. Classifying Back Pain and Peripheral Joint Complaints in Inflammatory Bowel Disease Patients: A Prospective Longitudinal Follow-up Study.

    PubMed

    van Erp, S J; Brakenhoff, L K; van Gaalen, F A; van den Berg, R; Fidder, H H; Verspaget, H W; Huizinga, T W; Veenendaal, R A; Wolterbeek, R; van der Heijde, D; van der Meulen-de Jong, A E; Hommes, D W

    2016-02-01

    Peripheral joint complaints [pJTC] and chronic back pain [CBP] are the most common extra-intestinal manifestations in patients with inflammatory bowel disease [IBD]. This prospective study evaluates variables associated with joint/back pain, including IBD disease activity. IBD patients with back pain ≥ 3 months and/or peripheral joint pain/swelling [n = 155], and IBD patients without joint complaints [n = 100; controls], were followed for a period of 1 year. Patients were classified as having SpondyloArthritis [SpA] according to several sets of criteria. Statistical analysis included logistic regression models and linear mixed model analysis. Of the 155 patients with joint/back pain, 13 had chronic back pain, 80 peripheral joint complaints, and 62 axial and peripheral joint complaints. Smoking, female gender, and IBD disease activity were independently associated with IBD joint/back pain. The Assessment in Spondyloarthritis International Society criteria for axial and peripheral SpA were fulfilled in 12.3% of patients, with 9.7% [n = 15] receiving a rheumatological diagnosis of arthritis. During the 12-month follow-up, the majority of the patients reporting joint/back pain remained stable. In our cohort, the majority of IBD patients reported joint/back pain and SpA was relatively common. To facilitate effective care, gastroenterologists should be aware of the various features of SpA to classify joint complaints and, by making use of an efficient referral algorithm, to refer CBP patients to the rheumatologist. Copyright © 2015 European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  15. PREFACE: Theory of Fusion Plasmas, 13th Joint Varenna-Lausanne International Workshop (2012)

    NASA Astrophysics Data System (ADS)

    Garbet, Xavier; Sauter, Olivier

    2012-12-01

    The 2012 joint Varenna-Lausanne international workshop on the theory of fusion plasmas has been very fruitful. A broad variety of topics were addressed, as usual covering turbulence, MHD, edge physic, RF wave heating and a taste of astrophysics. Moreover the scope of the meeting was extended this year to include the physics of materials and diagnostics for burning plasmas. This evolution reflects the complexity of problems at hand in fusion, in particular in the context of ITER construction. Long-standing problems without immediate consequences have sometimes become an urgent matter in that context. One may quote for instance the choice of plasma facing components or the design of control systems. Another characteristic of the meeting is the interplay between various domains of plasma physics. For instance MHD modes are now currently investigated with gyrokinetic codes, kinetic effects are more and more included in MHD stability analysis, and turbulence is now accounted for in wave propagation problems. This is the proof of cross-fertilization and it is certainly a healthy sign in our community. Finally introducing some novelty in the programme does not prevent us from respecting the traditions of the meeting. As usual a good deal of the presentations were dedicated to numerical simulations. Combining advanced numerical techniques with elaborated analytical theory is certainly a trademark of the Varenna-Lausanne conference, which was respected again this year. The quality and size of the scientific production is illustrated by the 26 papers which appear in the present volume of Journal of Physics: Conference Series, all refereed. We would also like to mention another set of 20 papers to be published in Plasma Physics and Controlled Fusion. We hope the readers will enjoy this special issue of JPCS and the one to come in PPCF. Xavier Garbet and Olivier Sauter October 26, 2012

  16. International Joint Project of Engineering Design Education among Three Institutions in Japan, U.S. and Singapore

    NASA Astrophysics Data System (ADS)

    Matsuishi, Masakatsu; Takemata, Kazuya; Furukawa, Tetsuro; Sanders, Wayne; Loo, Chin Non

    An international joint program of Engineering Design has started in 2004 between Kanazawa Institute of Technology, Singapore Polytechnic in Singapore, and Rose-Hulman Institute of Technology in the United States. Students from the three institutions worked on the same engineering design project, the main theme of which was, “Bus Transportation/Urban Transportation System in the 21st Century”. Student teams chose their own project themes from specific design areas, which were related to the main theme. Their achievements were unique in their solutions due to the differences in society and culture in Japan, the United States and Singapore, although all the design teams followed the same engineering design procedures. In this paper, the international joint project is discussed in details.

  17. Development and application of a photogrammetric endoscopic system for measurement of misalignment and internal profile of welded joints in pipelines

    NASA Astrophysics Data System (ADS)

    Albertazzi G., Armando, Jr.; Hofmann, Allan C.; Fantin, Analucia V.; Santos, João M. C.

    2009-06-01

    This paper presents a new optical system to measure internal cylindrical surfaces combining photogrammetry and fringe projection. The device uses two identical cameras, equipped with spherical and conical lenses, facing each other and aligned with the optical axis. A 360° helical fringe projector is used to project a sequence of phase shifted helical fringe pattern in the inner surface to be measured. The phase patterns are used to identify corresponding points and to reconstruct the surface in a regular cylindrical mesh using an alternative approach. A prototype was built, calibrated and tested. The paper presents the results of an application where two welded joints were measured in a 150 mm (6") diameter pipe. The goal was to inspect for defects in the internal part of the welding seams and to measure the transversal misalignment between the jointed parts.

  18. Introduction to the special issue on the 2011 Joint IEEE International Frequency Control Symposium and European Frequency and Time Forum.

    PubMed

    Burt, Eric; Gill, Patrick

    2012-03-01

    The 8 invited and 17 contributed papers in this special issue focus on the following topical areas covered at the 2011 Joint IEEE International Frequency Control Symposium and European Frequency and Time Forum, held in San Francisco, California: 1) Materials and Resonators; 2) Oscillators, Synthesizers, and Noise; 3) Microwave Frequency Standards; 4) Sensors and Transducers; 5) Timekeeping and Time and Frequency Transfer; and 6) Optical Frequency Standards.

  19. International Study of Marketing Education.

    ERIC Educational Resources Information Center

    Liander, Bertil, Ed.

    The International Marketing Federation (IMF), supported by the Marketing Science Institute, has surveyed IMF member countries and a representative scattering of others to determine the current state and future trends in marketing education. This volume presents the findings of the survey of 21 countries--Argentina, Australia, Canada, Denmark,…

  20. Computer-Assisted International Studies.

    ERIC Educational Resources Information Center

    Wilkenfeld, Jonathan

    1983-01-01

    Describes an interdisciplinary college level program which uses computer simulation exercises to teach about foreign policy and global issues. In the foreign policy simulation, political science and foreign language students role play national decision makers. In the international futures simulation, students debate demographic, economic, energy,…

  1. Joint Global War on Terror (GWOT) Vascular Injury Study 2

    DTIC Science & Technology

    2017-02-01

    and clinical management information from the Joint Theater Trauma Registry (JTTR) to authentic patient-based outcomes years following injury. In this...outcomes following extremity vascular injury in the wars in Afghanistan and Iraq. This study proposes to link acute injury and clinical management... reasons for change Nothing to Report Actual or anticipated problems or delays and actions or plans to resolve them - Technology support staffing

  2. Alloplastic total temporomandibular joint replacements: do they perform like natural joints? Prospective cohort study with a historical control.

    PubMed

    Wojczyńska, A; Leiggener, C S; Bredell, M; Ettlin, D A; Erni, S; Gallo, L M; Colombo, V

    2016-10-01

    The aim of this study was to qualitatively and quantitatively describe the biomechanics of existing total alloplastic reconstructions of temporomandibular joints (TMJ). Fifteen patients with unilateral or bilateral TMJ total joint replacements and 15 healthy controls were evaluated via dynamic stereometry technology. This non-invasive method combines three-dimensional imaging of the subject's anatomy with jaw tracking. It provides an insight into the patient's jaw joint movements in real time and provides a quantitative evaluation. The patients were also evaluated clinically for jaw opening, protrusive and laterotrusive movements, pain, interference with eating, and satisfaction with the joint replacements. The qualitative assessment revealed that condyles of bilateral total joint replacements displayed similar basic motion patterns to those of unilateral prostheses. Quantitatively, mandibular movements of artificial joints during opening, protrusion, and laterotrusion were all significantly shorter than those of controls. A significantly restricted mandibular range of motion in replaced joints was also observed clinically. Fifty-three percent of patients suffered from chronic pain at rest and 67% reported reduced chewing function. Nonetheless, patients declared a high level of satisfaction with the replacement. This study shows that in order to gain a comprehensive understanding of complex therapeutic measures, a multidisciplinary approach is needed.

  3. [Results of endocrinologic studies of the 3d international crew of the scientific orbital station complex: Soyuz 29 - Salyut 6 - Soyuz 31 (joint space flight enterprise of the USSR - GDR). 3. Corticosteroid excretion in urine].

    PubMed

    Tigranjan, R A; Haase, H; Voronin, L I; Kalita, N F; Jarsumbeck, B

    1982-07-01

    In the present study the attempt was made to evaluate the functional state of the adrenal cortex after space flight by means of the urinary corticosteroid content. The urine collected over 24 hours was analysed. The following parameters were determined: Total 17-hydroxycorticosteroids (17-OHCS), their free forms, glucuronides and sulphates; cortisol (F), cortisone (E), corticosterone (B), 11-desoxycortisol (S), 11-dehydrocorticosterone (A), tetrahydrocortisol (THF), tetrahydrocortisone (THE), tetrahydrocorticosterone (THB), tetrahydro-11-desoxycortisol (THS), and aldosterone. In order to characterize the activity of the 11-hydroxylase the quotient of THS + S/THF + F + THE + E was formed. The activity of the 17-hydroxylase was determined indirectly by the quotient of THF + THE + THS + F + E + S/THB + B + A = 17-OHCS/17-DOHCS. The expected distinct increase of the 17-OHCS after the space flight failed to appear. This finding may be due to an adrenocortical dysfunction. In the space ship commander the quotients indicate a reduced 11- and 17-hydroxylation during the process of synthesis of the glucocorticoids. In the flight engineer they give evidence of an unchanged biosynthesis except on the day of landing. A hitherto not fully intensified substance ("white spot") was found in the chromatogram of the space ship commander on the first and second day after the flight. Moreover, the investigations show that the reaction of the adrenal cortex after space flights exhibits a number of individual characteristics.

  4. Developing International Business Managers through International Study Visits to China

    ERIC Educational Resources Information Center

    Tang, Yiming; Rose, Susan

    2014-01-01

    Globalization is a key factor in the success of business organizations today, impacting many aspects of management performance. Understanding the global business environment has therefore become a key objective in the teaching of international business on Executive MBA programs. Drawing on the theory of experiential learning, this study examines…

  5. Developing International Business Managers through International Study Visits to China

    ERIC Educational Resources Information Center

    Tang, Yiming; Rose, Susan

    2014-01-01

    Globalization is a key factor in the success of business organizations today, impacting many aspects of management performance. Understanding the global business environment has therefore become a key objective in the teaching of international business on Executive MBA programs. Drawing on the theory of experiential learning, this study examines…

  6. Regenerative Therapies for Equine Degenerative Joint Disease: A Preliminary Study

    PubMed Central

    Broeckx, Sarah; Zimmerman, Marieke; Crocetti, Sara; Suls, Marc; Mariën, Tom; Ferguson, Stephen J.; Chiers, Koen; Duchateau, Luc; Franco-Obregón, Alfredo

    2014-01-01

    Degenerative joint disease (DJD) is a major cause of reduced athletic function and retirement in equine performers. For this reason, regenerative therapies for DJD have gained increasing interest. Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) were isolated from a 6-year-old donor horse. MSCs were either used in their native state or after chondrogenic induction. In an initial study, 20 horses with naturally occurring DJD in the fetlock joint were divided in 4 groups and injected with the following: 1) PRP; 2) MSCs; 3) MSCs and PRP; or 4) chondrogenic induced MSCs and PRP. The horses were then evaluated by means of a clinical scoring system after 6 weeks (T1), 12 weeks (T2), 6 months (T3) and 12 months (T4) post injection. In a second study, 30 horses with the same medical background were randomly assigned to one of the two combination therapies and evaluated at T1. The protein expression profile of native MSCs was found to be negative for major histocompatibility (MHC) II and p63, low in MHC I and positive for Ki67, collagen type II (Col II) and Vimentin. Chondrogenic induction resulted in increased mRNA expression of aggrecan, Col II and cartilage oligomeric matrix protein (COMP) as well as in increased protein expression of p63 and glycosaminoglycan, but in decreased protein expression of Ki67. The combined use of PRP and MSCs significantly improved the functionality and sustainability of damaged joints from 6 weeks until 12 months after treatment, compared to PRP treatment alone. The highest short-term clinical evolution scores were obtained with chondrogenic induced MSCs and PRP. This study reports successful in vitro chondrogenic induction of equine MSCs. In vivo application of (induced) MSCs together with PRP in horses suffering from DJD in the fetlock joint resulted in a significant clinical improvement until 12 months after treatment. PMID:24465787

  7. Radiographic Evaluation of Ankle Joint Stability After Calcaneofibular Ligament Elevation During Open Reduction and Internal Fixation of Calcaneus Fracture.

    PubMed

    Wang, Chien-Shun; Tzeng, Yun-Hsuan; Lin, Chun-Cheng; Huang, Ching-Kuei; Chang, Ming-Chau; Chiang, Chao-Ching

    2016-09-01

    The aim of this prospective study was to evaluate the influence of sectioning the calcaneofibular ligament (CFL) during an extensile lateral approach during open reduction and internal fixation (ORIF) of calcaneal fractures on ankle joint stability. Forty-two patients with calcaneal fractures that received ORIF were included. Talar tilt stress and anterior drawer radiographs were performed on the operative and contralateral ankles 6 months postoperatively. The average degree of talar tilt on stress radiographs was 3.4 degrees (range, 0-12 degrees) on the operative side and 3.2 degrees (range, 0-14 degrees) on the contralateral side. The mean anterior drawer on stress radiographs of the CFL incised ankle was 6.1 mm (range, 2.4-11.8 mm) and on the contralateral ankle was 5.7 mm (range, 2.6-8.6 mm). There was no statistically significant difference of talar tilt and anterior drawer between the CFL incised side and the contralateral side (P = .658 and .302, respectively). The results suggest that sectioning of the CFL without any repair during ORIF of a calcaneal fracture does not have a negative effect on stability of the ankle. Repair of the CFL is, thus, probably not necessary following extended lateral approach for ORIF of calcaneal fractures. Level II, comparative study. © The Author(s) 2016.

  8. Assessing function in patients undergoing joint replacement: a study protocol for a cohort study

    PubMed Central

    2012-01-01

    Background Joint replacement is an effective intervention for people with advanced arthritis, although there is an important minority of patients who do not improve post-operatively. There is a need for robust evidence on outcomes after surgery, but there are a number of measures that assess function after joint replacement, many of which lack any clear theoretical basis. The World Health Organisation has introduced the International Classification of Functioning, Disability and Health (ICF), which divides function into three separate domains: Impairment, activity limitations and participation restrictions. The aim of this study is to compare the properties and responsiveness of a selection of commonly used outcome tools that assess function, examine how well they relate to the ICF concepts, and to explore the changes in the measures over time. Methods/design Two hundred and sixty three patients listed for lower limb joint replacement at an elective orthopaedic centre have been recruited into this study. Participants attend the hospital for a research appointment prior to surgery and then at 3-months and 1-year after surgery. At each assessment time, function is assessed using a range of measures. Self-report function is assessed using the WOMAC, Aberdeen Impairment, Activity Limitation and Participation Restriction Measure, SF-12 and Measure Yourself Medical Outcome Profile 2. Clinician-administered measures of function include the American Knee Society Score for knee patients and the Harris Hip Score for hip patients. Performance tests include the timed 20-metre walk, timed get up and go, sit-to-stand-to-sit, step tests and single stance balance test. During the performance tests, participants wear an inertial sensor and data from motion analysis are collected. Statistical analysis will include exploring the relationship between measures describing the same ICF concepts, assessing responsiveness, and studying changes in measures over time. Discussion There are a

  9. Experimental Study on Peak Shear Strength Criterion for Rock Joints

    NASA Astrophysics Data System (ADS)

    Yang, Jie; Rong, Guan; Hou, Di; Peng, Jun; Zhou, Chuangbing

    2016-03-01

    The three-dimensional (3D) morphology of a rock joint has a great impact on its shear behavior. To study the relationship between the 3D morphological characteristics and the peak shear strength, several tilt tests were conducted on four groups of tensile fractures and direct shear tests were carried out under different constant normal loads (CNL). The normal load ranges from 0.325 to 8.0 MPa. In this study, fresh tensile fractures which were splitted from granite and sandstone samples were used. The morphology of each tensile fracture was measured before direct shear tests. A new peak shear strength criterion for rock joints is proposed using two 3D morphological parameters which are termed as the maximum apparent dip angle θ_{max}^{*} and the roughness parameter C. The calculated peak strengths using the proposed criterion match well with the observed values. In addition, a comparison of the proposed model with the Grasselli's model (2003) and Xia's model (2014) shows that the proposed model is easier in the form and gives a rational improvement. At last, direct shear test data of tensile fractures which are collected from Grasselli (2003) are used to verify the proposed model. It is seen that the proposed model has a reliable estimate of the peak shear strength of tensile fractures and presumably for rock joints.

  10. Comparison of reaction forces on the anterior cruciate and anterolateral ligaments during internal rotation and anterior drawer forces at different flexion angles of the knee joint.

    PubMed

    Uğur, Levent

    2017-03-02

    Having a complicated anatomy, the knee joint has been further detailed and a new formation defined, the anterolateral ligament (ALL), in recent studies. While the importance of this ligament, which previously was associated with Segond fractures, was explained via clinical, radiologic and biomechanical studies, and basically, is thought to be a fixator structures for the tibia against internal rotation stress. Although in recent studies efficient surgical treatment was applied to patients who underwent anterior cruciate ligament (ACL) operation, some patients having a positive pivot test highlights the clinical importance of the ALL. The aim of this study is to evaluate reaction forces of different flexion angles on the tibia during internal rotation and anterior drawer tests on both the ALL and ACL, and to examine theimportance of this ligament in knee biomechanics by a finite element analysis method. In this study, normal anatomy knee joint was modelled using Computed Tomography images from lower extremity length in DICOM format. 0°, 15°,30°,45°,60°,75° and 90° angles of flexion were applied, respectively, to these models and reaction force vectors formed on both ligaments were examined separately and as total vector and size by applying internal rotation and anterior drawer forces on each model. Non-linear analysis was conducted using ANSYS (version 17) with the same limit conditions applied to all models. After all models were examined, in general when comparing reaction forces, those on the ACL were found to be higher. However, when vectoral directions were examined, forces on ALL increased with increased flexion ratio and internal rotation momentum. Beyond 30° flexion, the tensile force on the ALL is increased and compressive overload on the ACL occurs. The ALL plays an important role in stability, especially against internal rotation forces, and an increased knee joint flexion ratio increases the stability contribution ratio. In particular, at 30

  11. [Dynamic study of the distal radioulnar joint with computerized tomography].

    PubMed

    Martelli, A; Zanlungo, M; Egitto, M G; Sibilla, L; Uggetti, C; Zappoli, F

    1996-05-01

    The authors describe a CT technique which allows the dynamic study of the inferior radioulnar joint. The examination consists of 4 CT slices, three of them acquired at the same level-i.e., the radioulnar joint- in the prone, intermediate and supine positions, respectively. The last slice is acquired, with the patient in the prone position, at the base of the styloid process where the triangular fibrocartilage is demonstrated. The distal radioulnar ligaments are not directly visible. Nineteen patients complaining of painfully impaired pronation and supination because of previous trauma (11 Colles fractures, 7 distortions and 1 Galeazzi lesion) were examined with this technique. In all patients, both wrists were studied to obtain normal parameters. The radioulnar joint was evaluated superimposing a draft on the dynamic images, which demonstrated that, in healthy limbs, during movement the ulnar epiphysis is always contained between two parallel lines drawn on the volar and dorsal surfaces of the radial epiphysis, respectively. It was also confirmed that supination is possible up to 110-135 degrees from the support plane. CT demonstrated different causes of impaired movements in the affected joints: in 12 cases some fibrous density tissue was seen at the ulnar epiphysis on the volar aspect and considered to be the evolution of a traumatic hematoma; 6 patients presented dorsal subluxation of the ulna during movement; finally, volar subluxation was detected only in one case. In 6 patients the triangular fibrocartilage was detached; in 1 patient an intraarticular fluid collection was demonstrated. In 3 patients CT detected no abnormalities. The fibrous tissue is responsible for impaired movements and causes the detached triangular fibrocartilage to shrink. The authors believe that this simple CT technique can yield useful pieces of information for accurate surgical planning.

  12. Official Positions for FRAX® clinical regarding international differences from Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX®.

    PubMed

    Cauley, Jane A; El-Hajj Fuleihan, Ghada; Arabi, Asma; Fujiwara, Saeko; Ragi-Eis, Sergio; Calderon, Andrew; Chionh, Siok Bee; Chen, Zhao; Curtis, Jeffrey R; Danielson, Michelle E; Hanley, David A; Kroger, Heikki; Kung, Annie W C; Lesnyak, Olga; Nieves, Jeri; Pluskiewicz, Wojciech; El Rassi, Rola; Silverman, Stuart; Schott, Anne-Marie; Rizzoli, Rene; Luckey, Marjorie

    2011-01-01

    Osteoporosis is a serious worldwide epidemic. Increased risk of fractures is the hallmark of the disease and is associated with increased morbidity, mortality and economic burden. FRAX® is a web-based tool developed by the Sheffield WHO Collaborating Center team, that integrates clinical risk factors, femoral neck BMD, country specific mortality and fracture data and calculates the 10 year fracture probability in order to help health care professionals identify patients who need treatment. However, only 31 countries have a FRAX® calculator at the time paper was accepted for publication. In the absence of a FRAX® model for a particular country, it has been suggested to use a surrogate country for which the epidemiology of osteoporosis most closely approximates the index country. More specific recommendations for clinicians in these countries are not available. In North America, concerns have also been raised regarding the assumptions used to construct the US ethnic specific FRAX® calculators with respect to the correction factors applied to derive fracture probabilities in Blacks, Asians and Hispanics in comparison to Whites. In addition, questions were raised about calculating fracture risk in other ethnic groups e.g., Native Americans and First Canadians. In order to provide additional guidance to clinicians, a FRAX® International Task Force was formed to address specific questions raised by physicians in countries without FRAX® calculators and seeking to integrate FRAX® into their clinical practice. The main questions that the task force tried to answer were the following: The Task Force members conducted appropriate literature reviews and developed preliminary statements that were discussed and graded by a panel of experts at the ISCD-IOF joint conference. The statements approved by the panel of experts are discussed in the current paper.

  13. International Studies Seminar. Grade 9, First Semester.

    ERIC Educational Resources Information Center

    Girton, Robert

    This curriculum guide contains the grade 9 course content of the interdisciplinary International Studies Seminar, conducted at Withrow High School in Cincinnati, Ohio. The seminar, part of the school's International Studies Academy, is an alternative education program which emphasizes global studies as the core of its curriculum. The document…

  14. PREFACE: 2013 Joint IMEKO (International Measurement Confederation) TC1-TC7-TC13 Symposium: Measurement Across Physical and Behavioural Sciences

    NASA Astrophysics Data System (ADS)

    Battista Rossi, Giovanni; Crenna, Francesco; Belotti, Vittorio

    2013-09-01

    The 2013 Joint IMEKO (International Measurement Confederation) TC1-C7-TC13 was organised by the University of Genova - DIME/MEC, Measurement Laboratory, Italy, on 4-6 September 2013. The work of this symposium is reported in this volume. The scope of the symposium includes the main topics covered by the above Technical Committees: TC1 Education and Training in Measurement and Instrumentation TC7 Measurement Science TC13 Measurements in Biology and Medicine This is in keeping with the tradition set by the previous events of this well established series. There has been a special focus on measurement across physical and behavioural sciences, with the aim of highlighting the interdisciplinary character of measurement science and of promoting constructive interactions with scientists in other disciplines. The discussion was introduced by keynote lectures on measurement challenges in psychophysics, psychometrics and quantum physics. The symposium was attended by experts working in these areas from 18 countries, including USA, Australia and Japan, and provided a useful forum for them to share and exchange their work and ideas. In total over sixty papers are included in the volume, organised according to the presentation sessions. Each paper was independently peer-reviewed by two reviewers from a distinguished international panel. The Symposium was held in Genova, which was the European Capital of Culture in 2004, and took place in Palazzo Ducale, an important historical building whose construction started in the 13th century, and that has been the house of the Duke of Genova from the 14th century. Genova, whose name comes from the Latin word 'Janua' (meaning 'door', as January is the door month of the year), has been regarded over the centuries as a door connecting Europe with the different countries and cultures of the Mediterranean basin and thus was an appropriate site for an international symposium involving different and new scientific visions and approaches to

  15. Mechanical behavior study of laser welded joints for DP steel

    NASA Astrophysics Data System (ADS)

    Yan, Qi

    2008-03-01

    Advanced High Strength Steels (AHSS) are gaining considerable market shares in the automotive industry. The development and application of Dual Phase (DP) steel is just a consistent step towards high-strength steel grades with improved mechanical behavior. Tailor welded blanks with DP steel are promoted in the application of Body-In-White (BIW) structure by the automotive industry. A tailor welded blank consists of several flat sheets that are laser welded together before stamping. Applied cases of tailor welded blanks of high strength steels on the automotive structural parts are investigated in this paper. The mechanical behavior of laser welded joints for DP steel is studied. Microstructure of laser welded joints for DP steel was observed by SEM. Martensite in the weld seam explains the higher strength of welded joints than the base metal. Results show that the strain safety tolerance of laser welded seam for high strength steel can meet the requirement of automobile parts for stamping if the location of laser welded seam is designed reasonably.

  16. Registration of knee joint surfaces for the in vivo study of joint injuries based on magnetic resonance imaging

    NASA Astrophysics Data System (ADS)

    Cheng, Rita W. T.; Habib, Ayman F.; Frayne, Richard; Ronsky, Janet L.

    2006-03-01

    In-vivo quantitative assessments of joint conditions and health status can help to increase understanding of the pathology of osteoarthritis, a degenerative joint disease that affects a large population each year. Magnetic resonance imaging (MRI) provides a non-invasive and accurate means to assess and monitor joint properties, and has become widely used for diagnosis and biomechanics studies. Quantitative analyses and comparisons of MR datasets require accurate alignment of anatomical structures, thus image registration becomes a necessary procedure for these applications. This research focuses on developing a registration technique for MR knee joint surfaces to allow quantitative study of joint injuries and health status. It introduces a novel idea of translating techniques originally developed for geographic data in the field of photogrammetry and remote sensing to register 3D MR data. The proposed algorithm works with surfaces that are represented by randomly distributed points with no requirement of known correspondences. The algorithm performs matching locally by identifying corresponding surface elements, and solves for the transformation parameters relating the surfaces by minimizing normal distances between them. This technique was used in three applications to: 1) register temporal MR data to verify the feasibility of the algorithm to help monitor diseases, 2) quantify patellar movement with respect to the femur based on the transformation parameters, and 3) quantify changes in contact area locations between the patellar and femoral cartilage at different knee flexion angles. The results indicate accurate registration and the proposed algorithm can be applied for in-vivo study of joint injuries with MRI.

  17. Automated joint space width quantification of hand and wrist joints: a proof of concept study.

    PubMed

    Huo, Yinghe; Veldhuizen, Renske D; van der Heijde, Desiree M; Besselink, Nick J; Jacobs, Johannes W G; van Laar, Jacob M; Viergever, Max A; Vincken, Koen L; Lafeber, Floris P; de Hair, Maria J H

    2016-01-01

    To compare as proof of concept the sensitivity to change of automated quantification of radiographic wrist and hand joint space width (JSW) with scoring JSW according to the Sharp/van der Heijde scoring method (SHS) in two strategy groups of a treat-to-target and tight-control early rheumatoid arthritis (RA) study. Digital radiographs were assessed for JSW changes of 134 patients of the 236 patients participating in the second Computer Assisted Management in Early Rheumatoid Arthritis trial, of whom both baseline and year 2 radiographs were available (year 1 radiographs n=125). Of those 134 patients, 70 started with methotrexate and prednisone (MTX+Pred) and 64 with MTX and placebo (MTX+Plac). JSW change over 1 and 2 years of the hands and wrists was assessed, applying both the joint space narrowing (JSN) subscore of the SHS by 2 readers and the automated assessment with the JSW quantification software 'JSQ'. For both methods, progression of JSW change of the hand and wrist was analysed using linear mixed modelling (dependent variable 'JSW', factor 'strategy group', covariate 'follow-up time in years', interaction term 'strategy group*follow-up time'; radiographs of baseline, year 1 and year 2 were used). For each method the standardised mean difference (SMD) for the change in JSW from baseline to year 2 between the treatment strategies was obtained using a non-parametric method. Patient characteristics of the current subpopulation were similar to those of the whole study population. JSN of the hand and wrist according to SHS at 2 years was present in 16 vs. 23% in the MTX+Pred group vs. the MTX+Plac group. The mean yearly progression rates of JSW change of the hands and wrists using JSQ were -0.00mm (95% confidence interval (CI) -0.01; 0.01) for MTX+Pred vs. -0.02mm (95%CI -0.03; -0.01) for MTX+Plac, p=0.045, and using SHS JSN they were 0.19 units (95%CI 0.09; 0.30) vs. 0.30 units (95%CI 0.14; 0.45) for MTX+Pred vs. MTX+Plac, p=0.271. The SMD for the change from

  18. Joint space narrowing, body mass index, and knee pain: the ROAD study (OAC1839R1).

    PubMed

    Muraki, S; Akune, T; En-Yo, Y; Yoshida, M; Suzuki, T; Yoshida, H; Ishibashi, H; Tokimura, F; Yamamoto, S; Tanaka, S; Nakamura, K; Kawaguchi, H; Oka, H; Yoshimura, N

    2015-06-01

    The objective of the present study was to clarify the association of joint space narrowing with knee pain in Japanese men and women using a large-scale population-based cohort of the Research on Osteoarthritis/osteoporosis Against Disability (ROAD) study. This study examined the association between minimum joint space width (mJSW) in the medial compartment and pain at the knee. mJSW was measured in the medial and lateral compartments of the knee using a knee osteoarthritis (OA) computer-aided diagnosis system. From the 3040 participants in the ROAD study, the present study analyzed 2733 participants who completed the radiographic examinations and questionnaires regarding knee pain (975 men and 1758 women; mean age, 69.9 ± 11.2 years). Subjects with lateral knee OA were excluded. After adjustment for age and Body mass index (BMI), medial mJSW, as well as medial mJSW/lateral mJSW, was significantly associated with knee pain. Sex and BMI affected the association of medial mJSW with knee pain. The threshold of medial mJSW was approximately 3 mm in men and 2 mm in women, while that of medial mJSW/lateral mJSW was approximately 60% in both men and women. BMI was found to have a distinct effect on the association of mJSW with pain. The present cross-sectional study using a large-scale population from the ROAD study showed that joint space narrowing had a significant association with knee pain. The thresholds of joint space narrowing for knee pain were also established. Copyright © 2015 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

  19. The Effects of Either a Mirror, Internal or External Focus Instructions on Single and Multi-Joint Tasks.

    PubMed

    Halperin, Israel; Hughes, Steven; Panchuk, Derek; Abbiss, Chris; Chapman, Dale W

    2016-01-01

    Training in front of mirrors is common, yet little is known about how the use of mirrors effects muscle force production. Accordingly, we investigated how performing in front of a mirror influences performance in single and multi-joint tasks, and compared the mirror condition to the established performance effects of internal focus (IF) and external focus (EF) instructions in a two part experiment. In the single-joint experiment 28 resistance-trained participants (14 males and 14 females) completed two elbow flexion maximal voluntary isometric contractions under four conditions: mirror, IF, EF and neutral instructions. During these trials, surface EMG activity of the biceps and triceps were recorded. In the multi-joint experiment the same participants performed counter-movement jumps on a force plate under the same four conditions. Single-joint experiment: EF led to greater normalized force production compared to all conditions (P≤0.02, effect-size range [ES] = 0.46-1.31). No differences were observed between neutral and mirror conditions (P = 0.15, ES = 0.15), but both were greater than IF (P<0.01, ES = 0.79-1.84). Surface EMG activity was comparable across conditions (P≥0.1, ES = 0.10-0.21). Multi-joint experiment: Despite no statistical difference (P = 0.10), a moderate effect size was observed for jump height whereby EF was greater than IF (ES = 0.51). No differences were observed between neutral and mirror conditions (ES = 0.01), but both were greater than IF (ES = 0.20-22). The mirror condition led to superior performance compared to IF, inferior performance compared to EF, and was equal to a neutral condition in both tasks. These results provide novel and practical evidence concerning mirror training during resistance type training.

  20. The Effects of Either a Mirror, Internal or External Focus Instructions on Single and Multi-Joint Tasks

    PubMed Central

    Halperin, Israel; Hughes, Steven; Panchuk, Derek; Abbiss, Chris; Chapman, Dale W.

    2016-01-01

    Training in front of mirrors is common, yet little is known about how the use of mirrors effects muscle force production. Accordingly, we investigated how performing in front of a mirror influences performance in single and multi-joint tasks, and compared the mirror condition to the established performance effects of internal focus (IF) and external focus (EF) instructions in a two part experiment. In the single-joint experiment 28 resistance-trained participants (14 males and 14 females) completed two elbow flexion maximal voluntary isometric contractions under four conditions: mirror, IF, EF and neutral instructions. During these trials, surface EMG activity of the biceps and triceps were recorded. In the multi-joint experiment the same participants performed counter-movement jumps on a force plate under the same four conditions. Single-joint experiment: EF led to greater normalized force production compared to all conditions (P≤0.02, effect-size range [ES] = 0.46–1.31). No differences were observed between neutral and mirror conditions (P = 0.15, ES = 0.15), but both were greater than IF (P<0.01, ES = 0.79–1.84). Surface EMG activity was comparable across conditions (P≥0.1, ES = 0.10–0.21). Multi-joint experiment: Despite no statistical difference (P = 0.10), a moderate effect size was observed for jump height whereby EF was greater than IF (ES = 0.51). No differences were observed between neutral and mirror conditions (ES = 0.01), but both were greater than IF (ES = 0.20–22). The mirror condition led to superior performance compared to IF, inferior performance compared to EF, and was equal to a neutral condition in both tasks. These results provide novel and practical evidence concerning mirror training during resistance type training. PMID:27898743

  1. Joint USAF/NASA hypersonic research aircraft study

    NASA Technical Reports Server (NTRS)

    Kirkham, F. S.; Jones, R. A.; Buck, M. L.; Zima, W. P.

    1975-01-01

    A joint USAF/NASA study has developed a conceptual design for a new high-speed research airplane (X-24C) and identified candidate flight research experiments in the Mach 3 to 6 speed range. Four major categories of high priority research experiments are described as well as the X-24C design concept. The vehicle, a rocket-boosted, delta planform aircraft, is air launched from a B-52 and is capable of forty seconds of rocket cruise at Mach 6 with a research scramjet. Research provisions include a dedicated 10-foot long research experiments section, removable fins and strakes, and provisions for testing integrated airbreathing propulsion systems.

  2. A study of the temporomandibular joint during bruxism.

    PubMed

    Commisso, María S; Martínez-Reina, Javier; Mayo, Juana

    2014-06-01

    A finite element model of the temporomandibular joint (TMJ) and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained (awake bruxism) or cyclic loading (sleep bruxism) is simulated. From the comparison of the two types of bruxism, it was seen that sustained clenching is the most detrimental activity for the TMJ disc, producing an overload that could lead to severe damage of this tissue.

  3. An International Urogynecological Association (IUGA) / International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Organ Prolapse (POP).

    PubMed

    Haylen, Bernard T; Maher, Christopher F; Barber, Matthew D; Camargo, Sérgio; Dandolu, Vani; Digesu, Alex; Goldman, Howard B; Huser, Martin; Milani, Alfredo L; Moran, Paul A; Schaer, Gabriel N; Withagen, Mariëlla I J

    2016-02-01

    The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. This Report combines the input of members of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of fourteen rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). A Terminology Report for female POP, encompassing over 230 separate definitions, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction and POP. Female-specific imaging (ultrasound, radiology and MRI) and conservative and surgical managements are major additions and appropriate figures have been included to supplement and clarify the text. Emerging concepts and measurements, in use in the literature and offering further research potential, but requiring further validation, have been included as an appendix. Interval (5-10 year) review is anticipated to keep the document updated and as widely acceptable as possible. A consensus-based Terminology Report for female POP has been produced to aid clinical practice and research. © 2016 Wiley Periodicals, Inc., and The International Urogynecological Association.

  4. The Internal Medicine Subinternship--Now More Important than Ever: A Joint CDIM-APDIM Position Paper.

    PubMed

    Vu, T Robert; Angus, S V; Aronowitz, P B; Harrell, H E; Levine, M A; Carbo, A; Whelton, S; Ferris, A; Appelbaum, J S; McNeill, D B; Ismail, N J; Elnicki, D M

    2015-09-01

    For decades, the internal medicine (IM) subinternship has served as a critical interface between undergraduate and graduate medical education. As such, the vast majority of U.S. medical schools offer this rotation to help students prepare for post-graduate training. Historically an experiential rotation, a formal curriculum with specific learning objectives was eventually developed for this course in 2002. Since then, graduate medical education (GME) has changed significantly with the regulation of duty hours, adoption of competency-based education, and development of training milestones and entrustable professional activities. In response to these and many other changes to residency training and medical practice, in 2010, the Association of Program Directors in Internal Medicine (APDIM) surveyed its members-with input from the Clerkship Directors in Internal Medicine (CDIM) Subinternship Task Force-to determine which core skills program directors expected from new medical school graduates. The results of that survey helped to inform a joint CDIM-APDIM committee's decision to re-evaluate the goals of the IM subinternship in an effort to enhance the transition from medical school to residency. This joint committee defined the minimum expectations of what constitutes an IM subinternship rotation, proposed recommended skills for IM subinterns, and discussed challenges and future directions for this crucial course.

  5. Building the Global Community: Joint Statement on the Role of Community Colleges in International Education

    ERIC Educational Resources Information Center

    American Association of Community Colleges (NJ1), 2006

    2006-01-01

    This joint statement by the American Association of Community Colleges and the Association of Community College Trustees describes the economic, cultural, and social value of global education in community colleges. Through bullet points, the statement describes how community colleges, including their Boards and CEOs, can promote global competency.…

  6. Failure Analysis in Space: International Space Station (ISS) Starboard Solar Alpha Rotary Joint (SARJ) Debris Analysis

    NASA Technical Reports Server (NTRS)

    Long, V. S.; Wright, M. C.; McDanels, S. J.; Lubas, D.; Tucker, B.; Marciniak, P. J.

    2010-01-01

    This slide presentation reviews the debris analysis of the Starboard Solar Alpha Rotary Joint (SARJ), a mechanism that is designed to keep the solar arrays facing the sun. The goal of this was to identify the failure mechanism based on surface morphology and to determine the source of debris through elemental and particle analysis.

  7. Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

    PubMed Central

    Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

    2014-01-01

    Background: Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. Materials and Methods: This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Results: Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. Conclusion: AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality. PMID:25250364

  8. NREL Case Study Leads to International Partnership (Fact Sheet)

    SciTech Connect

    Not Available

    2013-12-01

    In 2012, NREL analysts produced a case study, "Integrating Variable Renewable Energy in Electric Power Markets: Best Practices from International Experience," which drew upon dozens of interviews with international experts involved in crafting effective policies and markets. The report proposed a cross-cutting initiative to transform the world's power systems by implementing two complementary strategies: the large‐scale deployment of renewable energy, and a combination of comprehensive energy efficiency and smarter grids. This recommendation led to the launch of the 21st Century Power Partnership in April 2012, and its membership has since grown to include Denmark, Finland, Germany, India, Mexico, Spain, and the United States. NREL, together with its affiliated Joint Institute for Strategic Energy Analysis, are the operating agents.

  9. International Space Station Systems Engineering. Case Study

    DTIC Science & Technology

    2010-01-01

    manufacturing, cost and schedule, training and support, and disposal." This case study on the International Space Station considers what many believe to have...over 160 spacewalks-more space activities than NASA had accomplished prior to the 1993 International Space Station decision. Probably more important was

  10. Experimental study of friction in aluminium bolted joints

    NASA Astrophysics Data System (ADS)

    Croccolo, D.; de Agostinis, M.; Vincenzi, N.

    2010-06-01

    This study aims at developing an experimental tool useful to define accurately the friction coefficients in bolted joints and, therefore, at relating precisely the tightening torque to the bolt preloading force in some special components used in front motorbike suspensions. The components under investigation are some clamped joints made of aluminium alloy. The preloading force is achieved by applying a torque wrench to the bolt head. Some specific specimens have been appropriately designed and realized in order to study the tribological aspects of the tightening phase. Experimental tests have been performed by applying the Design of Experiment (DOE) method in order to obtain a mathematical model for the friction coefficients. Three replicas of a full factorial DOE at two levels for each variable have been carried out. The levels include cast versus forged aluminium alloy, anodized versus spray-painted surface, lubricated versus unlubricated screw, and first tightening (fresh unspoiled surfaces) versus sixth tightening (spoiled surfaces). The study considers M8x1.25 8.8 galvanized screws.

  11. Glenohumeral Joint Pain Referral Patterns: A Descriptive Study.

    PubMed

    Kennedy, David J; Mattie, Ryan; Nguyen, Quang; Hamilton, Scott; Conrad, Bryan

    2015-08-01

    Pain diagrams are a useful tool to help physicians understand the varying presentation patterns of specific pain generators. This study is the first to describe the potential pain patterns of the glenohumeral joint (GHJ) based on responses to diagnostic image-guided GHJ injections. To determine potential GHJ pain referral patterns. 162 consecutive patients undergoing 168 GHJ injections recorded their preprocedure pain scores and drew accurate pain diagrams prior to undergoing fluoroscopically guided GHJ injections with local anesthetic. Postprocedure pain scores were recorded and those with complete relief were considered responders. Pain diagrams were overlaid via computer software to facilitate analysis and a composite pain map. A responder composite was also compared with a nonresponder composite. The GHJ was shown to cause pain in traditionally localized areas of the anterior and/or posterior shoulder and upper arm regions in 100% of patients who experienced complete pain relief after injection. Among 100% responders, 18% had neck pain and 6% had scapular pain. Pain was shown to radiate distally, with anterior forearm pain in 9%, posterior forearm pain in 8%, and hand pain in 9%. No patients with pain both in the medial neck and below the elbow were found to be 100% responders. Similarly, no patients were 100% responders if they had pain in the medial scapula and below the elbow, or medial scapula and medial neck. Anterior or posterior shoulder and upper arm pain, or a combination of the two, is the most common pain referral area from a symptomatic shoulder joint. Referral to the lateral neck, in combination with shoulder pain, was occasionally seen. Pain referral to the forearm and hand was less common. Rarely did a symptomatic shoulder joint refer pain to the scapula or to the medial neck. Wiley Periodicals, Inc.

  12. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).

    PubMed

    Haylen, Bernard T; Maher, Christopher F; Barber, Matthew D; Camargo, Sérgio; Dandolu, Vani; Digesu, Alex; Goldman, Howard B; Huser, Martin; Milani, Alfredo L; Moran, Paul A; Schaer, Gabriel N; Withagen, Mariëlla I J

    2016-02-01

    The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. This Report combines the input of members of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of fourteen rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). A Terminology Report for female POP, encompassing over 230 separate definitions, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction and POP. Female-specific imaging (ultrasound, radiology and MRI) and conservative and surgical managements are major additions and appropriate figures have been included to supplement and clarify the text. Emerging concepts and measurements, in use in the literature and offering further research potential, but requiring further validation, have been included as an appendix. Interval (5-10 year) review is anticipated to keep the document updated and as widely acceptable as possible. A consensus-based Terminology Report for female POP has been produced to aid clinical practice and research.

  13. ADAMTS-4 and ADAMTS-5 expression in human temporomandibular joint discs with internal derangement, correlates with degeneration.

    PubMed

    Leonardi, Rosalia; Crimi, Salvatore; Almeida, Luis Eduardo; Pannone, Giuseppe; Musumeci, Giuseppe; Castorina, Sergio; Rusu, Mugurel Constantin; Loreto, Carla

    2015-11-01

    Temporomandibular joint (TMJ) internal derangement (ID) is one of the most common form of temporomandibular disorders. There is evidence showing the increased expression of matrix metalloproteinases (MMPs) in the cells from degenerated TMJ disc. ADAMTS are a large family of metalloproteases which are responsible for proteoglycans degradation. The present study aimed to evaluate ADAMTS-4 and ADAMTS-5 immunohistochemical expression in human TMJ discs from patients affected by ID, and to find out if there is any correlation with the degree of histopathological changes. Eighteen temporomandibular displaced disc specimens and sixteen TMJ disc control were used for the present study. Specimens were immunohistochemically processed and ADAMTS-4 and ADAMTS-5 expression were obtained respectively for the anterior (AB), intermediate (IB) and posterior (PB) bands and compared to the histopathological degeneration score (HDS). Immunoreactivity for ADAMTS-4 and -5, was observed in both not degenerated and degenerated human TMJ discs. Both the percentage of ADAMTS-4 and -5 immunostained cells (ES) and the intensity of staining (IS) were significantly greater in affected specimens compared with those in control discs. The ADAMTS-5 ES and IS of the 3 bands of the disc correlated to the TMJ disc HDS (0.001 < P < 0.05), on the other hand only AB and IB, ADAMTS-4 immunostaining scores correlated to HDS. According to these findings it can be assumed in that the more histopathological changes in the disc are detected, the higher levels of ADAMTS are produced. This in turn can lead to ECM breakdown and in turn to a more advanced disc displacement. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Space Shuttle Solid Rocket Nozzle Joint 2 Gas Path Study

    NASA Technical Reports Server (NTRS)

    Lui, R. C.; Hyer, R. L.

    1999-01-01

    Each Space Shuttle solid rocket nozzle contains five joints. By design, each nozzle joint utilizes room-temperature vulcanized (RTV) rubber as a thermal barrier to protect the nozzle metal parts and O-rings from heat degradation due to motor combustion gas. Typically, combustion gas does not penetrate through the RTV in nozzle Joints. However, Joint currently experiences gas penetration through the RTV over 90 percent of the time. The occurrence of Joint gas paths is a very complex phenomenon with several known contributors such as the unique geometry of the joint, motor pressure, nozzle vectoring, manufacturing induced RTV voids. RTV material capability, and joint skip (relative radial displacement of joint components). The occurrence of Joint gas paths appears to be a combination of these causes. To better understand the causes of gas paths in Joint, the circumferential locations of gas paths in the RTV were identified and correlated with nozzle vectoring, RTV closeour locations (where the RTV backfill is completed), and X-ray low-density. anomaly (LDA) indications. Results that no specific cause was determined.

  15. Space Shuttle Solid Rocket Nozzle Joint 2 Gas Path Study

    NASA Technical Reports Server (NTRS)

    Lui, R. C.; Hyer, R. L.

    1999-01-01

    Each Space Shuttle solid rocket nozzle contains five joints. By design, each nozzle joint utilizes room-temperature vulcanized (RTV) rubber as a thermal barrier to protect the nozzle metal parts and O-rings from heat degradation due to motor combustion gas. Typically, combustion gas does not penetrate through the RTV in nozzle Joints. However, Joint currently experiences gas penetration through the RTV over 90 percent of the time. The occurrence of Joint gas paths is a very complex phenomenon with several known contributors such as the unique geometry of the joint, motor pressure, nozzle vectoring, manufacturing induced RTV voids. RTV material capability, and joint skip (relative radial displacement of joint components). The occurrence of Joint gas paths appears to be a combination of these causes. To better understand the causes of gas paths in Joint, the circumferential locations of gas paths in the RTV were identified and correlated with nozzle vectoring, RTV closeour locations (where the RTV backfill is completed), and X-ray low-density. anomaly (LDA) indications. Results that no specific cause was determined.

  16. Comparative study of the detection of joint injury in early-stage rheumatoid arthritis by magnetic resonance imaging of the wrist and finger joints and physical examination.

    PubMed

    Tamai, Mami; Kawakami, Atsushi; Iwamoto, Naoki; Kawashiri, Shin-Ya; Fujikawa, Keita; Aramaki, Toshiyuki; Kita, Junko; Okada, Akitomo; Koga, Tomohiro; Arima, Kazuhiko; Kamachi, Makoto; Yamasaki, Satoshi; Nakamura, Hideki; Ida, Hiroaki; Origuchi, Tomoki; Takao, Shoichiro; Aoyagi, Kiyoshi; Uetani, Masataka; Eguchi, Katsumi

    2011-03-01

    To verify whether magnetic resonance imaging (MRI)-proven joint injury is sensitive as compared with joint injury determined by physical examination. MRI of the wrist and finger joints of both hands was examined in 51 early-stage rheumatoid arthritis (RA) patients by both plain and gadolinium diethylenetriaminepentaacetic acid-enhanced MRI. Synovitis, bone edema, and bone erosion (the latter two included as bone lesions at the wrist joints); metacarpophalangeal joints; and proximal interphalangeal joints were considered as MRI-proven joint injury. Japan College of Rheumatology-certified rheumatologists had given a physical examination just before the MRI study. The presence of tender and/or swollen joints in the same fields as MRI was considered as joint injury on physical examination. The association of MRI-proven joint injury with physical examination-proven joint injury was examined. A total of 1,110 sites were available to be examined. MRI-proven joint injury was found in 521 sites, whereas the other 589 sites were normal. Physical examination-proven joint injury was found in 305 sites, which was significantly low as compared with MRI-proven joint injury (P = 1.1 × 10(-12) versus MRI). Joint injury on physical examination was not found in 81.5% of the sites where MRI findings were normal. Furthermore, an association of the severity of MRI-proven joint injury with that of joint injury on physical examination was clearly demonstrated (P = 1.6 × 10(-15), r(s) = 0.469). Our present data suggest that MRI is not only sensitive but accurately reflects the joint injury in patients with early-stage RA. Copyright © 2011 by the American College of Rheumatology.

  17. Radiological study of the sacroiliac joints in vertebral ankylosing hyperostosis.

    PubMed Central

    Brigode, M; Francois, R J; Dory, M A

    1982-01-01

    A radiological study of the sacroiliac joints was undertaken in 54 patients (32 males, 22 females) with vertebral ankylosing hyperostosis (VAH) and in 46 control patients (24 males, 22 females) matched for age and sex. The ages ranged from 38 to 90 years. The radiographs were taken in anteroposterior, oblique, and craniocaudal projections. The films were read for cranial, ventral, and caudal capsular ossifications, for ventral and caudal osteophytes, and for bone sclerosis. Cranial and/or ventral capsular ossifications were found in 28 (87.5%) males with VAH and in 4 (16.6%) control males (p less than 0.0005), but only in 2 females with VAH and no control female. Sacroiliac capsular ossifications in males with VaH are frequent from the onset, but complete bridging of the joint is not reached before the sixth decade. Women, either VAH or control, have more sacroiliac osteophytes than men. There were 11 out of 22 control women with osteophytes versus 4 out of 24 men (p less than 0.025). The incidence of osteophytes does not seem to increase with age after 50 years. Our findings support the idea of VAH being a distinct entity and not a major form of osteophytosis. Images PMID:7092335

  18. Joint Urban 2003: Study Overview And Instrument Locations

    SciTech Connect

    Allwine, K Jerry; Flaherty, Julia E.

    2006-08-16

    Quality-assured meteorological and tracer data sets are vital for establishing confidence that indoor and outdoor dispersion models used to simulate dispersal of potential toxic agents in urban atmospheres are giving trustworthy results. The U.S. Department of Defense-Defense Threat Reduction Agency and the U.S. Department of Homeland Security joined together to conduct the Joint Urban 2003 atmospheric dispersion study to provide this critically-needed high-resolution dispersion data. This major urban study was conducted from June 28 through July 31, 2003, in Oklahoma City, Oklahoma, with the participation of over 150 scientists and engineers from over 20 U.S. and foreign institutions. The Joint Urban 2003 lead scientist was Jerry Allwine (Pacific Northwest National Laboratory) who oversaw study design, logistical arrangements and field operations with the help of Joe Shinn (Lawrence Livermore National Laboratory), Marty Leach (Lawrence Livermore National Laboratory), Ray Hosker (Atmospheric Turbulence and Diffusion Division), Leo Stockham (Northrop Grumman Information Technology) and Jim Bowers (Dugway Proving Grounds). This report gives a brief overview of the field campaign, describing the scientific objectives, the dates of the intensive observation periods, and the instruments deployed. The data from this field study is available to the scientific community through an on-line database that is managed by Dugway Proving Ground. This report will be included in the database to provide its users with some general information about the field study, and specific information about the instrument coordinates. Appendix A of this document provides the definitive record of the instrument locations during this field campaign, and Appendix B lists all the study principal investigators and participants.

  19. International scoping study: accelerator working group report

    SciTech Connect

    Zisman, Michael; Zisman, M.S.

    2006-09-30

    During the past several years, an International Scoping Study (ISS) of a Neutrino Factory was carried out, with the aim of developing an internationally accepted baseline facility design. Progress toward that goal will be described. Many of the key technical aspects of a Neutrino Factory facility design are presently being investigated experimentally, and the status of these investigations will be mentioned. Plans for the recently launched International Design Study (IDS), which serves as a follow-on to the ISS, will be briefly described.

  20. NASA plan for international crustal dynamics studies

    NASA Technical Reports Server (NTRS)

    1979-01-01

    The international activities being planned as part of the NASA geodynamics program are described. Methods of studying the Earth's crustal movements and deformation characteristics are discussed. The significance of the eventual formalations of earthquake predictions methods is also discussed.

  1. International Study Group Progress Report

    SciTech Connect

    Raubenheimer, Tor O

    2000-07-18

    The focus of the ISG work was on advancing the accelerator design and supporting technologies. This is a complex process which involves a close interaction between theoretical analysis of the collider design and R and D progress on hardware components. The sequence of efforts took place roughly in the following order: (1) Optimization of the collider parameters and definition of system and subsystem requirements, (2) Identification of design strategies and options, and (3) Development of specific technologies to achieve these requirements. Development and testing of the required components, and R and D on manufacturing techniques have been important activities of the ISG. Experiments at the major test facilities such as the ATF at KEK and ASSET at SLAC have also played a significant role in the ISG studies.

  2. The Joint European Torus (JET) pumped divertor results and their significance for the International Thermonuclear Experimental Reactor (ITER)

    NASA Astrophysics Data System (ADS)

    Watkins, M. L.; JET Team

    1996-05-01

    The effectiveness of the pumped divertor during the 1994/95 experimental campaign of the Joint European Torus (JET) [P.-H. Rebut, R. J. Bickerton, and B. E. Keen, Nucl. Fusion 25, 1011 (1985)] has allowed the pursuit of a broad-based research program that is highly relevant to the International Thermonuclear Experimental Reactor (ITER) [K. Tomabechi and the ITER Team, Nucl. Fusion 31, 1135 (1991)]. High-performance hot-ion discharges with high confinement (H-modes) free of edge localized modes (ELMs) have set a JET record neutron rate in deuterium, but are limited by various magnetohydrodynamic (MHD) phenomena to βN<1.8, where βN=β/(I/aB), β is the ratio of the plasma pressure to the toroidal field pressure, I is the plasma current, B is the toroidal field, and a is the horizontal minor radius of the plasma. Quasi-steady-state ELMy H-modes have also been studied at high power, high current, and high β. The underlying energy transport exhibits a gyro-Bohm dependence that is lost close to the H-mode threshold and at high β. ELMy H-modes with detached divertor plasmas and radiative power exhaust (the operating regime foreseen for ITER) reduce the power loading to the targets, but at the expense of main plasma confinement and purity. Beryllium has been compared with carbon fiber composite as a divertor target material and melting has been induced at ITER reference off-normal heat loads, but only a moderate degree of self-protection of the beryllium target was found.

  3. Biodegradation of international jet A-1 aviation fuel by microorganisms isolated from aircraft tank and joint hydrant storage systems.

    PubMed

    Itah, A Y; Brooks, A A; Ogar, B O; Okure, A B

    2009-09-01

    Microorganisms contaminating international Jet A-1 aircraft fuel and fuel preserved in Joint Hydrant Storage Tank (JHST) were isolated, characterized and identified. The isolates were Bacillus subtillis, Bacillus megaterium, Flavobacterium oderatum, Sarcina flava, Micrococcus varians, Pseudomonas aeruginosa, Bacillus licheniformis, Bacillus cereus and Bacillus brevis. Others included Candida tropicalis, Candida albicans, Saccharomyces estuari, Saccharomyces cerevisiae, Schizosaccharomyces pombe, Aspergillus flavus, Aspergillus niger, Aspergillus fumigatus, Cladosporium resinae, Penicillium citrinum and Penicillium frequentans. The viable plate count of microorganisms in the Aircraft Tank ranged from 1.3 (+/-0.01) x 104 cfu/mL to 2.2 (+/-1.6) x 104 cfu/mL for bacteria and 102 cfu/mL to 1.68 (+/-0.32) x 103 cfu/mL for fungi. Total bacterial counts of 1.79 (+/-0.2) x 104 cfu/mL to 2.58 (+/-0.04) x 104 cfu/mL and total fungal count of 2.1 (+/-0.1) x 103 cfu/mL to 2.28 (+/-0.5) x 103 cfu/mL were obtained for JHST. Selected isolates were re-inoculated into filter sterilized aircraft fuels and biodegradation studies carried out. After 14 days incubation, Cladosporium resinae exhibited the highest degradation rate with a percentage weight loss of 66 followed by Candida albicans (60.6) while Penicillium citrinum was the least degrader with a weight loss of 41.6%. The ability of the isolates to utilize the fuel as their sole source of carbon and energy was examined and found to vary in growth profile between the isolates. The results imply that aviation fuel could be biodegraded by hydrocarbonoclastic microorganisms. To avert a possible deterioration of fuel quality during storage, fuel pipe clogging and failure, engine component damage, wing tank corrosion and aircraft disaster, efficient routine monitoring of aircraft fuel systems is advocated.

  4. Clinical study evaluating the accuracy of injecting the distal tarsal joints in the horse.

    PubMed

    Seabaugh, K A; Selberg, K T; Mueller, P O E; Eggleston, R B; Peroni, J F; Claunch, K M; Markwell, H J; Baxter, G M

    2017-09-01

    Osteoarthritis (OA) of the centrodistal (CD) and tarsometatarsal (TMT) joints is a common cause of lameness in horses. Intra-articular diagnostic anaesthesia and/or therapeutic injection are relied upon to help diagnose and treat many horses with OA of these joints. The objective of this study was to determine the accuracy of arthrocentesis of the CD and TMT joints using a sample population of equine surgeons and surgery residents. Randomised experimental study. Six operators each injected four CD and four TMT joints in 12 sedated horses. The operators were randomly assigned to inject either the left CD and right TMT or the right CD and left TMT on four randomly assigned horses. The joints were injected with a 4 ml solution of contrast medium (2 ml), sterile saline (1.5 ml) and amikacin (0.5 ml). A minimum of two radiographs of each joint was obtained to evaluate the presence of contrast medium within the target joint. The TMT joint was successfully injected in 23/24 joints (96% accuracy). The CD joint was successfully injected in 10/24 joints (42% accuracy). Communication between the TMT and CD joints was visible in 26% of successful TMT injections. Communication between the CD and TMT joints was visible in 20% of successful CD injections. Despite specific requests to do so, we were unable to standardise the injection technique across all operators. The accuracy of injecting the TMT and CD joints of sedated horses was 96 and 42%, respectively. The CD joint was frequently missed with contrast medium being placed in the periarticular tissues. These data support the clinical impression of the difficulty of injecting the CD joint and suggests that practitioners should utilise ancillary methods, such as radiographs, to ensure proper needle placement. © 2017 EVJ Ltd.

  5. International Trade Curriculum. A Joint Vocational Education Curriculum Project of Alaska, Oregon & Washington.

    ERIC Educational Resources Information Center

    Oregon State Dept. of Education, Salem. Div. of Vocational Technical Education.

    This document is intended to help instructors and administrators develop secondary and postsecondary instructional programs on international trade that are based on competencies identified as those needed in international business by companies in Alaska, Oregon, and Washington. The first section introduces competency-based curriculum and includes…

  6. Listeria monocytogenes-associated joint and bone infections: a study of 43 consecutive cases.

    PubMed

    Charlier, Caroline; Leclercq, Alexandre; Cazenave, Benoît; Desplaces, Nicole; Travier, Laetitia; Cantinelli, Thomas; Lortholary, Olivier; Goulet, Véronique; Le Monnier, Alban; Lecuit, Marc

    2012-01-15

    Little is known about Listeria monocytogenes-associated bone and joint infections. Only case reports of this infection have been published. Retrospective study of culture-proven bone and joint cases reported to the French National Reference Center for Listeria from 1992 to 2010. Forty-three patients were studied: 61% were men, and the median age was 72 (range, 16-89); 24 patients exhibited comorbidities (56%). Thirty-six patients (84%) had orthopedic implant devices: prosthetic joints (n = 34) or internal fixation (n = 2); the median time after insertion was 9 years (0.1-22). Subacute infection was more frequent (median, 4 weeks [range, 2-100], 74%) than acute infection (<7 days, 23%), with nonspecific clinical features; 45% of patients had no fever. Blood cultures were positive in 3 of 19 cases. Isolate polymerase chain reaction genogrouping revealed 4 patterns: IVb (21 of 42, 50%), IIa (17 of 42, 40%), IIb (2 of 42, 5%), and IIc (2 of 42, 5%). Five groups of strains with similar pulsotype patterns were identified without an epidemiological link. Antibiotics, primarily amoxicillin (80%) with aminoglycosides (48%), were prescribed for a median duration of 15 weeks (range, 2-88). Eighteen patients (50%) underwent prosthesis replacement; all were successful after median follow-up of 10 months (range, 1-75). Five of 13 patients for whom material was not removed had protracted infection despite prolonged antibiotherapy; 3 of these patients later underwent prosthesis replacement with sustained recovery. Osteoarticular listeriosis primarily involves prosthetic joints and occurs in immunocompromised patients. It requires intensive treatment with antibiotherapy and usually requires implant removal or replacement for cure.

  7. The stock alloplastic temporomandibular joint implant can influence the behavior of the opposite native joint: A numerical study.

    PubMed

    Ramos, António M; Mesnard, Michel

    2015-10-01

    The objective of the study was to investigate the effect of total stock temporomandibular implants on load mechanisms in both condyles in a specific patient. The patient presented with a disc with wear, and the introduction of a total temporomandibular prosthesis was simulated to compare the articular behavior. Based on specific patient computed tomographic images, two finite element models were created: one model with two intact temporomandibular joints (one joint with pathology), and other model with one implanted joint. The simulations considered the five most important muscles acting in the mandible, and it was possible to evaluate the biomechanical changes in the structures (skull, mandible, and articular disc). The results revealed more load transfer in the opposite condyle than in the damaged one; the insertion of a total temporomandibular implant changed the load transfer to the opposite condyle. There was decreased stress in the disc by about 50% and increased strain distribution. In the mandibular condyle with implant, the screw fixation is critical, with minimum strain around -9430 με for first screw position. In the cranium, the implant changed the bone strains with a minimum principal strain observed around -2500 με in six screw positions. This study indicates that replacing the damaged joint by an implant in an ideal position will improve joint position and consequently redistribute the loads. The study findings provide strong evidence that placing an implant on one side of the mandible will affect the load distribution on that structure and particularly on the opposite side. The temporomandibular joint changes condyle movement; with an implanted condyle, the movement is almost blocked. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  8. Impact of online education on intern behaviour around Joint Commission National Patient Safety Goals: A randomised trial

    PubMed Central

    TJ, Shaw; LIM, Pernar; SE, Peyre; JF, Helfrick; K, Vogelgesang; E, Graydon-Baker; Y, Chretien; EJ, Brown; J, Nicholson; JJ, Heit; JP, Co; TK, Gandhi

    2014-01-01

    Purpose To compare the effectiveness of 2 types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). Methods This randomized controlled trial was conducted in 2010 at Massachusetts General Hospital (MGH) and Brigham & Women’s Hospital (BWH) in Boston USA. Incoming interns were randomised to either receive an online Spaced Education program (SE) consisting of cases and questions that reinforce over time, or a program consisting of an online slide show followed by a quiz (SQ). The outcome measures included NPSG-knowledge improvement, NPSG-compliant behaviors in a simulation scenario, self reported confidence in safety and quality, program acceptability and program relevance. Results Both online learning programs improved knowledge retention. On four out of seven survey items measuring satisfaction and self reported confidence, the proportion of SE interns responding positively was significantly higher (p<0.05) than the fraction of SQ interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant behaviors (out of 13 total), while SQ interns completed a mean 4.17 (32.0%) (p=0.09). Among those in surgical fields, SE interns demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviors, while SQ interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data indicates that SE was more contextually relevant than SQ and significantly more engaging. Conclusion While both online methodologies improved knowledge surrounding the NPSG, SE was more contextually relevant to trainees and engaging. SE impacted more significantly on both self reported confidence and the behaviour of surgical residents in a simulated scenario. PMID:22706930

  9. Impact of online education on intern behaviour around joint commission national patient safety goals: a randomised trial.

    PubMed

    Shaw, Tim J; Pernar, Luise I; Peyre, Sarah E; Helfrick, John F; Vogelgesang, Kaitlin R; Graydon-Baker, Erin; Chretien, Yves; Brown, Elizabeth J; Nicholson, James C; Heit, Jeremy J; Co, John Patrick T; Gandhi, Tejal

    2012-10-01

    To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's Hospital (BWH) in Boston USA. Incoming interns were randomised to either receive an online Spaced Education (SE) programme consisting of cases and questions that reinforce over time, or a programme consisting of an online slide show followed by a quiz (SQ). The outcome measures included NPSG-knowledge improvement, NPSG-compliant behaviours in a simulation scenario, self-reported confidence in safety and quality, programme acceptability and programme relevance. Both online learning programmes improved knowledge retention. On four out of seven survey items measuring satisfaction and self-reported confidence, the proportion of SE interns responding positively was significantly higher (p<0.05) than the fraction of SQ interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant behaviours (out of 13 total), while SQ interns completed a mean 4.17 (32.0%) (p=0.09). Among those in surgical fields, SE interns demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviours, while SQ interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data indicates that SE was more contextually relevant than SQ, and significantly more engaging. While both online methodologies improved knowledge surrounding the NPSG, SE was more contextually relevant to trainees and was engaging. SE impacted more significantly on both self-reported confidence and the behaviour of surgical residents in a simulated scenario.

  10. Discectomy without replacement improves function in patients with internal derangement of the temporomandibular joint.

    PubMed

    Miloro, Michael; McKnight, Matthew; Han, Michael D; Markiewicz, Michael R

    2017-09-01

    Treatment of internal derangement is controversial. This study assessed the effectiveness of discectomy without replacement in improving jaw function and decreasing pain. A retrospective cohort study sample of subjects with internal derangement underwent discectomy without replacement by one surgeon at a single academic medical center. The primary predictor variables were preoperative maximal incisal opening (MIO) and Helkimo Clinical Dysfunction Index (CDI) score. The primary outcome variable was postoperative MIO and CDI score. A paired student's t-test assessed the difference between pre- and post-operative MIO and CDI scores. Preoperatively, all patients had a clinical dysfunction index of DiIII, indicating severe dysfunction. Postoperatively 14 of 17 subjects (82%) showed marked improvement in mandibular function, and reduction in pain characterized as clinically symptom-free or only small dysfunction (DiO or DiI). One subject improved to DiII and two remained DiIII due to poor compliance. Preoperatively all subjects had an anamnestic index of AiII, representing TMJ locking or severe TMJ or muscle pain. Postoperatively 15 of 17 patients (88%) improved to AiO or AiI, and the two patients with poor compliance remained at AiII, but with marked pain reduction. Of the 17 subjects, the mean pre- and post-operative MIO was 24.2 mm and 34.9 mm, respectively (p < 0.001). There was a significant difference in pre- and post-operative MIO in subjects with Wilkes III (p = 0.005) and Wilkes IV (p = 0.008), but not Wilkes V (p = 0.7). Mean pre- and post-CDI scores were 17.3 and 3.8, respectively (p < 0.001). When stratifying by Wilkes stage, there was a significant difference in pre- and post-operative CDI in subjects with Wilkes III (p < 0.001) and Wilkes IV (p < 0.001), but not Wilkes V (p = 0.1). In Wilkes III and IV subjects, discectomy without replacement is effective in improving MIO based upon improvement in objective and subjective assessments

  11. Joint Commission on International Accreditation workshop: Planning, development and provision of laboratory services.

    PubMed

    Karaarslan, Inci

    2009-03-01

    Throughout the world, the oversight of health care quality is accomplished through professionally based accrediting bodies and state regulatory agencies. These organizations set standards or define regulations that address important organizational functions. The Joint Commission, a private sector United States-based non-profit organization, is the forerunner and best known among healthcare accreditation groups. One of the functions assessed by the standards of the JCI Clinical Laboratory Accreditation Program is the planning, development and provision of laboratory services. The standards related to this issue address the necessary processes that should be in place prior to performing patient testing.

  12. A candidate gene study of canine joint diseases.

    PubMed

    Clements, Dylan N; Short, Andrea D; Barnes, Annette; Kennedy, Lorna J; Ferguson, John F; Butterworth, Steven J; Fitzpatrick, Noel; Pead, Matthew; Bennett, David; Innes, John F; Carter, Stuart D; Ollier, William E R

    2010-01-01

    Canine osteoarthritis (OA) commonly occurs in association with articular diseases, such as hip dysplasia (HD), elbow dysplasia (ED), or cranial cruciate ligament rupture (CCLR). We hypothesized that a common genomic risk for the development of canine joint disease and canine OA would be identified by evaluating the allele frequencies of candidate gene single nucleotide polymorphisms (SNPs) in dogs with OA associated with different articular diseases when compared with a general population of breed-matched dogs. DNA was extracted from blood samples obtained from Labrador Retrievers and Golden Retrievers surgically treated for ED, HD, and CCLR and confirmed to have radiographic evidence of OA. One hundred and thirteen SNPs in 20 candidate genes were genotyped. No significant associations were identified for SNPs or haplotypes in the candidate genes for the diseases evaluated. The candidate gene approach for the study of genetic association is unlikely to be successful for complex canine diseases such as OA without prior trait mapping evaluation.

  13. Internal derangement in the temporomandibular joint of juveniles with clinical signs of TMD : MRI-assessed association with skeletal and dental classes.

    PubMed

    Stein, Steffen; Hellak, Andreas; Popović, Nenad; Toll, Douglas; Schauseil, Michael; Braun, Andreas

    2017-01-01

    The aim of this study was to investigate possible correlation of specific skeletal or dental class in children and adolescents with clinical signs of temporomandibular dysfunction (TMD) with the severity of internal derangement (ID) of the temporomandibular joint. Based on MRI images, the ID of 232 juvenile temporomandibular joints in 116 patients were retrospectively recorded. The distribution of the ID stages within the skeletal and dental classes was compared by means of the χ (2) test. Excluding the comparison between skeletal Class I (S I) and skeletal Class II (S II; p < 0.05), no statistically significant differences in the distribution of the ID stages were found between the skeletal classes (p > 0.05). No statistically significant differences were found when comparing the distribution of the ID stages between the dental classes (p > 0.05). According to these findings, there is no skeletal or dental class that is related to higher degrees of internal derangement in the TMJs of children and adolescents presenting clinical signs of TMD. Therefore, it is not possible to draw conclusions about the severity of the ID in relation to the dental and skeletal class in symptomatic juvenile TMJs.

  14. Effect of Retrograde Reaming for Tibiotalocalcaneal Arthrodesis on Subtalar Joint Destruction: A Cadaveric Study.

    PubMed

    Lowe, Jason A; Routh, Lucas K; Leary, Jeffrey T; Buzhardt, Paul C

    2016-01-01

    Recent published data have suggested successful union of subtalar and tibiotalar joints without formal debridement during tibiotalocalcaneal (TTC) fusion procedures. Although previous studies have reported on the importance of the proper guidewire starting point and trajectory to obtain appropriate hindfoot alignment for successful fusion, to our knowledge, no studies have quantified the amount of articular damage to the subtalar joint with retrograde reaming. We hypothesized that reaming would destroy >50% of the posterior facet of the subtalar joint. The bilateral lower extremities of 5 cadavers were obtained and the subtalar joints exposed. Retrograde TTC nail guidewires were inserted, and a 12-mm reamer was passed through the subtalar and ankle joints. Pre- and postreaming images of the subtalar joint were obtained to compare the amount of joint destruction after reaming. We found an average of 5.89% articular destruction of the talar posterior facet and an average of 4.01% articular destruction of the posterior facet of the calcaneus. No damage to the middle facets of the subtalar joint was observed. TTC nailing is a successful procedure for ankle and subtalar joint fusion. Published studies have reported successful subtalar union using TTC nailing without formal open debridement of the subtalar joint, preserving the soft tissue envelope. TTC nail insertion using a 12-mm reamer will destroy 5.89% and 4.01% of the respective talar and calcaneal posterior facets of the subtalar joint.

  15. Study of simple CFRP-metal joint failure

    NASA Astrophysics Data System (ADS)

    Cheng, Jingquan; Rodriguez, Antonio; Emerson, Nicolas; Symmes, Arthur

    2008-07-01

    In millimeter wavelength telescope design and construction, there have been a number of mysterious failures of simple CFRF-metal joints. Telescope designers have not had satisfactory interpretations of these failures. In this paper, factors which may influence the failure of joints are discussed. These include stress concentration, material creep, joint fatigue, reasons related to chemical process and manufacture process. Extrapolation formulas for material creep, joint fatigue, and differential thermal stresses are derived in this paper. Detailed chemical and manufacturing factors are also discussed. All these issues are the causes of a number of early failures under a loading which is significantly lower than the strength of adhesives used. For ensuring reliability of a precision instrument structure joint, the designer should have a thorough understanding of all these factors.

  16. Determining in vivo sternoclavicular, acromioclavicular and glenohumeral joint centre locations from skin markers, CT-scans and intracortical pins: A comparison study.

    PubMed

    Michaud, B; Jackson, M; Arndt, A; Lundberg, A; Begon, M

    2016-03-01

    To describe shoulder motion the sternoclavicular, acromioclavicular and glenohumeral joint centres must be accurately located. Within the literature various methods to estimate joint centres of rotation location are proposed, with no agreement of the method best suited to the shoulder. The objective of this study was to determine the most reliable non-invasive method for locating joint centre locations of the shoulder complex. Functional methods using pin mounted markers were compared to anatomical methods, functional methods using skin mounted markers, imaging-based methods using CT-scan data, and regression equations. Three participants took part in the study, that involved insertion of intracortical pins into the clavicle, scapula and humerus, a CT-scan of the shoulder, and finally data collection using a motion analysis system. The various methods to estimate joint centre location did not all agree, however suggestions about the most reliable non-invasive methods could be made. For the sternoclavicular joint, the authors suggest the anatomical method using the most ventral landmark on the sternoclavicular joint, as recommended by the International Society of Biomechanics. For the acromioclavicular joint, the authors suggest the anatomical method using the landmark defined as the most dorsal point on the acromioclavicular joint, as proposed by van der Helm. For the glenohumeral joint, the simple regression equation of Rab is recommended.

  17. Joint NASA-ESA Outer Planet Mission study overview

    NASA Astrophysics Data System (ADS)

    Lebreton, J.-P.; Niebur, C.; Cutts, J.; Falkner, P.; Greeley, R.; Lunine, J.; Blanc, M.; Coustenis, A.; Pappalardo, R.; Matson, D.; Clark, K.; Reh, K.; Stankov, A.; Erd, C.; Beauchamp, P.

    2009-04-01

    In 2008, ESA and NASA performed joint studies of two highly capable scientific missions to the outer planets: the Europa Jupiter System Mission (EJSM) and the Titan Saturn System Mission (TSSM). Joint Science Definition Teams (JSDTs) were formed with U.S. and European membership to guide study activities that were conducted collaboratively by engineering teams working on both sides of the Atlantic. EJSM comprises the Jupiter Europa Orbiter (JEO) that would be provided by NASA and the Jupiter Ganymede Orbiter (JGO) that would be provided by ESA. Both spacecraft would be launched independently in 2020, and arrive 6 years later for a 3-4 year mission within the Jupiter System. Both orbiters would explore Jupiter's system on trajectories that include flybys of Io (JEO only), Europa (JEO only), Ganymede and Callisto. The operation of JEO would culminate in orbit around Europa while that of JGO would culminate in orbit around Ganymede. Synergistic and coordinated observations would be planned. The Titan Saturn System Mission (TSSM) comprises a Titan Orbiter provided by NASA that would carry two Titan in situ elements provided by ESA: the montgolfière and the lake lander. The mission would launch in 2020 and arrive 9 years later for a 4-year duration in the Saturn system. Following delivery of the ESA in situ elements to Titan, the Titan Orbiter would explore the Saturn system via a 2-year tour that includes Enceladus and Titan flybys. The montgolfière would last at least 6-12 months at Titan and the lake lander 8-10 hours. Following the Saturn system tour, the Titan Orbiter would culminate in a ~2-year orbit around Titan. Synergistic and coordinated observations would be planned between the orbiter and in situ elements. The ESA contribution to this joint endeavor will be implemented as the first Cosmic Vision Large-class (L1) mission; the NASA contribution will be implemented as the Outer Planet Flagship Mission. The contribution to each mission is being reviewed and

  18. Using joint interviews in a narrative-based study on illness experiences.

    PubMed

    Sakellariou, Dikaios; Boniface, Gail; Brown, Paul

    2013-11-01

    Researchers are increasingly recognizing the usefulness of using joint interviews in research on illness experiences. However, there is limited discussion of joint interviews as a data collection method and of the factors that influence the choice to conduct individual or joint interviews. Although there are several advantages and disadvantages of both methods, the reasons that underpin the choice to use joint interviews are often not discussed in detail in the literature. Drawing from a narrative-based study on the experiences of living with motor neuron disease, we present joint interviews as a method sensitive both to the shared experience of illness and to the multiple perspectives around illness. Using interview excerpts, we discuss how through the use of joint interviews researchers can explore the intersubjective and heteroglossic nature of illness experiences. We argue that using joint interviews can offer valuable information about how couples coconstruct meaning and share experiences.

  19. Neglected chaos in international stock markets: Bayesian analysis of the joint return-volatility dynamical system

    NASA Astrophysics Data System (ADS)

    Tsionas, Mike G.; Michaelides, Panayotis G.

    2017-09-01

    We use a novel Bayesian inference procedure for the Lyapunov exponent in the dynamical system of returns and their unobserved volatility. In the dynamical system, computation of largest Lyapunov exponent by traditional methods is impossible as the stochastic nature has to be taken explicitly into account due to unobserved volatility. We apply the new techniques to daily stock return data for a group of six countries, namely USA, UK, Switzerland, Netherlands, Germany and France, from 2003 to 2014, by means of Sequential Monte Carlo for Bayesian inference. The evidence points to the direction that there is indeed noisy chaos both before and after the recent financial crisis. However, when a much simpler model is examined where the interaction between returns and volatility is not taken into consideration jointly, the hypothesis of chaotic dynamics does not receive much support by the data (;neglected chaos;).

  20. Role of markets, governments and international bodies in joint implementation with the south

    SciTech Connect

    Parikh, J.K.

    1995-11-01

    Joint Implementation (JI) opens up `markets` for carbon emission reduction projects of all cost categories spread throughout the World. Projects commissioned in the developing countries by the Global Environment Facility (GEF) suggest that the cost of CO{sub 2} emissions reductions ranged from US 20 cents per tonne to $42 per tonne on the basis of incremental costs. These costs are much lower than those indicated in the literature referring to the costs in the industrial countries (IC). Even if the costs are similar, the markets for cheaper credits will be widened by the inclusion of more countries. Thus, JI requires a thorough analysis as it could serve as a potential vehicle to reduce greenhouse gas (GHG) emissions in a cost effective manner.

  1. Digital Joint Reconstruction with Osteotendinous Joint Allograft: Experimental Study in Rats.

    PubMed

    Iglesias, Martin; Cruz-Reyes, Ángel Uriel; Butrón, Patricia; Hernández-Agallo, Ricardo; de la Barrera, Víctor Antonio Torres; Reyes-Montero, Claudio; Durand-Carbajal, Marta; Torres-Villalobos, Gonzalo

    2017-04-01

    Fresh or frozen nonvascularized osteotendinous joint allografts (OTJA) have not been used previously, clinically or experimentally, for metacarpophalangeal joint reconstruction. Therefore, we evaluated the viability of OTJA for metatarsophalangeal joint (MTJ) reconstruction in rats. In the experimental group of 12 Lewis rats, we reconstructed the MTJ of the third digit of the hindlimb with a fresh, nonvascularized OTJA obtained from the same digit from 12 donor rats. In the control group of 6 Lewis rats, an autologous composite osteotendinous graft of the MTJ of the same digit was obtained and repositioned in situ as an auto-transplant. Weight, pain, edema, dehiscence, and wound infection were evaluated every 24 hours for 30 days postoperatively. At the end of 30 days, we evaluated digit position, flexion and extension, passive mobility, radiological bone healing, and histological grades of rejection. We found no statistically different changes in weight, edema, pain, digit position, or radiological bone healing in either group. No wound dehiscence or infection was seen in any of the rats. Ten degrees of flexion and extension mobility were lost in the control group; the experimental group lost up to 30 degrees (P = 0.009). Histologically, 9 of the experimental group rats (9/12, 75%) showed rejection reactions compared with none of the controls (0%) (P = 0.009). Fresh nonvascularized OTJA caused an immune reaction without exposure of the graft, but with bone resorption. However, the rats maintained digital form and alignment with decreased passive flexion and extension of 10-30 degrees.

  2. [Studies of the neuromuscular system of the knee joint].

    PubMed

    Börnert, K; Dippold, A

    1990-02-01

    The paper analysis the therapeutic effects of isometric training and electromechanic therapy (EMT) of the quadriceps muscles on subjects. The effects of the training practised with the knee joint bent was to be compared with previous results of training with the knee joint stretched. 36 subjects were trained and the increase in strength was measured with the help of a strain gauge dynamometer. Again a marked superiority of the EMT over sole isometric training could be demonstrated. More over, the results showed that the increase of the isometric maximal strength following an EMT is not influenced by the position of the angle of the joint.

  3. Abduction dislocation of the knee joint--a case study.

    PubMed

    Wójcik, Krzysztof; Bielecki, Tomasz; Polak, Damian; Skowron, Lukasz

    2013-10-31

    The paper presents a case of untypical, not included in existing classifications, knee joint dislocation in a young man. An MRI scan confirmed a rupture of both cruciate ligaments and damage to the ligamento-capsular complex on the medial side of the knee joint. Two weeks after injury, an arthroscopy was performed with joint lavage followed by repair of the damaged ligamento-capsular complex. A very good functional result was obtained three years after the injury, in spite of the patient not having consented to an elective cruciate ligament reconstruction.

  4. The effect of joint position on juxta-articular bone marrow pressure. Relation to intra-articular pressure and joint effusion--an experimental study on horses.

    PubMed

    Arnoldi, C C; Reimann, I; Mortensen, S; Christensen, S B; Kristoffersen, J; Sønnichsen, H V; Smith, M

    1980-12-01

    Six metacarpo-phalangeal joints of adult horses were studied. Pressure measurements were made in the joint and the metacarpal bone with simultaneous measurement of the systemic arterial blood pressure. Investigations performed to study the effect of joint position on juxta-articular bone marrow pressure showed that an increase in joint flexion was always followed by a rise in intraosseous pressure with a significant increase at flexion above 60 degrees. Increase in intra-articular pressure which was achieved by injection of saline was always followed by a slower rise in intraosseous pressure. Furthermore, it was shown that even a few millilitres of saline in the joint caused a rise in intra-articular pressure. The findings indicate that changes in joint position as well as effusion may block the drainage vessels from the bone marrow as they pass through the joint.

  5. The Use of Europiumstearate to Trace Polyethylene Wear Debris in Joint Fluid after Prosthetic Joint Replacement – A Feasibility Study

    PubMed Central

    Kunze, J.; Ngai, V.; Koelling, S.; Jacobs, J.J.; Wimmer, M.A.

    2014-01-01

    Ultra-high molecular weight polyethylene (UHMWPE) is the most common counterface material against metals or ceramics in artificial hip or knee joints. Wear and the resulting particulate debris, however, limit the life span of the implant. In this study, the general feasibility of using Europium (Eu) as tracer material to quantify UHMWPE wear in joint fluid is investigated. Using Inductively Coupled Mass Spectrometry (ICP-MS), recovery experiments of Eu in artificial joint fluid were performed. In order to dope polyethylene with 50 ppm Eu, nascent UHMWPE powder was mixed with a solution of Eu-stearate. The heterogeneity of the mixture was assessed by determining the coefficient of variation (CV) of the Eu content in various weighted samples. After molding of the UHMWPE powder mixture, cylindrical pins of 10 mm diameter were machined and worn against cobalt-chromium metal disks submersed in artificial joint fluid. The Eu-content of fluid samples taken at certain time intervals was measured and compared with UHMWPE weight loss of the pins. A satisfactory homogenization of Eu in the UHMWPE powder was achieved. Tracer-based and weight-loss determined wear rates were highly correlated (Pearson correlation coefficients > 0.991). Also the detection bias was within acceptable limits. Thus both methods demonstrated good agreement. PMID:24920867

  6. International Students at Chinese Joint Venture Universities: Factors Influencing Decisions to Enrol

    ERIC Educational Resources Information Center

    Onsman, Andrys

    2013-01-01

    The People's Republic of China has determined to assume a respected place amongst the world's foremost higher education providers. Its short term strategy is multi-pronged: attracting world-class scholars; attracting international students and encouraging Chinese universities to run branches overseas. As well, a small number of select foreign…

  7. Application of numerical method in calculating the internal rate of return of joint venture investment using diminishing musyarakah model

    NASA Astrophysics Data System (ADS)

    Ruslan, Siti Zaharah Mohd; Jaffar, Maheran Mohd

    2017-05-01

    Islamic banking in Malaysia offers variety of products based on Islamic principles. One of the concepts is a diminishing musyarakah. The concept of diminishing musyarakah helps Muslims to avoid transaction which are based on riba. The diminishing musyarakah can be defined as an agreement between capital provider and entrepreneurs that enable entrepreneurs to buy equity in instalments where profits and losses are shared based on agreed ratio. The objective of this paper is to determine the internal rate of return (IRR) for a diminishing musyarakah model by applying a numerical method. There are several numerical methods in calculating the IRR such as by using an interpolation method and a trial and error method by using Microsoft Office Excel. In this paper we use a bisection method and secant method as an alternative way in calculating the IRR. It was found that the diminishing musyarakah model can be adapted in managing the performance of joint venture investments. Therefore, this paper will encourage more companies to use the concept of joint venture in managing their investments performance.

  8. Functional range of motion of the hand joints in activities of the International Classification of Functioning, Disability and Health.

    PubMed

    Gracia-Ibáñez, Verónica; Vergara, Margarita; Sancho-Bru, Joaquín L; Mora, Marta C; Piqueras, Catalina

    Cross-sectional research design. Active range of motion (AROM) is used as indicator of hand function. However, functional range of motion (FROM) data are limited, and fail to represent activities of daily living (ADL). To estimate dominant hand FROM in flexion, abduction and palmar arching in people under 50 years of age performing ADL. AROMs and hand postures in 24 representative ADL of the International Classification of Functioning, Disability and Health (ICF) were recorded in 12 men and 12 women. FROM data were reported by activity and ICF area, and compared with AROMs. The relationship between ROM measures to gender and hand size was analyzed by correlation. FROM was 5° to 28° less than available AROM depending on the joint and movement performed. Joints do not necessarily move through full AROM while performing ADL which has benefits in retaining function despite loss of motion. This may also suggest that ADL alone are insufficient to retain or restore full AROM. Therapists should consider FROM requirements and normal AROM when defining hand therapy goals, interventions and evaluating the success of treatment. N/A. Copyright © 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

  9. Joint venture versus outreach: a financial analysis of case studies.

    PubMed

    Forsman, R W

    2001-01-01

    Medical centers across the country are facing cost challenges, and national commercial laboratories are experiencing financial declines that necessitate their capturing market share in any way possible. Many laboratories are turning to joint ventures or partnerships for financial relief. However, it often is in the best interest of the patient and the medical center to integrate laboratory services across the continuum of care. This article analyzes two hypothetical joint ventures involving a laboratory management agreement and full laboratory outsourcing.

  10. Perceptions of issues relating to exercise and joint health in rheumatoid arthritis: a UK-based questionnaire study.

    PubMed

    Law, Rebecca-Jane; Markland, David A; Jones, Jeremy G; Maddison, Peter J; Thom, Jeanette M

    2013-09-01

    This questionnaire study investigated the perceptions of rheumatoid arthritis (RA) patients across the UK in relation to exercise and joint health. The validity of the measure was also assessed. Members of the National Rheumatoid Arthritis Society (NRAS) with self-reported RA completed the questionnaire online. Items related to five factors that emerged from previous qualitative research. Participants responded using a five-point Likert-style scale (strongly disagree to strongly agree). The International Physical Activity Questionnaire (IPAQ) assessed physical activity. The model was tested using confirmatory factor analysis (LISREL 8.8); statistical analyses were conducted using the Statistical Package for the Social Sciences (SPSS). A total of 247 responses were collected over 47 days (88% females; age: 18-77 years; disease duration: <1-51 years). Acceptable factorial validity was revealed (Satorra-Bentler χ(2)  = 774.47, df = 454, p < 0.001, root mean squared error of approximation (RMSEA) = 0.05, 90% confidence interval RMSEA = 0.05-0.06, comparative fit index = 0.94, standardized root mean square residual = 0.09), with the following factor endorsements: 'Health professionals show exercise knowledge' (19%); 'Knowing what exercise should be done' (43%); 'Having to exercise because it is helpful' (72%); 'Worry about causing harm to joints' (44%); and 'Not wanting to exercise as joints hurt' (52%). Patient concerns about joint pain, joint harm and how to exercise were significantly associated with lower physical activity (p < 0.05). These results confirm that patients perceive exercise as beneficial. However, concerns about how to exercise, joint pain, causing harm to joints and a perceived lack of exercise knowledge among health professionals remain. Addressing these concerns may have implications for increasing physical activity within the RA population. Copyright © 2012 John Wiley & Sons, Ltd.

  11. Chaperonin containing T-complex polypeptide subunit eta is a potential marker of joint contracture: an experimental study in the rat.

    PubMed

    He, Ronghan; Wang, Zhe; Lu, Yunxiang; Huang, Junqi; Ren, Jianhua; Wang, Kun

    2015-11-01

    Joint contracture is a fibroproliferative disorder that restricts joint mobility, resulting in tissue degeneration and deformity. However, the etiology of joint contracture is still unknown. Chaperonin containing T-complex polypeptide subunit eta (CCT-eta) is reported to increase in fibrotic diseases. The purpose of this study was to investigate whether CCT-eta is implicated in joint contracture and to determine the role of CCT-eta in the progression of joint contracture by analyzing a rat model. We immobilized the left knee joint of rat by internal fixation for 8 weeks. The non-immobilized right leg served as a control. The range of motion (ROM) of the knee was investigated. Fibroblasts were obtained from the posterior joint capsule of the joints. The outcome was followed by quantitative real-time polymerase chain reaction (qRT-PCR), Western blot, fibroblast migration assay, and collagen assay. The effect of CCT-eta on the functions of fibroblasts was observed by utilizing a short inhibitory RNA (siRNA) targeting CCT-eta. The ROM of the immobilized joints was significantly limited compared to the contralateral joints (p < 0.05). Fibroblasts derived from the contractive joints showed higher mRNA and protein expressions of CCT-eta in parallel with alpha-smooth muscle actin (α-SMA) compared to the cells from the contralateral knees (p < 0.05). siRNA-mediated downregulation of CCT-eta inhibited the expressions of both CCT-eta and α-SMA. Moreover, the reduction of CCT-eta also significantly decreased fibroblast functions such as cell mobility and collagen synthesis (all p < 0.05). Our findings indicate that CCT-eta appears to be a potential marker of joint contracture disease.

  12. Community reintegration following a total joint replacement: a pilot study.

    PubMed

    Stergiou-Kita, Mary; Grigorovich, Alisa

    2014-06-01

    To examine community reintegration following a hip or knee total joint replacement (TJR) from the perspective of rehabilitation clients. A phenomenological frame of reference guided the present study. Ten participants who received inpatient rehabilitation completed semi-structured qualitative interviews to explore their experiences with reintegrating back into their chosen communities and the meanings that they ascribed to their reintegration. Interview data were analysed using thematic analysis. Demographic data, and information regarding participants' living situation and supports were extracted from existing databases and used to characterize the sample. Participants revealed that reintegration after a TJR encompassed two key elements of meaning: i) engagement in meaningful activities; and ii) satisfaction levels. Additionally, the following five factors were identified as facilitators or barriers to community reintegration following a TJR: i) ongoing preparation and education; ii) confounding health issues; iii) driving and transportation; iv) personal facilitators; v) access to supports from professionals, family and friends, and community programmes. The present study highlights the significance of engaging in meaningful activities and being satisfied in one's level of engagement to achieving a sense of community reintegration following a TJR. This suggests that reintegration post-TJR has broader meanings than just improvements in functional abilities. Practitioners are encouraged to inquire about patients' meaningful activities, support their preparedness throughout the rehabilitation process, to identify confounding health issues that may limit reintegration, consider patients' fears and anxieties and establish supports to enhance their feelings of self-efficacy and abilities to cope following a TJR. © 2014 John Wiley & Sons, Ltd.

  13. International Relations, Social Studies: 6448.20.

    ERIC Educational Resources Information Center

    Coe, Rose Marie

    The forces affecting relations among nations as well as the effectiveness of decision making processes in international politics are examined and analyzed by 10th through 12th grade students in the elective quinmester course clustering around political studies. Goals emphasize helping students to understand state interaction and the variables…

  14. An international nomenclature for forest work study

    Treesearch

    Rolf Björheden; Michael A.  Thompson

    2000-01-01

    Knowledge gained in the study of forest work is used to improve operational efficiency through better planning and control of future work. Internationally recognized standard methods for recording, evaluating and reporting performance in forest work will greatly enhance the usefulness of this information to managers and planners. A subcommittee of IUFRO Working Party $...

  15. An international nomenclature for forest work study

    Treesearch

    Rolf Bjorheden; Michael A. Thompson

    2000-01-01

    Knowledge gained in the study of forest work is used to improve operational efficiency through better planning and control of future work. Internationally recognized standard methods for recording, evaluating and reporting performance in forest work will greatly enhance the usefulness of this information to managers and planners. A subcommittee of IUFRO Working Party...

  16. Fluid Studies on the International Space Station

    NASA Technical Reports Server (NTRS)

    Motil, Brian J.

    2016-01-01

    Will discuss the recent activities on the international space station, including the adiabatic two phase flow, capillary flow and interfacial phenomena, and boiling and condensation. Will also give a historic introduction to Microgravity Studies at Glenn Research Center. Talk will be given to students and faculty at University of Louisville.

  17. Progress and interim results of the INPRO joint study on assessment of INS based on closed nuclear fuel cycle with fast reactors

    SciTech Connect

    Usanov, Vladimir; Raj, Baldev; Vasile, Alfredo

    2007-07-01

    The purpose of the work is to review interim results of the Joint Study on assessment of an Innovative Nuclear System based on a Closed Nuclear Fuel Cycle with Fast Reactors (INS CNFC-FR). This study is a part of the IAEA international project for innovative reactors and fuel cycle technologies (INPRO). Now it is being implemented by Canada, China, France, India, Japan, Republic of Korea, Russia, and Ukraine. A report on results of implementation of the first phase of the Joint Study was presented to the INPRO Steering Committee meeting in December 2006. It was also agreed by the Joint Study participants to reveal these results to broader discussion at scientific conferences and meetings. The authors' interpretation of the Joint Study findings and issues is presented in the paper. (authors)

  18. Glenohumeral Joint Range of Motion in Elite Male Golfers: A Pilot Study

    PubMed Central

    Meria, Erik; Nee, Bob; Davidson, Greg

    2008-01-01

    Background Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be pre-disposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint. Objective To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures. Methods Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of motion was measured bilaterally at 90° of abduction using a standard universal goniometer. Paired t-tests were utilized to statistically compare the rotational range of motion patterns between the lead and the trailing shoulder. Results No statistical differences existed between each shoulder for mean IR or mean ER measures. This finding was consistent throughout different age groups. External rotation measurements were greater than IR measurements in both extremities. Discussion and Conclusion Unlike other sports requiring repetitive shoulder function, the “elite” golfers sampled in this pilot investigation did not demonstrate a unique passive range of motion pattern between the lead and trailing shoulders. Factors, including subjects' age, may have confounded the findings. Further studies are warranted utilizing cohorts of golfers with matching age and skill levels. Additional shoulder range of motion measures should be evaluated. PMID:21509130

  19. Joint Radioisotope Electric Propulsion Studies - Neptune System Explorer

    NASA Technical Reports Server (NTRS)

    Khan, M. Omair; Amini, Rashied; Ervin, Joan; Lang, Jared; Landau, Damon; Oleson, Steven; Spilker, Thomas; Strange, Nathan

    2011-01-01

    The Neptune System Explorer (NSE) mission concept study assessed opportunities to conduct Cassini-like science at Neptune with a radioisotope electric propulsion (REP) based spacecraft. REP is based on powering an electric propulsion (EP) engine with a radioisotope power source (RPS). The NSE study was commissioned under the Joint Radioisotope Electric Propulsion Studies (JREPS) project, which sought to determine the technical feasibility of flagship class REP applications. Within JREPS, special emphasis was given toward identifying tall technology tent poles, as well as recommending any new RPS technology developments that would be required for complicated REP missions. Based on the goals of JREPS, multiple RPS (e.g. thermoelectric and Stirling based RPS) and EP (e.g. Hall and ion engines) technology combinations were traded during the NSE study to determine the most favorable REP design architecture. Among the findings from the study was the need for >400We RPS systems, which was driven by EP operating powers and the requirement for a long-lived mission in the deep solar system. Additionally multiple development and implementation risks were identified for the NSE concept, as well as REP missions in general. Among the strengths of the NSE mission would be the benefits associated with RPS and EP use, such as long-term power (approx. 2-3kW) at Neptune and flexible trajectory options for achieving orbit or tours of the Neptune system. Although there are still multiple issues to mitigate, the NSE concept demonstrated distinct advantages associated with using REP for deep space flagship-class missions.

  20. Joint Radioisotope Electric Propulsion Studies - Neptune System Explorer

    NASA Technical Reports Server (NTRS)

    Khan, M. Omair; Amini, Rashied; Ervin, Joan; Lang, Jared; Landau, Damon; Oleson, Steven; Spilker, Thomas; Strange, Nathan

    2011-01-01

    The Neptune System Explorer (NSE) mission concept study assessed opportunities to conduct Cassini-like science at Neptune with a radioisotope electric propulsion (REP) based spacecraft. REP is based on powering an electric propulsion (EP) engine with a radioisotope power source (RPS). The NSE study was commissioned under the Joint Radioisotope Electric Propulsion Studies (JREPS) project, which sought to determine the technical feasibility of flagship class REP applications. Within JREPS, special emphasis was given toward identifying tall technology tent poles, as well as recommending any new RPS technology developments that would be required for complicated REP missions. Based on the goals of JREPS, multiple RPS (e.g. thermoelectric and Stirling based RPS) and EP (e.g. Hall and ion engines) technology combinations were traded during the NSE study to determine the most favorable REP design architecture. Among the findings from the study was the need for >400We RPS systems, which was driven by EP operating powers and the requirement for a long-lived mission in the deep solar system. Additionally multiple development and implementation risks were identified for the NSE concept, as well as REP missions in general. Among the strengths of the NSE mission would be the benefits associated with RPS and EP use, such as long-term power (approx. 2-3kW) at Neptune and flexible trajectory options for achieving orbit or tours of the Neptune system. Although there are still multiple issues to mitigate, the NSE concept demonstrated distinct advantages associated with using REP for deep space flagship-class missions.

  1. Double-blind study of erbium 169 injection (synoviorthesis) in rheumatoid digital joints.

    PubMed Central

    Menkes, C J; Gô, A L; Verrier, P; Aignan, M; Delbarre, F

    1977-01-01

    A double-blind study of erbium 169 injection into rheumatoid digital joints was carried out with saline as control. 201 joints in 36 patients were studied (137 metacarpophalalangeal, 64 proximal interphalangeal). Erbium 169 was injected into 121 joints and saline water into 80 joints. Local injection of corticosteroids was given to both groups. A definite improvement was observed in 55% to 58% of cases with erbium 169 (+prednisolone acetate) and in 26% to 28% of cases with saline (+prednisolone acetate). The difference was highly significant. PMID:327948

  2. Prevalence of signs of temporomandibular joint dysfunction in asymptomatic edentulous subjects: a cross-sectional study.

    PubMed

    Shetty, Rajesh

    2010-06-01

    Patients having complete dentures with reduced vertical dimension generally do not manifest Temporomandibular Joint problems. It is not understood as to why the closure of jaws in dentulous individuals can predispose to Temporomandibular Joint problems, while the same etiology in edentulous subjects does not cause any concern. This study was planned to find out the prevalence of various Temporomandibular Joint dysfunction signs in subjects who were edentulous for a period of 6 months to 2 year. The various signs were obtained from a population of 100 healthy asymptomatic edentulous subjects by a questionnaire and then were clinically examined for the presence or absence of signs of Temporomandibular Joint dysfunction. 59% of the subjects exhibited one or more signs of Temporomandibular Joint dysfunction, 41% of the subjects did not show any signs of Temporomandibular Joint dysfunction. 56.6% of males reported signs of Temporomandibular Joint dysfunction when compared with females which was 62.5%. 43.3% of males did not show any signs of Temporomandibular Joint dysfunction when compared with those of the females which was 37.5%. The number of subjects who showed two signs was 29%, subjects who had only one sign was 25%. It was found that dysfunction was prevalent among both men and women in more than half of the asymptomatic subjects examined. 59% had one or as many as three signs of Temporomandibular dysfunction. The most commonly seen Joint dysfunction was the joint sounds which was 47%

  3. Acromioclavicular joint reconstruction using the LockDown synthetic implant: a study with cadavers.

    PubMed

    Taranu, R; Rushton, P R P; Serrano-Pedraza, I; Holder, L; Wallace, W A; Candal-Couto, J J

    2015-12-01

    Dislocation of the acromioclavicular joint is a relatively common injury and a number of surgical interventions have been described for its treatment. Recently, a synthetic ligament device has become available and been successfully used, however, like other non-native solutions, a compromise must be reached when choosing non-anatomical locations for their placement. This cadaveric study aimed to assess the effect of different clavicular anchorage points for the Lockdown device on the reduction of acromioclavicular joint dislocations, and suggest an optimal location. We also assessed whether further stability is provided using a coracoacromial ligament transfer (a modified Neviaser technique). The acromioclavicular joint was exposed on seven fresh-frozen cadaveric shoulders. The joint was reconstructed using the Lockdown implant using four different clavicular anchorage points and reduction was measured. The coracoacromial ligament was then transferred to the lateral end of the clavicle, and the joint re-assessed. If the Lockdown ligament was secured at the level of the conoid tubercle, the acromioclavicular joint could be reduced anatomically in all cases. If placed medial or 2 cm lateral, the joint was irreducible. If the Lockdown was placed 1 cm lateral to the conoid tubercle, the joint could be reduced with difficulty in four cases. Correct placement of the Lockdown device is crucial to allow anatomical joint reduction. Even when the Lockdown was placed over the conoid tubercle, anterior clavicle displacement remained but this could be controlled using a coracoacromial ligament transfer. ©2015 The British Editorial Society of Bone & Joint Surgery.

  4. International multicenter psoriasis and psoriatic arthritis reliability trial for the assessment of skin, joints, nails, and dactylitis.

    PubMed

    Chandran, Vinod; Gottlieb, Alice; Cook, Richard J; Duffin, Kristina Callis; Garg, Amit; Helliwell, Philip; Kavanaugh, Arthur; Krueger, Gerald G; Langley, Richard G; Lynde, Charles; McHugh, Neil; Mease, Philip; Olivieri, Ignazio; Rahman, Proton; Rosen, Cheryl F; Salvarani, Carlo; Thaci, Diamant; Toloza, Sergio M A; Wong, Maxine Yat Wing; Zhou, Qian M; Gladman, Dafna D

    2009-09-15

    Clinical trials in psoriasis and psoriatic arthritis (PsA) involve assessment of the skin and joints. This study aimed to determine whether assessment of the skin and joints in patients with PsA by rheumatologists and dermatologists is reproducible. Ten rheumatologists and 9 dermatologists from 7 countries met for a combined physical examination exercise to assess 20 PsA patients (11 men, mean age 51 years, mean PsA duration 11 years). Each physician assessed 10 patients according to a modified Latin square design that enabled the assessment of patient, assessor, and order effect. Tender joint count (TJC), swollen joint count (SJC), dactylitis, physician's global assessment (PGA) of PsA disease activity (PGA-PsA), psoriasis body surface area (BSA), Psoriasis Area and Severity Index (PASI), Lattice System Physician's Global Assessment of psoriasis (LS-PGA), National Psoriasis Foundation Psoriasis Score (NPF-PS), modified Nail Psoriasis Severity Index (mNAPSI), number of fingernails with nail changes (NN), and PGA of psoriasis activity (PGA-Ps) were assessed. Variance components analyses were carried out to estimate the intraclass correlation coefficient (ICC), adjusted for the order of measurements. There is excellent agreement (ICC >/=0.80) on the mNAPSI, substantial agreement (0.6 >/= ICC < 0.80) on the TJC, PASI, and NN, moderate agreement (0.4 >/= ICC < 0.60) on the PGA-Ps, LS-PGA, NPF-PS, and BSA, and fair agreement (0.2 >/= ICC < 0.40) on the SJC, dactylitis, and PGA-PsA. The only measure that showed a significant difference between dermatologists and rheumatologists was dactylitis (P = 0.0005). There is substantial to excellent agreement on the TJC, PASI, NN, and mNAPSI among rheumatologists and dermatologists.

  5. Study of Contractor Internal Reward Structures.

    DTIC Science & Technology

    1981-12-15

    Incentive Systems Negotiations 20) 149TRACT (Continue an reverse side It necessary and identify by block number) ~ a: -mhe overall objective of this study...Inc. to begin work on August 14, 1981 to collect data on contractor internal motivation systems in specified defense corporations. Study Focus The...awards. While we have already gathered somes data on your firm’s incentive program as reported In SEC filings, informtion on the award criteria was not

  6. Contact pressure of the coracoacromial arch in shoulders with joint contracture: A cadaveric study.

    PubMed

    Shiota, Yuki; Yamamoto, Nobuyuki; Kawakami, Jun; Nagamoto, Hideaki; Muraki, Takayuki; Kaneko, Kazuo; Itoi, Eiji

    2017-08-21

    There have been many reports describing that the capsular fibrosis of the shoulder joint is the main cause of frozen shoulder, whereas others reported the significance of subacromial impingement as an etiological factor. The purpose of this study was to investigate the contact pressure between the coracoacromial arch and the rotator cuff tendons to clarify the contact phenomenon in shoulders with joint contracture. Fourteen fresh-frozen cadaveric shoulders were used. Specimens were divided into two groups: normal group (8 shoulders, definition: more than 61° of flexion and abduction and more than 21° of external rotation) and joint contracture group (6 shoulders, definition: less than 60° of flexion and abduction and less than 20° of external rotation). Contact pressure and area beneath the coracoacromial arch were measured by a flexible force sensor during flexion, abduction, internal and external rotation in adduction and abduction, extension and horizontal extension motions. The peak contact pressure under the acromion was observed at 90° in flexion and abduction in the normal group, whereas that in the contracture group was observed at 30° in flexion (P = 0.037) and at 30° in abduction (P = 0.041). Contact pressure in the contracture group was significantly higher than that in the normal group at 20° and 30° of abduction (P = 0.043, P = 0.041, respectively). There were no significant differences of contact pressure during other motions. Although no significant differences of contact pressure beneath the coracoacromial ligament were observed, contact area significantly increased in extension and horizontal extension motion. The contact between the acromion and the rotator cuff was observed in lower angles of flexion and abduction in shoulders with contracture than in those without. When treating patients with shoulder contracture, we need to perform rehabilitation taking such an abnormal movement into consideration. Copyright © 2017 The

  7. Partitioning of knee joint internal forces in gait is dictated by the knee adduction angle and not by the knee adduction moment.

    PubMed

    Adouni, M; Shirazi-Adl, A

    2014-05-07

    Medial knee osteoarthritis is a debilitating disease. Surgical and conservative interventions are performed to manage its progression via reduction of load on the medial compartment or equivalently its surrogate measure, the external adduction moment. However, some studies have questioned a correlation between the medial load and adduction moment. Using a musculoskeletal model of the lower extremity driven by kinematics-kinetics of asymptomatic subjects at gait midstance, we aim here to quantify the relative effects of changes in the knee adduction angle versus changes in the adduction moment on the joint response and medial/lateral load partitioning. The reference adduction rotation of 1.6° is altered by ±1.5° to 3.1° and 0.1° or the knee reference adduction moment of 17Nm is varied by ±50% to 25.5Nm and 8.5Nm. Quadriceps, hamstrings and tibiofemoral contact forces substantially increased as adduction angle dropped and diminished as it increased. The medial/lateral ratio of contact forces slightly altered by changes in the adduction moment but a larger adduction rotation hugely increased this ratio from 8.8 to a 90 while in contrast a smaller adduction rotation yielded a more uniform distribution. If the aim in an intervention is to diminish the medial contact force and medial/lateral load ratio, a drop of 1.5° in adduction angle is much more effective (causing respectively 12% and 80% decreases) than a reduction of 50% in the adduction moment (causing respectively 4% and 13% decreases). Substantial role of changes in adduction angle is due to the associated alterations in joint nonlinear passive resistance. These findings explain the poor correlation between knee adduction moment and tibiofemoral compartment loading during gait suggesting that the internal load partitioning is dictated by the joint adduction angle. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. Report on the SNL/AWE/NSF international workshop on joint mechanics, Dartington, United Kingdom, 2729 April 2009.

    SciTech Connect

    Ewins, David J.; Bergman, Lawrence A.; Segalman, Daniel Joseph

    2010-08-01

    The SNL/AWE joint mechanics workshop, held in Dartington Hall, Totnes, Devon, UK 26-29 April 2009 was a follow up to another international joints workshop held in Arlington, Virginia, in October 2006. The preceding workshop focused on identifying what length scales and interactions would be necessary to provide a scientific basis for analyzing and understanding joint mechanics from the atomistic scale on upward. In contrast, the workshop discussed in this report, focused much more on identification and development of methods at longer length scales that can have a nearer term impact on engineering analysis, design, and prediction of the dynamics of jointed structures. Also, the 2009 meeting employed less technical presentation and more break out sessions for developing focused strategies than was the case with the early workshop. Several 'challenges' were identified and assignments were made to teams to develop approaches to address those challenges.

  9. Study on the constitutive model for jointed rock mass.

    PubMed

    Xu, Qiang; Chen, Jianyun; Li, Jing; Zhao, Chunfeng; Yuan, Chenyang

    2015-01-01

    A new elasto-plastic constitutive model for jointed rock mass, which can consider the persistence ratio in different visual angle and anisotropic increase of plastic strain, is proposed. The proposed the yield strength criterion, which is anisotropic, is not only related to friction angle and cohesion of jointed rock masses at the visual angle but also related to the intersection angle between the visual angle and the directions of the principal stresses. Some numerical examples are given to analyze and verify the proposed constitutive model. The results show the proposed constitutive model has high precision to calculate displacement, stress and plastic strain and can be applied in engineering analysis.

  10. Experimental Studies on the Mechanical Behaviour of Rock Joints with Various Openings

    NASA Astrophysics Data System (ADS)

    Li, Y.; Oh, J.; Mitra, R.; Hebblewhite, B.

    2016-03-01

    The mechanical behaviour of rough joints is markedly affected by the degree of joint opening. A systematic experimental study was conducted to investigate the effect of the initial opening on both normal and shear deformations of rock joints. Two types of joints with triangular asperities were produced in the laboratory and subjected to compression tests and direct shear tests with different initial opening values. The results showed that opened rock joints allow much greater normal closure and result in much lower normal stiffness. A semi-logarithmic law incorporating the degree of interlocking is proposed to describe the normal deformation of opened rock joints. The proposed equation agrees well with the experimental results. Additionally, the results of direct shear tests demonstrated that shear strength and dilation are reduced because of reduced involvement of and increased damage to asperities in the process of shearing. The results indicate that constitutive models of rock joints that consider the true asperity contact area can be used to predict shear resistance along opened rock joints. Because rock masses are loosened and rock joints become open after excavation, the model suggested in this study can be incorporated into numerical procedures such as finite-element or discrete-element methods. Use of the model could then increase the accuracy and reliability of stability predictions for rock masses under excavation.

  11. Symposium introduction: the first joint American Chemical Society Agricultural and Food Chemistry Division and the American Chemical Society International Chemical Sciences Chapter in Thailand

    USDA-ARS?s Scientific Manuscript database

    The American Chemical Society (ACS) Agricultural and Food Chemistry Division (AGFD) and the ACS International Chemical Sciences Chapter in Thailand (ICSCT) worked together to stage the “1st Joint ACS AGFD - ACS ICSCT Symposium on Agricultural and Food Chemistry,” which was held in Bangkok, Thailand ...

  12. Effects of glucosamine-chondroitin combination on synovial fluid IL-1β, IL-6, TNF-α and PGE2 levels in internal derangements of temporomandibular joint

    PubMed Central

    Esen, Emin; Tatli, Ufuk

    2015-01-01

    Background The aim of the present study was to evaluate the effects of glucosamine-chondroitin sulphate combination on internal derangements of temporomandibular joint in clinical and biochemical manners. Material and Methods This randomized clinical study included 31 cases reporting joint tenderness, in which disc displacement was detected on MR imaging. In all patients, synovial fluid sampling was performed under local anesthesia. In the study group, the patients were prescribed a combination of 1500 mg glucosamine and 1200 mg chondroitin sulphate, while patients in the control group were only prescribed 50 mg tramadol HCl (twice daily) for pain control. After 8 weeks, synovial fluid sampling was repeated in the same manner. The levels of pain, maximum mouth opening (MMO), synovial fluid IL-1ß, IL-6, TNF-α and PGE2 measured before and after pharmacological intervention were compared. Results The reduction in pain levels was significant in both groups. There was no significant difference between two groups in terms of pain reduction. The improvement in MMO was significant in the study group but it was not in the control group. The MMO improvement was significantly higher in the study group compared to the control group. In the study group, significant decrease was observed in PGE2 level, while the decreases in IL-1β, IL-6 and TNF-α levels were not significant. In the control group, no significant decrease was observed in any of the inflammatory cytokines after 8 weeks, moreover IL-1ß and IL-6 levels were increased. Alterations of IL-1ß and IL-6 levels were significant in study group while TNF-α and PGE2 levels were not, compared to control group. Conclusions In conclusion, these results might suggest that glucosamine-chondroitin combination significantly increases the MMO and decreases the synovial fluid IL1β and IL6 levels in internal derangements of TMJ compared to tramadol. The modifications of synovial fluid TNF-α and PGE2 levels do not reach

  13. [Prosthetic joint infection: a prospective study in five Catalonian hospitals].

    PubMed

    García-Pont, Javier; Blanch-Falp, Jesús; Coll-Colell, Rosa; Rosell-Abaurrea, Francesc; Tapiz-Reula, Alfons; Dorca-Badía, Ester; Masabeu-Urrutia, Angels; Martín-Urda, Anabel; Barrufet-Barque, Pilar; Force-Sanmartín, Lluis

    2006-03-01

    Prosthetic joint infections are a cause of increasing morbidity and medical expenditure. To determine the incidence and the clinical and the epidemiological characteristics of knee and hip prosthetic infections (PI) in patients undergoing elective surgery in five Catalonian hospitals. To determine the predictive factors of PI. A total of 425 patients operated on between 8 January and 8 July 2001 were prospectively followed for a period of two years. The cumulative incidence, incidence rate and effect measures were determined. Logistic regression was used to identify variables associated with PI. Average age was 71 years and 63.1% were women. Antibiotic prophylaxis with cefazolin was given to 44.7% of the patients, with a mean duration of two days. Prophylaxis was administered during anesthesia induction in 75.6% of the patients. Among the total, 63.4% of the patients were ASA 2. Microbiological confirmation was obtained in all the infected patients; Staphylococcus epidermidis was found in 58%. Fourteen PI were diagnosed, 71% during the first 3 months, with a cumulative incidence of 3.29% and a 3-month incidence rate of 63 patients/10,000 patients/month. Diabetes mellitus was the only variable related to PI in the multivariate analysis: 3.18, 95% CI (1.1-9.9). The cumulative incidence of PI was slightly higher than that seen in other studies. Variations were observed in the antibiotic used for prophylaxis, and the place where it was administered. PI occurred 3.18 times more frequently in diabetic patients.

  14. The joint observation and study project for slowly rotating asteroids

    NASA Astrophysics Data System (ADS)

    Wang, Xiaobin; Muninonen, karri; Han, Xianming L.; Wang, Yibo

    2015-08-01

    The study for the spin rates and shapes of asteroids provides us important information to understand asteroids' structure and their physical processes. For example, a single Maxwellian distribution of the spin rates of larger asteroids (e.g. larger than 50km in diameter) reflects they had undergone collison history; a more dispersed distribution of smaller asteroids may be associated with the affect of radiation pressure torques( Pravec& Harris2000). Therefore, larger samples of spin parameters are needed for understanding deeply the evolution of asteroids. Meanwhile, some special subsets of asteroids, such as the slow rotators which probably represent a different physical process for asteroids, can open other windows to understand asteroids. Here we focus on a subset of larger asteroids with spin rates around 1 or 0.5 revolution per day. For these asteroids, the same rotational phases are observed repeatly by a telescope in different time. Under such cases, some ambigous spin periods are guessed, and it is impossible to determine their shapes. For determining the accurate spin parameters and shapes of these asteroids, a collaboration among several countries was established in 2014. Till now, the joint observations for a few of slow rotators have been made by several different telescopes distributed in China, USA and Chile. As samples, here we present new jiont observations in 2014 and analysis results for asteroids (346) Hermentaria and (168) Sibylla.Considering reasonable shapes of asteroids, the spin parameters of the two asteroids are analyzed carefully. Firstly, the procedure of analysis involves the MCMC method to find the initial spin parameters, which is based on a triaxial ellipsoid shape and a Lommel-Seeliger surface scattering law(Muinonen et al.2014). Then, the fine spin parameters accompanying with uncertainties and convex shapes of the asteroids are derived using the light curve inversion method(Kaasalainen et al 2002) and virtual photometric method

  15. Evaluation of surgically retrieved temporomandibular joint alloplastic implants: pilot study.

    PubMed

    Ferreira, Joao N A R; Ko, Ching-Chang; Myers, Sandra; Swift, James; Fricton, James R

    2008-06-01

    The purpose of this study was to perform a retrieval analysis of temporomandibular joint (TMJ) alloplastic interpositional implants and test possible correlation between implant failure features and patient clinical outcomes. In addition, we investigated the implants' surface and examined the foreign body reaction associated with different types of alloplastic materials. Twelve implants (Proplast/Teflon [Vitek, Houston, TX] and Silastic [Dow Corning, Midland, MI]) were surgically removed from the patients' TMJs. Implant surface failure features (fracture length, perforation of the implants) were observed using stereomicroscopy and recorded for description of the failure mechanisms and to statistically compare with clinical outcomes. Patients' clinical data (pain symptoms and mandibular function) were collected and examined. Clinical outcomes were obtained relative to symptom severity (Symptom Severity Index [SSI]) and jaw function (modified Mandibular Function Impairment Questionnaire [mMFIQ]). Peri-implant soft tissues and implants were analyzed with light microscopy and stereo zoom microscopy. Electron microprobe analysis of implant fragments and peri-implant tissues was performed. The statistical results showed that only the presence of implant perforation was statistically associated with the SSI, specifically with the pain tolerability dimension. No statistical association was seen between any of the other implant failure predictors and the SSI and between the predictors and the mMFIQ. Stereo zoom microscopy suggested that Proplast/Teflon implants (n = 7) were susceptible to perforation, layer tearing, fracture and fiber extrusion. The Silastic implants (n = 3) revealed a possible center perforation with fracture lines towards the periphery and fiber extrusion. Teflon implant wear debris particles appear to trigger a multinucleated giant cell foreign body reaction. Facial pain was a significant correlate to perforation and breakdown of the alloplastic TMJ

  16. Dietary studies in the joint US-Russian space program

    NASA Technical Reports Server (NTRS)

    Rice, B. L.; Lane, H. W.

    1997-01-01

    Metabolic experiments in the joint US-Russian space program involve analysis of food records, which include weighed foods, stable-isotope turnover, and biochemical samples collected before, during, and after the flights. This article describes the methods of monitoring dietary intake for this program.

  17. An Outline for a Course of Study; Joint Training.

    ERIC Educational Resources Information Center

    Phelps, William R.; Reno, Jack

    Joint training of rehabilitation counselors and social caseworkers has the potential for developing and improving professional techniques to increase the number of handicapped welfare recipients who can be rehabilitated. A regional curriculum for Virginia, West Virginia, Maryland, Delaware, Pennsylvania, and the District of Columbia, this joint…

  18. International Space Station Solar Alpha Rotary Joint Failure Analysis: The Materials and Processes Perspective

    NASA Technical Reports Server (NTRS)

    Dasgupta, Rajib; Figert, John; Jerman, Greg; Wright, Clara; Basta, Erin A.; Golden, Johnny L.

    2009-01-01

    This paper summarizes the on-orbit structural dynamic data and the related modal analysis, model validation and correlation performed for the ISS configurations spanning ISS Stage 12A. The objective of this analysis is to validate and correlate analytical models used to verify the ISS critical interface dynamic loads and improve its fatigue life prediction. On-Orbit dynamic responses were measured during the ISS configurations throughout ISS Stage 12A by the two main ISS instrumentation systems; Internal Wireless Instrumentation System (IWIS) and the Structural Dynamic Measurement System (SDMS). These nominal on-orbit events include Russian vehicle docking and undockings. Also, the ISS photogrammetric system recorded the movements of the 2A and 4A solar arrays during a modified ISS maneuver. Modal analyses were performed on the measured data to extract modal parameters including frequency, damping and mode shapes. Correlation and comparisons between the test and analytical frequencies and mode shapes were performed to assess the accuracy of the analytical models for the ISS configurations under consideration.

  19. [Cost-effectiveness study of internist joint practices].

    PubMed

    Dupierry, Raphael Patrick; Kaschny, Martin

    2008-07-15

    Practicing doctors are managers of their own practice. A doctor, who manages his practice besides his technical qualification, considering business aspects, enables a solid economic base. The objective of this article is to point out key starting points for an effective management of internist doctors' practices. Within the article it has particularly been analyzed, to what extent cooperations make an impact on the return and cost structure. For this purpose, a total of 495 business assessments from the DATEV eG of internist doctors' practices have been analyzed. The percental returns of smaller internistic joint practices (averaged turnover: 573,071 Euros) is about 6% higher than the percental returns of internistic doctors' practices (averaged turnover: 384,049 Euros). This result shows that small internistic joint practices work more efficiently. In contrast to this result bigger joint practices (averaged turnover: 1,618,608 Euros) gain an about 6% lower percental return than internistic doctors' practices. The reasons for this result are, compared to the internistic doctors' practices, the higher consumption of materials (+7%), the higher personnel costs (+3.5%), and the higher occupancy costs (+0.2%). On the basis of these results it can be concluded, that medium-sized internistic joint practices work more efficiently than internistic doctors' practices as well as large internistic joint practices. On the basis of the results it can be concluded, that internist cooperations can make good economic sense. However, the extent of cost efficiency and profit increase is particularly dependent on the size of the practice, the offered service portfolio, and the human resource management.

  20. CFD SIMULATIONS OF JOINT URBAN ATMOSPHERE DISPERSION FIELD STUDY 2003

    SciTech Connect

    Lee, R L; Humphreys, T D; Chan, S T

    2004-03-31

    In the Spring of 2003, a series of dispersion field experiments (Joint Urban 2003) were conducted at Oklahoma City. These experiments were complimentary to the URBAN 2000 field studies at Salt Lake City (Allwine, et. al, 2002) in that they will provide a second set of comprehensive field data for evaluation of CFD as well as for other dispersion models. In contrast to the URBAN 2000 experiments that were conducted entirely at night, these new field studies took place during both daytime and nighttime thus including the possibility of convective as well as stable atmospheric conditions. Initially several CFD modeling studies were performed to provide guidance for the experimental team in the selection of release sites and in the deployment of wind and concentration sensors. Also, while meteorological and concentration measurements were taken over the greater Oklahoma City urban area, our CFD calculations were focused on the near field of the release point. The proximity of the source to a large commercial building and to the neighboring buildings several of which have multi-stories, present a significant challenge even for CFD calculations involving grid resolutions as fine as 1 meter. A total of 10 Intensive Observations Periods (IOP's) were conducted within the 2003 field experiments. SF{sub 6} releases in the form of puffs or continuous sources were disseminated over 6 daytime and 4 nighttime episodes. Many wind and concentration sensors were used to provide wind and SF{sub 6} data over both long and short time-averaging periods. In addition to the usual near surface measurements, data depicting vertical profiles of wind and concentrations adjacent to the outside walls several building were also taken. Also of interest were observations of the trajectory of balloons that were released closed to the tracer release area. Many of the balloons released exhibit extremely quick ascents up from ground level to the top of buildings, thus implying highly convective

  1. A Further Study on Wave Propagation Across a Single Joint with Different Roughness

    NASA Astrophysics Data System (ADS)

    Chen, X.; Li, Jian Chun; Cai, M. F.; Zou, Y.; Zhao, J.

    2016-07-01

    As a key dynamic feature of the rock mass, joint results in wave attenuation when a stress wave propagates across it. An experimental study has obtained the relation between the transmission coefficient and the contact area ratio of joints with different thicknesses (Chen et al. (doi: 10.1007/s00603-015-0716-z)). However, the spatial geometry of the contact surface also determines the dynamic behavior of the discontinuous masses. Thus, the present study is focused on the effects of distribution and dimension of the sawn notches on the contact surface of the joint, which lead to the different spatial geometry. The joint matching coefficient (JMC) was used in this study to define the contact condition. Using a modified SHPB apparatus, all the bars and specimens were aluminum, and the artificial joint formed a rough surface of the specimen contacted to the output bar. Based on the wave separation method, the incident, reflected and transmitted waves across the joint were acquired from the records of the strain gauges on pressure bars. Then the transmission coefficient and specific stiffness of the joint were obtained. Comparisons of them were made on different JMCs, spatial geometries and thicknesses of the joint.

  2. Possible nociceptive structures in the sacroiliac joint cartilage: An immunohistochemical study.

    PubMed

    Szadek, Karolina M; Hoogland, Piet V J M; Zuurmond, Wouter W A; De Lange, Jaap J; Perez, Roberto S G M

    2010-03-01

    The sacroiliac joint (SI joint) is a known source of low back pain. In the absence of validated physical signs and imaging studies, the diagnosis of SI joint pain can be secured by positive response to SI joint intra-articular infiltration with local anesthetics. The current anatomical and histological knowledge concerning intra-articular structures of the sacroiliac joint is insufficient to explain the efficacy of this infiltration. Consequently, this study was undertaken to detect the intra-articular presence of substance P and calcitonin gene-related peptide (CGRP) positive nerve fibers, providing indirect evidence of nociceptive innervation of the SI joint. Free-floating sections, obtained from iliac and sacral cartilage and subchondral bone of the SI joint and adjacent ligamentous tissue, of 10 human cadavers were studied immunohistochemically. Tissue of nine human cadavers showed the presence of substance P and CGRP immunoreactivity in the superficial layer of sacral and iliac cartilage, and the surrounding ligamentous structures. Subchondral bone reacted weakly to the antisera used. These findings support the view that the SI joint may be capable of intra-articular nociception and may explain the positive response to the intra-articular deposition of local anesthetic.

  3. High hand joint mobility is associated with radiological CMC1 osteoarthritis: the AGES-Reykjavik study

    PubMed Central

    Jónsson, H.; Elíasson, G. J.; Jónsson, Á.; Eiríksdóttir, G.; Sigurđsson, S.; Aspelund, T.; Harris, T. B.; Guđnason, V.

    2009-01-01

    Summary Objective Previous studies have indicated that joint hypermobility may affect the development of clinical and radiological hand osteoarthritis (OA), but this question has not been addressed in epidemiological studies. Our objective was to investigate this relationship in a population-based study. Patients and methods The study group consisted of 384 unselected older participants in the Age, Gene/Environment Susceptibility–Reykjavik Study (161 males, median age 76, range 69–90, and 223 females median age 75, range 69–92). The criterion used for joint mobility was the single maximal degree of hyperextension of digits 2 and 5 on both hands (HYP°). Results HYP° was more prevalent in females and on the left hand in both men and women. Both genders had a positive association between the degree of mobility measured by HYP° and radiological scores for the first carpometacarpal joint (CMC1) OA. Thus, those with HYP° ≥70 had an odds ratio of 3.05 (1.69–5.5, P < 0.001) of having a Kellgren–Lawrence score of ≥3 in a CMC1 joint. There was also a trend towards a negative association between HYP° and proximal interphalangeal joint scores. Conclusion Hand joint mobility, defined as hyperextension in the metacarpophalangeal joints (HYP°) is more prevalent in females and on the left side. It was associated with more severe radiographic OA in the CMC1 joints in this population. The reasons for this relationship are not known, but likely explanations involve ligament laxity and CMC1 joint stability. These findings may relate to the left-sided predominance of radiographic OA in the CMC1 joints observed in many prevalence studies. PMID:19010064

  4. Clinical comparative study of microcurrent electrical stimulation to mid-laser and placebo treatment in degenerative joint disease of the temporomandibular joint.

    PubMed

    Bertolucci, L E; Grey, T

    1995-04-01

    Mid-laser and microcurrent stimulation (MENS) have been found to be effective in the reduction of painful temporomandibular joints (TMJ) with internal derangement. There was significant improvement in mobility with the reduction of pain. Mid-laser was superior to MENS in its application and effect, and both were significantly better than the placebo treatment.

  5. Studies on dynamic characteristics of the joint in the aero-engine rotor system

    NASA Astrophysics Data System (ADS)

    Shuguo, Liu; Yanhong, Ma; Dayi, Zhang; Jie, Hong

    2012-05-01

    The joint as a major part of the aero-engine rotating shafts directly influences its rotordynamics and state stability. This paper studies the dynamic effects of structure parameters and the external load on the stiffness and contact state of the rotor joints with nonlinear finite-element method and experiments. And a sensitivity analysis of critical speeds and vibration modes with respect to typical parameters (stiffness of the spline joints) is performed with finite difference methods, through two approaches, i.e. relative sensitivity analysis and absolute sensitivity analysis. The study results show that the stiffness and contact state of joints vary with external loads and geometry structures, and affect the rotor system operating. It is advisable to consider the influence of the position, structural parameter and external load of the rotor joints on aero-engine structure dynamics design.

  6. Pristane-induced lupus as a model of human lupus arthritis: evolvement of autoantibodies, internal organ and joint inflammation.

    PubMed

    Leiss, H; Niederreiter, B; Bandur, T; Schwarzecker, B; Blüml, S; Steiner, G; Ulrich, W; Smolen, J S; Stummvoll, G H

    2013-07-01

    Arthritis is frequently seen in human lupus, but rarely in lupus models. Pristane-induced lupus (PIL) can be induced in various mouse strains such as BALB/c and C57BL/6. We herein characterize clinical and histological features of arthritis in the context of systemic lupus and provide a prudent comparison with models of rheumatoid arthritis (RA). A total of 57 BALB/c mice received pristane (PIL group) and were analyzed for serum autoantibodies (anti-chromatin-, -histone, -Sm, -dsDNA), as well as for clinical features and histopathology of joints, lungs and kidneys. Joint pathology was quantified by image analysis and tissue cytometry. Ten C57BL/6 mice (Bl/6-PIL) and historical groups of two different RA models were analyzed accordingly. In BALB/c PIL, clinical arthritis started at three months, occurred finally in 79% of PIL (but not in controls, p<0.001) and correlated with areas of inflammation, erosion, cartilage damage, osteoclast numbers and total severity score (for all: r>0.7, p<0.001). After eight months, 58% of PIL (but no controls, p<0.001) had mild-erosive arthritis. In contrast to RA, the most frequent inflammatory cell type of the pannus was granulocytes (17.7%), PIL had lower numbers of osteoclasts, erosions rarely affected both layers of the cortical bone and there was no progression to complete joint destruction (even after one year of observation). Serum autoantibodies (auto-abs) preceded arthritis and became significantly elevated in all PIL; affected joints showed increased deposits of IgG (and IgM) within the inflammatory tissue, indicative of an ab-mediated process. PIL mice with arthritis also showed signs of pulmonary (100%) and renal (46%) lupus. In contrast to BALB/c, Bl/6-PIL mice did not develop any signs of arthritis. PIL in BALB/c mice is characterized by severe organ involvement, typical autoabs and by a mild-erosive arthritis with similarities to, but also with distinct differences from, RA. PIL may help to study arthritis along with

  7. Increase in Total Joint Arthroplasty Projected from 2014 to 2046 in Australia: A Conservative Local Model With International Implications.

    PubMed

    Inacio, Maria C S; Graves, Stephen E; Pratt, Nicole L; Roughead, Elizabeth E; Nemes, Szilard

    2017-08-01

    The incidence of joint arthroplasty is increasing worldwide. International estimates of future demand for joint arthroplasty have used models that propose either an exponential future increase, despite obvious system constraints, or static increases, which do not account for past trends. Country-specific projection estimates that address limitations of past projections are necessary. In Australia, a high-income country with the 7th highest incidence of TKA and 15th highest incidence of THA of the Organization for Economic Cooperation and Development (OECD) countries, the volume of TKAs and THAs increased 198% between 1994 and 2014. To determine the projected incidence and volume of primary TKAs and THAs from 2014 to 2046 in the Australian population older than 40 years. Australian State and Territory Health Department data were used to identify TKAs and THAs performed between 1994 and 1995 and 2013 and 2014. The Australian Bureau of Statistics was the source of the population estimates for the same periods and population-projected estimates until 2046. The incidence rate (IR), 95% CI, and prediction interval (PI) of TKAs and THAs per 100,000 Australian citizens older than 40 years were calculated. Future IRs were estimated using a logistic model, and volume was calculated from projected IR and population. The logistic growth model assumes the existence of an upper limit of the TKA and THA incidences and a growth rate directly related to this incidence. At the beginning, when the observed incidence is much lower than the asymptote, the increase is exponential, but it decreases as it approaches the upper limit. A 66% increase in the IR of primary THAs between 2013 and 2046 is projected for Australia (2013: IR = 307 per 100,000, [95% CI, 262-329 per 100,000] compared with 2046: IR= 510 per 100,000, [95% PI, 98-567 per 100,000]), which translates to a 219% increase in the volume during this period. For TKAs the IR is expected to increase by 26% by 2046 (IR = 575 per

  8. Concepts in mature T-cell lymphomas - highlights from an international joint symposium on T-cell immunology and oncology().

    PubMed

    Herling, Marco; Rengstl, Benjamin; Scholtysik, René; Hartmann, Sylvia; Küppers, Ralf; Hansmann, Martin-Leo; Diebner, Hans H; Roeder, Ingo; Abken, Hinrich; Newrzela, Sebastian; Kirberg, Jörg

    2017-04-01

    Growing attention in mature T-cell lymphomas/leukemias (MTCL) is committed to more accurate and meaningful classifications, improved pathogenetic concepts and expanded therapeutic options. This requires considerations of the immunologic concepts of T-cell homeostasis and the specifics of T-cell receptor (TCR) affinities and signaling. Scientists from various disciplines established the CONTROL-T research unit and in an international conference on MTCL they brought together experts from T-cell immunity, oncology, immunotherapy and systems biology. We report here meeting highlights on the covered topics of diagnostic pitfalls, implications by the new WHO classification, insights from discovered genomic lesions as well as TCR-centric concepts of cellular dynamics in host defense, auto-immunity and tumorigenic clonal escape, including predictions to be derived from in vivo imaging and mathematical modeling. Presentations on novel treatment approaches were supplemented by strategies of optimizing T-cell immunotherapies. Work packages, that in joint efforts would advance the field of MTCL more efficiently, are identified.

  9. In vivo kinematic study of the tarsal joints complex based on fluoroscopic 3D-2D registration technique.

    PubMed

    Chen Wang, M D; Geng, Xiang; Wang, Shaobai; Xin Ma, M D; Xu Wang, M D; Jiazhang Huang, M D; Chao Zhang, M D; Li Chen, M S; Yang, Junsheng; Wang, Kan

    2016-09-01

    The tarsal bones articulate with each other and demonstrate complicated kinematic characteristics. The in vivo motions of these tarsal joints during normal gait are still unclear. Seven healthy subjects were recruited and fourteen feet in total were tested in the current study. Three dimensional models of the tarsal bones were first created using CT scanning. Corresponding local 3D coordinate systems of each tarsal bone was subsequently established for 6DOF motion decompositions. The fluoroscopy system captured the lateral fluoroscopic images of the targeted tarsal region whilst the subject was walking. Seven key pose images during the stance phase were selected and 3D to 2D bone model registrations were performed on each image to determine joint positions. The 6DOF motions of each tarsal joint during gait were then obtained by connecting these positions together. The TNJ (talo-navicular joint) exhibited the largest ROMs (range of motion) on all rotational directions with 7.39±2.75°of dorsi/plantarflexion, 21.12±4.68°of inversion/eversion, and 16.11±4.44°of internal/external rotation. From heel strike to midstance, the TNJ, STJ (subtalar joint), and CCJ (calcaneao-cuboid joint) were associated with 5.97°, 5.04°, and 3.93°of dorsiflexion; 15.46°, 8.21°, and 5.82°of eversion; and 9.75°, 7.6°, and 4.99°of external rotation, respectively. Likewise, from midstance to heel off, the TNJ, STJ, and CCJ were associated with 6.39, 6.19°, and 4.47°of plantarflexion; 18.57°, 11.86°, and 6.32°of inversion and 13.95°, 9.66°, and 7.58°of internal rotation, respectively. In conclusion, among the tarsal joints, the TNJ exhibited the greatest rotational mobility. Synchronous and homodromous rotational motions were detected for TNJ, STJ, and CCJ during the stance phase.

  10. Cocontraction of Pairs of Muscles around Joints May Improve an Accuracy of a Reaching Movement: a Numerical Simulation Study

    NASA Astrophysics Data System (ADS)

    Ueyama, Yuki; Miyashita, Eizo

    2011-06-01

    We have pair muscle groups on a joint; agonist and antagonist muscles. Simultaneous activation of agonist and antagonist muscles around a joint, which is called cocontraction, is suggested to take a role of increasing the joint stiffness in order to decelerate hand speed and improve movement accuracy. However, it has not been clear how cocontraction and the joint stiffness are varied during movements. In this study, muscle activation and the joint stiffness in reaching movements were studied under several requirements of end-point accuracy using a 2-joint 6-muscle model and an approximately optimal control. The time-varying cocontraction and the joint stiffness were showed by the numerically simulation study. It indicated that the strength of cocontraction and the joint stiffness increased synchronously as the required accuracy level increased. We conclude that cocontraction may get the joint stiffness increased to achieve higher requirement of the movement accuracy.

  11. Quantitative three-dimensional photoacoustic tomography of the finger joints: an in vivo study

    NASA Astrophysics Data System (ADS)

    Sun, Yao; Sobel, Eric; Jiang, Huabei

    2009-11-01

    We present for the first time in vivo full three-dimensional (3-D) photoacoustic tomography (PAT) of the distal interphalangeal joint in a human subject. Both absorbed energy density and absorption coefficient images of the joint are quantitatively obtained using our finite-element-based photoacoustic image reconstruction algorithm coupled with the photon diffusion equation. The results show that major anatomical features in the joint along with the side arteries can be imaged with a 1-MHz transducer in a spherical scanning geometry. In addition, the cartilages associated with the joint can be quantitatively differentiated from the phalanx. This in vivo study suggests that the 3-D PAT method described has the potential to be used for early diagnosis of joint diseases such as osteoarthritis and rheumatoid arthritis.

  12. Top Joint Study on Temperature Stress for Super-Long Slab-Column Structure

    NASA Astrophysics Data System (ADS)

    Dong, Minghai; Song, Li; Shao, Ying

    In this paper, top joint method is proposed to solve a practical engineering problem of temperature stress and temperature crack of super-long slab-column structure bearing temperature difference. From the study, it is shown that as for super-long slab-column structure undergoing temperature difference of inside and outside, joint located in bottom stories nearly has no influence on temperature stress and deformation while joint in top stories can significantly reduce temperature stress and deformation of super-long slab-column structures. In addition, comparison of joints located in top one story, top several stories and from bottom to top stories indicates that influences of them on temperature stress and deformation are similar. As for top joint method, among which cantilever plate method, double column method and corbel method are discussed and results indicate that influence effects of these methods on structures are similar.

  13. Study of the dynamic behavior of a bolted joint under heavy loadings

    NASA Astrophysics Data System (ADS)

    Daouk, Sami; Louf, François; Cluzel, Christophe; Dorival, Olivier; Champaney, Laurent; Audebert, Sylvie

    2017-03-01

    In structural dynamics, the quantification of the quality and reliability of numerical models remains a relevant issue. While the behavior of structures such as beams and plates is generally understood, a large number of industrial structures are bolted assemblies of many components with connections that are not well understood. The main reason for this lack of understanding is that the dynamical behavior of the whole assembly depends critically upon joint conditions, especially under heavy loadings. For the purpose of improving our understanding and the development of pertinent models, a dynamic test bed, based on a bolted structure, is designed and modal testing is performed. The configuration of the bolted joint and the level of the loading are the relevant parameters, related to joint conditions, that are considered in this study. The results of the experimental campaign show the variation of the dissipation in a bolted joint and its apparent stiffness as a function of joint conditions.

  14. 2nd International Joint Topical Meeting on Emergency Preparedness and Response and Robotic and Remote Systems

    SciTech Connect

    Lu, Po-Yung; Thomas, Richard D.; Wassom, John S.

    2008-01-01

    It is desirable for the Department of Energy/National Nuclear Security Administration emergency preparedness and response community to have available every resource to enhance its capabilities for assessing the health effects of environmental agents. Such resources will aid DOE/NNSA in achieving its goal of protecting the health and safety of workers, the public, and environment in event of the release of radiological, chemical, or biological agents into the environment. Studies are reported in this paper where composite data analyses were done for the chemicals included in DOE's Protective Action Criteria (PACs) database. PACs define the concentration of airborne chemicals at which protective actions are required. They are used by DOE/NNSA in developing Emergency Preparedness Procedures and for Operational Emergencies. Data analyses were conducted to discern structure-activity relationship patterns among PAC chemicals by assigned classification schemes based on the 30 accepted categories used by the EPA Gene-Tox Program. PAC chemicals were scored according to their frequency of distribution, severity of toxicity index, and structural classification. These studies yielded results that could be helpful in assessing the toxicity of new chemicals. It is suggested that provisions be made to include chemical structural information in the PAC database.

  15. Condylar disk plication for temporomandibular joint internal derangement treatment: surgical technique and results.

    PubMed

    Vasconcelos, Belmiro Cavalcanti do Egito; Porto, Gabriela Granja; Bessa-Nogueira, Ricardo Viana

    2005-07-01

    To report six cases submitted to the TMJ condylar disk plication technique. All patients presented a limitation of mandibular movements, severe pain and failure of previous clinical treatment. A definitive diagnosis of irreducible anterior disk displacement was made by MRI (Magnetic Resonance Imaging). Clinical evaluation consisted of the following: measurement of maximal mouth opening, movement to the left and right and protusion; presence of deviation during mouth opening; clicking during mouth opening or closing; presence of pain and personal satisfaction following surgery. While all patients had preoperative pain, only one had severe pain; in the others, the pain was less intense at the end of the period of follow-up. Stomatognatic function was improved and has been maintained since the conclusion of this study. On the basis of the follow-up of these patients, the proposed technique proved to be effective for disk stabilization, leading to a decrease in pain and an improvement in mandibular movements.

  16. CFD Simulations of Joint Urban Atmospheric Dispersion Field Study

    SciTech Connect

    Lee, R; Humphreys III, T; Chan, S

    2004-06-17

    The application of Computational Fluid Dynamics (CFD) to the understanding of urban wind flow and dispersion processes has gained increasing attention over recent years. While many of the simpler dispersion models are based on a set of prescribed meteorology to calculate dispersion, the CFD approach has the ability of coupling the wind field to dispersion processes. This has distinct advantages when very detailed results are required, such as for the case where the releases occur around buildings and within urban areas. CFD also has great flexibility as a testbed for turbulence models, which has important implications for atmospheric dispersion problems. In the spring of 2003, a series of dispersion field experiments (Joint Urban 2003) were conducted at Oklahoma City (Allwine, et. al, 2004). These experiments were complimentary to the URBAN 2000 field studies at Salt Lake City (Shinn, et. al, 2000) in that they will provide a second set of comprehensive field data for evaluation of CFD as well as for other dispersion models. In contrast to the URBAN 2000 experiments that were conducted entirely at night, these new field studies took place during both daytime and nighttime thus including the possibility of convective as well as stable atmospheric conditions. Initially several CFD modeling studies were performed to provide guidance for the experimental team in the selection of release sites and in the deployment of wind and concentration sensors. Also, while meteorological and concentration measurements were taken over the greater Oklahoma City urban area, our CFD calculations were focused on the near field of the release point. The proximity of the source to a large commercial building and to the neighboring buildings several of which have multistories, present a significant challenge even for CFD calculations involving grid resolutions as fine as 1 meter. A total of 10 Intensive Observations Periods (IOP's) were conducted within the 2003 field experiments. SF6

  17. Experimental Study on Failure Mechanism of Single Lap-shear Bond Joint with Dissimilar Materials

    NASA Astrophysics Data System (ADS)

    Chung, S. H.; Park, B. C.; Chun, H. J.; Park, J. C.

    2017-05-01

    The use of bond joints has increased recently, owing to a number of advantages they have over mechanical fasteners. However, most relevant studies have focused on bond joints with the same adherends. In this study, a quasi-static tensile test was conducted to investigate the failure mechanism of bond joints, considering different overlap lengths and dissimilar adherends. In the experiments, two modes of failure were observed: the interfacial and cohesive failure modes. The experiments showed that the length of separation of an overlap area through the interfacial failure was almost the same for different specimens.

  18. Joint document concerning geological studies from 1971 - 1975

    NASA Technical Reports Server (NTRS)

    1977-01-01

    In 1971, a joint Soviet-Americam Working Group on Remote Sensing of the Natural Environment was established. It was organized into a number of discipline panels, one of which was on geology. Membership on this panel came from the Geological Survey of the United States and from the Institute of Geology of the U.S.S.R. Academy of Sciences and Ministry Geology of the U.S.S.R.. During the period 1971-1975, this panel conducted coordinated research in the use of space remote sensing data in the field of geology. A summary of that coordinated research effort is presented.

  19. Triangular Titanium Implants for Minimally Invasive Sacroiliac Joint Fusion: A Prospective Study

    PubMed Central

    Duhon, Bradley S.; Cher, Daniel J.; Wine, Kathryn D.; Kovalsky, Don A.; Lockstadt, Harry

    2015-01-01

    Study Design Prospective multicenter single-arm interventional clinical trial. Objective To determine the degree of improvement in sacroiliac (SI) joint pain, disability related to SI joint pain, and quality of life in patients with SI joint dysfunction who undergo minimally invasive SI joint fusion using triangular-shaped titanium implants. Methods Subjects (n = 172) underwent minimally invasive SI joint fusion between August 2012 and January 2014 and completed structured assessments preoperatively and at 1, 3, 6, and 12 months postoperatively, including a 100-mm SI joint and back pain visual analog scale (VAS), Oswestry Disability Index (ODI), Short Form-36 (SF-36), and EuroQOL-5D. Patient satisfaction with surgery was assessed at 6 and 12 months. Results Mean SI joint pain improved from 79.8 at baseline to 30.0 and 30.4 at 6 and 12 months, respectively (mean improvements of 49.9 and 49.1 points, p < 0.0001 each). Mean ODI improved from 55.2 at baseline to 32.5 and 31.4 at 6 and 12 months (improvements of 22.7 and 23.9 points, p < 0.0001 each). SF-36 physical component summary improved from 31.7 at baseline to 40.2 and 40.3 at 6 and 12 months (p < 0.0001). At 6 and 12 months, 93 and 87% of subjects, respectively, were somewhat or very satisfied and 92 and 91%, respectively, would have the procedure again. Conclusions Minimally invasive SI joint fusion resulted in improvement of pain, disability, and quality of life in patients with SI joint dysfunction due to degenerative sacroiliitis and SI joint disruption. PMID:27099817

  20. Triangular Titanium Implants for Minimally Invasive Sacroiliac Joint Fusion: A Prospective Study.

    PubMed

    Duhon, Bradley S; Cher, Daniel J; Wine, Kathryn D; Kovalsky, Don A; Lockstadt, Harry

    2016-05-01

    Study Design Prospective multicenter single-arm interventional clinical trial. Objective To determine the degree of improvement in sacroiliac (SI) joint pain, disability related to SI joint pain, and quality of life in patients with SI joint dysfunction who undergo minimally invasive SI joint fusion using triangular-shaped titanium implants. Methods Subjects (n = 172) underwent minimally invasive SI joint fusion between August 2012 and January 2014 and completed structured assessments preoperatively and at 1, 3, 6, and 12 months postoperatively, including a 100-mm SI joint and back pain visual analog scale (VAS), Oswestry Disability Index (ODI), Short Form-36 (SF-36), and EuroQOL-5D. Patient satisfaction with surgery was assessed at 6 and 12 months. Results Mean SI joint pain improved from 79.8 at baseline to 30.0 and 30.4 at 6 and 12 months, respectively (mean improvements of 49.9 and 49.1 points, p < 0.0001 each). Mean ODI improved from 55.2 at baseline to 32.5 and 31.4 at 6 and 12 months (improvements of 22.7 and 23.9 points, p < 0.0001 each). SF-36 physical component summary improved from 31.7 at baseline to 40.2 and 40.3 at 6 and 12 months (p < 0.0001). At 6 and 12 months, 93 and 87% of subjects, respectively, were somewhat or very satisfied and 92 and 91%, respectively, would have the procedure again. Conclusions Minimally invasive SI joint fusion resulted in improvement of pain, disability, and quality of life in patients with SI joint dysfunction due to degenerative sacroiliitis and SI joint disruption.

  1. A Global Study of International Teacher Recruitment

    ERIC Educational Resources Information Center

    Cox, Dale S.

    2012-01-01

    International teacher recruiting is a complex, high stakes process that is crucial to schools' success. Competition for teachers is intensifying as the number of international schools increases globally. The number of international schools has more than doubled in recent years. With candidates and schools scattered throughout the world,…

  2. An Exploratory Study on International Students' Study Anxiety

    ERIC Educational Resources Information Center

    Khoshlessan, Rezvan; El-Houbi, Ashraf

    2015-01-01

    This study examines international students' study anxiety in a mid-sized university in Southeast Texas comparing their existing study anxiety along lines of nationality, gender, age, major, degree, and stage of education. It focuses on the students' perceptions and the dominant goal of this research was to investigate whether there is a…

  3. Joint bleeds in von Willebrand disease patients have significant impact on quality of life and joint integrity: a cross-sectional study.

    PubMed

    van Galen, K P M; Sanders, Y V; Vojinovic, U; Eikenboom, J; Cnossen, M H; Schutgens, R E G; van der Bom, J G; Fijnvandraat, K; Laros-Van Gorkom, B A P; Meijer, K; Leebeek, F W G; Mauser-Bunschoten, E P

    2015-05-01

    Joint bleeds (JB) are reported in a minority of patients with von Willebrand disease (VWD) but may lead to structural joint damage. Prevalence, severity and impact of JB in VWD are largely unknown. The aim of this study was to assess JB prevalence, onset, treatment and impact on health-related quality of life (HR-QoL) and joint integrity in moderate and severe VWD. In the Willebrand in the Netherlands study 804 moderate and severe VWD patients [von Willebrand factor (VWF) activity ≤30U dL(-1)] completed a questionnaire on occurrence, sites and consequences of JB. To analyse JB number, onset, treatment and impact on joint integrity we additionally performed a patient-control study on medical file data comparing patients with JB to age, gender, factor VIII (FVIII)- and VWF activity matched VWD patients without JB. Of all VWD patients 23% (184/804) self-reported JB. These 184 patients reported joint damage more often (54% vs. 18%, P < 0.001) and had lower HR-QoL (SF36, P < 0.05) compared to VWD patients not reporting JB. Of 55 patients with available JB data, 65% had the first JB before age 16. These 55 patients used more clotting factor concentrate (CFC; median dose 43 vs. 0 IE FVIII kg(-1) year(-1) , P < 0.001), more often had X-ray joint damage (44% vs. 11%, P = 0.001] and chronic joint pain (44% vs. 18%, P = 0.008) compared to 55 control VWD patients without JB. In conclusion, joint bleeds are reported by 23% of moderate and severe VWD patients, mostly start in childhood, are associated with more CFC use, joint pain, lower HR-QoL and significantly more radiological and self-reported joint damage. © 2015 John Wiley & Sons Ltd.

  4. 2012 Joint Varenna-Lausanne International Workshop on the theory of fusion plasmas (Varenna, Italy, 27-31 August 2012)

    NASA Astrophysics Data System (ADS)

    Gabet, Xavier; Sauter, Olivier

    2013-07-01

    The 2012 Joint Varenna-Lausanne International Workshop on the theory of fusion plasmas was very fruitful. A broad variety of topics was addressed, covering turbulence, magnetohydrodynamics (MHD), edge physics, and radio frequency (RF) wave heating. Moreover, the scope of the meeting was extended this year to include the physics of materials and diagnostics for burning plasmas. This evolution reflects the complexity of problems at hand in fusion, some of them triggered by the construction of ITER and JT-60SA. Long-standing problems without immediate consequences have sometimes become an urgent matter in that context. One may refer to, for instance, the choice of plasma facing components or the design of control systems. Another characteristic of these workshops is the interplay between various domains of plasma physics. For instance, MHD modes are currently investigated with gyrokinetic codes, kinetic effects are included in MHD stability analysis more and more, and turbulence is now accounted for in wave propagation problems. This is proof of cross-fertilization and is certainly a healthy sign for our community. Finally, introducing some novelty in the programme does not prevent from us respecting old traditions. As usual, many presentations were dedicated to numerical simulations. Combining advanced numerical techniques with elaborated analytical theory is certainly a trademark of the Varenna-Lausanne Workshop, which was respected again this year. The quality and size of the scientific output from this workshop is shown in this special issue of Plasma Physics and Controlled Fusion; a further 26 papers have already appeared in Journal of Physics: Conference Series in December 2012. We hope the readers will enjoy this special issue, and find therein knowledge and inspiration.

  5. A study of failure in bonded lap joints using fracture mechanics

    NASA Astrophysics Data System (ADS)

    Qian, Haiyang

    Although adhesively bonded lap joint has already been widely applied in structures, the strength prediction of the joint is still a challenge. Among many parameters which affect the failure load of the lap joint, the adhesive layer thickness is a very important one. In this study, fracture mechanics is used to analyze the failure mechanism of the lap joint and evaluate the thickness effect on strength of the lap joint. Generally, the adhesive material is softer than the substrates and the crack in the adhesive layer is constrained by the rigid boundaries. The stress field is changed due to the effect of the rigid boundaries. For linear elastic material, the K-Dominance zone is highly reduced and the traditional constant stress intensity factor prediction over-predicts the failure load of the specimens. Constant effective fracture toughness is proposed for better strength prediction by considering of the non-singular stress term ahead of the crack tip. For elastic-plastic material, CTOA is proven to be insensitive to the constraining of the rigid boundaries and can be used as the failure criterion for fracture analysis. Both experimental and FEA simulation show that constant CTOA criterion well predicts the adhesive thickness effect on strength of the DCB specimens for mode I fracture failure. The failure initiation mode of single lap joint is analyzed and the constant CTOA criterion is also proven to be capable to prediction the strength of single lap joint.

  6. Metatarsophalangeal joint pain in psoriatic arthritis: a cross-sectional study.

    PubMed

    Turner, Deborah E; Hyslop, Elaine; Barn, Ruth; McInnes, Iain B; Steultjens, Martijn P M; Woodburn, James

    2014-04-01

    The aim of this study was to identify independent predictors of pain at the MTP joints in patients with PsA. Thirty-four consecutive patients with PsA (mean age 45.3 years, 65% female, mean disease duration 9.9 years) and 22 control participants (mean age 37.9 years, 64% female) underwent clinical and US examination to determine the presence of pain, swelling, synovitis, erosions, effusions and submetatarsal bursae at the MTP joints. Mean barefoot peak plantar pressures were determined at each MTP joint. Levels of pain, US-determined pathology and peak pressures were compared between groups. Binary logistic regression was used to identify demographic, clinical examination-derived, US-derived and plantar pressure predictors of pain at the MTP joints in the PsA group. The presence of pain, deformity, synovitis, erosions (P < 0.001) and submetatarsal bursae and peak plantar pressure at MTP 3 (P < 0.05) were significantly higher in the PsA group. MTP joint pain in PsA was independently predicted by high BMI, female gender and the presence of joint subluxation, synovitis and erosion. These results suggest local inflammatory and structural factors, together with systemic factors (gender, BMI), are predominantly responsible for painful MTP joints in PsA, with no clear role for plantar pressure characteristics.

  7. Vortical flow in human elbow joints: a three-dimensional computed tomography modeling study.

    PubMed

    Adikrishna, Arnold; Kekatpure, Aashay L; Tan, Jun; Lee, Hyun-Joo; Deslivia, Maria Florencia; Jeon, In-Ho

    2014-10-01

    The human elbow joint has been regarded as a loose hinge joint, with a unique helical motion of the axis during extension-flexion. This study was designed to identify the helical axis in the ulnohumeral joint during elbow extension-flexion by tracking the midpoint between the coronoid tip and the olecranon tip of the proximal ulna in a three-dimensional (3D) computed tomography (CT) image model. The elbows of four volunteers were CT-scanned at four flexion angles (0°, 45°, 90°, and 130°) at neutral rotation with a custom-made holding device to control any motion during scanning. Three-dimensional models of each elbow were reconstructed and a 3D ulnohumeral joint at 45°, 90°, and 130° was superimposed onto a fully extended joint (0°) by rotating and translating each 3D ulnohumeral joint along the axes. The midpoints of the olecranon and coronoid tips were interpolated using cubic spline technique and the dynamic elbow motion was plotted to determine the motion of the helical axis. The means and standard deviations were subsequently calculated. The average midpoint pattern of joint motion from extension to flexion was elliptical-orbit-like when projected onto a sagittal plane and continuously translated a mean 2.14 ± 0.34 mm (range, 1.83-2.52 mm) to the lateral side during elbow extension-flexion. In 3D space, the average midpoint pattern of the ulnohumeral joint resembles a vortical flow, spinning along an imaginary axis, with an inconsistent radius from 0° to 130° flexion. The ulnohumeral joint axis both rotates and translates during elbow extension-flexion, with a vortex-flow motion occurring during flexion in 3D model analysis. This motion should be considered when performing hinged external fixation, total elbow replacement and medial collateral ligament reconstruction surgery. © 2014 Anatomical Society.

  8. A Study of Microstructure and Mechanical Properties of Thick Welded Joints of a Cr - Mo Steel

    NASA Astrophysics Data System (ADS)

    Lee, I. Kon; Chien, Yi Cheng

    2015-07-01

    The effect of stress-relieving tempering on the mechanical properties of a welded joint of a high-strength low-alloy steel SAE 4130 (0.3% C - 1% Cr - 0.25% Mo) obtained by multipass arc welding with nonconsumable electrode is studied. The steel is quenched and tempered before the welding. An optimum tempering mode providing a good combination of the characteristics of strength, ductility and toughness of the welded joint is suggested.

  9. An International Study of Research Misconduct Policies

    PubMed Central

    Resnik, David B.; Rasmussen, Lisa M.; Kissling, Grace E.

    2015-01-01

    Research misconduct is an international concern. Misconduct policies can play a crucial role in preventing and policing research misconduct, and many institutions have developed their own policies. While institutional policies play a key role in preventing and policing misconduct, national policies are also important to ensure consistent promulgation and enforcement of ethical standards. The purpose of this study was to obtain more information about research misconduct policies across the globe. We found that twenty-two of the top forty research and development funding countries (55%) had a national misconduct policy. Four countries (18.2%) are in the process of developing a policy, and four (18.2%) have a national research ethics code but no misconduct policy. All twenty-two countries (100%) with national policies included fabrication, falsification, and plagiarism in the definition of misconduct, but beyond that there was considerable diversity. Unethical authorship was mentioned in 54.6% of the misconduct definitions, followed by unethical publication practices (36.4%), conflict of interest mismanagement (36.4%), unethical peer review (31.8%), misconduct related to misconduct investigations (27.3%), poor record keeping (27.3%), other deception (27.3%), serious deviations (22.7%), violating confidentiality (22.7%), and human or animal research violations (22.7%). Having a national policy was positively associated with research and development funding ranking and intensiveness. To promote integrity in international research collaborations, countries should seek to harmonize and clarify misconduct definitions and develop procedures for adjudicating conflicts when harmonization does not occur. PMID:25928177

  10. An international study of research misconduct policies.

    PubMed

    Resnik, David B; Rasmussen, Lisa M; Kissling, Grace E

    2015-01-01

    Research misconduct is an international concern. Misconduct policies can play a crucial role in preventing and policing research misconduct, and many institutions have developed their own policies. While institutional policies play a key role in preventing and policing misconduct, national policies are also important to ensure consistent promulgation and enforcement of ethical standards. The purpose of this study was to obtain more information about research misconduct policies across the globe. We found that twenty-two of the top forty research and development funding countries (55%) had a national misconduct policy. Four countries (18.2%) are in the process of developing a policy, and four (18.2%) have a national research ethics code but no misconduct policy. All twenty-two countries (100%) with national policies included fabrication, falsification, and plagiarism in the definition of misconduct, but beyond that there was considerable diversity. Unethical authorship was mentioned in 54.6% of the misconduct definitions, followed by unethical publication practices (36.4%), conflict of interest mismanagement (36.4%), unethical peer review (31.8%), misconduct related to misconduct investigations (27.3%), poor record keeping (27.3%), other deception (27.3%), serious deviations (22.7%), violating confidentiality (22.7%), and human or animal research violations (22.7%). Having a national policy was positively associated with research and development funding ranking and intensiveness. To promote integrity in international research collaborations, countries should seek to harmonize and clarify misconduct definitions and develop procedures for adjudicating conflicts when harmonization does not occur.

  11. International Infantry and Joint Services Small Arms Systems Section Symposium, Exhibition and Firing Demonstration. Held in Atlantic City, NJ on 13-16 May 2002. Volume 1

    DTIC Science & Technology

    2002-05-13

    Infantry & Joint Services Small Arms Section Symposium 2 II MEF 9 I MEF 8 III MEF 3Guantanimo Bay, Cuba 1 PMO Camp Lejuene 1PMO Camp Pendleton 1 MCSF...common kinetic energy test criteria for 12-GA non-lethal munitions • Conduct commercial feasibility studies for cycling non-lethal rounds semi...automatically through the joint service combat shotgun • Conduct in-house research to complement commercial findings Project Objectives • Define non-lethal

  12. The impact of transferred vascularized toe joint length on motion arc of reconstructed finger proximal interphalangeal joints: a cadaveric study.

    PubMed

    Hsu, Chung-Chen; Loh, Charles Yuen Yung; Kao, Dennis; Moran, Steven L; Lin, Yu-Te

    2017-10-01

    Vascularized toe joint transfer for finger proximal interphalangeal joint reconstruction can result in sub-optimal arc of motion and extension lag due to inappropriate intercalated bony segment length. We investigated the impact of intercalated segment length on passive arc of motion and extension lag of the reconstructed proximal interphalangeal joint. Cadaveric intercalated joint grafts were harvested from lesser toes and transferred to cadaveric fingers. The pre-determined finger proximal interphalangeal joint defect size was 2 cm. Three different intercalated segment lengths were inserted and resulting proximal interphalangeal joint arc of motion and extension lag were measured. The average arc of motion of finger proximal interphalangeal joints was 81° and 54° for toe proximal interphalangeal joints. Long intercalated segments had an average arc of motion of 30° with 32° extension lag. Equal-length intercalated segments had an average 49° arc of motion with 15° extension lag. Short intercalated segments had an average arc of motion of 71° with 8° extension lag. Shorter intercalated segments provide the greatest reduction in extension lag.

  13. Heritage Oak School: From Obscurity to International Recognition--A Historical Case Study in Participatory School Facility Planning.

    ERIC Educational Resources Information Center

    Lee, Kelvin K.

    The Heritage Oak Elementary School in Dry Creek Joint Elementary School received the 1994 James D. Mac Connell Award from the Council of Educational Facilities Planners International. This case study describes the planning and design process. It discusses the rapid residential growth that initiated the school planning process to reconfigure the…

  14. The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications

    PubMed Central

    Caradonna, Carola; Caradonna, Domenico; Anastasi, Giuseppe; Milardi, Demetrio; Favaloro, Angelo; De Pietro, Anita; Angileri, Tommaso Maurizio; Caradonna, Luigi; Cutroneo, Giuseppina

    2013-01-01

    Purpose The aim of this study was to analyze three-dimensional images of the arterial supply to the temporomandibular joint. Materials and Methods Ten patients (five men and five women, mean age 36 years) without signs or symptoms of temporomandibular disorders, who underwent contrast-enhanced computed tomographic (CT) scanning with intravenous contrast, were studied. The direct volume rendering technique of CT images was used, and a data set of images to visualize the vasculature of the human temporomandibular joint in three dimensions was created. After elaboration of the data through post-processing, the arterial supply of the temporomandibular joint was studied. Results The analysis revealed the superficial temporal artery, the anterior tympanic artery, the deep temporal artery, the auricular posterior artery, the transverse facial artery, the middle meningeal artery, and the maxillary artery with their branches as the main arterial sources for the lateral and medial temporomandibular joint. Conclusion The direct volume rendering technique was found to be successful in the assessment of the arterial supply to the temporomandibular joint. The superficial temporal artery and maxillary artery ran along the lateral and medial sides of the condylar neck, suggesting that these arteries are at increased risk during soft-tissue procedures such as an elective arthroplasty of the temporomandibular joint. PMID:23525363

  15. A comparative evaluation of the Adaptive knee and Catech knee joints: a preliminary study.

    PubMed

    Jepson, F; Datta, D; Harris, I; Heller, B; Howitt, J; McLean, J

    2008-03-01

    The Adaptive knee joint is a microprocessor-controlled prosthetic knee that incorporates both pneumatic and hydraulic control in one electronic unit. Pneumatic control is said to provide control during swing phase and the hydraulic control during the stance phase of the gait. This hybrid controller is triggered by a computer contained within the knee that responds to input from force, time and angle sensors. The microprocessor then selects an appropriate speed and stability setting. The Catech knee joint is a conventional hydraulic knee joint. The aim of this study was to compare the Adaptive and Catech knee joints in established trans-femoral amputees. The patients meeting the inclusion criteria were all established trans-femoral amputees using the Catech knee joint. The study was carried out by performing gait analysis, assessing energy requirements using the Physiological Cost Index (PCI) and using questionnaires. There was no significant benefit gained from the use of the Adaptive knee over the Catech knee joint in our small study group.

  16. Using Post-Study-Abroad Experiences to Enhance International Study

    ERIC Educational Resources Information Center

    Dean, Kevin W.; Jendzurski, Michael B.

    2013-01-01

    Many study abroad experiences offer opportunities for a broadened global perspective gleaned from interpersonal engagement with cultural others in an international setting. Unfortunately, and far too often, the campus majority who do not have this firsthand travel experience remain disengaged and might feel excluded. This article contends that…

  17. Atypical prefrontal cortical responses to joint/non-joint attention in children with autism spectrum disorder (ASD): A functional near-infrared spectroscopy study

    PubMed Central

    Zhu, Huilin; Li, Jun; Fan, Yuebo; Li, Xinge; Huang, Dan; He, Sailing

    2015-01-01

    Autism spectrum disorder (ASD) is a neuro-developmental disorder, characterized by impairments in one’s capacity for joint attention. In this study, functional near-infrared spectroscopy (fNIRS) was applied to study the differences in activation and functional connectivity in the prefrontal cortex between children with autism spectrum disorder (ASD) and typically developing (TD) children. 21 ASD and 20 TD children were recruited to perform joint and non-joint attention tasks. Compared with TD children, children with ASD showed reduced activation and atypical functional connectivity pattern in the prefrontal cortex during joint attention. The atypical development of left prefrontal cortex might play an important role in social cognition defects of children with ASD. PMID:25798296

  18. Crimping of collagen in the intra-articular disc of the temporomandibular joint: a comparative study.

    PubMed

    Berkovitz, B K

    2000-07-01

    Very occasional reference is made to the presence of collagen crimps in the fibre bundles of the intra-articular disc (IAD) of the temporomandibular joint (TMJ). As the crimp structure may confer important biomechanical properties on the IAD, the present study was undertaken to determine its distribution in a variety of mammals, including humans. IADs from the rat, rabbit, guinea pig, ferret, sheep, marmoset and human were either sectioned or examined as whole mount preparations with polarized light. Apart from the guinea pig, where fibre bundles in the central region of the disc showed considerable overlap and masking of the crimp structure, the anteroposterior aligned fibres in the central region of all remaining animals showed the conspicuous presence of crimps. The periodicity of the crimp distance varied between about 10 and 30 microm. There was variation of the crimp periodicity between animals and between regions of the same disc. The crimping was associated with undulations along the length of the collagen fibres visible at the light microscope level using routine staining. The possible significance of crimping in association with internal derangement is discussed.

  19. Stability of acute dorsal fracture dislocations of the proximal interphalangeal joint: a biomechanical study.

    PubMed

    Tyser, Andrew R; Tsai, Michael A; Parks, Brent G; Means, Kenneth R

    2014-01-01

    We performed a cadaveric biomechanical study to characterize proximal interphalangeal joint stability after an injury to different amounts of the volar articular base of the middle phalanx (intact, 20%, 40%, 60%, and 80% volar defects). Eighteen digits on 6 hands were tested through full proximal interphalangeal joint range of motion using computer-controlled flexion and extension via the digital tendons. We collected proximal interphalangeal joint kinematic cine data in a true lateral projection with mini-fluoroscopy. We measured the amount of dorsal middle phalanx translation in full proximal interphalangeal joint extension. As we cycled the joint from full flexion into extension, we recorded the angle at which subluxation occurred. No specimens with 20% volar bony defect subluxated. All specimens in the 60% and 80% groups subluxated at an average flexion angle of 67° (range, 10° to 90°) in the 60% group and at all degrees of flexion in the 80% group. In the 40% group, 28% of specimens demonstrated subluxation at an average flexion angle of 14° (range, 4° to 40°). Mean dorsal translation of the middle phalanx in relation to the proximal phalanx at full digital extension was 0.2 mm in the 20% group, 0.8 mm in the 40% group, 3.2 mm in the 60% group, and 3.1 mm in the 80% group. Simulated volar articular bony defects of 20% were stable, whereas those with 60% and 80% defects were unstable during digital motion. Stability in the 40% group was variable and appeared to be the threshold for stability. Knowledge of the typical amount of middle phalanx defect and degree of proximal interphalangeal joint extension that can lead to joint instability may improve management of mechanically important proximal interphalangeal joint fracture dislocations. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  20. Is sacroiliac joint pain associated with changes in the pubic symphysis? A radiographic pilot study.

    PubMed

    Becker, Stephan; Capobianco, Robyn; Seita, Marco

    2015-07-01

    Disorders of the sacroiliac joint are challenging to diagnose. This is partially due to similarity in symptom presentation to other lumbar spinal disorders and poor visibility of the joint on imaging studies. The pubic symphysis is clearly visualized in the anteroposterior view on plain film radiographs. As a closed ring, changes in the anterior and posterior portion of the pelvis may be reciprocal. The purpose of this study was to assess the correlation between pubic symphyseal changes observed on X-ray and SI joint disorders. Thirty patients with a confirmed diagnosis of SI joint disorders were compared with 30 patients with low back pain without the evidence of SI joint involvement. Plain film radiographs were blinded and independently reviewed by two orthopedic surgeons. Changes in the pubic symphysis were classified as (0) no change, (1) osteoarthritic degeneration, (2) vertical displacement, or (3) ligament ossification. There was no significant difference between groups in age, gender, or parturition status. The majority of both groups were female. Mean (±SD) subject age was 61 (±11) and 59 (±9) years, and parity was 44% and 39% for the study and control groups, respectively. The prevalence of observable changes in the pubic symphysis was 97% in the study group and 30% in the control group (p < 0.001). Results of this study suggest that pubic symphyseal changes in the presence of low back pain and positive provocative maneuvers could serve as a marker for SI joint disease. Further investigation of the potential relationship between SI joint symptoms and symphyseal changes should be examined.

  1. Lumbar juxta-facet joint cysts in association with facet joint orientation, -tropism and -arthritis: A case-control study.

    PubMed

    Ening, Genevieve; Kowoll, Annika; Stricker, Ingo; Schmieder, Kirsten; Brenke, Christopher

    2015-12-01

    To assess the association between juxta-facet-joint cysts (JFC) occurrence at the lumbar spine and Facet Joint (FJ) orientation, -tropism and -arthritis. Study group, 36 consecutive patients with JFC and the same number of controls, with degenerative diseases without JFC were match paired for demographics and spine segment. Parameter assessment was by T2-weighted axial MRI scans. JFC diagnosis was confirmed histopathologically. Group comparison was by Student's t-test for continuous variables and X(2) for categorical variables. Nineteen female and 17 male patients, aged between 45 and 85 years (mean 67.19 ± 10.3 years) had a mean JFC size of 9.26 ± 4.8mm occurring most frequently in the segment L4-L5 (75% n=25) and on the left side (61%). Mean FJ orientation of the study group was significantly more coronal compared to controls (left side 42° vs 36°, p<0.02*, 95% confidence interval: 0.9-11.5 and right side 43° vs 37°, p<0.02*, 95% confidence interval: 0.6-10.6 respectively). However, individual intersegmental analysis for study group patients showed the JFC bearing side to be significantly more sagittally oriented 40° ± 11.2° compared to 45° ± 13.2° for the side without FJC (p<0.03*, 95% confidence interval: 8.1-1.7). 50% of the study group showed FJ asymmetry compared to 30% in controls, with a trend for FJ tropism (p<0.07). Severe (grade 3) FJ arthritis was significantly more predominant in the study group 23/33 (p<0.001*) as compared to controls. Compared to a control group, JFC occurrence is associated with significant higher rates of arthritis and coronally orientated FJ. At intersegment comparison within the same patient cysts located in more sagittally orientated FJ and the asymmetric segments show a trend for FJ tropism. Copyright © 2015 Elsevier B.V. All rights reserved.

  2. International Society for Traumatic Stress Studies

    MedlinePlus

    ... in Trauma Research Research Resources and Links Trauma Research Methods Trauma Blog Search White Papers A Public Health Approach to Trauma Membership Join ISTSS New Member ... & Events Public Resources About ISTSS International ...

  3. Joint attention difficulties in autistic adults: An interactive eye-tracking study.

    PubMed

    Caruana, Nathan; Stieglitz Ham, Heidi; Brock, Jon; Woolgar, Alexandra; Kloth, Nadine; Palermo, Romina; McArthur, Genevieve

    2017-04-01

    Joint attention - the ability to coordinate attention with a social partner - is critical for social communication, learning and the regulation of interpersonal relationships. Infants and young children with autism demonstrate impairments in both initiating and responding to joint attention bids in naturalistic settings. However, little is known about joint attention abilities in adults with autism. Here, we tested 17 autistic adults and 17 age- and nonverbal intelligence quotient-matched controls using an interactive eye-tracking paradigm in which participants initiated and responded to joint attention bids with an on-screen avatar. Compared to control participants, autistic adults completed fewer trials successfully. They were also slower to respond to joint attention bids in the first block of testing but performed as well as controls in the second block. There were no group differences in responding to spatial cues on a non-social task with similar attention and oculomotor demands. These experimental results were mirrored in the subjective reports given by participants, with some commenting that they initially found it challenging to communicate using eye gaze, but were able to develop strategies that allowed them to achieve joint attention. Our study indicates that for many autistic individuals, subtle difficulties using eye-gaze information persist well into adulthood.

  4. Experimental Study of the Compression Response of Fluted-Core Composite Panels with Joints

    NASA Technical Reports Server (NTRS)

    Schultz, Marc R.; Rose, Cheryl A.; Guzman, J. Carlos; McCarville, Douglas; Hilburger, Mark W.

    2012-01-01

    Fluted-core sandwich composites consist of integral angled web members spaced between laminate face sheets, and may have the potential to provide benefits over traditional sandwich composites for certain aerospace applications. However, fabrication of large autoclave-cured fluted-core cylindrical shells with existing autoclaves will require that the shells be fabricated in segments, and joined longitudinally to form a complete barrel. Two different longitudinal fluted-core joint designs were considered experimentally in this study. In particular, jointed fluted-core-composite panels were tested in longitudinal compression because longitudinal compression is the primary loading condition in dry launch-vehicle barrel sections. One of the joint designs performed well in comparison with unjointed test articles, and the other joint design failed at loads approximately 14% lower than unjointed test articles. The compression-after-impact (CAI) performance of jointed fluted-core composites was also investigated by testing test articles that had been subjected to 6 ft-lb impacts. It was found that such impacts reduced the load-carrying capability by 9% to 40%. This reduction is dependent on the joint concept, component flute size, and facesheet thickness.

  5. Geometric focusing of internal waves: Experimental study

    NASA Astrophysics Data System (ADS)

    Shmakova, Natalia; Ermanyuk, Evgeny; Voisin, Bruno; Flór, Jan-Bert

    2015-11-01

    Mixing of the abyssal ocean plays a decisive role in large-scale ocean circulation and is believed to be caused by the nonlinear breaking of internal tides. Previous studies of two- and three-dimensional cases considered the generation of diverging waves by simple oscillating bodies such as a cylinder (e.g. Mowbray and Rarity 1967) or a sphere (e.g. King et al. 2009, Ermanyuk et al. 2011). We here consider converging waves as generated by a horizontally oscillating torus. The energy focuses and therefore the waves are more susceptible to overturning and breaking. LIF and PIV techniques are used to measure respectively the isopycnal displacement and the velocity. We have considered linear and nonlinear wave generation as a function of the Keulegan-Carpenter number, here adapted to the focusing waves. For small oscillation amplitude strong velocity amplification is observed in the focal zone, consistent with linear theory. Increasing the oscillation amplitude causes nonlinear effects and in particular the generation of higher harmonics and overturning in the focal zone. In addition, the focal zone acts as a wave source. Increase of the Stokes and Reynolds numbers leads to wave turbulence in the focal zone. Supported by LabEx Osug@2020 (Investissements d'avenir - ANR10LABX56).

  6. Pilot study of the short-term effects of range-of-motion exercise for the temporomandibular joint in patients with temporomandibular joint disc displacement without reduction

    PubMed Central

    Sakuma, Shigemitsu; Yamaguchi, Yoshihiro; Taguchi, Nozomu; Ogi, Nobumi; Kurita, Kenichi; Ito, Yutaka

    2017-01-01

    [Purpose] This study investigated the effectiveness of a short-term exercise program combining range-of-motion exercise for the temporomandibular joint and self-traction therapy in patients with temporomandibular joint disc displacement without reduction. [Subjects and Methods] The study participants comprised 36 females with jaw trismus and moderate to severe functional pain. The range-of-motion exercise for the temporomandibular joint was performed at the first visit by the therapist, and the patients were instructed to perform self-traction therapy in the morning and during daily bathing until the next visit 2 weeks later. Maximum mouth opening distance and the visual analogue scale score were used to compare pain on motion and mastication as well as the impact of the program on daily activities at the first consultation and 2 weeks later. [Results] All symptoms were significantly improved after 2 weeks of treatment. [Conclusion] A program that combines exercise for the temporomandibular joint and self-traction therapy can improve range of motion at the joint in the short term and reduce pain and difficulty associated with daily activity in patients with temporomandibular joint disc displacement without reduction. The results of this study suggest that such a program can serve as an effective conservative treatment. PMID:28265156

  7. The Impact of Conflict on International Student Mobility: A Case Study of International Students Studying in Israel

    ERIC Educational Resources Information Center

    Ben-Tsur, Dalia

    2009-01-01

    This paper explores the impact of conflict on international student mobility. Through an examination of undergraduate, international students studying in Israel, this case study questions how and if a situation of ongoing violent conflict affects international student travel decisions to study in a host country. Contrary to assumptions of…

  8. Computer Simulation in the Teaching of Translation and International Studies.

    ERIC Educational Resources Information Center

    Brecht, Richard D.; And Others

    1984-01-01

    Describes the National Simulation in International Studies and Translation Program which links international studies and foreign languages programs at a number of universities. This program provides a natural context for the exercise of translation for the language student and an authenticity of experience for students of international politics.…

  9. Histological study of the human temporo-mandibular joint and its surrounding muscles.

    PubMed

    Bravetti, P; Membre, H; El Haddioui, A; Gérard, H; Fyard, J P; Mahler, P; Gaudy, J F

    2004-10-01

    This is a histological study of the human temporo-mandibular joint and its surrounding muscles. Using a microscopic study of serial sections from anatomical specimens from six subjects, the detailed anatomy of the joint is presented with particular regard to the histology. This study has allowed, in particular, the description of the ligaments and capsule as well as the insertions of the masticatory muscles (temporalis, masseter, lateral pterygoid) on this joint. These observations are then compared with the anatomical and histological data already reported on this subject. This study shows that the bulk of the muscular fibres of the lateral pterygoid passes under the foot of the disc is attached over the whole height of the condylar, unite and extend as far as the medial pole of the joint under the insertion of the articular disc. An insertion of the temporo-masseter musculo-tendinous complex on the anterior and lateral capsulo-discal structures was observed. The lateral pterygoid is composed of a succession of tendinous and fleshy fibres. This study confirms the thickening of the lateral capsule that corresponds to a lateral collateral ligament, and the absence of a medial collateral ligament. Medial stability is conferred by the lateral ligament of the contralateral joint.

  10. The Joint NSF/JISC International Digital Libraries Initiative [and] Personalized Information Environments: An Architecture for Customizable Access to Distributed Digital Libraries [and] A Report on the PEAK Experiment: Context and Design.

    ERIC Educational Resources Information Center

    Wiseman, Norman; Rusbridge, Chris; Griffin, Stephen M.; French, James C.; Viles, Charles L.; Bonn, Maria S.; Lougee, Wendy P.; MacKie-Mason, Jeffrey K.; Riveros, Juan F.

    1999-01-01

    Describes the joint NSF/JISC (National Science Foundation/UK Joint Information Systems Committee) International Digital Libraries Initiative. Discusses JISC funding criteria and procedures; personalized information environment (PIE), a conceptual architecture that allows unified, highly customizable access to distributed information resources; and…

  11. Internal NASA Study: NASAs Protoflight Research Initiative

    NASA Technical Reports Server (NTRS)

    Coan, Mary R.; Hirshorn, Steven R.; Moreland, Robert

    2015-01-01

    The NASA Protoflight Research Initiative is an internal NASA study conducted within the Office of the Chief Engineer to better understand the use of Protoflight within NASA. Extensive literature reviews and interviews with key NASA members with experience in both robotic and human spaceflight missions has resulted in three main conclusions and two observations. The first conclusion is that NASA's Protoflight method is not considered to be "prescriptive." The current policies and guidance allows each Program/Project to tailor the Protoflight approach to better meet their needs, goals and objectives. Second, Risk Management plays a key role in implementation of the Protoflight approach. Any deviations from full qualification will be based on the level of acceptable risk with guidance found in NPR 8705.4. Finally, over the past decade (2004 - 2014) only 6% of NASA's Protoflight missions and 6% of NASA's Full qualification missions experienced a publicly disclosed mission failure. In other words, the data indicates that the Protoflight approach, in and of it itself, does not increase the mission risk of in-flight failure. The first observation is that it would be beneficial to document the decision making process on the implementation and use of Protoflight. The second observation is that If a Project/Program chooses to use the Protoflight approach with relevant heritage, it is extremely important that the Program/Project Manager ensures that the current project's requirements falls within the heritage design, component, instrument and/or subsystem's requirements for both the planned and operational use, and that the documentation of the relevant heritage is comprehensive, sufficient and the decision well documented. To further benefit/inform this study, a recommendation to perform a deep dive into 30 missions with accessible data on their testing/verification methodology and decision process to research the differences between Protoflight and Full Qualification

  12. Biomechanical evaluation of native acromioclavicular joint ligaments and two reconstruction techniques in the presence of the sternoclavicular joint: A cadaver study.

    PubMed

    Masionis, Povilas; Šatkauskas, Igoris; Mikelevičius, Vytautas; Ryliškis, Sigitas; Bučinskas, Vytautas; Griškevičius, Julius; Martin Oliva, Xavier; Monzó Planella, Mariano; Porvaneckas, Narūnas; Uvarovas, Valentinas

    2017-01-01

    Where is over 100 reconstruction techniques described for acromioclavicular (AC) joint reconstruction. Although, it is not clear whether the presence of the sternoclavicular (SC) joint influences the biomechanical properties of native AC ligaments and reconstruction techniques. The purpose of the present study was to investigate the biomechanical properties of native AC joint ligaments and two reconstruction techniques in cadavers with the SC joint still present. We tested eight fresh-frozen cadaver hemithoraces for superior translation (70 N load) and translation increment after 1000 cycles (loading from 20 to 70 N) in a controlled laboratory study. There were three testing groups created: native ligaments, the single coracoclavicular loop (SCL) technique, and the two coracoclavicular loops (TCL) technique. Superior translation was measured after static loading. Translation increment was calculated as the difference between superior translation after cyclic and static loading. Native AC ligaments showed significantly lower translation than the SCL ( p = 0.023) and TCL ( p = 0.046) groups. The SCL had a significantly lower translation increment than native AC ligaments ( p = 0.028). There was no significant difference between reconstruction techniques in terms of translation ( p = 0.865) and translation increment ( p = 0.113). Native AC joint ligaments had better static properties than both reconstruction techniques and worse dynamic biomechanical properties than the SCL technique. The SCL technique appeared to be more secure than the TCL technique. The presence of the SC joint did not have an observable influence on test results.

  13. Assessment of ankle and hindfoot stability and joint pressures using a human cadaveric model of a large lateral talar process excision: a biomechanical study.

    PubMed

    Sands, Andrew; White, Charles; Blankstein, Michael; Zderic, Ivan; Wahl, Dieter; Ernst, Manuela; Windolf, Markus; Hagen, Jennifer E; Richards, R Geoff; Stoffel, Karl; Gueorguiev, Boyko

    2015-03-01

    Lateral talar process fragment excision may be followed by hindfoot instability and altered biomechanics. There is controversy regarding the ideal fragment size for internal fixation versus excision and a concern that excision of a large fragment may lead to significant instability. The aim of this study was to assess the effect of a simulated large lateral talar process excision on ankle and subtalar joint stability.A custom-made seesaw rig was designed to apply inversion/eversion stress loading on 7 fresh-frozen human cadaveric lower legs and investigate them in pre-excision, 5 cm and 10 cm lateral talar process fragment excision states. Anteroposterior radiographs were taken to assess ankle and subtalar joint tilt and calculate angular change from neutral hindfoot alignment to 10-kg forced inversion/eversion. Ankle joint pressures and contact areas were measured under 30-kg axial load in neutral hindfoot alignment.In comparison to the pre-excision state, no significantly different mediolateral angular change was observed in the subtalar joint after 5 and 10 cm lateral talar process fragment excision in inversion and eversion. With respect to the ankle joint, 10-cm fragment excision produced significantly bigger inversion tibiotalar tilt compared with the pre-excision state, P = .04. No significant change of the ankle joint pressure and contact area was detected after 5 and 10-cm excision in comparison with the pre-excison state.An excision of up to 10 cm of the lateral talar process does not cause a significant instability at the level of the subtalar joint but might be a destabilizing factor at the ankle joint under inversion stress. The latter could be related to extensive soft tissue dissection required for resection.

  14. Static and dynamic deflection studies of the SRM aft case-nozzle joint

    NASA Technical Reports Server (NTRS)

    Christian, David C.; Kos, Lawrence D.; Torres, Isaias

    1989-01-01

    The redesign of the joints on the solid rocket motor (SRM) has prompted the need for analyzing the behavior of the joints using several different types of analyses. The types of analyses performed include modal analysis, static analysis, transient response analysis, and base driving response analysis. The forces used in these analyses to drive the mathematical model include SRM internal chamber pressure, nozzle blowout and side forces, shuttle vehicle lift-off dynamics, SRM pressure transient rise curve, gimbal forces and moments, actuator gimbal loads, and vertical and radial bolt preloads. The math model represented the SRM from the aft base tangent point (1,823.95 in) all the way back to the nozzle, where a simplified, tuned nozzle model was attached. The new design used the radial bolts as an additional feature to reduce the gap opening at the aft dome/nozzle fixed housing interface.

  15. Immediate Effect of Grade IV Inferior Hip Joint Mobilization on Hip Abductor Torque: A Pilot Study

    PubMed Central

    Makofsky, Howard; Panicker, Siji; Abbruzzese, Jeanine; Aridas, Cynthia; Camp, Michael; Drakes, Jonelle; Franco, Caroline; Sileo, Ray

    2007-01-01

    Joint mobilization and manipulation stimulate mechanoreceptors, which may influence the joint and surrounding muscles. The purpose of this pilot study was to determine the effect of grade IV inferior hip joint mobilization on hip abductor torque. Thirty healthy subjects were randomly assigned to a control group (grade I inferior hip joint mobilization) or an experimental group (grade IV inferior hip joint mobilization). Subjects performed a pre- and post-intervention test of five isometric repetitions on the Cybex Normö dynamometer; the average torque was determined for both pre- and post-intervention measurements. These data were analyzed using the independent samples t-test with the significance level set at P<0.05. The results showed a statistically significant difference between the two groups for an increase in hip abductor torque in the experimental group (P=0.03). The experimental group demonstrated a 17.35% increase in average torque whereas the control group demonstrated a 3.68% decrease in average torque. These findings are consistent with other studies demonstrating that the use of grade IV non-thrust mobilization improves strength immediately post-intervention in healthy individuals. The results of this pilot study provide physical therapists with further support for the utilization of manual therapy in conjunction with therapeutic exercise to enhance muscle strength. PMID:19066650

  16. Cissus quadrangularis reduces joint pain in exercise-trained men: a pilot study.

    PubMed

    Bloomer, Richard J; Farney, Tyler M; McCarthy, Cameron G; Lee, Sang-Rok

    2013-09-01

    Strenuous, high-volume exercise is often associated with inflammation and joint pain. Cissus quadrangularis (CQ) has been reported to have anti-inflammatory activity. The purpose of our study was to determine the therapeutic effects of CQ supplementation in healthy, exercise-trained men with joint-specific pain. Twenty-nine men between the ages of 20 and 46 years, who reportedly experienced chronic joint pain as a result of strenuous exercise, participated in our pilot study. All men received CQ 3200 mg daily for 8 weeks. Before and after the 8-week intervention period, subjects completed a questionnaire to determine their degree of joint pain (Western Ontario and McMaster Universities Index of Osteoarthritis [WOMAC]). Clinical measures (eg, heart rate, blood pressure, blood biomarkers) were also collected for each subject pre- (baseline) and post-intervention. Subject ratings for multiple variables within the WOMAC Index improved (decreased) significantly (P < 0.05), with the subject mean total WOMAC score decreasing from 25.4 ± 2.4 to 17.4 ± 2.1 (~31%), pre- to post-intervention. No clinical measure was significantly impacted by use of CQ supplementation. An 8-week course of supplementation with CQ reduced joint pain in a sample of 29 young, otherwise healthy, exercise-trained men. Additional study is needed to extend these findings, including comparison with a placebo-controlled cohort, and possibly, examining effects of CQ use in women and older adult subjects.

  17. International Computer and Information Literacy Study: ICILS 2013 User Guide for the International Database

    ERIC Educational Resources Information Center

    Jung, Michael, Ed.; Carstens, Ralph, Ed.

    2015-01-01

    The International Computer and Information Literacy Study (ICILS) 2013, conducted by the International Association for the Evaluation of Educational Achievement (IEA), studied how students in different countries develop the knowledge, understanding, attitudes, dispositions, and skills that comprise computer and information literacy (CIL). The aim…

  18. Surgical anatomy of the sternoclavicular joint: a qualitative and quantitative anatomical study.

    PubMed

    Lee, Jared T; Campbell, Kevin J; Michalski, Max P; Wilson, Katharine J; Spiegl, Ulrich J A; Wijdicks, Coen A; Millett, Peter J

    2014-10-01

    The quantitative anatomical relationships of the main ligamentous, tendinous, and osseous structures of the sternoclavicular joint have not been widely investigated. The purpose of this study was to provide a quantitative description of the sternoclavicular joint in relation to relevant surgical landmarks. We dissected eleven nonpaired, fresh-frozen cadaveric sternoclavicular joints from four men and seven women (mean age at death, fifty-three years; range, thirty-three to sixty-four years) and measured the ligaments, musculature, and osseous landmarks with use of a three-dimensional coordinate-measuring device. The clavicular pectoralis ridge, located at the 9:30 clock-face position on a right clavicle, served as a reliable osseous landmark for reference to the soft-tissue attachments around the sternoclavicular joint. The costoclavicular ligament was the largest ligament of the sternoclavicular joint, with 80% greater footprint area than that of the posterior sternoclavicular ligament. Articular cartilage covered 67% of the medial end of the clavicle and was located anteroinferiorly. The sternohyoid muscle inserted directly over the posterior sternoclavicular joint and the medial end of the clavicle, whereas the sternothyroid muscle inserted 9.5 mm inferior to the posterior-superior articular margin of the manubrium and coursed 19.8 mm laterally along the first rib. An avascular plane that can serve as a "safe zone" for posterior dissection was observed in each specimen, posterior to the sternoclavicular joint and anterior to the sternohyoid and sternothyroid muscles. The clavicular pectoralis ridge can be used as an intraoperative guide for clavicle orientation and tunnel placement in sternoclavicular ligament reconstruction. Sternoclavicular joint resection arthroplasty should avoid injuring the costoclavicular ligament, which is the largest sternoclavicular joint ligament. Resection of only the anteroinferior aspect of the medial end of the clavicle may

  19. Joint shear strength of FRP reinforced concrete beam-column joints

    NASA Astrophysics Data System (ADS)

    Saravanan, Jagadeesan; Kumaran, Ganapathy

    2011-03-01

    An assessment of the joint shear strength of exterior concrete beam-column joints reinforced internally with Glass Fibre Reinforced Polymer (GFRP) reinforcements under monotonically increasing load on beams keeping constant load on columns is carried out in this study. Totally eighteen numbers of specimens are cast and tested for different parametric conditions like beam longitudinal reinforcement ratio, concrete strength, column reinforcement ratio, joint aspect ratio and influence of the joint stirrups at the joint. Also finite element analysis is performed to simulate the behaviour of the beam-column joints under various parametric conditions. Based on this study, a modified design equation is proposed for assessing the joint shear strength of the GFRP reinforced beam-column specimens based on the experimental results and the review of the prevailing design equations.

  20. Highlights From the American Association of Pharmaceutical Scientists/ International Transporter Consortium Joint Workshop on Drug Transporters in Absorption, Distribution, Metabolism, and Excretion: From the Bench to the Bedside - Clinical Pharmacology Considerations.

    PubMed

    Ronaldson, P T; Bauer, B; El-Kattan, A F; Shen, H; Salphati, L; Louie, S W

    2016-11-01

    The American Association of Pharmaceutical Scientists/International Transporter Consortium Joint Workshop on Drug Transporters in absorption, distribution, metabolism, and excretion was held with the objective of discussing innovative advances in transporter pharmacology. Specific topics included (i) transporters at the blood-brain barrier (BBB); (ii) emerging transport proteins; (iii) recent advances in achieving hepatoselectivity and optimizing clearance for organic anion-transporting polypeptide (OATP) substrates; (iv) utility of animal models for transporter studies; and (v) clinical correlation of transporter polymorphisms. Here, we present state-of-the-art highlights from this workshop in these key areas of focus.

  1. Degenerative joint disease on MRI and physical activity: a clinical study of the knee joint in 320 patients.

    PubMed

    Bachmann, G F; Basad, E; Rauber, K; Damian, M S; Rau, W S

    1999-01-01

    We examined 320 patients with MRI and arthroscopy after an acute trauma to evaluate MRI in diagnosis of degenerative joint disease of the knee in relation to sports activity and clinical data. Lesions of cartilage and menisci on MRI were registered by two radiologists in consensus without knowledge of arthroscopy. Arthroscopy demonstrated grade-1 to grade-4 lesions of cartilage on 729 of 1920 joint surfaces of 320 knees, and MRI diagnosed 14% of grade-1, 32% of grade-2, 94% of grade-3, and 100% of grade-4 lesions. Arthroscopy explored 1280 meniscal areas and showed degenerations in 10%, tears in 11.4%, and complex lesions in 9.2%. Magnetic resonance imaging was in agreement with arthroscopy in 81% showing more degenerations but less tears of menisci than arthroscopy. Using a global system for grading the total damage of the knee joint into none, mild, moderate, or severe changes, agreement between arthroscopy and MRI was found in 82%. Magnetic resonance imaging and arthroscopy showed coherently that degree of degenerative joint changes was significantly correlated to patient age or previous knee trauma. Patients over 40 years had moderate to severe changes on MRI in 45% and patients under 30 years in only 22%. Knee joints with a history of trauma without complete structural or functional reconstitution showed marked changes on MRI in 57%, whereas stable joints without such alterations had degenerative changes in only 26%. There was no correlation of degenerative disease to gender, weight, type, frequency, and intensity of sports activity. Therefore, MRI is an effective non-invasive imaging method for exact localization and quantification of chronic joint changes of cartilage and menisci that recommends MRI for monitoring in sports medicine.

  2. Developing and piloting a multifactorial intervention to address participation and quality of life in nursing home residents with joint contractures (JointConImprove): study protocol

    PubMed Central

    Müller, Martin; Bartoszek, Gabriele; Beutner, Katrin; Klingshirn, Hanna; Saal, Susanne; Stephan, Anna-Janina; Strobl, Ralf; Grill, Eva; Meyer, Gabriele

    2015-01-01

    Background: Joint contractures are common problems in frail older people in nursing homes. Irrespective of the exact extent of older individuals in geriatric care settings living with joint contractures, they appear to be a relevant problem. Also, the new emphasis on the syndrome of joint contractures, e. g. by the German statutory long term care insurance, led to an increase in assessment and documentation efforts and preventive interventions in clinical care. However, more attention should be paid to the actual situation of older individuals in nursing homes with prevalent joint contractures, particularly their experience of related activity limitations and participation restrictions. Thus, the aim of this study is 1) to develop a tailored intervention to improve functioning, and especially participation and quality of life in older residents with joint contractures in nursing homes and 2) to test the feasibility of the intervention accompanied by a rigorous process evaluation. Methods: The complex intervention, which will be developed in this project follows the UK Medical Research Council (MRC) framework and integrates the perspectives of all potentially relevant user groups, from the affected individuals to clinicians and researchers. The development process will comprise a systematic literature review, reanalysis of existing data and the integration of the knowledge of the affected individuals and experts. The developed intervention including a comprehensive process evaluation will be pilot tested with residents with joint contractures in three nursing homes. Discussion: The projected study will provide a tailored intervention to improve functioning, participation and quality of life in older residents with joint contractures in nursing homes. With this focus, the intervention will support patient relevant outcomes. The pilot study including process evaluation will offer a first opportunity to indicate the size of the intervention’s effect and prepare

  3. International Students' Networks: A Case Study in a UK University

    ERIC Educational Resources Information Center

    Taha, Nashrawan; Cox, Andrew

    2016-01-01

    The great influx of international students into UK universities has led to internationalisation becoming an important issue. Previous studies have focused on the integration of home and international students, illustrating a lack of intercultural interaction. Yet there has been a lack of research investigating international students' networks and…

  4. International Students' Networks: A Case Study in a UK University

    ERIC Educational Resources Information Center

    Taha, Nashrawan; Cox, Andrew

    2016-01-01

    The great influx of international students into UK universities has led to internationalisation becoming an important issue. Previous studies have focused on the integration of home and international students, illustrating a lack of intercultural interaction. Yet there has been a lack of research investigating international students' networks and…

  5. Study Abroad Ghana: An International Experiential Learning

    ERIC Educational Resources Information Center

    Boateng, Alice; Thompson, Abigail Mercy

    2013-01-01

    The global nature of social problems indicates how important it is for social workers to be involved in international issues. For example, overseas experience in social work programs is in consonance with the Council on Social Work Education's emphasis on global context of social work practice. In view of this, some schools of social work are…

  6. Study Abroad Ghana: An International Experiential Learning

    ERIC Educational Resources Information Center

    Boateng, Alice; Thompson, Abigail Mercy

    2013-01-01

    The global nature of social problems indicates how important it is for social workers to be involved in international issues. For example, overseas experience in social work programs is in consonance with the Council on Social Work Education's emphasis on global context of social work practice. In view of this, some schools of social work are…

  7. A Guide. Planning and Funding International Studies.

    ERIC Educational Resources Information Center

    Harari, Maurice

    How can colleges and universities best plan for international programs? Where are applications made for funding? This brochure is an attempt to provide an initial response to these questions and to offer some general guidelines. The list of sources of funding are suggestive, not exhaustive. It is geared to the institution that has not been…

  8. Biomechanical effect of increasing or decreasing degrees of freedom for surgery of trapeziometacarpal joint arthritis: a simulation study.

    PubMed

    Domalain, Mathieu F; Seitz, William H; Evans, Peter J; Li, Zong-Ming

    2011-11-01

    Osteoarthritis of the trapeziometacarpal (TMC) joint can be treated by arthrodesis and arthroplasty, which potentially decreases or increases the degrees of freedom (DoF) of the joint, respectively. The aim of our study was to bring novel biomechanical insights into these joint surgery procedures by investigating the influence of DoF at the TMC joint on muscle and joint forces in the thumb. A musculoskeletal model of the thumb was developed to equilibrate a 1 N external force in various directions while the thumb assumed key and pulp pinch postures. Muscle and joint forces were computed with an optimization method. In comparison to that of the 2-DoF (intact joint) condition, muscle forces slightly decreased in the 0-DoF (arthrodesis) condition, but drastically increased in the 3-DoF (arthroplasty) condition. TMC joint forces in the 3-DoF condition were 12 times larger than the 2-DoF joint. This study contributes to a further understanding of the biomechanics of the intact and surgically repaired TMC joint and addresses the biomechanical consequences of changing a joint's DoF by surgery. 

  9. Studies on the Performance of RC Beam-Column Joints Strengthened Using Different Composite Materials

    NASA Astrophysics Data System (ADS)

    Sheela, S.; Anu Geetha, B.

    2012-02-01

    Many reinforced concrete structures in our country are in a deteriorated or distressed state. Hence strengthening such structures or reducing the load limit on them is becoming necessary to extend their service life. Beam-column joint is the crucial zone in a reinforced concrete moment resisting frame since it is subjected to large forces during severe ground shaking. In the present study, an attempt has been made to determine the cost-effective composite material and optimum number of layers of composite material for strengthening beam-column joints. Specimens were strengthened using ferrocement, glass fibre reinforced polymer (GFRP) and carbon fibre reinforced polymer (CFRP) and studied their behaviour under static as well as cyclic loading. It was found that the rotation at ultimate moment of all the strengthened beam-column joints were greater than that of the control specimens. The specimens strengthened with more number of layers of strengthening material showed better moment-rotation characteristics. The joints strengthened using GFRP showed better performance in terms of ultimate load, moment rotation characteristics, ductility, energy absorption capacity and strength-to-cost ratio, when compared to that of the specimens strengthened with other composite materials. However, CFRP strengthened specimens showed good ductility and better cracking characteristics and prevented the failure at the joint.

  10. Grading Osteoarthritic Changes of the Zygapophyseal Joints from Radiographs: A Reliability Study

    PubMed Central

    Little, Joshua W.; Grieve, Thomas J.; Cramer, Gregory D.; Rich, Jeffrey A.; Laptook, Evelyn E.; Stiefel, Joseph P.D.; Linaker, Kathleen

    2015-01-01

    Objective This study tested the reliability of a 5-point ordinal scale used to grade the severity of degenerative changes of zygapophyseal (Z) joints on standard radiographs. Methods Modifications were made to Kellgren’s grading system to improve agreement for grading the severity of osteoarthritic changes in lumbar Z joints. These included adding 1 grade of no degeneration, multiple radiographic views, and structured examiner training. Thirty packets of radiographic files were obtained, which included representation of all 5 grades including no degeneration (0) and Kellgren’s 4-point (1 to 4) joint degeneration classification criteria. Radiographs were digitized to create a radiographic atlas that was given to examiners for individual study and blinded evaluation sessions. Intra-rater and inter-rater agreement was determined by weighted kappa (κw) from the examination of 79 Z joints (25 packets). Results Using the modified scale and following training, examiners demonstrated a moderate to substantial level of inter-rater agreement (κw = 0.57, 0.60, and 0.68). Intra-rater agreement was moderate (κw = 0.42 and 0.54). Conclusions The modified Kellgren 5-point grading system provides acceptable intra- and inter-rater reliability when examiners are adequately trained. This grading system may be a useful method for future investigations assessing radiographic osteoarthritis of the Z joints. v PMID:26118786

  11. STUDY ON THE EFFECTIVENESS OF EARTHQUAKE-RESISTANT JOINT AGAINST SEISMIC DISPLACEMENT IN UNDERGROUND STRUCTURE

    NASA Astrophysics Data System (ADS)

    Otsuka, Hisanori; Aibe, Takeaki; Soejima, Sumireko

    In the current seismic design of underground structure, only earthquake shaking is considered and the influence of fault displacement is not considered. However, since linear underground structure such as tunnels have a possibility to be constructed across faults, they have a probability to get severe damage due to the fault displacement. In this study, Soil-underground structure-seismic fault model is analyzed by 3D finite element analysis considering slip and exfoliation between structure and the effect of fault displacement on the underground structure are evaluated. Further more the applicability of the earthquake resistant joints used for underground structure as countermeasure of ground excitations to fault displacements are studied by the numerical analysis, and it is clarified that the more increasing the number of joints and the decreasing of the space of joints introduce the more reducing of cross sectional forces.

  12. Knee Kinematics Estimation Using Multi-Body Optimisation Embedding a Knee Joint Stiffness Matrix: A Feasibility Study.

    PubMed

    Richard, Vincent; Lamberto, Giuliano; Lu, Tung-Wu; Cappozzo, Aurelio; Dumas, Raphaël

    2016-01-01

    The use of multi-body optimisation (MBO) to estimate joint kinematics from stereophotogrammetric data while compensating for soft tissue artefact is still open to debate. Presently used joint models embedded in MBO, such as mechanical linkages, constitute a considerable simplification of joint function, preventing a detailed understanding of it. The present study proposes a knee joint model where femur and tibia are represented as rigid bodies connected through an elastic element the behaviour of which is described by a single stiffness matrix. The deformation energy, computed from the stiffness matrix and joint angles and displacements, is minimised within the MBO. Implemented as a "soft" constraint using a penalty-based method, this elastic joint description challenges the strictness of "hard" constraints. In this study, estimates of knee kinematics obtained using MBO embedding four different knee joint models (i.e., no constraints, spherical joint, parallel mechanism, and elastic joint) were compared against reference kinematics measured using bi-planar fluoroscopy on two healthy subjects ascending stairs. Bland-Altman analysis and sensitivity analysis investigating the influence of variations in the stiffness matrix terms on the estimated kinematics substantiate the conclusions. The difference between the reference knee joint angles and displacements and the corresponding estimates obtained using MBO embedding the stiffness matrix showed an average bias and standard deviation for kinematics of 0.9±3.2° and 1.6±2.3 mm. These values were lower than when no joint constraints (1.1±3.8°, 2.4±4.1 mm) or a parallel mechanism (7.7±3.6°, 1.6±1.7 mm) were used and were comparable to the values obtained with a spherical joint (1.0±3.2°, 1.3±1.9 mm). The study demonstrated the feasibility of substituting an elastic joint for more classic joint constraints in MBO.

  13. Two-year prospective study of outcomes following total temporomandibular joint replacement.

    PubMed

    Gonzalez-Perez, L M; Fakih-Gomez, N; Gonzalez-Perez-Somarriba, B; Centeno, G; Montes-Carmona, J F

    2016-01-01

    The purpose of this 2-year prospective study was to investigate outcomes achieved with a stock temporomandibular joint (TMJ) replacement system in the management of end-stage TMJ disorders. Fifty-two patients requiring reconstruction (36 unilateral/16 bilateral) were operated on during the period 2006-2012; 68 total prostheses were implanted (Biomet Microfixation TMJ Replacement System). The mean age at surgery was 52.6±11.5 years. Changes in the values of inclusion diagnostic criteria at entry were assessed. These included persistent and significant TMJ pain, functional impairment after failure of other surgical therapies, and imaging evidence consistent with advanced TMJ disease of more than 1-year duration. Subjects were excluded if they presented insufficient quantity/quality of bone to support the TMJ replacement, severe hyperfunctional habits, active infectious disease, or an inability to follow postoperative instructions. Over the 2 years of postoperative follow-up, mean pain intensity was reduced from 6.4±1.4 to 1.6±1.2 (P<0.001), and jaw opening was improved from 2.7±0.9cm to 4.2±0.7cm (P<0.001). During the study period, three of 68 implants (4%) were explanted and new TMJ replacements fitted. The results of this study support the view that the surgical placement of stock TMJ prostheses provides significant long-term improvements in pain and function, with few complications. Copyright © 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  14. The origin of islands in the Kandalaksha Gulf of the White Sea: joint work of internal and external geodynamic processes

    NASA Astrophysics Data System (ADS)

    Kosevich, Natalia; Romanovskaya, Maria

    2016-04-01

    The modern White Sea basin is a part of the encounter zone between the East European Platform and of the Fennoscandian Shield. The Kandalaksha Gulf in its northwest lies on the Mesoarchean-Paleoproterozoic structure known as the White Sea Shift Belt. In the Oligocene, it entered its neotectonic stage. Geologically, there are two structural storeys beneath the seafloor of the Kandalaksha Gulf: 1) crystalline bedrock of the Archean White Sea complex; 2) a cover of sediment consisting of three layers: Riphean sandstones, terrigenous Vendian deposits; a cloak of Pleistocene and Holocene deposits and sediments - glacial drifts, transitional glaciomarine sediments and purely marine sediments. The modern White Sea is a young basin formed just 10 to 12 ka. The geological and geomorphic history of the White Sea region was very complicated, with various and often conflicting tectonic movements. Besides the postglacial isostatic rise of Scandinavia amounted to some 100 meters in the White Sea area. The White Sea has numerous islands that are very different in the geological-geomorphological and genetic senses because their origin is the result of interactions between various endogenous and exogenous processes. Large and detailed scale geological and morphological researches of the islands at the southern and northern coast of the Kandalaksha Gulf have been carried out. Landforms of the islands were produced by the joint effects of such processes as (1) glacial-tectonic effects and marine wave action, (2) tidal and surge effects; (3) glacial-tectonic, marine, and gravity effects, and (4) glacial-tectonic, marine, lake, and biogenic effects (Kosevich, 2015). The relief structure of the islands has the following regularities: 1) structures of the northern coast islands are more often landforms that are composed of loose deposits with small sites of structural denudation residual outcrops; 2) the structures of the southern coast islands are typically combinations of loose

  15. The influence of joint parameters on normal fault evolution and geometry: a parameter study using analogue modeling

    NASA Astrophysics Data System (ADS)

    Kettermann, Michael; von Hagke, Christoph; Urai, Janos L.

    2017-04-01

    Dilatant faults often form in rocks containing pre-existing joints, but the effects of joints on fault segment linkage and fracture connectivity is not well understood. Studying evolution of dilatancy and influence of fractures on fault development provides insights into geometry of fault zones in brittle rocks and will eventually allow for predicting their subsurface appearance. In an earlier study we recognized the effect of different angles between strike direction of vertical joints and a basement fault on the geometry of a developing fault zone. We now systematically extend the results by varying geometric joint parameters such as joint spacing and vertical extent of the joints and measuring fracture density and connectivity. A reproducibility study shows a small error-range for the measurements, allowing for a confident use of the experimental setup. Analogue models were carried out in a manually driven deformation box (30x28x20 cm) with a 60° dipping pre-defined basement fault and 4.5 cm of displacement. To produce open joints prior to faulting, sheets of paper were mounted in the box to a depth of 5 cm at a spacing of 2.5 cm. We varied the vertical extent of the joints from 5 to 50 mm. Powder was then sieved into the box, embedding the paper almost entirely (column height of 19 cm), and the paper was removed. During deformation we captured structural information by time-lapse photography that allows particle imaging velocimetry analyses (PIV) to detect localized deformation at every increment of displacement. Post-mortem photogrammetry preserves the final 3-dimensional structure of the fault zone. A counterintuitive result is that joint depth is of only minor importance for the evolution of the fault zone. Even very shallow joints form weak areas at which the fault starts to form and propagate. More important is joint spacing. Very large joint spacing leads to faults and secondary fractures that form subparallel to the basement fault. In contrast, small

  16. Acromioclavicular joint pain in patients with adhesive capsulitis: a prospective outcome study.

    PubMed

    Anakwenze, Oke A; Hsu, Jason E; Kim, Jae S; Abboud, Joseph A

    2011-09-09

    Diagnosis of adhesive capsulitis is a clinical diagnosis based on history and physical examination. Afflicted patients exhibit active and passive loss of motion in all planes and a positive capsular stretch sign. The effect of adhesive capsulitis on acromioclavicular biomechanics leading to tenderness has not been documented in the literature. This study reports on the incidence of acromioclavicular tenderness in the presence of adhesive capsulitis. Furthermore, we note the natural history of such acromioclavicular joint pain in relation to that of adhesive capsulitis. Over a 2-year period (2005-2007), 84 patients undergoing initial evaluation for adhesive capsulitis were prospectively examined with the use of validated outcome measures and physical examination. Acromioclavicular joint tenderness results were compared and analyzed on initial evaluation and final follow-up of at least 1 year. Forty-eight patients (57%) with adhesive capsulitis had acromioclavicular joint pain on examination. At final follow-up, as range of motion improved, a significant increase in American Shoulder and Elbow Surgeons/Penn shoulder score and decrease in number of patients with acromioclavicular pain was noted with only 6 patients with residual pain (P<.05). In the presence of adhesive capsulitis, there is not only compensatory scapulothoracic motion but also acromioclavicular motion. This often results in transient symptoms at the acromioclavicular joint, which abate as the frozen shoulder resolves and glenohumeral motion improves. This is important to recognize to avoid unnecessary invasive treatment of the acromioclavicular joint when the patient presents with adhesive capsulitis.

  17. Knee joint changes in patients with neglected developmental hip dysplasia: a prospective case-control study.

    PubMed

    Li, Qiwei; Kadhim, Muayad; Zhang, Lijun; Cheng, Xiangjun; Zhao, Qun; Li, Lianyong

    2014-12-01

    Few reports are available describing knee changes in neglected developmental dysplasia of the hip (DDH). The purpose of this study was to assess the radiographic morphology of knee joints in adults with neglected DDH. Thirty-seven patients (35 females and two males) with neglected DDH were prospectively recruited with an average age of 32.6 years. Twenty-three patients had unilateral and 14 patients had bilateral neglected DDH. Thirty-seven healthy individuals were recruited to form a matched control group. Three groups of knee joints were examined: affected knees (on the same side of the neglected DDH), unaffected knees (contralateral to the neglected DDH in patients with unilateral involvement), and control knees. A series of radiographic parameters of the knee joint were measured in the coronal and sagittal plane, and they were compared between patients and normal controls. In the coronal plane, the affected knees had increased valgus angulation related to increased height of the medial femoral condyle, decreased height of the lateral femoral condyle and decreased lateral distal femoral angle compared to control knees. In the sagittal plane, both distal femoral and proximal tibial joints of the affected knees developed a decrease in posterior angles. Additionally, the unaffected knees also developed radiographic changes compared to control knees. Patients with neglected DDH may develop changes in both knee joints. These changes should be considered during surgery to the hip, femur and knee to prevent potential complications. Level 2. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Pigmented villonodular synovitis: a retrospective study of seventy five cases (eighty one joints).

    PubMed

    Ma, Xiaomei; Shi, Guodong; Xia, Chunyan; Liu, Huimin; He, Jin; Jin, Wentao

    2013-06-01

    Pigmented villonodular synovitis (PVNS) is a relatively rare, benign proliferation lesion of the synovium of large joints, but there is not much information available about the disease's aetiology, clinical history, differential diagnosis, treatment, and long-term effects. We conducted a study to analyse these aspects of PVNS. We reviewed all clinical data for 75 patients with PVNS (81 joints) who were treated either by synovectomy alone or synovectomy plus arthroplasty. In all cases, the diagnosis of PVNS was confirmed by pathological examination. The ratio of males to females was 27:48, and the average age of patients was 46 years (range, 15-80 years). Lesions were located in the knee, hip, or ankle, and pain and swelling were the main symptoms. Of 75 patients, 42 had a history of trauma to the involved joint. Forty-one patients (43 joints) underwent synovectomy alone, and 34 patients (38 joints) underwent synovectomy and arthroplasty together. Of the 75 patients, 61 had full follow-up data. Twelve patients had recurrent legions detected by pathological examinations; four patients had more than two recurrences. Moreover, five patients developed PVNS after arthroplasty. PVNS occurs most often in middle-aged women and most frequently involves the knee, followed by the hip and ankle. The disease's etiology is varied and unclear. Surgical excision alone or with arthroplasty is an effective treatment, but there is a high rate of recurrence.

  19. A Study of Microstructure and Mechanical Properties of Grade 91 Steel A-TIG Weld Joint

    NASA Astrophysics Data System (ADS)

    Arivazhagan, B.; Vasudevan, M.

    2013-12-01

    In the present study, A-TIG welding was carried out on grade 91 steel plates of size 220 × 110 × 10 mm using the in-house developed activated flux to produce butt-joints. The room-temperature impact toughness of the A-TIG as-welded joint was low due to the presence of untempered martensite matrix despite the low microinclusion density caused by activated flux and also low δ-ferrite (<0.5 %) content. Toughness after postweld heat treatment (PWHT) at 760 °C-2 h was 20 J as against the required value of 47 J as per the specification EN: 1557:1997. However, there was a significant improvement in impact toughness after PWHT at 760 °C for 3 h. The improvement in toughness was attributed to softening of martensite matrix caused by precipitation of carbides due to tempering reactions. The precipitates are of type M23C6, and they are observed at grain boundary as well as within the grains. The A-TIG-processed grade 91 steel weld joint was found to meet the toughness requirements after PWHT at 760 °C-3 h. Observations of fracture surfaces using SEM revealed that the as-welded joint failed by brittle fracture, whereas post-weld heat-treated weld joints failed by decohesive rupture mode.

  20. Case study for international remote machining

    NASA Astrophysics Data System (ADS)

    Lin, Grier C. I.; Kao, Yung-Chou

    1995-08-01

    Owing to the more enhanced networking, the designed data for manufacturing can be transmitted internationally. Therefore, the production of the potential product at one side of the world according to the design requirement at the other side of the world is possible and quicker than ever before. The shipment can be eliminated by producing the product at the potential market place. This paper demonstrates the development of a machining system showing the manufacture of a product based on this idea. Unix, Microsoft Windows, and NFS under the LAN and Internet environment are adopted for data communication and message passing in the devised international remote machining system. The personal computer is the server of the machining center. A C program is developed for the direct control of the machining center through DNC2 interface. The command of machining process is issued from Sun Sparc station to the personal computer through Internet. The devised system structure can also be extended to link with an automatic workpiece loading system, e.g., robot an AGV, to form an automatic machining cell for CIM. The requirements of achieving such an international remote machining cell that links machining center and robot are also discussed.

  1. Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation.

    PubMed

    Tanaka, Kazunari; Saura, Ryuichi; Takahashi, Noriyo; Hiura, Yuko; Hashimoto, Remi

    2010-12-01

    To clarify the optimal management of rehabilitative intervention for limited glenohumeral joint mobility (LGHM) arising from adhesive capsulitis, particularly focusing on the frequency of sessions for joint mobilization and the self-exercise compliance, the functional results of 120 patients with LGHM were prospectively investigated as follows: Differences in improved angle of the shoulder joint (IA) and the time required to reach the range of motion plateau point (T) were compared by (1) age, (2) gender, (3) handedness, (4) duration before rehabilitative intervention, (5) frequency of sessions for joint mobilization by physical therapists in the hospital setting, and (6) self-exercise compliance in the home setting. The lengths of therapy and follow-up were 4.6 and 5.9 months, respectively. IA significantly decreased in the 71-year-old and above group. There were no significant differences in IA between male and female. IA of the dominant-handed group was significantly higher than that of the non-dominant-handed group. There were no significant differences in T in each item. IA of the group that had experienced more than 7 months of the condition was significantly low. Although the frequency of joint mobilization by physical therapists in the hospital setting showed no relationship with IA or T, IA was significantly higher and T was significantly shorter in the group that performed self-exercise every day than in the groups that performed less. In conclusion, early intervention and self-exercise in the home setting are more important factors than session frequency of joint mobilization in the hospital setting for the successful management of rehabilitation for LGHM.

  2. Joint swelling

    MedlinePlus

    Swelling of a joint ... Joint swelling may occur along with joint pain . The swelling may cause the joint to appear larger or abnormally shaped. Joint swelling can cause pain or stiffness. After an ...

  3. Programs of Study: Year 2 Joint Technical Report. Research Snapshot

    ERIC Educational Resources Information Center

    National Research Center for Career and Technical Education, 2010

    2010-01-01

    In January 2010, the National Research Center for Career and Technical Education (NRCCTE) issued a progress report on three studies being conducted by the Center that examine the implementation and outcomes of Programs of Study (POS), which were required in the 2006 reauthorization of the federal legislation for career and technical education…

  4. Histologic study of the fate of autogenous auricular cartilage grafts in the human temporomandibular joint.

    PubMed

    Yih, W Y; Zysset, M; Merrill, R G

    1992-09-01

    Biopsies of 30 autogenous auricular cartilage grafts previously placed in 21 patients with ankylosis and arthropathy of the temporomandibular joint were studied. These joints were reoperated because of persistent pain and limitation of motion. Histologically, all grafts showed viability of the cartilage. Eighteen cartilage grafts placed after Proplast (Vitek, Inc, Houston, TX) or Silastic (Dow Corning, Midland, MI) implants had been removed, all showed foreign-body granuloma with coexistent intact cartilage grafts. This indicated that the autogenous auricular cartilage was resistant to the foreign-body reaction. All cartilage grafts were encased by fibrous tissue. This overgrowth of fibrous tissue may be responsible for the ankylosis. Seven grafts showed cartilaginous proliferation grossly and all showed proliferation histologically. The cartilage proliferation also may contribute to the persistent symptoms and recurrent limitation of joint motion.

  5. Segmentation and measurement of collagen fibers for shoulder and joint therapy studies

    SciTech Connect

    Mascio, L.

    1994-11-15

    Various shoulder instabilities are debilitating, especially in individuals who perform overhead activities. Thermal modification of soft tissues in joints may allow precise alteration of these tissues` mechanical and/or structural properties to enhance joint function without inducing cell death or an inflammatory response. Several studies have evaluated laser energy for tissue welding. The collective findings are promising, and the next step is to identify the mechanisms responsible for laser-induced capsular tissue alternation, and the short- and long-term effects of non-ablative laser energy on joint capsular tissue. One step toward this goal is to compare the effect of three laser energy densities on the histologic properties of the tissue evaluating the architecture of the collagen (including density, fibril diameter distribution, and interfibrillar space) in sheep at various time intervals after surgery. The specific computer algorithms that are being used to make these measurements will be described.

  6. Adaptation of Rural and Foreign Workers to Industry, International Joint Seminar (Wiesbaden, December 10-13, 1963). Final Report. International Seminars 1963-4.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Social Affairs Div.

    The major purpose of a seminar held in Wiesbaden, Germany, was to exchange experiences and views on the methods of expediating adjustment of rural and foreign workers to industry. Major presentations for discussion were "Internal Migration" by Magda Talamo, and "International Migration" by Elie Dimitras. Some conclusions were:…

  7. Coracoclavicular joint, an osteological study with clinical implications: a case report

    PubMed Central

    Stavrakas, Marios-Efstathios; Stoltidou, Alexandra

    2009-01-01

    Introduction The presence of an anomalous coracoclavicular joint was studied in a human male skeleton aged 73 years old from the Osteology Collection of our Department. Case presentation We describe the exact morphology of this variation that is occasionally reported as an anatomical or radiological curiosity in the literature (0.55-21%). Conclusion Although coracoclavicular diarthrosis is of no significance other than academic, it is important to recognize this variation and the clinical symptoms that may occur, as it is a cause of shoulder pain and arthritis in this or the adjacent sternoclavicular and acromioclavicular joint. Consequently, it is vital to apply the appropriate treatment. PMID:19918399

  8. Joint modeling of clinical efficacy and safety with an application to diabetes studies.

    PubMed

    Zhao, Yang; Shen, Wei; Fu, Haoda

    2013-01-01

    The purpose of drug development is to evaluate a drug's efficacy and safety profile. For a personalized medicine, it is important for patients and health care providers to understand the efficacy and safety trade-off when selecting a dose for a patient. In this article, we propose three different methods for jointly modeling the clinical safety and efficacy endpoints. These three methods model the correlation relationship in three different ways: modeling the joint distribution by a copula method, modeling conditional distributions, and modeling their correlations through individual means by a hierarchical model. We compare these three methods through simulations and apply these methods to a data set from a diabetes study.

  9. Joint Global War on Terror (GWOT) Vascular Injury Study 2

    DTIC Science & Technology

    2015-02-01

    underway and we have developed the surveillance program design and identified Service Members who incurred vascular injury. To date, four research nurse ...Current study staff consists of a program manager and four research nurses . The GWOT 2 Wartime Vascular Injury Study is an ongoing effort; therefore, the... Nurse , 2-4 April 2014, poster presentation o Vascular discharge education and follow-up care subsequent to wartime vascular trauma; Presented in San

  10. Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

    PubMed Central

    Daniilidis, Kiriakos; Marinozzi, Andrea; Denaro, Vincenzo; Gosheger, Georg; Pejman, Ziai; Buchhorn, Thomas

    2010-01-01

    First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clinical, radiological and functional outcome, with special regard to recreational and sports activity, after first metatarsophalangeal joint replacement in patients affected by hallux rigidus grade III. Twenty-three patients who had undergone total joint replacement of the first metatarsophalangeal joint were examined preoperatively and three, six, 12 and 18 months postoperatively. All patients (mean age of 57.0 ± 3.7 years) received a non-cemented TOEFIT-PLUS™ implant by one surgeon. Clinical scores (AOFAS score and VAS), radiological examination, patient satisfaction and sport participation were used to evaluate treatment outcome and radiolucent lines. The mean AOFAS score showed a significant improvement from 44.6 ± 7.2 points preoperatively to an average of 82.5 ± 14.4 points at last follow-up (p < 0.001). The mean total ROM of the first MTP joint increased from 28.1 ± 4.9 degrees preoperatively to 52.7 ± 15.7 degrees postoperatively (p < 0.001). After surgery, 91.3% of the patients were able to resume at least one recreational activity. Total arthroplasty for the treatment of hallux rigidus in an active patient population revealed good clinical and functional results. However, postoperative recreational sport activity showed a decrease in comparison to the pre-arthritic state. Further follow-up is necessary to quantify loosening risk in active patients after total hallux arthroplasty. PMID:20069300

  11. Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study.

    PubMed

    Daniilidis, Kiriakos; Martinelli, Nicolò; Marinozzi, Andrea; Denaro, Vincenzo; Gosheger, Georg; Pejman, Ziai; Buchhorn, Thomas

    2010-10-01

    First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clinical, radiological and functional outcome, with special regard to recreational and sports activity, after first metatarsophalangeal joint replacement in patients affected by hallux rigidus grade III. Twenty-three patients who had undergone total joint replacement of the first metatarsophalangeal joint were examined preoperatively and three, six, 12 and 18 months postoperatively. All patients (mean age of 57.0 ± 3.7 years) received a non-cemented TOEFIT-PLUS™ implant by one surgeon. Clinical scores (AOFAS score and VAS), radiological examination, patient satisfaction and sport participation were used to evaluate treatment outcome and radiolucent lines. The mean AOFAS score showed a significant improvement from 44.6 ± 7.2 points preoperatively to an average of 82.5 ± 14.4 points at last follow-up (p < 0.001). The mean total ROM of the first MTP joint increased from 28.1 ± 4.9 degrees preoperatively to 52.7 ± 15.7 degrees postoperatively (p < 0.001). After surgery, 91.3% of the patients were able to resume at least one recreational activity. Total arthroplasty for the treatment of hallux rigidus in an active patient population revealed good clinical and functional results. However, postoperative recreational sport activity showed a decrease in comparison to the pre-arthritic state. Further follow-up is necessary to quantify loosening risk in active patients after total hallux arthroplasty.

  12. Synovial membrane involvement in osteoarthritic temporomandibular joints: a light microscopic study.

    PubMed

    Dijkgraaf, L C; Liem, R S; de Bont, L G

    1997-03-01

    To study the light microscopic characteristics of the synovial membrane of osteoarthritic temporomandibular joints to evaluate synovial membrane involvement in the osteoarthritic process. Synovial membrane biopsies were obtained during unilateral arthroscopy in 40 patients. Thirty-one temporomandibular joints were diagnosed with osteoarthritis. Osteoarthritis subgroups were defined on the basis of the presence of symptoms related to disk displacement and perforation. The control group consisted of nine temporomandibular joints that were not involved by osteoarthritis. During light microscopic examination of the synovial membranes, several light microscopic variables were recorded. Differences between groups and between subgroups were tested with chi 2 or Fisher's exact tests with Mann-Whitney U tests and with Student's t tests. In the osteoarthritis group, the number of synovial intima cell layers was significantly higher, and fibrous intima matrix and fibrous subintima were found significantly more frequently than in the control group. Moreover, in the osteoarthritis group, intima cell hypertrophy in combination with a closely packed cell composition was found significantly more often in the first year of clinical signs and symptoms, whereas intima hyperplasia, fibrous intima matrix, dense surface material, and subintima elastic fibers were found significantly more frequently in the first 2 years of clinical signs and symptoms. The findings in this study suggest that osteoarthritis of the temporomandibular joint may initially result in synovial intima hyperplasia and cell hypertrophy, and subsequently in deposition of fibrous material in the intima matrix. Eventually, fibrosis of the subintimal tissue may occur in combination with degeneration and subsequent normalization of the synovial intima cell layer. Overall, fibrosis was the most characteristic feature of synovial membranes of osteoarthritic temporomandibular joints. In conclusion, the involvement of the

  13. International Space Station Electrodynamic Tether Reboost Study

    NASA Technical Reports Server (NTRS)

    Johnson, L.; Herrmann, M.

    1998-01-01

    The International Space Station (ISS) will require periodic reboost due to atmospheric aerodynamic drag. This is nominally achieved through the use of thruster firings by the attached Progress M spacecraft. Many Progress flights to the ISS are required annually. Electrodynamic tethers provide an attractive alternative in that they can provide periodic reboost or continuous drag cancellation using no consumables, propellant, nor conventional propulsion elements. The system could also serve as an emergency backup reboost system used only in the event resupply and reboost are delayed for some reason.

  14. Report of the Joint Study Committee on Student Governance.

    ERIC Educational Resources Information Center

    El Camino Coll., Torrance, CA.

    Student governance at El Camino College was studied by means of a review of data related to student characteristics, open hearing with students, a student survey, meetings with members of Student Councils and club representatives, and meetings with the administration and members of the Board of Trustees. These activities showed that there was an…

  15. Report on the SNL/NSF International Workshop on Joint Mechanics, Arlington, Virginia, 16-18 October 2006.

    SciTech Connect

    Ewins, David J.; Bergman, Lawrence A.; Segalman, Daniel Joseph

    2007-11-01

    The NSF/SNL joint mechanics workshop, held in Arlington, Virginia, 16-18 October, 2006, attempted to assess the current state of the art for modeling joint mechanics for the purpose of structural dynamics calculation, to identify the underlying physics issues that must be addressed to advance the field, and to propose a path forward. Distinguished participants from several countries representing research communities that focus on very different length and time scales identified multiple challenges in bridging those scales. Additionally, two complementary points of view were developed for addressing those challenges. The first approach - the 'bottom-up' perspective - attempts to bridge scales by starting from the smallest length scale and working up. The other approach starts at the length scale of application and attempts to deduce mechanics at smaller length scales through reconciliation with laboratory observation. Because interface physics is a limiting element of predictive simulation in defense and transportation, this issue will be of continuing importance for the foreseeable future.

  16. Characterizing Teaching Effectiveness in the Joint Action Theory in Didactics: An Exploratory Study in Primary School

    ERIC Educational Resources Information Center

    Sensevy, Gérard

    2014-01-01

    This paper presents an exploratory study of two consecutive reading sessions conducted in primary school by two different teachers. Our purpose is twofold. From a theoretical viewpoint, we propose a tentative set of conditions of teaching effectiveness by relying on the Joint Action Theory in Didactics. From a methodological viewpoint, drawing on…

  17. [Ultrasound in complex of radiological studies in diagnosis of ankle joint medial aspect pathologies].

    PubMed

    Gurgenidze, T; Mizandari, M

    2011-10-01

    The aim of the research is to study sonosemiotics of ankle joint pathology by means of ultrasound in order to optimize the diagnostic process and improve the treatment. 130 patients (age ranges from 5 to 70 years) underwent the radiological study of ankle joint medial aspect. Pathology types: degenerative-dystrophic diseases - 39 (30%), inflammatory pathology - 21 (16.2%), traumatic injuries - 20 (15.2%), vascular pathologies - 26 (20%), neurogenic problems -7 (5.4%), soft tissue neoplasms - 5 (3.8%), congenital anomalies - 7 (5.4%) and vertebral pathology - 5 (4.0%). The diagnostic studies include: a) Ultrasound, performed on digital ultrasound system using high frequency (7.5-12.0 MHz) linear probe with Doppler capability (all patients); b) X-Ray filming in antero-posterior and lateral projections (6 patients- 4.5%); c) MRI - T1 and T2 weighted images in saggital and transverse planes 10 patients (10.0%) and d) CT - 2 patients (1.5%); To 2 (1.5%) patient biopsy has been performed. This study showed that ultrasound was successful in ankle joint medial aspect pathology diagnosis in 108 cases (84.0%); It was ineffective in osseous pathology definition. In final diagnosis of impingment syndrom MRI was required in 4 (3.6%) cases. It is concluded that ultrasound should be used as a Gold Standard in diagnosis of localized pain and swelling in the ankle joint.

  18. Characterizing Teaching Effectiveness in the Joint Action Theory in Didactics: An Exploratory Study in Primary School

    ERIC Educational Resources Information Center

    Sensevy, Gérard

    2014-01-01

    This paper presents an exploratory study of two consecutive reading sessions conducted in primary school by two different teachers. Our purpose is twofold. From a theoretical viewpoint, we propose a tentative set of conditions of teaching effectiveness by relying on the Joint Action Theory in Didactics. From a methodological viewpoint, drawing on…

  19. Affiliation, joint venture or PSO? Case studies show why provider strategies differ.

    PubMed

    1998-03-01

    Joint venture, affiliation or PSO? Here are three case studies of providers who chose different paths under Medicare risk, plus some key questions you'll want to ask of your own provider organization. Learn from these examples so you'll make the best contracting decisions.

  20. Joint Action in Didactics and Classroom Ecology: Comparing Theories Using a Case Study in Physical Education

    ERIC Educational Resources Information Center

    Amade-Escot, Chantal; Venturini, Patrice

    2015-01-01

    This paper examines the respective contribution of two theoretical approaches to teaching and learning: the classroom ecology (CE) framework from Anglo-American research and the joint action in didactics (JAD) framework, which is part of French "didactique" research. This theoretical comparison is grounded in data from a case study in a…

  1. Psychological Distress in International University Students: An Australian Study

    ERIC Educational Resources Information Center

    Khawaja, Nigar Gohar; Dempsey, Jenny

    2007-01-01

    Australia is a much sought-after destination of study for many thousands of international university students. However, tertiary study brings with it many challenges that may potentially precipitate psychological distress in international students. Psychological distress may be experienced in various ways. The aim of this study was to investigate…

  2. Joint Modeling of Anatomical and Functional Connectivity for Population Studies

    PubMed Central

    Rathi, Yogesh; Kubicki, Marek; Westin, Carl-Fredrik; Golland, Polina

    2015-01-01

    We propose a novel probabilistic framework to merge information from diffusion weighted imaging tractography and resting-state functional magnetic resonance imaging correlations to identify connectivity patterns in the brain. In particular, we model the interaction between latent anatomical and functional connectivity and present an intuitive extension to population studies. We employ the EM algorithm to estimate the model parameters by maximizing the data likelihood. The method simultaneously infers the templates of latent connectivity for each population and the differences in connectivity between the groups. We demonstrate our method on a schizophrenia study. Our model identifies significant increases in functional connectivity between the parietal/posterior cingulate region and the frontal lobe and reduced functional connectivity between the parietal/posterior cingulate region and the temporal lobe in schizophrenia. We further establish that our model learns predictive differences between the control and clinical populations, and that combining the two modalities yields better results than considering each one in isolation. PMID:21878411

  3. International photonics training: a case study

    NASA Astrophysics Data System (ADS)

    Sporea, Dan; Massa, Nicholas; Donnelly, Judith F.; Hanes, Fenna

    2007-06-01

    From 2004, the Center for Science Education and Training (CSET) participated to the European Union-funded educational network "Hands-on Science". The aim of the Romanian team was to transform teachers and students from end-users of educational aids to active designers and developers of instructional materials. Several science fields were identified, including photonics. The team at CSET is now focusing on: lasers and their applications, optical fiber communications, solar energy as a sustainable source, and the use of optical spectroscopy in physics and chemistry. CSET initiated an international collaboration with the New England Board of Higher Education (NEBHE) in Boston, Mass., when the Center enrolled an experienced Romanian high school science teacher in a twelve-week "Introduction to Photonics" laboratory-based professional development course. The course was developed by NEBHE through an Advanced Technological Education (ATE) program grant from National Science Foundation and is designed for high school and community college educators from both science and technology instructional areas. The paper reports the experience of this international participation which was made possible since the course is delivered via the Internet by Three Rivers Community College, Norwich, Conn. Its impact on photonics education in Romania and the USA is analyzed, as the participant teacher shares her experiences with teachers and faculty in the "Introduction to Photonics" course and with those enrolled into the Romanian "Hands-on-Science" program.

  4. Autologous Fat Transfer for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Study.

    PubMed

    Herold, Christian; Rennekampff, Hans-Oliver; Groddeck, Robert; Allert, Sixtus

    2017-08-01

    Most operations for carpometacarpal joint osteoarthritis of the thumb irreversibly alter or destroy the anatomy. There is a high demand for minimally invasive alternatives. The authors report the results of autologous fat transfer for treatment of thumb carpometacarpal joint osteoarthritis. In a prospective study, 50 patients with thumb carpometacarpal joint osteoarthritis were observed for 1 year after autologous fat transfer. Manual liposuction and centrifugation were performed. Pain rating according to visual analogue pain scale; objective force of pinch grip and fist closure; and Disabilities of the Arm, Shoulder, and Hand questionnaire scores before and after treatment were analyzed. The average pain in stage 2 patients preoperatively was 7.7 ± 1.3; it was 1.8 ± 1.9 after 6 months and 2.4 ± 3.1 after 12 months. Patients with stage 2 osteoarthritis demonstrated a superior benefit from this treatment compared with patients with either stage 3 or stage 4 thumb carpometacarpal joint osteoarthritis. There were similar improvements for the parameters strength and Disabilities of the Arm, Shoulder, and Hand questionnaire score. No serious adverse events were observed. Autologous fat transplantation is an appealing alternative, especially in early-stage basal joint osteoarthritis of the thumb. The low invasiveness of the procedure and early recovery of patients compared with classical procedures such as trapeziectomy, and the superior long-term results compared with classical injection therapy, make this approach feasible as a first-line therapy in early-stage basal joint osteoarthritis of the thumb. Therapeutic, IV.

  5. Prospective evaluation of 2 acute graft-versus-host (GVHD) grading systems: a joint Société Française de Greffe de Moëlle et Thérapie Cellulaire (SFGM-TC), Dana Farber Cancer Institute (DFCI), and International Bone Marrow Transplant Registry (IBMTR) prospective study

    PubMed Central

    Cahn, Jean-Yves; Klein, John P.; Lee, Stephanie J.; Milpied, Noël; Blaise, Didier; Antin, Joseph H.; Leblond, Véronique; Ifrah, Norbert; Jouet, Jean-Pierre; Loberiza, Fausto; Ringden, Olle; Barrett, A. John; Horowitz, Mary M.; Socié, Gérard

    2005-01-01

    The most commonly used grading system for acute graft-versus-host disease (aGVHD) was introduced 30 years ago by Glucksberg; a revised system was developed by the International Bone Marrow Transplant Registry (IBMTR) in 1997. To prospectively compare the 2 classifications and to evaluate the effect of duration and severity of aGVHD on survival, we conducted a multicenter study of 607 patients receiving T-cell-replete allografts, scored weekly for aGVHD in 18 transplantation centers. Sixty-nine percent of donors were HLA-identical siblings and 28% were unrelated donors. The conditioning regimen included total body irradiation in 442 (73%) patients. The 2 classifications performed similarly in explaining variability in survival by aGVHD grade, although the Glucksberg classification predicted early survival better. There was less physician bias or error in assigning grades with the IBMTR scoring system. With either system, only the maximum observed grade had prognostic significance for survival; neither time of onset nor progression from an initially lower grade of aGVHD was associated with survival once maximum grade was considered. Regardless of scoring system, aGVHD severity accounted for only a small percentage of observed variation in survival. Validity of these results in populations receiving peripheral blood transplants or nonmyeloablative conditioning regimens remains to be tested. (Blood. 2005;106:1495-1500) PMID:15878974

  6. Prospective evaluation of 2 acute graft-versus-host (GVHD) grading systems: a joint Société Française de Greffe de Moëlle et Thérapie Cellulaire (SFGM-TC), Dana Farber Cancer Institute (DFCI), and International Bone Marrow Transplant Registry (IBMTR) prospective study.

    PubMed

    Cahn, Jean-Yves; Klein, John P; Lee, Stephanie J; Milpied, Noël; Blaise, Didier; Antin, Joseph H; Leblond, Véronique; Ifrah, Norbert; Jouet, Jean-Pierre; Loberiza, Fausto; Ringden, Olle; Barrett, A John; Horowitz, Mary M; Socié, Gérard

    2005-08-15

    The most commonly used grading system for acute graft-versus-host disease (aGVHD) was introduced 30 years ago by Glucksberg; a revised system was developed by the International Bone Marrow Transplant Registry (IBMTR) in 1997. To prospectively compare the 2 classifications and to evaluate the effect of duration and severity of aGVHD on survival, we conducted a multicenter study of 607 patients receiving T-cell-replete allografts, scored weekly for aGVHD in 18 transplantation centers. Sixty-nine percent of donors were HLA-identical siblings and 28% were unrelated donors. The conditioning regimen included total body irradiation in 442 (73%) patients. The 2 classifications performed similarly in explaining variability in survival by aGVHD grade, although the Glucksberg classification predicted early survival better. There was less physician bias or error in assigning grades with the IBMTR scoring system. With either system, only the maximum observed grade had prognostic significance for survival; neither time of onset nor progression from an initially lower grade of aGVHD was associated with survival once maximum grade was considered. Regardless of scoring system, aGVHD severity accounted for only a small percentage of observed variation in survival. Validity of these results in populations receiving peripheral blood transplants or nonmyeloablative conditioning regimens remains to be tested.

  7. A Qualitative Study of Health Care Experiences Among International Students.

    PubMed

    Anderson, Anna; Kitsos, Jewel; Miller, Andrea; Abraham, Sam

    The purpose of this qualitative study was to explore the health care experiences of international students at a college in Indiana. The study answered the following research question: What are the lived experiences of international students while seeking health care? This research question was identified after a literature review, which showed a lack of research regarding international students' health care experiences. The data in this study were collected through in-depth interviews with 5 participants who resided at the college. After the interviews, the identification of themes and the analysis of results revealed the international students' lived experiences and perceptions of health care in the United States.

  8. Assessing uncertainties in the Noah-MP ensemble simulations of a cropland site during the Tibet Joint International Cooperation program field campaign

    NASA Astrophysics Data System (ADS)

    Zhang, Guo; Chen, Fei; Gan, Yanjun

    2016-08-01

    Despite the widespread use of the latest community Noah with multiparameterization (Noah-MP) land surface model, it has not been rigorously evaluated over the complex Tibetan Plateau. This study assessed uncertainties in Noah-MP simulations of a cropland site using observations from the 2008 Joint International Cooperation program field campaign. Such an assessment was conducted in the context of performing a total number of 4608 Noah-MP physics ensemble simulations using two analysis methods: the natural selection approach and Tukey's test, where the impacts of uncertainties in atmospheric forcing conditions, vegetation parameters, and subprocesses on model simulations were identified. Uncertainty in precipitation data exerts greater influence on the general behavior of Noah-MP ensemble simulations than that in the leaf area index (LAI). However, using a more realistic seasonal LAI improves the seasonal variations of surface heat fluxes. Combining a better precipitation forcing data set and Moderate Resolution Imaging Spectroradiometer monthly LAI significantly reduces the uncertainty range of the ensemble mean of surface heat fluxes. The uncertainty analysis results using the natural selection method are largely similar to that from Tukey's test but show some subtle differences. Both methods reveal greater uncertainties in the following subprocess schemes: canopy resistance, soil moisture threshold for evaporation, runoff and groundwater, and surface-layer parameterization for this cropland site. The uncertainty analysis identifies the parameterization schemes that demonstrably degrade model performance. The uncertainties in ensemble simulations were significantly reduced when those schemes were excluded, and it was possible to configure an optimal combination of parameterization schemes to obtain similar performance to the ensemble mean of the "best" ensemble experiment.

  9. Official Positions for FRAX® Bone Mineral Density and FRAX® simplification from Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX®.

    PubMed

    Lewiecki, E Michael; Compston, Juliet E; Miller, Paul D; Adachi, Jonathan D; Adams, Judith E; Leslie, William D; Kanis, John A; Moayyeri, Alireza; Adler, Robert A; Hans, Didier B; Kendler, David L; Diez-Perez, Adolfo; Krieg, Marc-Antoine; Masri, Basel K; Lorenc, Roman R; Bauer, Douglas C; Blake, Glen M; Josse, Robert G; Clark, Patricia; Khan, Aliya A

    2011-01-01

    Tools to predict fracture risk are useful for selecting patients for pharmacological therapy in order to reduce fracture risk and redirect limited healthcare resources to those who are most likely to benefit. FRAX® is a World Health Organization fracture risk assessment algorithm for estimating the 10-year probability of hip fracture and major osteoporotic fracture. Effective application of FRAX® in clinical practice requires a thorough understanding of its limitations as well as its utility. For some patients, FRAX® may underestimate or overestimate fracture risk. In order to address some of the common issues encountered with the use of FRAX® for individual patients, the International Society for Clinical Densitometry (ISCD) and International Osteoporosis Foundation (IOF) assigned task forces to review the medical evidence and make recommendations for optimal use of FRAX® in clinical practice. Among the issues addressed were the use of bone mineral density (BMD) measurements at skeletal sites other than the femoral neck, the use of technologies other than dual-energy X-ray absorptiometry, the use of FRAX® without BMD input, the use of FRAX® to monitor treatment, and the addition of the rate of bone loss as a clinical risk factor for FRAX®. The evidence and recommendations were presented to a panel of experts at the Joint ISCD-IOF FRAX® Position Development Conference, resulting in the development of Joint ISCD-IOF Official Positions addressing FRAX®-related issues. Copyright © 2011 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

  10. Joint EPA/NASA/USAF Interagency Depainting Study

    NASA Technical Reports Server (NTRS)

    Clark-Ingram, M.

    2001-01-01

    Environmental regulations such as National Emission Standards for Hazardous Air Pollutants (NESHAPs) are drivers for the implementation of environmentally compliant methodologies in the manufacture of aerospace hardware. In 1995, the Environmental Protection Agency (EPA) promulgated the NESHAP for the Aerospace Manufacture and Rework (Aerospace NESHAP) industry. Affected facilities were to be in compliance by September 1998. Several aerospace manufacturing operations are regulated within the Aerospace NESHAP including Depainting operations. The National Aeronautics and Space Administration (NASA), EPA, and United States Air Force (USAF) combined resources to evaluate the performance of nine alternative depainting processes. The seven alternative depainting processes were: (1) Chemical stripping (non-methylene chloride); (2) Carbon Dioxide Blasting; (3) Xenon Flashlamp; (4) Carbon Dioxide Laser Stripping; (5) Plastic Media Blasting; (6) Sodium Bicarbonate Wet Stripping; and (7) Waterjet Blasting and Wheat Starch Blasting. All epoxy primer and polyurethane top coat system was applied to 2024-T3 clad and non-clad aluminum test specimens. Approximately 200 test specimens were evaluated in this study. Each coupon was subjected to three, four, or five complete depainting cycles. This paper discusses the conclusions from the study including the test protocol, test parameters, and achievable strip rates for the alternative depainting processes. Test data includes immersion corrosion testing, sandwich corrosion testing and hydrogen embrittlement testing for the non-methylene chloride chemical strippers. Additionally, the cumulative effect of the alternative depainting processes on the metallurgical integrity of the test substrate is addressed with the results from tensile and fatigue evaluations.

  11. Evaluation of knee joint proprioception and balance of young female volleyball players: a pilot study

    PubMed Central

    Şahin, Neşe; Bianco, Antonino; Patti, Antonino; Paoli, Antonio; Palma, Antonio; Ersöz, Gülfem

    2015-01-01

    [Purpose] The main purpose of our study was the evaluation of the effects of long-term volleyball practice on knee joint proprioception and balance of young female athletes. [Subjects and Methods] An observational case-control study was performed. The study enrolled 19 female volleyball players in the experimental group and 19 sedentary counterparts as controls. A Biodex balance system and dynamometer were used for the evaluations. The paired t-test was used to determine the significance of differences between the performance of athletes and controls. [Results] The knee proprioception analysis showed a significant difference at 60° joint position in active and passive tests. A similar trend, but without significance, was found for the 20° joint position. In the postural stability tests both groups showed similar results with no significant differences between them. [Conclusion] In conclusion, the results indicate a significant influence on joint proprioception is elicited by long-term exposure to a team sport like volleyball. However, the postural stability indexes showed similar trends in both groups, highlighting the analogous ontogenesis of the subjects investigated and the low influence of volleyball practice on postural stability. PMID:25729185

  12. The distinct effects of internalizing weight bias: An experimental study.

    PubMed

    Pearl, Rebecca L; Puhl, Rebecca M

    2016-06-01

    Both experiencing and internalizing weight bias are associated with negative mental and physical health outcomes, but internalization may be a more potent predictor of these outcomes. The current study aimed to differentiate between causal effects of experiencing versus internalizing weight bias on emotional responses and psychological well-being. Adults with overweight/obesity (N=260) completed an online experiment in which they were randomly assigned to focus on either the experience or internalization of weight bias, and completed measures of affect, self-esteem, and body dissatisfaction. Results indicated that the Internalization condition led to more negative affect, less positive affect, and lower self-esteem than the Experience condition. The Internalization condition also led to heightened body dissatisfaction among men, but not women. These findings suggest that weight bias internalization may be a stronger predictor of poor mental and physical health than experiences alone, and carry implications for developing weight bias interventions.

  13. Phase II study of glucosamine with chondroitin on aromatase inhibitor-associated joint symptoms in women with breast cancer

    PubMed Central

    Greenlee, Heather; Crew, Katherine D.; Shao, Theresa; Kranwinkel, Grace; Kalinsky, Kevin; Maurer, Matthew; Brafman, Lois; Insel, Beverly; Tsai, Wei Yann

    2013-01-01

    Purpose Many women with hormone receptor-positive breast cancer discontinue effective aromatase inhibitor (AI) treatment due to joint symptoms. Methods We conducted a single-arm, open-label, phase II study evaluating glucosamine-sulfate (1,500 mg/day)+ chondroitin-sulfate (1,200 mg/day) for 24 weeks to treat joint pain/stiffness in postmenopausal women with early stage breast cancer who developed moderate-to-severe joint pain after initiating AIs. The primary endpoint was improvement in pain/stiffness at week 24 assessed by the Outcome Measure in Rheumatology Clinical Trials and Osteoarthritis Research Society International (OMERACT-OARSI) criteria. Secondary endpoints assessed changes in pain, stiffness, and function using the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index for hips/knees and the Modified Score for the Assessment and Quantification of Chronic Rheumatoid Affections of the Hands (M-SACRAH) for hands/wrists. The Brief Pain Inventory (BPI) assessed pain interference, severity, and worst pain. Results Of 53 patients enrolled, 39 were evaluable at week 24. From baseline to week 24, 46 % of patients improved according to OMERACT-OARSI criteria. At week 24, there were improvements (all P<0.05) in pain and function as assessed by WOMAC and M-SACRAH, and in pain interference, severity, and worst pain as assessed by BPI. Estradiol levels did not change from baseline. The most commonly reported side effects were headache (28 %), dyspepsia (15 %), and nausea (17 %). Conclusions In this single-arm study, 24 weeks of glucosamine/chondroitin resulted in moderate improvements in AI-induced arthralgias, with minimal side effects, and no changes in estradiol levels. These results suggest a need to evaluate efficacy in a placebo-controlled trial. PMID:23111941

  14. The Mast Cell Stabilizer Ketotifen Fumarate Lessens Contracture Severity and Myofibroblast Hyperplasia: A Study of a Rabbit Model of Posttraumatic Joint Contractures

    PubMed Central

    Monument, Michael J.; Hart, David A.; Befus, A. Dean; Salo, Paul T.; Zhang, Mei; Hildebrand, Kevin A.

    2010-01-01

    Background The propensity of the elbow to become stiff after trauma is widely appreciated and in this setting, the joint capsule is commonly recognized as the major motion-limiting anatomical structure. Affected joint capsules become fibrotic, characterized by myofibroblast hyperplasia and excessive collagen deposition. Mast cell hyperplasia is common within fibrotic tissue and mast cells are known to synthesize many profibrotic mediators. We have hypothesized that mast cell inhibition after skeletal injury will lessen the degree of contracture severity and will reduce myofibroblast hyperplasia within the joint capsule. Methods Posttraumatic contractures of the knee were created using a combination of intra-articular injury coupled to internal immobilization in skeletally mature, New Zealand white rabbits. Four groups of animals were studied: a non-operative control group (CON), an operative contracture group (ORC) and two-operative groups treated with a mast cell stabilizer, Ketotifen fumarate at doses of 0.5mg/kg (KF0.5) and 1.0mg/kg (KF1.0) twice daily, respectively. After 8 weeks of immobilization, flexion contractures were measured biomechanically and the posterior joint capsule was harvested for quantification of myofibroblast and mast cell numbers. Results Flexion contractures developed in the ORC group (58 ± 14°) and the severity of contracture was significantly reduced in both groups treated with Ketotifen (KF0.5: 42 ± 17° and KF1.0: 45 ± 10°, p<0.02). Joint capsule myofibroblast and mast cell numbers were significantly increased within the operative contracture group (p<0.001). In both surgical groups treated with Ketotifen, myofibroblast and mast cell numbers were significantly reduced (p<0.001). Conclusions The use of a mast cell stabilizer, Ketotifen was effective in reducing the biomechanical and cellular manifestations of joint capsule fibrosis in a rabbit model of posttraumatic joint contracture. This is suggestive that an inflammatory pathway

  15. Arthroscopically Assisted Reconstruction of Acute Acromioclavicular Joint Dislocations: Anatomic AC Ligament Reconstruction With Protective Internal Bracing—The “AC-RecoBridge” Technique

    PubMed Central

    Izadpanah, Kaywan; Jaeger, Martin; Ogon, Peter; Südkamp, Norbert P.; Maier, Dirk

    2015-01-01

    An arthroscopically assisted technique for the treatment of acute acromioclavicular joint dislocations is presented. This pathology-based procedure aims to achieve anatomic healing of both the acromioclavicular ligament complex (ACLC) and the coracoclavicular ligaments. First, the acromioclavicular joint is reduced anatomically under macroscopic and radiologic control and temporarily transfixed with a K-wire. A single-channel technique using 2 suture tapes provides secure coracoclavicular stabilization. The key step of the procedure consists of the anatomic repair of the ACLC (“AC-Reco”). Basically, we have observed 4 patterns of injury: clavicular-sided, acromial-sided, oblique, and midportion tears. Direct and/or transosseous ACLC repair is performed accordingly. Then, an X-configured acromioclavicular suture tape cerclage (“AC-Bridge”) is applied under arthroscopic assistance to limit horizontal clavicular translation to a physiological extent. The AC-Bridge follows the principle of internal bracing and protects healing of the ACLC repair. The AC-Bridge is tightened on top of the repair, creating an additional suture-bridge effect and promoting anatomic ACLC healing. We refer to this combined technique of anatomic ACLC repair and protective internal bracing as the “AC-RecoBridge.” A detailed stepwise description of the surgical technique, including indications, technical pearls and pitfalls, and potential complications, is given. PMID:26052493

  16. International Space Station (ISS) Anomalies Trending Study

    NASA Technical Reports Server (NTRS)

    Beil, Robert J.; Brady, Timothy K.; Foster, Delmar C.; Graber, Robert R.; Malin, Jane T.; Thornesbery, Carroll G.; Throop, David R.

    2015-01-01

    The NASA Engineering and Safety Center (NESC) set out to utilize data mining and trending techniques to review the anomaly history of the International Space Station (ISS) and provide tools for discipline experts not involved with the ISS Program to search anomaly data to aid in identification of areas that may warrant further investigation. Additionally, the assessment team aimed to develop an approach and skillset for integrating data sets, with the intent of providing an enriched data set for discipline experts to investigate that is easier to navigate, particularly in light of ISS aging and the plan to extend its life into the late 2020s. This report contains the outcome of the NESC Assessment.

  17. Experimental study of bolted connections using light gauge channel sections and packing plates at the joints

    NASA Astrophysics Data System (ADS)

    Kulkarni, Ravindra B.; Vaghe, Vishal M.

    2014-12-01

    Cold-formed structural members are being used more widely in routine structural design as the world steel industry moves from the production of hot-rolled section and plate to coil and strip, often with galvanized and/or painted coatings. Steel in this form is more easily delivered from the steel mill to the manufacturing plant where it is usually cold-rolled into open and closed section members. In the present experimental study, the use of packing plate at the joints in cold-formed channel sections may increase the load carrying capacity and also reduce the buckling of unconnected cold form channel steel plate at joints. The present study focuses on examining the experimental investigation to use mild steel as a packing plate with cold-formed channel sections by bolted connection at the joints and the connection subjected to axial tension. Series of tests are carried out with increase in the thickness of packing plate and results are observed and analyzed. Total Twelve experimental tests have been carried out on cold-formed channel tension members fastened with single as well as three numbers of bolts at the connection and from the observations the strength of the joint is increased by increasing the various thicknesses of packing plates and also the buckling of unconnected leg of channel specimen is reduced. It is analyzed by plotting the entire load versus elongation path, so that the behavior of the connection is examined.

  18. Changes in temporomandibular joint spaces after arthroscopic disc repositioning: a self-control study

    PubMed Central

    Kai Hu, Ying; Abdelrehem, Ahmed; Yang, Chi; Cai, Xie Yi; Xie, Qian Yang; Sah, Manoj Kumar

    2017-01-01

    Disc repositioning is a common procedure for patients with anterior disc displacement (ADD). The purpose of this retrospective record-based study was to evaluate changes in the widths of joint spaces and condylar position changes in patients with unilateral ADD following arthroscopic disc repositioning, with the healthy sides as self-control, using magnetic resonance images (MRI).Widths of anterior, superior, and posterior joint spaces (AS, SS, and PS) were measured. The condylar position was described as anterior, centric or posterior, expressed as . Paired-t test and Chi-square test were used to analyze the data. Fifty-four records conformed to the inclusion criteria (mean age of 21.02 years). Widths of SS and PS increased significantly after surgery (P < 0.001) on the operative sides, while joint spaces of healthy sides and AS of operative sides had no significant changes. Dominant location of condyles of operative sides changed from a posterior position to an anterior position, while healthy sides were mostly centric condylar position no matter preoperatively or postoperatively. Therefore, the results of this study indicate that unilateral arthroscopic disc repositioning significantly increases the posterior and superior spaces of the affected joints, without affecting spaces of the healthy sides. PMID:28361905

  19. The effect of the variation in ACL constitutive model on joint kinematics and biomechanics under different loads: a finite element study.

    PubMed

    Wan, Chao; Hao, Zhixiu; Wen, Shizhu

    2013-04-01

    The biomechanics and function of the anterior cruciate ligament (ACL) have been widely studied using both experimental and simulation methods. It is known that a constitutive model of joint tissue is a critical factor in the numerical simulation. Some different ligament constitutive models have been presented to describe the ACL material behavior. However, the effect of the variation in the ligament constitutive model on joint kinematics and biomechanics has still not been studied. In this paper, a three-dimensional finite element model of an intact tibiofemoral joint was reconstructed. Three ACL constitutive models were compared under different joint loads (such as anterior tibial force, varus tibial torque, and valgus tibial torque) to investigate the effect of the change of the ACL constitutive model. The three constitutive models corresponded to an isotropic hyperelasticity model, a transversely isotropic hyperelasticity model with neo-Hookean ground substance description, and a transversely isotropic hyperelastic model with nonlinear ground substance description. Although the material properties of these constitutive equations were fitted on the same uniaxial tension stress-strain curve, the change of the ACL material constitutive model was found to induce altered joint kinematics and biomechanics. The effect of different ACL constitutive equations on joint kinematics depended on both deformation direction and load type. The variation in the ACL constitutive models would influence the joint kinematic results greatly in both the anterior and internal directions under anterior tibial force as well as some other deformations such as the anterior and medial tibial translations under valgus tibial torque, and the medial tibial translation and internal rotation under varus torque. It was revealed that the transversely isotropic hyperelastic model with nonlinear ground substance description (FE model III) was the best representation of the realistic ACL property by a

  20. Comparative study on submillimeter flaws in stitched T-joint carbon fiber reinforced polymer by infrared thermography, microcomputed tomography, ultrasonic c-scan and microscopic inspection

    NASA Astrophysics Data System (ADS)

    Zhang, Hai; Hassler, Ulf; Genest, Marc; Fernandes, Henrique; Robitaille, Francois; Ibarra-Castanedo, Clemente; Joncas, Simon; Maldague, Xavier

    2015-10-01

    Stitching is used to reduce dry-core (incomplete infusion of T-joint core) and reinforce T-joint structure. However, it may cause new types of flaws, especially submillimeter flaws. Microscopic inspection, ultrasonic c-scan, pulsed thermography, vibrothermography, and laser spot thermography are used to investigate the internal flaws in a stitched T-joint carbon fiber-reinforced polymer (CFRP) matrix composites. Then, a new microlaser line thermography is proposed. Microcomputed tomography (microCT) is used to validate the infrared results. A comparison between microlaser line thermography and microCT is performed. It was concluded that microlaser line thermography can detect the internal submillimeter defects. However, the depth and size of the defects can affect the detection results. The microporosities with a diameter of less than 54 μm are not detected in the microlaser line thermography results. Microlaser line thermography can detect the microporosity (a diameter of 0.162 mm) from a depth of 90 μm. However, it cannot detect the internal microporosity (a diameter of 0.216 mm) from a depth of 0.18 mm. The potential causes are given. Finally, a comparative study is conducted.

  1. SuperJet International case study: a business network start-up in the aeronautics industry

    NASA Astrophysics Data System (ADS)

    Corallo, Angelo; de Maggio, Marco; Storelli, Davide

    This chapter presents the SuperJet International case study, a start-up in the aeronautics industry characterized by a process-oriented approach and a complex and as yet evolving network of partnerships and collaborations. The chapter aims to describe the key points of the start-up process, highlighting common factors and differences compared to the TEKNE Methodology of Change, with particular reference to the second and third phase, namely, the design and deployment of new techno-organizational systems. The SuperJet International startup is presented as a case study where strategic and organizational aspects have been jointly conceived from a network-driven perspective. The chapter compares some of the guidelines of the TEKNE Methodology of Change with experiences and actual practices deriving from interviews with key players in SJI's start-up process.

  2. Independent Senior Women Who Travel Internationally: A Collective Case Study

    ERIC Educational Resources Information Center

    Jarrett, Barbara

    2010-01-01

    Nine independent women over age 55 who traveled internationally were investigated through a qualitative case study. The purpose of the study was to explore the women's attitudes, actions, and motivations during and after their international travel experiences. The adult, aging, experiential, and transformational theories of researchers such as…

  3. Independent Senior Women Who Travel Internationally: A Collective Case Study

    ERIC Educational Resources Information Center

    Jarrett, Barbara

    2010-01-01

    Nine independent women over age 55 who traveled internationally were investigated through a qualitative case study. The purpose of the study was to explore the women's attitudes, actions, and motivations during and after their international travel experiences. The adult, aging, experiential, and transformational theories of researchers such as…

  4. International Civic and Citizenship Education Study: Assessment Framework

    ERIC Educational Resources Information Center

    Schulz, Wolfram; Fraillon, Julian; Ainley, John; Losito, Bruno; Kerr, David

    2008-01-01

    This document outlines the framework and assessment design for the International Civic and Citizenship Education Study (ICCS) sponsored by the International Association for the Evaluation of Educational Achievement (IEA). Over the past 50 years, IEA has conducted comparative research studies focusing on educational policies, practices, and…

  5. Subject-specific analysis of joint contact mechanics: application to the study of osteoarthritis and surgical planning.

    PubMed

    Henak, Corinne R; Anderson, Andrew E; Weiss, Jeffrey A

    2013-02-01

    Advances in computational mechanics, constitutive modeling, and techniques for subject-specific modeling have opened the door to patient-specific simulation of the relationships between joint mechanics and osteoarthritis (OA), as well as patient-specific preoperative planning. This article reviews the application of computational biomechanics to the simulation of joint contact mechanics as relevant to the study of OA. This review begins with background regarding OA and the mechanical causes of OA in the context of simulations of joint mechanics. The broad range of technical considerations in creating validated subject-specific whole joint models is discussed. The types of computational models available for the study of joint mechanics are reviewed. The types of constitutive models that are available for articular cartilage are reviewed, with special attention to choosing an appropriate constitutive model for the application at hand. Issues related to model generation are discussed, including acquisition of model geometry from volumetric image data and specific considerations for acquisition of computed tomography and magnetic resonance imaging data. Approaches to model validation are reviewed. The areas of parametric analysis, factorial design, and probabilistic analysis are reviewed in the context of simulations of joint contact mechanics. Following the review of technical considerations, the article details insights that have been obtained from computational models of joint mechanics for normal joints; patient populations; the study of specific aspects of joint mechanics relevant to OA, such as congruency and instability; and preoperative planning. Finally, future directions for research and application are summarized.

  6. Factors associated with pharmacy student interest in international study.

    PubMed

    Owen, Chelsea; Breheny, Patrick; Ingram, Richard; Pfeifle, William; Cain, Jeff; Ryan, Melody

    2013-04-12

    OBJECTIVES. To examine the interest of pharmacy students in international study, the demographic factors and involvement characteristics associated with that interest, and the perceived advantages and barriers of engaging in international opportunities during pharmacy school. METHODS. A self-administered electronic survey instrument was distributed to first-, second-, and third-year pharmacy students at the University of Kentucky College of Pharmacy. RESULTS. There were 192 total respondents, for a response rate of 50.9%. Seventy-two percent reported interest in international study. Previous international study experience (p=0.001), previous international travel experience (p=0.002), year in pharmacy school (p=0.03), level of academic involvement (p<0.001), and level of diversity involvement (p<0.001) were associated with international study interest. Positive influences to international study included desire to travel and availability of scholarships. Perceived barriers included an inability to pay expenses and lack of foreign language knowledge. CONCLUSIONS. The needs and interests of pharmacy students should be considered in the development and expansion of internationalization programs in order to effectively optimize global partnerships and available international experiences. Colleges and schools of pharmacy should engage students early in the curriculum when interest in study-abroad opportunities is highest and seek to alleviate concerns about expenses as a primary influence on study-abroad decisions through provision of financial assistance.

  7. Factors Associated With Pharmacy Student Interest in International Study

    PubMed Central

    Owen, Chelsea; Breheny, Patrick; Ingram, Richard; Pfeifle, William; Cain, Jeff

    2013-01-01

    Objectives. To examine the interest of pharmacy students in international study, the demographic factors and involvement characteristics associated with that interest, and the perceived advantages and barriers of engaging in international opportunities during pharmacy school. Methods. A self-administered electronic survey instrument was distributed to first-, second-, and third-year pharmacy students at the University of Kentucky College of Pharmacy. Results. There were 192 total respondents, for a response rate of 50.9%. Seventy-two percent reported interest in international study. Previous international study experience (p=0.001), previous international travel experience (p=0.002), year in pharmacy school (p=0.03), level of academic involvement (p<0.001), and level of diversity involvement (p<0.001) were associated with international study interest. Positive influences to international study included desire to travel and availability of scholarships. Perceived barriers included an inability to pay expenses and lack of foreign language knowledge. Conclusions. The needs and interests of pharmacy students should be considered in the development and expansion of internationalization programs in order to effectively optimize global partnerships and available international experiences. Colleges and schools of pharmacy should engage students early in the curriculum when interest in study-abroad opportunities is highest and seek to alleviate concerns about expenses as a primary influence on study-abroad decisions through provision of financial assistance. PMID:23610472

  8. Joint USNRC/EC consequence uncertainty study: The ingestion pathway, dosimetry and health effects expert judgment elicitations and results

    SciTech Connect

    Harper, F.; Goossens, L.; Abbott, M.

    1996-08-01

    The US Nuclear Regulatory Commission (USNRC) and the European Commission (EC) have conducted a formal expert judgment elicitation jointly to systematically collect the quantitative information needed to perform consequence uncertainty analyses on a broad set of commercial nuclear power plants. Information from three sets of joint US/European expert panels was collected and processed. Information from the three sets of panels was collected in the following areas: in the phenomenological areas of atmospheric dispersion and deposition, in the areas of ingestion pathways and external dosimetry, and in the areas of health effects and internal dosimetry. This exercise has demonstrated that the uncertainty for particular issues as measured by the ratio of the 95th percentile to the 5th percentile can be extremely large (orders of magnitude), or rather small (factor of two). This information has already been used by many of the experts that were involved in this process in areas other than the consequence uncertainty field. The benefit to the field of radiological consequences is just beginning as the results of this study are published and made available to the consequence community.

  9. Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: a Joint Statement by International Diabetes Organizations.

    PubMed

    Rubino, Francesco; Nathan, David M; Eckel, Robert H; Schauer, Philip R; Alberti, K George M M; Zimmet, Paul Z; Del Prato, Stefano; Ji, Linong; Sadikot, Shaukat M; Herman, William H; Amiel, Stephanie A; Kaplan, Lee M; Taroncher-Oldenburg, Gaspar; Cummings, David E

    2017-01-01

    Despite growing evidence that bariatric/metabolic surgery powerfully improves type 2 diabetes (T2D), existing diabetes treatment algorithms do not include surgical options. The 2nd Diabetes Surgery Summit (DSS-II), an international consensus conference, was convened in collaboration with leading diabetes organizations to develop global guidelines to inform clinicians and policymakers about benefits and limitations of metabolic surgery for T2D. A multidisciplinary group of 48 international clinicians/scholars (75% nonsurgeons), including representatives of leading diabetes organizations, participated in DSS-II. After evidence appraisal (MEDLINE [1 January 2005-30 September 2015]), three rounds of Delphi-like questionnaires were used to measure consensus for 32 data-based conclusions. These drafts were presented at the combined DSS-II and 3rd World Congress on Interventional Therapies for Type 2 Diabetes (London, U.K., 28-30 September 2015), where they were open to public comment by other professionals and amended face-to-face by the Expert Committee. Given its role in metabolic regulation, the gastrointestinal tract constitutes a meaningful target to manage T2D. Numerous randomized clinical trials, albeit mostly short/midterm, demonstrate that metabolic surgery achieves excellent glycemic control and reduces cardiovascular risk factors. On the basis of such evidence, metabolic surgery should be recommended to treat T2D in patients with class III obesity (BMI ≥40 kg/m(2)) and in those with class II obesity (BMI 35.0-39.9 kg/m(2)) when hyperglycemia is inadequately controlled by lifestyle and optimal medical therapy. Surgery should also be considered for patients with T2D and BMI 30.0-34.9 kg/m(2) if hyperglycemia is inadequately controlled despite optimal treatment with either oral or injectable medications. These BMI thresholds should be reduced by 2.5 kg/m(2) for Asian patients. Although additional studies are needed to further demonstrate long-term benefits

  10. Can Discrete Joint Action Be Synergistic? Studying the Stabilization of Interpersonal Hand Coordination

    PubMed Central

    Romero, Veronica; Kallen, Rachel; Riley, Michael A.; Richardson, Michael J.

    2016-01-01

    The human perceptual-motor system is tightly coupled to the physical and informational dynamics of a task environment. These dynamics operate to constrain the high-dimensional order of the human movement system into low-dimensional, task-specific synergies—functional groupings of structural elements that are temporarily constrained to act as a single coordinated unit. The aim of the current study was to determine whether synergistic processes operate when coacting individuals coordinate to perform a discrete joint-action task. Pairs of participants sat next to each other and each used 1 arm to complete a pointer-to-target task. Using the uncontrolled manifold (UCM) analysis for the first time in a discrete joint action, the structure of joint-angle variance was examined to determine whether there was synergistic organization of the degrees of freedom employed at the interpersonal or intrapersonal levels. The results revealed that the motor actions performed by coactors were synergistically organized at both the interpersonal and intrapersonal levels. More importantly, however, the interpersonal synergy was found to be significantly stronger than the intrapersonal synergies. Accordingly, the results provide clear evidence that coacting individuals can become temporarily organized to form single synergistic 2-person systems during performance of a discrete joint action. PMID:26052696

  11. Comprehensive Joint Feedback Control for Standing by Functional Neuromuscular Stimulation – a Simulation Study

    PubMed Central

    Nataraj, Raviraj; Audu, Musa L.; Kirsch, Robert F.; Triolo, Ronald J.

    2013-01-01

    Previous investigations of feedback control of standing after spinal cord injury (SCI) using functional neuromuscular stimulation (FNS) have primarily targeted individual joints. This study assesses the potential efficacy of comprehensive (trunk, hips, knees, and ankles) joint-feedback control against postural disturbances using a bipedal, three-dimensional computer model of SCI stance. Proportional-derivative feedback drove an artificial neural network trained to produce muscle excitation patterns consistent with maximal joint stiffness values achievable about neutral stance given typical SCI muscle properties. Feedback gains were optimized to minimize upper extremity (UE) loading required to stabilize against disturbances. Compared to the baseline case of maximum constant muscle excitations used clinically, the controller reduced UE loading by 55% in resisting external force perturbations and by 84% during simulated one-arm functional tasks. Performance was most sensitive to inaccurate measurements of ankle plantar/dorsiflexion position and hip ab/adduction velocity feedback. In conclusion, comprehensive joint-feedback demonstrates potential to markedly improve FNS standing function. However, alternative control structures capable of effective performance with fewer sensor-based feedback parameters may better facilitate clinical usage. PMID:20923741

  12. Understanding the joint behavior of temperature and precipitation for climate change impact studies

    NASA Astrophysics Data System (ADS)

    Rana, Arun; Moradkhani, Hamid; Qin, Yueyue

    2016-04-01

    The multiple downscaled scenario products allow us to assess the uncertainty of the variations of precipitation and temperature in the current and future periods. Probabilistic assessments of both climatic variables help better understand the interdependence of the two and thus, in turn, help in assessing the future with confidence. In the present study, we use ensemble of statistically downscaled precipitation and temperature from various models. The dataset used is multi-model ensemble of 10 global climate models (GCMs) downscaled product from CMIP5 daily dataset using the Bias Correction and Spatial Downscaling (BCSD) technique, generated at Portland State University. The multi-model ensemble of both precipitation and temperature is evaluated for dry and wet periods for 10 sub-basins across Columbia River Basin (CRB). Thereafter, copula is applied to establish the joint distribution of two variables on multi-model ensemble data. The joint distribution is then used to estimate the change in trends of said variables in future, along with estimation of the probabilities of the given change. The joint distribution trends vary, but certainly positive, for dry and wet periods in sub-basins of CRB. Dry season, generally, is indicating a higher positive change in precipitation than temperature (as compared to historical) across sub-basins with wet season inferring otherwise. Probabilities of changes in future, as estimated from the joint distribution, indicate varied degrees and forms during dry season whereas the wet season is rather constant across all the sub-basins.

  13. A Normative Study of the Synovial Fluid Proteome from Healthy Porcine Knee Joints

    PubMed Central

    2015-01-01

    Synovial fluid in an articulating joint contains proteins derived from the blood plasma and proteins that are produced by cells within the joint tissues, such as synovium, cartilage, ligament, and meniscus. The proteome composition of healthy synovial fluid and the cellular origins of many synovial fluid components are not fully understood. Here, we present a normative proteomics study using porcine synovial fluid. Using our optimized method, we identified 267 proteins with high confidence in healthy synovial fluid. We also evaluated mRNA expression data from tissues that can contribute to the synovial fluid proteome, including synovium, cartilage, blood, and liver, to better estimate the relative contributions from these sources to specific synovial fluid components. We identified 113 proteins in healthy synovial fluid that appear to be primarily derived from plasma transudates, 37 proteins primarily derived from synovium, and 11 proteins primarily derived from cartilage. Finally, we compared the identified synovial fluid proteome to the proteome of human plasma, and we found that the two body fluids share many similarities, underlining the detected plasma derived nature of many synovial fluid components. Knowing the synovial fluid proteome of a healthy joint will help to identify mechanisms that cause joint disease and pathways involved in disease progression. PMID:25160569

  14. Effect studies of Uyghur sand therapy on the hemodynamics of the knee-joint arteries.

    PubMed

    Fu, Rongchang; Mahemut, Dilinaer; Tiyipujiang, Rexiati; Aihemaiti, Kuwahan; Ainiwaierjiang, Nuerya

    2014-01-01

    This paper studies the effect of Uyghur sand therapy on dynamics of arterial flow of knee joints via experiments and numerical simulations. Experiments have been carried out on 30 volunteers, with their diameter and flow rate of arteries of knee joints measured before and after Uyghur sand therapy. It has been found that Uyghur sand therapy will increase the inner diameter of knee arteries and speed up the blood flow. Experimental results show that Uyghur sand therapy can help relieve obstacles in local blood flow. By choosing one volunteer for CT scanning, three-dimensional reconstruction of knee-joint arteries via MIMICS software is achieved. Calculation model is the established with numerical calculations performed by ANSYS software. According to the calculations, the blood flow of the knee arteries speeds up and the uniform distribution of velocity enlarges after Uyghur sand therapy, which further confirms the experimental results. Besides, the research also suggests that Uyghur sand therapy has stronger effect on blood flow of knee-joint arteries than the inner diameter.

  15. Understanding the joint behavior of temperature and precipitation for climate change impact studies

    NASA Astrophysics Data System (ADS)

    Rana, Arun; Moradkhani, Hamid; Qin, Yueyue

    2017-07-01

    The multiple downscaled scenario products allow us to assess the uncertainty of the variations of precipitation and temperature in the current and future periods. Probabilistic assessments of both climatic variables help better understand the interdependence of the two and thus, in turn, help in assessing the future with confidence. In the present study, we use ensemble of statistically downscaled precipitation and temperature from various models. The dataset used is multi-model ensemble of 10 global climate models (GCMs) downscaled product from CMIP5 daily dataset using the Bias Correction and Spatial Downscaling (BCSD) technique, generated at Portland State University. The multi-model ensemble of both precipitation and temperature is evaluated for dry and wet periods for 10 sub-basins across Columbia River Basin (CRB). Thereafter, copula is applied to establish the joint distribution of two variables on multi-model ensemble data. The joint distribution is then used to estimate the change in trends of said variables in future, along with estimation of the probabilities of the given change. The joint distribution trends vary, but certainly positive, for dry and wet periods in sub-basins of CRB. Dry season, generally, is indicating a higher positive change in precipitation than temperature (as compared to historical) across sub-basins with wet season inferring otherwise. Probabilities of changes in future, as estimated from the joint distribution, indicate varied degrees and forms during dry season whereas the wet season is rather constant across all the sub-basins.

  16. Access to the hip joint from standard arthroscopic portals: a cadaveric study.

    PubMed

    Thorey, Fritz; Ezechieli, Marco; Ettinger, Max; Albrecht, Urs-Vito; Budde, Stefan

    2013-08-01

    Our purpose was to study and describe the areas of the hip joint that can be safely visualized and operated on using a variety of portals for the central and peripheral compartments. Twelve hip joints in 6 human cadavers were examined through 9 different central and peripheral arthroscopic portals. Markings of the accessible areas within the joint were made through an arthroscope. Dissection of the cadavers was carried out for final evaluation of the visible areas and those accessible for instruments. During dissection, anatomic proximity of the portals to relevant neurovascular structures was measured. The central compartment was sufficiently accessible using the anterior, anterolateral, and posterolateral portals, with slight limitations in the posteromedial corner. A more medial portal did not offer substantial advantages regarding accessibility but decreased the safety distance to the femoral nerve. With regard to the peripheral compartment, the combination of the anterolateral and posterolateral portals allowed visualization of most of the joint. It was observed that the structure at highest risk of injury for the central anterior and the peripheral anterolateral portals was the lateral femoral cutaneous nerve. In hip arthroscopy, the use of the standard anterior, anterolateral, and posterolateral portals allows proper accessibility of the central compartment, with slight limitations in the posteromedial corner. A more medial portal is not recommended with regard to its risk-benefit ratio. The peripheral compartment of the hip joint is sufficiently visible using the anterolateral and posterolateral portals. For treatment of specific pathologic conditions, a variation of these portals improves surgical accessibility. The anatomic structure at highest risk of injury during hip arthroscopy is the lateral femoral cutaneous nerve. The general objectives of this study were to prepare surgeons to develop appropriate concepts of surgery and to facilitate preoperative

  17. Ultrasound-guided versus nonguided tibiotalar joint and sinus tarsi injections: a cadaveric study.

    PubMed

    Wisniewski, Steve J; Smith, Jay; Patterson, Denis G; Carmichael, Stephen W; Pawlina, Wojciech

    2010-04-01

    To compare the relative accuracy rates of ultrasound (US)-guided versus nonguided ankle (tibiotalar) joint and sinus tarsi injections in a cadaveric model. Prospective human cadaveric study with injection technique randomized and accuracy assessed by skilled observers blinded to injection technique. Procedural skills laboratory in a tertiary care academic medical center. Twelve embalmed and 8 unembalmed cadavers (40 ankles) were used for this investigation. Using a predetermined randomization process, 1 ankle of each cadaver was injected with US guidance and the other without. Tibiotalar joint injections were performed via an anterior approach and sinus tarsi injections performed via an anterolateral approach. All injections were performed by the senior author using a 22-gauge, 1.5-inch needle to place 3 mL of 50% diluted blue latex solution into the target area. Two anatomists blinded to the injection technique dissected each ankle and determined injection accuracy based on previously agreed upon criteria. Injection accuracy, where an accurate injection delivered injectate within the tibiotalar joint or into the mid-portion of the sinus tarsi. The accuracy rate for US-guided tibiotalar joint injections was 100% (20/20) versus 85% (17/20) for nonguided injections. The accuracy rate for US-guided sinus tarsi injections was 90% (18/20) versus 35% (7/20) for nonguided injections. In this cadaveric study, US guidance produced superior accuracy compared with nonguided injections with respect to both the tibiotalar joint and sinus tarsi. Although further research is warranted, clinicians should consider US guidance to optimize injectate placement into these areas when optimal accuracy is necessary for diagnostic or therapeutic purposes. Copyright 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  18. Joint Modeling Compliance and Outcome for Causal Analysis in Longitudinal Studies

    PubMed Central

    Gao, Xin; Brown, Gregory K.; Elliott, Michael R.

    2013-01-01

    This article discusses joint modeling of compliance and outcome for longitudinal studies when noncompliance is present. We focus on two-arm randomized longitudinal studies in which subjects are randomized at baseline, treatment is applied repeatedly over time, and compliance behaviors and clinical outcomes are measured and recorded repeatedly over time. In the proposed Markov compliance and outcome model, we use the potential outcome framework to define pre-randomization principal strata from the joint distribution of compliance under treatment and control arms, and estimate the effect of treatment within each principal strata. Besides the causal effect of the treatment, our proposed model can estimate the impact of the causal effect of the treatment at a given time on the future compliance. Bayesian methods are used to estimate the parameters. The results are illustrated using a study assessing the effect of cognitive behavior therapy on depression. A simulation study is used to assess the repeated sampling properties of the proposed model. PMID:23576159

  19. Joint modeling compliance and outcome for causal analysis in longitudinal studies.

    PubMed

    Gao, Xin; Brown, Gregory K; Elliott, Michael R

    2014-09-10

    This article discusses joint modeling of compliance and outcome for longitudinal studies when noncompliance is present. We focus on two-arm randomized longitudinal studies in which subjects are randomized at baseline, treatment is applied repeatedly over time, and compliance behaviors and clinical outcomes are measured and recorded repeatedly over time. In the proposed Markov compliance and outcome model, we use the potential outcome framework to define pre-randomization principal strata from the joint distribution of compliance under treatment and control arms, and estimate the effect of treatment within each principal strata. Besides the causal effect of the treatment, our proposed model can estimate the impact of the causal effect of the treatment at a given time on future compliance. Bayesian methods are used to estimate the parameters. The results are illustrated using a study assessing the effect of cognitive behavior therapy on depression. A simulation study is used to assess the repeated sampling properties of the proposed model.

  20. Smart toe® implant versus buried Kirschner wire for proximal interphalangeal joint arthrodesis: a comparative study.

    PubMed

    Scholl, Alex; McCarty, James; Scholl, Desiree; Mar, Alice

    2013-01-01

    The surgical correction of hammer digits offers a variety of surgical treatments ranging from arthroplasty to arthrodesis, with many options for fixation. In the present study, we compared 2 buried implants for arthrodesis of lesser digit deformities: a Smart Toe® implant and a buried Kirschner wire. Both implants were placed in a prepared interphalangeal joint, did not violate other digital or metatarsal joints, and were not exposed percutaneously. A retrospective comparative study was performed of 117 digits with either a Smart Toe® implant or a buried Kirschner wire, performed from January 1, 2007 to December 31, 2010. Of the 117 digits, 31 were excluded because of a lack of 90-day radiographic follow-up. The average follow-up was 94 to 1130 days. The average patient age was 61.47 (range 43 to 84) years. Of the 86 included digits, 48 were left digits and 38 were right. Of the digits corrected, 54 were second digits, 24 were third digits and 8 were fourth digits. Fifty-eight Smart Toe® implants were found (15 with 19-mm straight; 2 with 19-mm angulated; 34 with 16-mm straight; and 7 with 16-mm angulated). Twenty-eight buried Kirschner wires were evaluated. No statistically significant difference was found between the Smart Toe® implants and the buried Kirschner wires, including the rate of malunion, nonunion, fracture of internal fixation, and the need for revision surgery. Of the 86 implants, 87.9% of the Smart Toe® implants and 85.7% of the buried Kirschner wires were in good position (0° to 10° of transverse angulation on radiographs). Osseous union was achieved in 68.9% of Smart Toe® implants and 82.1% of buried Kirschner wires. Fracture of internal fixation occurred in 12 of the Smart Toe® implants (20.7%) and 2 of the buried Kirschner wires (7.1%). Most of the fractured internal fixation and malunions or nonunions were asymptomatic, leading to revision surgery in only 8.6% of the Smart Toe® implants and 10.7% of the buried Kirschner wires. Both

  1. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction.

    PubMed

    Bo, Kari; Frawley, Helena C; Haylen, Bernard T; Abramov, Yoram; Almeida, Fernando G; Berghmans, Bary; Bortolini, Maria; Dumoulin, Chantale; Gomes, Mario; McClurg, Doreen; Meijlink, Jane; Shelly, Elizabeth; Trabuco, Emanuel; Walker, Carolina; Wells, Amanda

    2017-02-01

    Introduction and hypothesis There has been an increasing need for the terminology on the conservative management of female pelvic floor dysfunction to be collated in a clinically based consensus report. Methods This Report combines the input of members and elected nominees of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by many external referees. An extensive process of nine rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Before opening up for comments on the webpages of ICS and IUGA, five experts from physiotherapy, neurology, urology, urogynecology, and nursing were invited to comment on the paper. Results A Terminology Report on the conservative management of female pelvic floor dysfunction, encompassing over 200 separate definitions, has been developed. It is clinically based, with the most common symptoms, signs, assessments, diagnoses, and treatments defined. Clarity and ease of use have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Ongoing review is not only anticipated, but will be required to keep the document updated and as widely acceptable as possible. Conclusion A consensus-based terminology report for the conservative management of female pelvic floor dysfunction has been produced, aimed at being a significant aid to clinical practice and a stimulus for research.

  2. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).

    PubMed

    Haylen, Bernard T; Maher, Christopher F; Barber, Matthew D; Camargo, Sérgio; Dandolu, Vani; Digesu, Alex; Goldman, Howard B; Huser, Martin; Milani, Alfredo L; Moran, Paul A; Schaer, Gabriel N; Withagen, Mariëlla I J

    2016-04-01

    The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. This Report combines the input of members of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of fourteen rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). A Terminology Report for female POP, encompassing over 230 separate definitions, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction and POP. Female-specific imaging (ultrasound, radiology and MRI) and conservative and surgical managements are major additions and appropriate figures have been included to supplement and clarify the text. Emerging concepts and measurements, in use in the literature and offering further research potential, but requiring further validation, have been included as an appendix. Interval (5-10 year) review is anticipated to keep the document updated and as widely acceptable as possible. A consensus-based Terminology Report for female POP has been produced to aid clinical practice and research.

  3. The Hip-Spine Effect: A Biomechanical Study of Ischiofemoral Impingement Effect on Lumbar Facet Joints.

    PubMed

    Gómez-Hoyos, Juan; Khoury, Anthony; Schröder, Ricardo; Johnson, Eric; Palmer, Ian J; Martin, Hal D

    2017-01-01

    To assess the relation between ischiofemoral impingement (IFI) and lumbar facet joint load during hip extension in cadavers. Twelve hips in 6 fresh T1-to-toes cadaveric specimens were tested. A complete pretesting imaging evaluation was performed using computed tomography scan. Cadavers were positioned in lateral decubitus and fixed to a dissection table. Both legs were placed on a frame in a simulated walking position. Through a posterior lumbar spine approach L3-4 and L4-5 facet joints were dissected bilaterally. In addition, through a posterolateral approach to the hip, the space between the ischium and the lesser trochanter was dissected and measured. Ultrasensitive, and previously validated, piezoresistive force sensors were placed in lumbar facet joints of L3-4 and L4-5. Lumbar facet loads during hip extension were measured in native hip conditions and after simulating IFI by performing lesser trochanter osteotomy and lengthening. Four paired t-tests were performed comparing normal and simulated IFI on the L3-L4 and L4-L5 facet joint loads. After simulating IFI, mean absolute differences of facet joint load were 10.8 N (standard error of the mean [SEM] ±4.53, P = .036) for L3-4 at 10° of hip extension, 13.71 N (SEM ±4.53, P = .012) for L3-4 at 20° of hip extension, 11.49 N (SEM ±4.33, P = .024) for L4-5 at 10° of hip extension, and 6.67 N (SEM ±5.43, P = .245) for L4-5 at 20° of hip extension. A statistically significant increase in L3-4 and L4-5 lumbar facet joint loads of 30.81% was found in the IFI state as compared with the native state during terminal hip extension. Limited terminal hip extension due to simulated IFI significantly increases L3-4 and L4-5 lumbar facet joint load when compared with non-IFI native hips. This biomechanical study directly links IFI to increased lumbar facet loads and supports the clinical findings of IFI causing lumbar pathology. Assessing and treating (open or endoscopic) hip disorders that limit extension

  4. Extension joints: a tool to infer the active stress field orientation (case study from southern Italy)

    NASA Astrophysics Data System (ADS)

    De Guidi, Giorgio; Caputo, Riccardo; Scudero, Salvatore; Perdicaro, Vincenzo

    2013-04-01

    An intense tectonic activity in eastern Sicily and southern Calabria is well documented by the differential uplift of Late Quaternary coastlines and by the record of the strong historical earthquakes. The extensional belt that crosses this area is dominated by a well established WNW-ESE-oriented extensional direction. However, this area is largely lacking of any structural analysis able to define the tectonics at a more local scale. In the attempt to fill this gap of knowledge, we carried out a systematic analysis of extension joint sets. In fact, the systematic field collection of these extensional features, coupled with an appropriate inversion technique, allows to determine the characteristic of the causative tectonic stress field. Joints are defined as outcrop-scale mechanical discontinuities showing no evidence of shear motion and being originated as purely extensional fractures. Such tectonic features are one of the most common deformational structures in every tectonic environment and particularly abundant in the study area. A particular arrangement of joints, called "fracture grid-lock system", and defined as an orthogonal joint system where mutual abutting and crosscutting relationships characterize two geologically coeval joint sets, allow to infer the direction and the magnitude of the tectonic stress field. We performed the analyses of joints only on Pleistocene deposits of Eastern Sicily and Southern Calabria. Moreover we investigated only calcarenite sediments and cemented deposits, avoiding claysh and loose matrix-supported clastic sediments where the deformation is generally accomodated in a distributed way through the relative motion between the single particles. In the selection of the sites, we also took into account the possibility to clearly observe the geometric relationships among the joints. For this reason we chose curvilinear road cuts or cliffs, wide coastal erosional surfaces and quarries. The numerical inversions show a similar stress

  5. International Learning Adventures: A Phenomenological Exploration of International Backpacker Style Study Abroad

    ERIC Educational Resources Information Center

    Thatcher, Chad Alan

    2010-01-01

    Self-awareness, cultural competency, environmental consciousness, and economic empathy are often achieved through study abroad travel experiences. This phenomenological study was intended to shed light on the international backpacking study abroad experiences for college students, describing the phenomenon from the perspective of the participants…

  6. International Learning Adventures: A Phenomenological Exploration of International Backpacker Style Study Abroad

    ERIC Educational Resources Information Center

    Thatcher, Chad Alan

    2010-01-01

    Self-awareness, cultural competency, environmental consciousness, and economic empathy are often achieved through study abroad travel experiences. This phenomenological study was intended to shed light on the international backpacking study abroad experiences for college students, describing the phenomenon from the perspective of the participants…

  7. Correlation study of knee joint proprioception test results using common test methods.

    PubMed

    Li, Lin; Ji, Zhong-Qiu; Li, Yan-Xia; Liu, Wei-Tong

    2016-01-01

    [Purpose] To study the correlation of the results obtained from different proprioception test methods, namely, the joint angle reset method, the motion minimum threshold measurement method, and the force sense reproduction method, performed on the same subjects' knees. [Subjects and Methods] Different proprioception test methods, the joint angle reset method, the motion minimum threshold measurement method and the force sense reproduction method were used to test the knees of 30 healthy young men. [Results] Correlations were found in the following descending order from strong to weak: the correlation between the joint angle reset method and the force sense reproduction method (correlation coefficient of 0.41), the correlation between the joint angle reset method and the motion minimum threshold measurement method (correlation coefficient of 0.29), the correlation between the motion minimum threshold measurement method and the force sense reproduce method (correlation coefficient of 0.15). [Conclusion] No correlation was found among the results obtained using the joint angle reset method, the motion minimum threshold measurement method and the force sense reproduction method. Therefore, no correlation was found among the position sense, the motion sense and the force sense represented by these methods. Using the results of only one of the test methods to represent proprioception is one-sided. Force sensation depends more on the sensory input of information from the Golgi tendon organs, motion sense depends more on the input information of the muscle spindles, and position sense relies on the double input information of the muscle spindles and the Golgi tendon organs.

  8. Clinical Evaluation of the Articulinx Intercarpometacarpal Cushion for the First CMC Joint: A Feasibility Study.

    PubMed

    van der Veen, Fiente J C; White, David N; Dapper, Mattie M L; Griot, J Peter W Don; Ritt, Marco P J F

    2013-08-01

    Background The Intercarpometacarpal Cushion (ICMC; Articulinx, Cupertino, CA, USA) is an implantable spacer designed as a less invasive surgical treatment for osteoarthritis (OA) of the first carpometacarpal joint (CMC-1). Description of Technique Following local anesthesia and exposure of the joint capsule the ICMC, attached to a needle and suture tethers, is guided into the joint space under fluoroscopic visualization through a dorsal approach. The needle is pulled through the thenar eminence to the opposite side of the hand and, once proper device placement is confirmed, cut free and the joint capsule closed. Patients and Methods Eight female patients (median age 56 years; range, 42-83) were treated and followed for 6 to 24 months. Safety of the implant procedure was evaluated intraoperatively. Pain, joint function, and strength were evaluated at 6 weeks, 3, 6, 12 and 24 months with a Visual Analog Scale (VAS) for pain, the QuickDASH inventory, Canadian Occupational Performance Measure (COPM), and pinch and grip strength measurements. Results At 2 years (n = 6), mean VAS pain scores decreased from 6.3 (± 1.5) to 2.2 (± 1.1) (p < 0.001), mean QuickDASH scores improved from 47 (± 15) to 31 (± 11) (p < 0.10), mean COPM performance scores improved from 5.0 (± 1.2) to 5.5 ( ± 1.3) (p = NS). Mean pinch and grip strength measurements also improved compared with baseline. No serious adverse events occurred. Two device removals occurred, associated with a traumatic event and Stage IV OA with device displacement, at 6 and 9 months respectively. Conclusion The ICMC can be implanted safely. Effectiveness needs to be confirmed in future studies.

  9. Minimally invasive endoscopic reconstruction technique of acute AC-joint dislocations: a cadaver study.

    PubMed

    Osti, Michael; Seil, Romain; Bachelier, Felix; Kohn, Dieter

    2006-07-01

    The treatment of acute Rockwood type III AC-joint dislocations is controversial. Problems related to open surgery are soft tissue healing, residual instability and the necessity of hardware removal. After non-operative therapy the cosmetic result may be problematic and in some cases symptomatic instabilities occur. The goal of the present cadaver study was to develop a new, minimally invasive technique for acute AC-joint reconstructions and to analyse its potential risk for neurovascular injuries. The surgical technique was based on an arthroscopically assisted reconstruction of the coracoclavicular ligaments with a suture anchor (Arthrex, Naples, FL, USA) and a supplemental stabilization of the AC-joint capsule with a suture cerclage (Fibre Wire 2, Arthrex) performed on ten cadaveric shoulder specimens. After surgery all specimens were dissected to analyse the anatomy of the coracoclavicular ligament complex, the position of anchors and sutures and to measure the distance to the neurovascular structures at risk. The supraspinatus muscle was never injured by the Neviaser approach. The insertion of the suture anchors never failed, resulting in a secure and reproducible anchor position. The mean distance between the coracoid and suprascapular nerve was 1.8 cm (1.5-2.2), between the coracoid and the suprascapular artery 1.5 cm (1.3-1.9). These structures were never injured. The resulting force vector of the suture located between the anchor and the drill hole was close to the anatomic force vector of the coracoclavicular ligament complex. The suture cerclage was always correctly positioned. The presented technique is at minimal risk for the surrounding neurovascular structures and allows for a minimally invasive and anatomically correct reconstruction of the AC-joint. Further biomechanical analysis is needed to evaluate the strength of the reconstruction technique. The proposed technique might be a reasonable alternative to existing invasive techniques of open

  10. A feasibility study for experimentally determining dynamic force distribution in a lap joint.

    SciTech Connect

    Mayes, Randall Lee

    2013-11-01

    Developing constitutive models of the physics in mechanical joints is currently stymied by inability to measure forces and displacements within the joint. The current state of the art estimates whole joint stiffness and energy loss per cycle from external measured force input and one or two acceleration responses. To validate constitutive models beyond this state requires a measurement of the distributed forces and displacements at the joint interface. Unfortunately, introducing measurement devices at the interface completely disrupts the desired physics. A feasibility study is presented for a non-intrusive method of solving for the interface dynamic forces from an inverse problem using full field measured responses. The responses come from the viewable surface of a beam. The noise levels associated with digital image correlation and continuous scanning laser Doppler velocimetry are evaluated from typical beam experiments. Two inverse problems are simulated. One utilizes the extended Sum of Weighted Accelerations Technique (SWAT). The second is a new approach dubbed the method of truncated orthogonal forces. These methods are much more robust if the contact patch geometry is well identified. Various approaches to identifying the contact patch are investigated, including ion marker tracking, Prussian blue and ultrasonic measurements. A typical experiment is conceived for a beam which has a lap joint at one end with a single bolt connecting it to another identical beam. In a virtual test using the beam finite element analysis, it appears that the SWAT inverse method requires evaluation of too many coefficients to adequately identify the force distribution to be viable. However, the method of truncated orthogonal forces appears viable with current digital image correlation (and probably other) imaging techniques.

  11. Joint battery industry sector study. Final report, 1 November 1993-31 August 1994

    SciTech Connect

    Higgins, D.; Hafer, M.E.; Solos, E.; Milley, S.; Dorchak, E.

    1994-08-31

    This study, sponsored by the North American Technology and Industrial Base Organization (NATIBO), assesses the long term health of the North American military battery production base. This horizontal assessment identifies batteries that have commercial applications, dual use batteries meeting DoD needs, and batteries that meet unique military requirements. It also identifies battery chemistries where the capability to manufacture that particular line may disappear and discusses the impact of this loss and the potential of new or next generation battery chemistries to fill the void The study identifies current problems, the outlook for the industry, areas of compatibility, and areas of potential joint Service and Canadian cooperation. From this, the study provides recommendations for managing batteries within the military and overcoming identified problems. The report outlines concrete initiatives for improving the battery industry sector, employing dual use batteries to the maximum extent, and enhancing joint activity.

  12. Estrogen receptors in the temporomandibular joint of the baboon (Papio cynocephalus): an autoradiographic study

    SciTech Connect

    Aufdemorte, T.B.; Van Sickels, J.E.; Dolwick, M.F.; Sheridan, P.J.; Holt, G.R.; Aragon, S.B.; Gates, G.A.

    1986-04-01

    Using an autoradiographic method, the temporomandibular joint (TMJ) complex of five aged female baboons was studied for the presence of receptors for estradiol-17 beta. The study was performed in an effort to learn more of the pathophysiology of this joint and in an attempt to provide a scientific basis to explain the reported preponderance of women who seek and undergo treatment for signs and symptoms referable to the TMJ. This experiment revealed that the TMJ complex contains numerous cells with receptors for estrogen, particularly the articular surface of the condyle, articular disk, and capsule. Muscles of mastication contained relatively fewer receptors. As a result, one may postulate a role for the sex steroid hormones in the maintenance, repair, and/or pathogenesis of the TMJ. Additional studies are necessary to fully determine the significance of hormone receptors in this site and any correlation between diseases of the TMJ and the endocrine status of affected patients.

  13. Effectively Integrating an International Field Study into the EMBA Curriculum

    ERIC Educational Resources Information Center

    Cotner, John; Jones, Raymond; Kashlak, Roger

    2003-01-01

    An international field study (IFS) is an integral part of the EMBA program because of the various critical roles it plays. This international travel experience is a value-added activity not only as "stand alone" vehicle for understanding macro-level environments and firm-level strategic initiatives, but also as a tool that integrates other pieces…

  14. Integrating Material on the Internment into Anthropology and Women's Studies.

    ERIC Educational Resources Information Center

    Sacks, Karen B.

    1993-01-01

    Describes plans to use material from a seminar on integrating material about the Japanese-American internment in World War II into the curriculum of the University of California Los Angeles. Describes efforts to develop a unit on the gender and racial dimensions of internment for a women's studies course. (SLD)

  15. Motivating the Study of International Trade: A Classroom Activity

    ERIC Educational Resources Information Center

    Jensen, Sherry

    2016-01-01

    In this article, the author describes a classroom activity for use in introductory economics courses to motivate the study of international trade. The learning activity highlights the importance of international trade in students' everyday lives by having students inventory their on-hand belongings and identify where the items were manufactured.…

  16. International Standards. U.S. Metric Study Report.

    ERIC Educational Resources Information Center

    Huntoon, Robert D.; And Others

    In this first interim report on the feasibility of a United States changeover to a metric system stems from the U.S. Metric Study, a series of conclusions and recommendations, based upon a national survey of the role of SI (System's International) units in international trade and other areas of foreign relations, includes the following…

  17. Motivating the Study of International Trade: A Classroom Activity

    ERIC Educational Resources Information Center

    Jensen, Sherry

    2016-01-01

    In this article, the author describes a classroom activity for use in introductory economics courses to motivate the study of international trade. The learning activity highlights the importance of international trade in students' everyday lives by having students inventory their on-hand belongings and identify where the items were manufactured.…

  18. A Program for High School Social Studies: International Relations.

    ERIC Educational Resources Information Center

    Bloomington Public Schools, MN.

    GRADES OR AGES: High school. SUBJECT MATTER: Social studies, International relations. ORGANIZATION AND PHYSICAL APPEARANCE: The introductory material covers the school district philosophy, a description of the program, major concepts for international relations, and techniques for evaluating objectives. Material is provided for six units…

  19. Cosmos, an international center for advanced studies

    NASA Technical Reports Server (NTRS)

    Ryzhov, Iurii; Alifanov, Oleg; Sadin, Stanley; Coleman, Paul

    1990-01-01

    The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

  20. Using Case Studies: An International Approach

    ERIC Educational Resources Information Center

    McClam, Tricia; Woodside, Marianne

    2005-01-01

    Case studies as an instructional strategy have been used in many disciplines, including law, teacher education, science, medicine, and business. Among the benefits of this method of instruction are involving students in learning, developing their critical thinking skills, promoting communication, and engaging in critical analysis. Case studies are…

  1. Cosmos, an international center for advanced studies

    NASA Technical Reports Server (NTRS)

    Ryzhov, Iurii; Alifanov, Oleg; Sadin, Stanley; Coleman, Paul

    1990-01-01

    The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

  2. Collaboration in Distance Education. International Case Studies.

    ERIC Educational Resources Information Center

    Moran, Louise, Ed.; Mugridge, Ian, Ed.

    This book contains nine case studies of collaboration in distance education. The case studies focus on such aspects of collaboration in distance education as the following: roles of individual institutional partners; importance of personal relationships; benefits of collaboration to individual partners; conflicts between collaboration and…

  3. Does metaphyseal cement augmentation in fracture management influence the adjacent subchondral bone and joint cartilage?: an in vivo study in sheep stifle joints.

    PubMed

    Goetzen, Michael; Hofmann-Fliri, Ladina; Arens, Daniel; Zeiter, Stephan; Stadelmann, Vincent; Nehrbass, Dirk; Richards, R Geoff; Blauth, Michael

    2015-01-01

    Augmentation of implants with polymethylmethacrylate (PMMA) bone cement in osteoporotic fractures is a promising approach to increase implant purchase. Side effects of PMMA for the metaphyseal bone, particularly for the adjacent subchondral bone plate and joint cartilage, have not yet been studied. The following experimental study investigates whether subchondral PMMA injection compromises the homeostasis of the subchondral bone and/or the joint cartilage.Ten mature sheep were used to simulate subchondral PMMA injection. Follow-ups of 2 (4 animals) and 4 (6 animals) months were chosen to investigate possible cartilage damage and subchondral plate alterations in the knee. Evaluation was completed by means of high-resolution peripheral quantitative computed tomography (HRpQCT) imaging, histopathological osteoarthritis scoring, and determination of glycosaminoglycan content in the joint cartilage. Results were compared with the untreated contralateral knee and statistically analyzed using nonparametric tests.Evaluation of the histological osteoarthritis score revealed no obvious cartilage damage for the treated knee; median histological score after 2 months 0 (range 4), after 4 months 1 (range 5). There was no significant difference when compared with the untreated control site after 2 and 4 months (P = 0.23 and 0.76, respectively). HRpQCT imaging showed no damage to the metaphyseal trabeculae. Glycosaminoglycan measurements of the treated joint cartilage after 4 months revealed no significant difference compared with the untreated cartilage (P = 0.24).The findings of this study support initial clinical observation that PMMA implant augmentation of metaphyseal fractures appears to be a safe procedure for fixation without harming the subchondral bone plate and adjacent joint cartilage.

  4. [Preparation and biomechanics study of biological artificial knee joint prosthesis with stereo mesh surface in rabbit].

    PubMed

    Liu, Jianhua; Xu, Dongliang; Yu, Shiming; Hu, Junyong; Chen, Jianwei; Lei, Lei; Li, Zhanchun; Zeng, Xianshang

    2009-04-01

    To develop a kind of biological artificial knee joint prosthesis with stereo mesh surface for rabbit, to observe its function after being implanted into rabbit knee joint and to evaluate its biomechanical property. Thirty adult New Zealand rabbits were randomized into experimental and control groups (n=15), total left knee arthroplasty was performed in both groups, no patella replacement was performed. Biological artificial knee joint prosthesis with stereo mesh surface was self-designed. The adjacent 4/5 surface of femur and tibia stem of the prosthesis was covered by stainless steel stereo mesh, the inner surface of femur condyles and tibia plateau was welded with two layers of stainless steel stereo mesh, then the prosthesis underwent biological fixation in the experimental group. Meanwhile, prosthesis having smooth marrow internal stem, femoral condyle and tibial plateau internal surface and sharing the same shape and size with the experimental group were prepared and fixed with bone cement in the control group. The postoperative general condition of animal was observed. At 1, 3 and 6 months after operation, the rabbits were killed for gross observation, X-ray examination was conducted to observe the fixation condition of prosthesis and healing condition, the range of motion (ROM) of knee joints was tested, biomechanics test was carried out and the maximum shear strength of prosthesis bone interface was calculated. In each group, there was 1 rabbit died and new one was added during the second experiment. The others survived till the end of the experiment and crawled normally 7 days after operation. For the excellent and good rate concerning the recovery of ROM of the knee joint at 1, 3 and 6 months after operation, the experimental group was 60%, 80% and 80%, respectively, and the control group was 60%, 80% and 60%, respectively, indicating there were no significant differences between two groups (P > 0.05). For the experimental group, the gross observation

  5. International.

    ERIC Educational Resources Information Center

    Hoover, Linn

    1979-01-01

    The International Geological Correlation Project has attained scientific maturity and broad support and participation by geologists world wide. Its purpose is to provide a mechanism for international cooperation and information exchange about geological problems that transcend national boundaries. (Author/BB)

  6. Effects of Joint Attention Mediated Learning for Toddlers with Autism Spectrum Disorders: An Initial Randomized Controlled Study

    ERIC Educational Resources Information Center

    Schertz, Hannah H.; Odom, Samuel L.; Baggett, Kathleen M.; Sideris, John H.

    2013-01-01

    The purpose of this study was to determine effects of the Joint Attention Mediated Learning (JAML) intervention on acquisition of joint attention and other early social communication competencies for toddlers with autism spectrum disorders (ASD). Twenty-three parents and their toddlers were randomly assigned to JAML or a control condition.…

  7. Effects of Neoprene Wrist/Hand Splints on Handwriting for Students with Joint Hypermobility Syndrome: A Single System Design Study

    ERIC Educational Resources Information Center

    Frohlich, Lauren; Wesley, Alison; Wallen, Margaret; Bundy, Anita

    2012-01-01

    Purpose: Pain associated with hypermobility of wrist and hand joints can contribute to decreased handwriting output. This study examined the effectiveness of a neoprene wrist/hand splint in reducing pain and increasing handwriting speed and endurance for students with joint hypermobility syndrome. Methods: Multiple baseline, single system design…

  8. Effects of Joint Attention Mediated Learning for Toddlers with Autism Spectrum Disorders: An Initial Randomized Controlled Study

    ERIC Educational Resources Information Center

    Schertz, Hannah H.; Odom, Samuel L.; Baggett, Kathleen M.; Sideris, John H.

    2013-01-01

    The purpose of this study was to determine effects of the Joint Attention Mediated Learning (JAML) intervention on acquisition of joint attention and other early social communication competencies for toddlers with autism spectrum disorders (ASD). Twenty-three parents and their toddlers were randomly assigned to JAML or a control condition.…

  9. Effects of Neoprene Wrist/Hand Splints on Handwriting for Students with Joint Hypermobility Syndrome: A Single System Design Study

    ERIC Educational Resources Information Center

    Frohlich, Lauren; Wesley, Alison; Wallen, Margaret; Bundy, Anita

    2012-01-01

    Purpose: Pain associated with hypermobility of wrist and hand joints can contribute to decreased handwriting output. This study examined the effectiveness of a neoprene wrist/hand splint in reducing pain and increasing handwriting speed and endurance for students with joint hypermobility syndrome. Methods: Multiple baseline, single system design…

  10. Building International Sustainable Partnerships in Occupational Therapy: A Case Study.

    PubMed

    Tupe, Debra Ann; Kern, Stephen B; Salvant, Sabrina; Talero, Pamela

    2015-09-01

    Occupational therapy practitioners frequently identify opportunities for international practice. The World Health Organization and the World Federation of Occupational Therapists have encouraged occupational therapists to address transnational issues, social inclusion, and equal access to opportunities grounded in meaningful occupation (WFOT, 2012). This case study describes a partnership between two U.S. schools of occupational therapy and a Cuban community based pediatric clinic. It examines the dynamics that have sustained the partnership despite political, economic, and logistical barriers. The literature is scrutinized to show how this case study fits into other accounts of collaborative international partnerships. Particularly, it investigates structural and institutional conditions that shape international sustainable partnerships. In doing so, we answer the following questions: (1) Under which circumstances do international partnerships emerge and flourish? (2) What structural and institutional conditions shape international sustainable partnerships? And (3) How do partners perceive and experience the bilateral international partnership? It also discusses and illustrates the foundations and development of international partnerships that succeed. Through the use of a case study we illustrate the development of this partnership. Finally, we consider the next steps of this particular sustainable and collaborative international partnership.

  11. Preservation of condyle and disc in the surgical treatment of type III temporomandibular joint ankylosis: a long-term follow-up clinical study of 111 joints.

    PubMed

    Jakhar, S K; Agarwal, M; Gupta, D K; Tiwari, A D

    2013-06-01

    The purpose of this study was to establish the role of retaining the condyle and disc in the treatment of type III ankylosis, by clinical and computed tomography (CT) evaluation. A total of 90 patients with type III ankylosis met the inclusion criteria; 42 patients had left temporomandibular joint (TMJ) ankylosis, 27 patients had right TMJ ankylosis, and 21 had bilateral TMJ ankylosis, thus a total 111 joints were treated. Considerable improvements in mandibular movement and maximum mouth opening were noted in all patients. At the end of a minimum follow-up of 2 years, the mean inter-incisal mouth opening was 30.7 mm. Postoperative occlusion was normal in all patients, and open bite did not occur in any case because the ramus height was maintained through preservation of the pseudo-joint. Only three patients had recurrence of ankylosis, which was due to a lack of postoperative physiotherapy. The advantages of condyle and disc preservation in type III ankylosis are: (1) surgery is relatively safe; (2) the disc helps to prevent recurrence of ankylosis; (3) the existing ramus height is maintained; (4) the growth site is preserved; and (5) there is no need to reconstruct the joint with autogenous or alloplastic material. It is recommended that the disc and condyle are preserved in type III TMJ ankylosis.

  12. Brain connectivity study of joint attention using frequency-domain optical imaging technique

    NASA Astrophysics Data System (ADS)

    Chaudhary, Ujwal; Zhu, Banghe; Godavarty, Anuradha

    2010-02-01

    Autism is a socio-communication brain development disorder. It is marked by degeneration in the ability to respond to joint attention skill task, from as early as 12 to 18 months of age. This trait is used to distinguish autistic from nonautistic populations. In this study, diffuse optical imaging is being used to study brain connectivity for the first time in response to joint attention experience in normal adults. The prefrontal region of the brain was non-invasively imaged using a frequency-domain based optical imager. The imaging studies were performed on 11 normal right-handed adults and optical measurements were acquired in response to joint-attention based video clips. While the intensity-based optical data provides information about the hemodynamic response of the underlying neural process, the time-dependent phase-based optical data has the potential to explicate the directional information on the activation of the brain. Thus brain connectivity studies are performed by computing covariance/correlations between spatial units using this frequency-domain based optical measurements. The preliminary results indicate that the extent of synchrony and directional variation in the pattern of activation varies in the left and right frontal cortex. The results have significant implication for research in neural pathways associated with autism that can be mapped using diffuse optical imaging tools in the future.

  13. A semiparametric joint model for longitudinal and survival data with application to hemodialysis study.

    PubMed

    Li, Liang; Hu, Bo; Greene, Tom

    2009-09-01

    In many longitudinal clinical studies, the level and progression rate of repeatedly measured biomarkers on each subject quantify the severity of the disease and that subject's susceptibility to progression of the disease. It is of scientific and clinical interest to relate such quantities to a later time-to-event clinical endpoint such as patient survival. This is usually done with a shared parameter model. In such models, the longitudinal biomarker data and the survival outcome of each subject are assumed to be conditionally independent given subject-level severity or susceptibility (also called frailty in statistical terms). In this article, we study the case where the conditional distribution of longitudinal data is modeled by a linear mixed-effect model, and the conditional distribution of the survival data is given by a Cox proportional hazard model. We allow unknown regression coefficients and time-dependent covariates in both models. The proposed estimators are maximizers of an exact correction to the joint log likelihood with the frailties eliminated as nuisance parameters, an idea that originated from correction of covariate measurement error in measurement error models. The corrected joint log likelihood is shown to be asymptotically concave and leads to consistent and asymptotically normal estimators. Unlike most published methods for joint modeling, the proposed estimation procedure does not rely on distributional assumptions of the frailties. The proposed method was studied in simulations and applied to a data set from the Hemodialysis Study.

  14. Acquisition Risks in a World of Joint Capabilities: A Study of Interdependency Complexity

    DTIC Science & Technology

    2013-04-01

    2. REPORT TYPE 3. DATES COVERED 00-00-2013 to 00-00-2013 4 . TITLE AND SUBTITLE Acquisition Risks in a World of Joint Capabilities: A Study of...WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) University of North Carolina Charlotte, 9201 University City Blvd,Charlotte,NC...research explores the nature of the funding and data interdependencies that characterize major defense acquisition programs. Interdependent Networks A

  15. Research studies with the International Ultraviolet Explorer

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The IUE research studies comprises 118 separate research programs involving observations, data analysis, and research conducted of the IUE satellite and the NASA Astrophysics Data Program. Herein are presented 92 programs. For each program there is a title, program ID, name of the investigator, statement of work, summary of results, and list of publications.

  16. Ethical considerations in international HIV vaccine trials: summary of a consultative process conducted by the Joint United Nations Programme on HIV/AIDS (UNAIDS)

    PubMed Central

    Guenter, D.; Esparza, J.; Macklin, R.

    2000-01-01

    Research that is initiated, designed or funded by sponsor agencies based in countries with relatively high social and economic development, and conducted in countries that are relatively less developed, gives rise to many important ethical challenges. Although clinical trials of HIV vaccines began ten years ago in the US and Europe, an increasing number of trials are now being conducted or planned in other countries, including several that are considered "developing" countries. Safeguarding the rights and welfare of individuals participating as research subjects in developing countries is a priority. In September, 1997, the Joint United Nations Programme on HIV/AIDS (UNAIDS) embarked on a process of international consultation; its purpose was further to define the important ethical issues and to formulate guidance that might facilitate the ethical design and conduct of HIV vaccine trials in international contexts. This paper summarises the major outcomes of the UNAIDS consultative process. Key Words: HIV vaccine • clinical trials • research ethics • international research PMID:10701170

  17. Mechanism of Radial Redistribution of Energetic Trapped Ions Due to m=2/n=1 Internal Reconnection in Joint European Torus Shear Optimized Plasmas

    SciTech Connect

    N.N. Gorelenkov; A. Gondhalekar; A.A. Korotkov; S.E. Sharapov; D. Testa; and Contributors to the EFDA-JET Workprogramme

    2002-01-18

    Internal radial redistribution of MeV energy ICRF-driven hydrogen minority ions was inferred from neutral particle analyzer measurements during large amplitude MHD activity leading to internal reconnection in Shear Optimized plasmas in the Joint European Torus (JET). A theory is developed for energetic ion redistribution during a reconnection driven by an m=2/n=1 internal kink mode. Plasma motion during reconnection generates an electric field which can change the energy and radial position of the energetic ions. The magnitude of ion energy change depends on the value of the safety factor at the plasma core from which the energetic ions are redistributed. A relation is found for corresponding change in canonical momentum. P(subscript phi), which leads to radial displacement of the ions. The model yields distinctive new features of energetic ion redistribution under such conditions. Predicted characteristics of ion redistribution are compared with the NPA measurements, and good correlation is found. Sometimes fast ions were transported to the plasma edge due to interaction with a long-lived magnetic island which developed after the reconnection and had chirping frequency in the laboratory frame. Convection of resonant ions trapped in a radially moving phase-space island is modeled to understand the physics of such events.

  18. Capacity Building in Southern Africa: Experiences and Reflections--Towards Joint Knowledge Production and Social Change in International Development Cooperation

    ERIC Educational Resources Information Center

    Zeelen, Jacques; van der Linden, Josje

    2009-01-01

    The intent of capacity building in international development cooperation is to enable people to control their own development. Important premises are ownership, choice and self-esteem. The authors analyse the dynamics of the enabling process in practice, based on their own experiences working for several years in universities in developing…

  19. 76 FR 45311 - International Joint Commission Public Hearings on Binational Management of Lake of the Woods and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... water quality, water quantity, and related issues in the international Lake of the Woods and Rainy River... Watershed Board with a water quality mandate encompassing all boundary waters in the watershed (including... water quality science efforts in the watershed; increased local participation in watershed management...

  20. 76 FR 44507 - Joint Public Roundtable on International Issues Relating to the Implementation of Title VII of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... International Issues Relating to the Implementation of Title VII of the Dodd-Frank Wall Street Reform and... issues related to the implementation of Title VII of the Dodd-Frank Wall Street Reform and Consumer... Centre, 1155 21st Street, NW., Washington, DC. The discussion will be open to the public with...

  1. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery.

    PubMed

    Haylen, Bernard T; Freeman, Robert M; Swift, Steven E; Cosson, Michel; Davila, G Willy; Deprest, Jan; Dwyer, Peter L; Fatton, Brigitte; Kocjancic, Ervin; Lee, Joseph; Maher, Chris; Petri, Eckhard; Rizk, Diaa E; Sand, Peter K; Schaer, Gabriel N; Webb, Ralph

    2011-01-01

    A terminology and standardized classification has yet to be developed for those complications arising directly from the insertion of synthetic (prostheses) and biological (grafts) materials in female pelvic floor surgery. This report on the above terminology and classification combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS) and a Joint IUGA/ICS Working Group on Complications Terminology, assisted at intervals by many expert external referees. An extensive process of 11 rounds of internal and external review took place with exhaustive examination of each aspect of the terminology and classification. Decision-making was by collective opinion (consensus). A terminology and classification of complications related directly to the insertion of prostheses and grafts in female pelvic floor surgery has been developed, with the classification based on category (C), time (T) and site (S) classes and divisions, that should encompass all conceivable scenarios for describing insertion complications and healing abnormalities. The CTS code for each complication, involving three (or four) letters and three numerals, is likely to be very suitable for any surgical audit or registry, particularly one that is procedure-specific. Users of the classification have been assisted by case examples, colour charts and online aids (www.icsoffice.org/complication). A consensus-based terminology and classification report for prosthesis and grafts complications in female pelvic floor surgery has been produced, aimed at being a significant aid to clinical practice and research. © 2010 Wiley-Liss.

  2. Modified internal mandibular distraction osteogenesis in the treatment of micrognathia secondary to temporomandibular joint ankylosis: 4-year follow-up of a case.

    PubMed

    Shang, Hongtao; Xue, Yang; Liu, Yanpu; Zhao, Jinlong; He, Lisheng

    2012-06-01

    Micrognathia and obstructive sleep apnoea syndrome (OSAS) are problems subsequent to temporomandibular joint ankylosis (TMJa) in growing patients. For patients with micrognathia and OSAS secondary to TMJa, it is important to restore proper mandibular form and dimension, achieve occlusal stability and recover satisfactory joint movement. We report a 4-year follow-up of a patient with micrognathia and OSAS secondary to bilateral TMJa. The treatment of this patient involved (1) a modified internal mandibular distraction osteogenesis without altering the pre-existing occlusion; (2) TMJ arthroplasty in which the dislocated disc was found and repositioned and the shape of the glenoid fossa and articular head was formed without removing bone in vertical dimension; (3) passive mouth-opening exercise with an individualized occlusal pad postoperatively for one month; and (4) orthodontic treatment for the occlusal disturbance and active mouth-opening exercise for one year. After the treatment the micrognathia was corrected; the oropharyngeal airway was increased significantly; mouth-opening increased to 40mm intraoperatively was maintained at 36.66mm 4 years after surgery. Satisfactory occlusion was achieved after orthodontic treatment. Through the 4-year follow-up, no signs of reankylosis were found. In conclusion, this new clinical protocol is a safe, effective and quick way to treat micrognathia and OSAS secondary to TMJa.

  3. The International Space Station (ISS) Solar Alpha Rotary Joint (SARJ): Materials & Processes (M&P) Lessons Learned for a Large, Rotating Spacecraft Mechanism

    NASA Technical Reports Server (NTRS)

    Golden, Johnny L.

    2016-01-01

    The International Space Station (ISS) utilizes two large rotating mechanisms, the solar alpha rotary joints (SARJs), as part of the solar arrays' alignment system for more efficient power generation. Each SARJ is a 10.3m circumference, nitrided 15-5PH steel race ring of triangular cross-section, with 12 sets of trundle bearing assemblies transferring load across the rolling joint. The SARJ mechanism rotates continuously and slowly - once every orbit, or every 90 minutes. In 2007, the starboard SARJ suffered a lubrication failure, resulting in severe damage (spalling) to one of the race ring surfaces. Extensive effort was conducted to prevent the port SARJ from suffering the same failure, and fortunately that effort was ultimately successful in also recovering the functionality of the starboard SARJ. The M&P engineering function was key in determining the cause of failure and the means for mechanism recovery. From a M&P lessons-learned perspective, observations are made concerning the original SARJ design parameters (boundary conditions), the perceived need for nitriding the race ring, the test conditions employed during qualification, the environmental controls used for the hardware preflight, and the lubrication robustness necessary for complex kinematic mechanisms expecting high-reliability and long-life.

  4. Microstructural Characterization of Internal Welding Defects and Their Effect on the Tensile Behavior of FSW Joints of AA2198 Al-Cu-Li Alloy

    NASA Astrophysics Data System (ADS)

    Le Jolu, Thomas; Morgeneyer, Thilo F.; Denquin, Anne; Sennour, Mohamed; Laurent, Anne; Besson, Jacques; Gourgues-Lorenzon, Anne-Françoise

    2014-11-01

    Internal features and defects such as joint line remnant, kissing bond, and those induced by an initial gap between the two parent sheets were investigated in AA2198-T851 friction stir welded joints. They were compared with the parent material and to defect-free welds obtained using a seamless sheet. The cross-weld tensile strength was reduced by the defects by less than 6 pct. The fracture elongation was not significantly affected in view of experimental scatter. Fracture location, however, changed from the thermomechanically affected zone (retreating side) to the defect in the weld nugget for the welds bearing a kissing bond and for some of the gap welds. The kissing bond was shown by EBSD to be an intergranular feature; it fractured under a normal engineering stress close to 260 MPa during an in situ SEM tensile test. Synchrotron tomography after interrupted tensile testing confirmed opening of the kissing bond. For an initial gap of 23 pct of the sheet thickness, intergranular fracture of copper-enriched or oxide-bearing grain boundaries close to the nugget root was evidenced. The stress and strain state of cross-weld specimens loaded under uniaxial tension was assessed using a 3D finite element, multi-material model, determined on the basis of experimental data obtained on the same specimens using digital image correlation.

  5. Evidence of a systemic predisposition to chondrocalcinosis and association between chondrocalcinosis and osteoarthritis at distant joints: a cross-sectional study.

    PubMed

    Abhishek, A; Doherty, S; Maciewicz, R; Muir, K; Zhang, W; Doherty, M

    2013-07-01

    To determine whether there is a systemic predisposition to chondrocalcinosis (CC) and to examine the association between CC and osteoarthritis (OA) at distant joints. We performed a cross-sectional study embedded in the Genetics of Osteoarthritis and Lifestyle (GOAL) database (n = 3,170). All GOAL participants have had radiographs of the knees, hands, and pelvis performed. These were scored for OA at the knee, hip, wrist, and metacarpophalangeal (MCP) joints and for CC at the knee, hip, wrist, and symphysis pubis joints and for MCP joint calcification. Systemic predisposition to CC was established using cluster analysis. Odds ratios (95% confidence intervals) were used to examine the association between CC at the index and distant joints, CC and OA at the same joint, and index joint OA and distant joint CC. We adjusted for age, sex, and body mass index, and for distant joint OA, if required. Joints with CC clustered together. This was also observed when participants with OA were excluded from the analysis. CC at each joint was associated with CC at distant joints. Knee and wrist OA but not hip OA was associated with CC at the same joint. MCP joint OA was associated with MCP joint calcification. Knee OA was associated with CC at other joints, and this was independent of OA at the distant joint. There was no association between hip OA and distant joint CC. There is a systemic predisposition to the apparently sporadic CC. OA is associated with CC at the same joint and at distant joints, except hip OA, which is not associated with hip CC or with CC at distant joints. Copyright © 2013 by the American College of Rheumatology.

  6. Intra-articular injection of tenoxicam following temporomandibular joint arthrocentesis: a pilot study.

    PubMed

    Aktas, I; Yalcin, S; Sencer, S

    2010-05-01

    This study examined the clinical and radiological effects of intra-articular tenoxicam injection following arthrocentesis and compared them with arthrocentesis alone in patients with disc displacement without reduction (DDwoR). 24 temporomandibular joints (TMJs) in 21 patients with DDwoR were studied. Patients were divided randomly into Group A in which only arthrocentesis was performed (14 TMJs in 14 patients) and Group AT which received arthrocentesis plus intra-articular injection of tenoxicam (10 TMJs in 7 patients). Patients were evaluated before the procedure, on postoperative day 7, then 2, 3, 4 weeks, and 2, 3, 4, 5, 6 months postoperatively. Intensity of joint pain was assessed using a visual analog scale. Maximum mouth opening was recorded at each follow-up. TMJ sounds and palpation scores were noted as positive or negative. Magnetic resonance imaging (MRI) was performed before and 6 months after treatment in both groups. Disc form, disc location during neutral position, reduction with movement, joint effusion, structures of the articular surfaces, and bone marrow anomalies were evaluated all in MRIs. Both treatments succesfully increased maximum mouth opening and reduced TMJ pain; there were no complications. Difference between the groups was not statistically significant and a larger controlled study is necessary to clarify this use of tenoxicam.

  7. Safety profile of sural nerve in posterolateral approach to the ankle joint: MRI study.

    PubMed

    Ellapparadja, Pregash; Husami, Yaya; McLeod, Ian

    2014-05-01

    The posterolateral approach to ankle joint is well suited for ORIF of posterior malleolar fractures. There are no major neurovascular structures endangering this approach other than the sural nerve. The sural nerve is often used as an autologous peripheral nerve graft and provides sensation to the lateral aspect of the foot. The aim of this paper is to measure the precise distance of the sural nerve from surrounding soft tissue structures so as to enable safe placement of skin incision in posterolateral approach. This is a retrospective image review study involving 64 MRI scans. All measurements were made from Axial T1 slices. The key findings of the paper is the safety window for the sural nerve from the lateral border of tendoachilles (TA) is 7 mm, 1.3 cm and 2 cm at 3 cm above ankle joint, at the ankle joint and at the distal tip of fibula respectively. Our study demonstrates the close relationship of the nerve in relation to TA and fibula in terms of exact measurements. The safety margins established in this study should enable the surgeon in preventing endangerment of the sural nerve encountered in this approach.

  8. A study of strength evaluations of EDNi/EDCu/NARloy-Z bonded joints

    NASA Technical Reports Server (NTRS)

    Min, J. B.; Spanyer, K. L.

    1993-01-01

    Dissimilar material interfaces can be found in many materials and structural bonds such as composite materials, welded parts, inclusion in matrix, bond between metallic and ceramic materials, and so forth. One of such structural bonds can be seen in the main combustion chamber (MCC) of the Space Shuttle Main Engine (SSME). In this study, from a practical sense, the primary concern is to understand the systems response of EDNi/EDCu/NARloy-Z bonded joints using stress values approximated by the finite element method to determine an influence of the variation of structural bond parameters on the bonded joints, and consequently main combustion chamber of the Space Shuttle Main Engine. The results presented in this study could be an appropriate indicator for a good bond of EDNi/DECu/NARloy-Z layers with the desired thickness of copper deposition in the SSME MCC manufacturing process. Furthermore, the results from this study appear to be applicable to any bonded joints that can be characterized by the parameters and assumptions used in this analysis.

  9. Joint action: neurocognitive mechanisms supporting human interaction.

    PubMed

    Bekkering, Harold; de Bruijn, Ellen R A; Cuijpers, Raymond H; Newman-Norlund, Roger; Van Schie, Hein T; Meulenbroek, Ruud

    2009-04-01

    Humans are experts in cooperating with each other when trying to accomplish tasks they cannot achieve alone. Recent studies of joint action have shown that when performing tasks together people strongly rely on the neurocognitive mechanisms that they also use when performing actions individually, that is, they predict the consequences of their co-actor's behavior through internal action simulation. Context-sensitive action monitoring and action selection processes, however, are relatively underrated but crucial ingredients of joint action. In the present paper, we try to correct the somewhat simplified view on joint action by reviewing recent studies of joint action simulation, monitoring, and selection while emphasizing the intricate interrelationships between these processes. We complement our review by defining the contours of a neurologically plausible computational framework of joint action.

  10. Knee joint position sense of roller hockey players: a comparative study.

    PubMed

    Venâncio, João; Lopes, Diogo; Lourenço, Joaquim; Ribeiro, Fernando

    2016-06-01

    This study aimed to compare knee joint position sense of roller hockey players with an age-matched group of non-athletes. Forty-three male participants voluntarily participated in this cross-sectional study: 21 roller hockey players (mean age: 23.2 ± 4.2 years old, mean weight: 81.8 ± 9.8 kg, mean height: 180.5 ± 4.1 cm) and 22 age-matched non-athletes (mean age: 23.7 ± 3.9 years old, mean weight: 85.0 ± 6.2 kg, mean height: 181.5 ± 5.0 cm). Knee joint position sense of the dominant limb was evaluated using a technique of open-kinetic chain and active knee positioning. Joint position sense was reported using absolute, relative and variable angular errors. The main results indicated that the group of roller hockey players showed significantly lower absolute (2.4 ± 1.2º vs. 6.5 ± 3.2º, p ≤ 0.001) and relative (1.7 ± 2.1º vs. 5.8 ± 4.4º, p ≤ 0.001) angular errors in comparison with the non-athletes group. In conclusion, the results from this present study suggest that proprioceptive acuity, assessed by measuring joint position sense, is increased in roller hockey players. The enhanced proprioception of the roller hockey players could contribute to injury prevention and improved performance during sporting activities.

  11. Safety and 6-month effectiveness of minimally invasive sacroiliac joint fusion: a prospective study

    PubMed Central

    Duhon, Bradley S; Cher, Daniel J; Wine, Kathryn D; Lockstadt, Harry; Kovalsky, Don; Soo, Cheng-Lun

    2013-01-01

    Background Sacroiliac (SI) joint pain is an often overlooked cause of low back pain. SI joint arthrodesis has been reported to relieve pain and improve quality of life in patients suffering from degeneration or disruption of the SI joint who have failed non-surgical care. We report herein early results of a multicenter prospective single-arm cohort of patients with SI joint degeneration or disruption who underwent minimally invasive fusion using the iFuse Implant System®. Methods The safety cohort includes 94 subjects at 23 sites with chronic SI joint pain who met study eligibility criteria and underwent minimally invasive SI joint fusion with the iFuse Implant System® between August 2012 and September 2013. Subjects underwent structured assessments preoperatively, immediately postoperatively, and at 1, 3, and 6 months postoperatively, including SI joint and back pain visual analog scale (VAS), Oswestry Disability Index (ODI), Short Form-36 (SF-36), and EuroQoL-5D (EQ-5D). Patient satisfaction with surgery was assessed at 6 months. The effectiveness cohort includes the 32 subjects who have had 6-month follow-up to date. Results Mean subject age was 51 years (n=94, safety cohort) and 66% of patients were women. Subjects were highly debilitated at baseline (mean VAS pain score 78, mean ODI score 54). Three implants were used in 80% of patients; two patients underwent staged bilateral implants. Twenty-three adverse events occurred within 1 month of surgery and 29 additional events occurred between 30 days and latest follow-up. Six adverse events were severe but none were device-related. Complete 6-month postoperative follow-up was available in 26 subjects. In the effectiveness cohort, mean (± standard deviation) SI joint pain improved from a baseline score of 76 (±16.2) to a 6-month score of 29.3 (±23.3, an improvement of 49 points, P<0.0001), mean ODI improved from 55.3 (±10.7) to 38.9 (±18.5, an improvement of 15.8 points, P<0.0001) and SF-36 PCS improved

  12. Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests.

    PubMed

    Laslett, Mark; Young, Sharon B; Aprill, Charles N; McDonald, Barry

    2003-01-01

    Research suggests that clinical examination of the lumbar spine and pelvis is unable to predict the results of diagnostic injections used as reference standards. The purpose of this study was to assess the diagnostic accuracy of a clinical examination in identifying symptomatic and asymptomatic sacroiliac joints using double diagnostic injections as the reference standard. In a blinded concurrent criterion-related validity design study, 48 patients with chronic lumbopelvic pain referred for diagnostic spinal injection procedures were examined using a specific clinical examination and received diagnostic intraarticular sacroiliac joint injections. The centralisation and peripheralisation phenomena were used to identify possible discogenic pain and the results from provocation sacroiliac joint tests were used as part of the clinical reasoning process. Eleven patients had sacroiliac joint pain confirmed by double diagnostic injection. Ten of the 11 sacroiliac joint patients met clinical examination criteria for having sacroiliac joint pain. In the primary subset analysis of 34 patients, sensitivity, specificity and positive likelihood ratio (95% confidence intervals) of the clinical evaluation were 91% (62 to 98), 83% (68 to 96) and 6.97(2.70 to 20.27) respectively. The diagnostic accuracy of the clinical examination and clinical reasoning process was superior to the sacroiliac joint pain provocation tests alone. A specific clinical examination and reasoning process can differentiate between symptomatic and asymptomatic sacroiliac joints

  13. Theoretical Studies of the Oceanic Internal Wave System.

    DTIC Science & Technology

    1982-08-31

    AD-A19 720 ILLINOIS UNIV AT URBANA DEPT OF PHYSICS Fie 8/3Al THEOkETICAL STUDIES OF THE OCEANIC INTERNAL WAVE SYSTEM. 1WAUG 52 1 WRIGHT N00014-80-C...Arlington Va. 22217 RE: N00014-80-C-840 Theoretical Studies of the Oceanic Internal Wave System Final report Dear Lou: The primary emphasis of this...contract was to calcu- late the parameters appropriate to a quasi-linear description of the oceanic internal wave field. The main results are described

  14. TEM Study of Internal Crystals in Supernova Graphites

    NASA Astrophysics Data System (ADS)

    Croat, T. K.; Bernatowicz, T.; Stadermann, F. J.; Messenger, S.; Amari, S.

    2003-03-01

    A coordinated TEM and isotopic study of ten supernova (SN) graphites from the Murchison meteorite has revealed many internal grains, mostly titanium carbides (TiCs) and TiC-kamacite composite grains, which were accreted during the graphite growth.

  15. Modeling the stance leg in two-dimensional analyses of sprinting: inclusion of the MTP joint affects joint kinetics.

    PubMed

    Bezodis, Neil E; Salo A, I T; Trewartha, Grant

    2012-05-01

    Two-dimensional analyses of sprint kinetics are commonly undertaken but often ignore the metatarsalphalangeal (MTP) joint and model the foot as a single segment. Due to the linked-segment nature of inverse dynamics analyses, the aim of this study was to investigate the effect of ignoring the MTP joint on the calculated joint kinetics at the other stance leg joints during sprinting. High-speed video and force platform data were collected from four to five trials for each of three international athletes. Resultant joint moments, powers, and net work at the stance leg joints during the first stance phase after block clearance were calculated using three different foot models. By ignoring the MTP joint, peak extensor moments at the ankle, knee, and hip were on average 35% higher (p < .05 for each athlete), 40% lower (p < .05), and 9% higher (p > .05), respectively, than those calculated with the MTP joint included. Peak ankle and knee joint powers and net work at all joints were also significantly (p < .05) different. By ignoring a genuine MTP joint plantar flexor moment, artificially high peak ankle joint moments are calculated, and these also affect the calculated joint kinetics at the knee.

  16. [Genomic study of susceptibility genes for common bone and joint diseases].

    PubMed

    Ikegawa, Shiro

    2009-06-01

    Common bone and joint diseases like osteoarthritis and lumbar disc disease are polygenic diseases caused by genetic and environment factors. We are challenging susceptibility genes for common bone and joint diseases using association study as a tool. By a combination of candidate-gene approach and whole-genome screen, we have succeeded in identification of five genes for osteoarthritis and for lumbar disc diseases, respectively. In the present paper, I mention the main genes among them, ASPN, GDF5 and DVWA for osteoarthritis, and TBSP2 and MMP9 for lumbar disc disease. Identification of the new genes will open a new window for the clarification of pathomechanism of the diseases and their treatment.

  17. Numerical study of electron beam welded butt joints with the GTN model

    NASA Astrophysics Data System (ADS)

    Tu, Haoyun; Schmauder, Siegfried; Weber, Ulrich

    2012-08-01

    The fracture behavior of S355NL electron beam welded steel joints is investigated experimentally and numerically. The simulation of crack propagation in an electron beam welded steel joint was performed with the Gurson-Tvergaard-Needleman (GTN) damage model. A parameter study of the GTN model was adopted which reveals the influence of parameters on the material behavior of notched round and compact tension specimens. Based on the combined method of metallographic investigations and numerical calibration, the GTN parameters were fixed. The same parameters were used to predict the ductile fracture of compact tension specimens with the initial crack located at different locations. Good match can be found between the numerical and experimental results in the form of force versus Crack Opening Displacement as well as fracture resistance curves.

  18. Study on technology of double parallel-joints coordinate measuring machine

    NASA Astrophysics Data System (ADS)

    Xia, Guisuo; Liao, Cheng; Yu, Runqiao; Fu, Yanjun

    2013-10-01

    The research of the high accuracy coordinate measuring machine is now playing a more and more considerable role in heightening the technical level of equipment manufacturing industry. With reference to the characteristics of foreign ScanMax coordinate measuring machine, this paper introduces the development of a double parallel-joint coordinate measuring machine with our own dependent intellectual property. This paper details the structural design, the calibration method and the evaluation for the uncertainty measurement of a prototype. The prototype has several advantages when compared with foreign instruments: first, decrease of Abbe error; second, enlargement of the measuring range; third, improvement of the rigidity of the instrument. The measurement test indicates that the measurement uncertainty (when K=2) of special random distance is 10.2 μm. The double parallel-joint coordinate measuring machine studied by this paper is of great academic value and the developed prototype is highly practical and worthy of being popularized.

  19. Elbow joint stability in relation to forced external rotation: An experimental study of the osseous constraint.

    PubMed

    Deutch, Søren R; Jensen, Steen L; Olsen, Bo S; Sneppen, Otto

    2003-01-01

    The objective of this study was to evaluate the osseous constraint related to forced forearm external rotation as the initial stage in a posterior elbow dislocation. Six joint specimens without soft tissues were examined in a joint analysis system developed for simulation of dislocation. The osseous stability, expressed as the maximal torque needed for pathologic external forearm rotation, increased from varus to valgus stress (P =.0001) and from 10 degrees to 90 degrees of elbow flexion (P =.012) and also tended to increase from forearm supination to pronation. The work of pathologic external forearm rotation until the point of maximal torque decreased from a maximum in full extension to a minimum at 30 degrees of elbow flexion (P =.03). The elbow in a slightly flexed position, varus stress, and forearm external rotation trauma might be the important biomechanical factors in the posterior elbow dislocation, and they might serve as guidelines during clinical investigation for posterolateral instability.

  20. MR imaging of the temporomandibular joint.

    PubMed

    Rao, Vijay M; Bacelar, Maria Teresa

    2002-11-01

    Technologic advances in MR imaging have had a decisive effect on the capacity of investigators to image the TMJ. This article provides a description of the normal anatomy and function of this joint. emphasizing the key imaging findings of internal derangement. A reading algorithm is given to achieve a systematic approach to the interpretation of a temporomandibular MR imaging study. Finally, a summary of key imaging findings of other miscellaneous pathologic processes involving this joint is provided.

  1. Evaluation of the marsh deer stifle joint by imaging studies and gross anatomy.

    PubMed

    Shigue, D A; Rahal, S C; Schimming, B C; Santos, R R; Vulcano, L C; Linardi, J L; Teixeira, C R

    2015-12-01

    This study aimed to evaluate the stifle joint of marsh deer using imaging studies and in comparison with gross anatomy. Ten hindlimbs from 5 marsh deer (Blastocerus dichotomus) were used. Radiography, computed tomography (CT) and magnetic resonance imaging (MRI) were performed in each stifle joint. Two hindlimbs were dissected to describe stifle gross anatomy. The other limbs were sectioned in sagittal, dorsal or transverse planes. In the craniocaudal radiographic view, the lateral femoral condyle was broader than the medial femoral condyle. The femoral trochlea was asymmetrical. Subsequent multiplanar reconstruction revealed in the cranial view that the external surface of the patella was roughened, the medial trochlea ridge was larger than the lateral one, and the extensor fossa at the lateral condyle was next to the lateral ridge. The popliteal fossa was better visualized via the lateral view. Sagittal MRI images identified lateral and medial menisci, caudolateral and craniomedial bundles of cranial cruciate ligament, caudal cruciate ligament, patellar ligament and common extensor tendon. In conclusion, the marsh deer stifle presents some anatomical characteristics of the ovine stifle joint. © 2014 Blackwell Verlag GmbH.

  2. [Proposal for a dynamic study of the temporo-mandibular joint, using a computerized image analyzer].

    PubMed

    Tedde, G; Mazzanti, V; Devilla, L; Chessa, G

    1990-04-01

    With the aim to go deep into the knowledge of the morpho-functional anatomical characteristics of the temporo-mandibular joint in humans, a dynamic method of study by means of a computerized analyzer of images is suggested. The acquired advantages are the following: a) the accuracy of evaluation of the chosen morphometric parameters; b) the working speed, from which results: c) the possibility to increase adequately the number of cases and d) the possibility to easily investigate many parameters with a very high accuracy of the quantitative results. Both right and left temporo-mandibular joints of adult individuals aged from 18 to 53 have been studied utilizing lateral tomographies focused at 3.3 mm to the lateral surface of the condylar head. The evaluations were done both in the position of completely closed mouth and in extreme opening. From the barycentre of the condyle several straight lines were drawn according to the figure 2. The length of the segment a-b (distance of profiles of the condyle and mandibular fossa) were evaluated in all the lines counter-clockwise and the results submitted to a statistical analysis. The results furnish very good information on the normal or pathological anatomical characteristics, of the joint.

  3. Sodium iodoacetate induced osteoarthrosis model in rabbit temporomandibular joint: CT and histological study (part I).

    PubMed

    Güler, N; Kürkçü, M; Duygu, G; Cam, B

    2011-11-01

    Studies to elucidate the pathophysiology of osteoarthrosis have been hampered by the lack of a rapid, reproducible animal model that mimics the histopathology and symptoms associated with the disease. The aim of this study is to evaluate the radiological, histological and histomorphometrical findings of four different concentrations of sodium iodoacetate (MIA) to create osteoarthrosis by using an arthrocentesis technique on rabbit temporomandibular joint (TMJ). 12 New Zealand white male rabbits received an injection of MIA (50 μl dose of 1.5, 2, 2.5, 3mg/ml concentrations) to a single joint of each group by arthrocentesis. Computed tomography (CT) images were obtained pre- and post-injections at 2, 4 and 6 weeks. Early osteoarthritic changes in the rabbit TMJ were found histologically at 4 weeks and with a 3mg/ml concentration of MIA. The mean subchondral bone volume depended on the concentration of MIA and was 62±2.6%, 63±4.1%, 42±3.6% and 38±3.8%, respectively. A minor abnormality was found on CT in six joints at the 4-week follow up. MIA injection and arthrocentesis offer a rapid and minimally invasive method of reproducing histologically osteoarthrotic lesions in the rabbit TMJ.

  4. Development and dematerialization: an international study.

    PubMed

    Steinberger, Julia K; Krausmann, Fridolin; Getzner, Michael; Schandl, Heinz; West, Jim

    2013-01-01

    Economic development and growth depend on growing levels of resource use, and result in environmental impacts from large scale resource extraction and emissions of waste. In this study, we examine the resource dependency of economic activities over the past several decades for a set of countries comprising developing, emerging and mature industrialized economies. Rather than a single universal industrial development pathway, we find a diversity of economic dependencies on material use, made evident through cluster analysis. We conduct tests for relative and absolute decoupling of the economy from material use, and compare these with similar tests for decoupling from carbon emissions, both for single countries and country groupings using panel analysis. We show that, over the longer term, emerging and developing countries tend to have significantly larger material-economic coupling than mature industrialized economies (although this effect may be enhanced by trade patterns), but that the contrary is true for short-term coupling. Moreover, we demonstrate that absolute dematerialization limits economic growth rates, while the successful industrialization of developing countries inevitably requires a strong material component. Alternative development priorities are thus urgently needed both for mature and emerging economies: reducing absolute consumption levels for the former, and avoiding the trap of resource-intensive economic and human development for the latter.

  5. Development and Dematerialization: An International Study

    PubMed Central

    Steinberger, Julia K.; Krausmann, Fridolin; Getzner, Michael; Schandl, Heinz; West, Jim

    2013-01-01

    Economic development and growth depend on growing levels of resource use, and result in environmental impacts from large scale resource extraction and emissions of waste. In this study, we examine the resource dependency of economic activities over the past several decades for a set of countries comprising developing, emerging and mature industrialized economies. Rather than a single universal industrial development pathway, we find a diversity of economic dependencies on material use, made evident through cluster analysis. We conduct tests for relative and absolute decoupling of the economy from material use, and compare these with similar tests for decoupling from carbon emissions, both for single countries and country groupings using panel analysis. We show that, over the longer term, emerging and developing countries tend to have significantly larger material-economic coupling than mature industrialized economies (although this effect may be enhanced by trade patterns), but that the contrary is true for short-term coupling. Moreover, we demonstrate that absolute dematerialization limits economic growth rates, while the successful industrialization of developing countries inevitably requires a strong material component. Alternative development priorities are thus urgently needed both for mature and emerging economies: reducing absolute consumption levels for the former, and avoiding the trap of resource-intensive economic and human development for the latter. PMID:24204555

  6. Radiographic study of the hip joint to determine anthropometric parameters for Indian population.

    PubMed

    Bagaria, Vaibhav; Deshpande, Shirish; Kuthe, Abhay; Rasalkar, Darshana D; Paunipagar, Bhawan K; Madhugiri, Tanushree Subhash

    2012-02-01

    Hip replacement surgeries are on the rise in India. However, for these surgeries, most of the implants used are imported and manufactured entirely to suit the geometrical considerations of the western population. Studies in the past have shown that there are anatomical variations in the hip joint for different ethnic backgrounds and geographical locations. There is paucity of anthropometric hip joint data related to Indian population and anthropometric variations in skeletal geometry between Asian and Western counterparts have not yet been thoroughly reviewed and considered for implant manufacturing. The purpose of this anthropometric study is to determine any anatomical variations in the normal hip joint among the Indian population and to statistically compare the mean values with the existing data on western population. 422 Hip radiographs of 211 individuals (141 males and 70 females) with normal and healthy hip joints were evaluated to obtain the horizontal offset, vertical offset and neck shaft angle. For males, mean neck shaft angle was 127.68° (SD = 3.94), horizontal offset was 34.60mm (SD=6.55) and vertical offset was 39.17 mm (SD = 5.86). For females, mean neck shaft angle was 125.92° (SD = 4.75), horizontal offset was 32.96 mm (SD = 7.04) and vertical offset was 36.38 mm (SD = 6.28). When these parameters were compared to the data available from western world, there were significant anatomical variations and it was evident that there is a need to evaluate existing implants in relation to this data and possibly design the implants suited and relevant to Indian population.

  7. The EVEREST study: an international collaboration*

    PubMed Central

    Caskey, Fergus J.; Stel, Vianda S.; Elliott, Robert F.; Jager, Kitty J.; Covic, Adrian; Cusumano, Ana; Geue, Claudia; Kramer, Anneke; Stengel, Benedicte; MacLeod, Alison M.

    2010-01-01

    Rates of initiation of renal replacement therapy (RRT), use of home modalities of treatment and patient outcomes vary considerably between countries. This paper reports the methods and baseline characteristics of countries participating in the EVEREST study (n = 46), a global collaboration examining the association between medical and non-medical factors and RRT incidence, modality mix and survival. Numbers of incident and prevalent patients were collected for current (2003–05) and historic (1983–85, 1988–90, 1993–95 and 1998–2000) periods stratified, where available, by age, gender, treatment modality and cause of end stage renal disease (diabetic versus non-diabetic). General population age and health indicators and national-level macroeconomic data were collected from secondary data sources. National experts provided primary data on renal service funding, resources and organization. The median (inter quartile range) RRT incidence per million of the population (pmp) was 130 pmp (102–167 pmp). The general population life expectancy at 60 was 22.1 years (19.7–23.1 years) and 6.9% had diabetes mellitus (5.4–9.0%). Healthcare spending as a percentage of gross domestic product was 8.1% (5.6–9.3%). Countries averaged nine dialysis facilities pmp (4–12 pmp), with 69.0% (43.9–99.0%) owned by the public or private not-for-profit sector. The number of nephrologists ranged from 0.5 to 48 pmp (median 12 pmp). The heterogeneity of EVEREST countries will enable modelling to examine the independent association between medical and non-medical factors on RRT epidemiology. PMID:25949402

  8. An International Ki67 Reproducibility Study

    PubMed Central

    2013-01-01

    Background In breast cancer, immunohistochemical assessment of proliferation using the marker Ki67 has potential use in both research and clinical management. However, lack of consistency across laboratories has limited Ki67’s value. A working group was assembled to devise a strategy to harmonize Ki67 analysis and increase scoring concordance. Toward that goal, we conducted a Ki67 reproducibility study. Methods Eight laboratories received 100 breast cancer cases arranged into 1-mm core tissue microarrays—one set stained by the participating laboratory and one set stained by the central laboratory, both using antibody MIB-1. Each laboratory scored Ki67 as percentage of positively stained invasive tumor cells using its own method. Six laboratories repeated scoring of 50 locally stained cases on 3 different days. Sources of variation were analyzed using random effects models with log2-transformed measurements. Reproducibility was quantified by intraclass correlation coefficient (ICC), and the approximate two-sided 95% confidence intervals (CIs) for the true intraclass correlation coefficients in these experiments were provided. Results Intralaboratory reproducibility was high (ICC = 0.94; 95% CI = 0.93 to 0.97). Interlaboratory reproducibility was only moderate (central staining: ICC = 0.71, 95% CI = 0.47 to 0.78; local staining: ICC = 0.59, 95% CI = 0.37 to 0.68). Geometric mean of Ki67 values for each laboratory across the 100 cases ranged 7.1% to 23.9% with central staining and 6.1% to 30.1% with local staining. Factors contributing to interlaboratory discordance included tumor region selection, counting method, and subjective assessment of staining positivity. Formal counting methods gave more consistent results than visual estimation. Conclusions Substantial variability in Ki67 scoring was observed among some of the world’s most experienced laboratories. Ki67 values and cutoffs for clinical decision-making cannot be transferred between laboratories without

  9. Knee Kinematics Estimation Using Multi-Body Optimisation Embedding a Knee Joint Stiffness Matrix: A Feasibility Study

    PubMed Central

    Richard, Vincent; Lamberto, Giuliano; Lu, Tung-Wu; Cappozzo, Aurelio; Dumas, Raphaël

    2016-01-01

    The use of multi-body optimisation (MBO) to estimate joint kinematics from stereophotogrammetric data while compensating for soft tissue artefact is still open to debate. Presently used joint models embedded in MBO, such as mechanical linkages, constitute a considerable simplification of joint function, preventing a detailed understanding of it. The present study proposes a knee joint model where femur and tibia are represented as rigid bodies connected through an elastic element the behaviour of which is described by a single stiffness matrix. The deformation energy, computed from the stiffness matrix and joint angles and displacements, is minimised within the MBO. Implemented as a “soft” constraint using a penalty-based method, this elastic joint description challenges the strictness of “hard” constraints. In this study, estimates of knee kinematics obtained using MBO embedding four different knee joint models (i.e., no constraints, spherical joint, parallel mechanism, and elastic joint) were compared against reference kinematics measured using bi-planar fluoroscopy on two healthy subjects ascending stairs. Bland-Altman analysis and sensitivity analysis investigating the influence of variations in the stiffness matrix terms on the estimated kinematics substantiate the conclusions. The difference between the reference knee joint angles and displacements and the corresponding estimates obtained using MBO embedding the stiffness matrix showed an average bias and standard deviation for kinematics of 0.9±3.2° and 1.6±2.3 mm. These values were lower than when no joint constraints (1.1±3.8°, 2.4±4.1 mm) or a parallel mechanism (7.7±3.6°, 1.6±1.7 mm) were used and were comparable to the values obtained with a spherical joint (1.0±3.2°, 1.3±1.9 mm). The study demonstrated the feasibility of substituting an elastic joint for more classic joint constraints in MBO. PMID:27314586

  10. Use of two-dimensional transmission photoelastic models to study stresses in double-lap bolted joints

    NASA Technical Reports Server (NTRS)

    Hyer, M. W.; Liu, D. H.

    1981-01-01

    The stress distribution in two hole connectors in a double lap joint configuration was studied. The following steps are described: (1) fabrication of photoelastic models of double lap double hole joints designed to determine the stresses in the inner lap; (2) assessment of the effects of joint geometry on the stresses in the inner lap; and (3) quantification of differences in the stresses near the two holes. The two holes were on the centerline of the joint and the joints were loaded in tension, parallel to the centerline. Acrylic slip fit pins through the holes served as fasteners. Two dimensional transmission photoelastic models were fabricated by using transparent acrylic outer laps and a photoelastic model material for the inner laps. It is concluded that the photoelastic fringe patterns which are visible when the models are loaded are due almost entirely to stresses in the inner lap.

  11. Comparative Study of ENIG and ENEPIG as Surface Finishes for a Sn-Ag-Cu Solder Joint

    NASA Astrophysics Data System (ADS)

    Yoon, Jeong-Won; Noh, Bo-In; Jung, Seung-Boo

    2011-09-01

    Interfacial reactions and joint reliability of Sn-3.0Ag-0.5Cu solder with two different surface finishes, electroless nickel-immersion gold (ENIG) and electroless nickel-electroless palladium-immersion gold (ENEPIG), were evaluated during a reflow process. We first compared the interfacial reactions of the two solder joints and also successfully revealed a connection between the interfacial reaction behavior and mechanical reliability. The Sn-Ag-Cu/ENIG joint exhibited a higher intermetallic compound (IMC) growth rate and a higher consumption rate of the Ni(P) layer than the Sn-Ag-Cu/ENEPIG joint. The presence of the Pd layer in the ENEPIG suppressed the growth of the interfacial IMC layer and the consumption of the Ni(P) layer, resulting in the superior interfacial stability of the solder joint. The shear test results show that the ENIG joint fractured along the interface, exhibiting indications of brittle failure possibly due to the brittle IMC layer. In contrast, the failure of the ENEPIG joint only went through the bulk solder, supporting the idea that the interface is mechanically reliable. The results from this study confirm that the Sn-Ag-Cu/ENEPIG solder joint is mechanically robust and, thus, the combination is a viable option for a Pb-free package system.

  12. Lower limb joint kinetics during the first stance phase in athletics sprinting: three elite athlete case studies.

    PubMed

    Bezodis, Neil Edward; Salo, Aki Ilkka Tapio; Trewartha, Grant

    2014-01-01

    This study analysed the first stance phase joint kinetics of three elite sprinters to improve the understanding of technique and investigate how individual differences in technique could influence the resulting levels of performance. Force (1000 Hz) and video (200 Hz) data were collected and resultant moments, power and work at the stance leg metatarsal-phalangeal (MTP), ankle, knee and hip joints were calculated. The MTP and ankle joints both exhibited resultant plantarflexor moments throughout stance. Whilst the ankle joint generated up to four times more energy than it absorbed, the MTP joint was primarily an energy absorber. Knee extensor resultant moments and power were produced throughout the majority of stance, and the best-performing sprinter generated double and four times the amount of knee joint energy compared to the other two sprinters. The hip joint extended throughout stance. Positive hip extensor energy was generated during early stance before energy was absorbed at the hip as the resultant moment became flexor-dominant towards toe-off. The generation of energy at the ankle appears to be of greater importance than in later phases of a sprint, whilst knee joint energy generation may be vital for early acceleration and is potentially facilitated by favourable kinematics at touchdown.

  13. Can joint sound assess soft and hard endpoints of the Lachman test?: A preliminary study.

    PubMed

    Hattori, Koji; Ogawa, Munehiro; Tanaka, Kazunori; Matsuya, Ayako; Uematsu, Kota; Tanaka, Yasuhito

    2016-05-12

    The Lachman test is considered to be a reliable physical examination for anterior cruciate ligament (ACL) injury. Patients with a damaged ACL demonstrate a soft endpoint feeling. However, examiners judge the soft and hard endpoints subjectively. The purpose of our study was to confirm objective performance of the Lachman test using joint auscultation. Human and porcine knee joints were examined. Knee joint sound during the Lachman test (Lachman sound) was analyzed by fast Fourier transformation. As quantitative indices of Lachman sound, the peak sound as the maximum relative amplitude (acoustic pressure) and its frequency were used. The mean Lachman peak sound for healthy volunteer knees was 86.9 ± 12.9 Hz in frequency and -40 ± 2.5 dB in acoustic pressure. The mean Lachman peak sound for intact porcine knees was 84.1 ± 9.4 Hz and -40.5 ± 1.7 dB. Porcine knees with ACL deficiency had a soft endpoint feeling during the Lachman test. The Lachman peak sounds of porcine knees with ACL deficiency were dispersed into four distinct groups, with center frequencies of around 40, 160, 450, and 1600. The Lachman peak sound was capable of assessing soft and hard endpoints of the Lachman test objectively.

  14. Innervation of the elbow joint: Is total denervation possible? A cadaveric anatomic study.

    PubMed

    De Kesel, Renata; Van Glabbeek, Francis; Mugenzi, Dominique; De Vos, Joris; Vermeulen, Katrien; Van Renterghem, Debbie; Bortier, Hilde; Schuind, Frédéric

    2012-09-01

    The aim of this anatomical study was to find out if total denervation of the elbow joint is technically feasible. The endbranches of the brachial plexus of eight fresh-frozen upper arm cadavers were dissected with optical loupe magnification. All major nerves of the upper limb (except the axillary and the medial brachial cutaneous nerve) give some terminal articular endbranches to the elbow. The articular endbranches arise from muscular endbranches, cutaneous endbranches, or arise straight from the main nerves of the brachial plexus. A topographic diagram was made of the different nerves innervating the elbow joint. The ulno-posterior part of the elbow is innervated by the ulnar nerve and some branches of medial antebrachial cutaneous nerve. The radial-posterior part of the elbow is innervated exclusively by the radial nerve. The ulno-anterior part of the elbow is innervated by the median nerve and the musculocutaneous nerve. The radio-anterior part of the elbow is innervated by the radial nerve and the musculocutaneous nerve. These elbow innervation findings are relevant to both anatomical and clinical field as they provide evidence that the total denervation of the elbow joint is impossible. Nevertheless, partial denervation, like denervation of the lateral epicondyle or the ulnar part of elbow, is technically possible.

  15. Analytical and experimental study of the vibration of bonded beams with a lap joint

    NASA Technical Reports Server (NTRS)

    Rao, M. D.; Crocker, M. J.

    1990-01-01

    A theoretical model to study the flexural vibration of a bonded lap joint system is described in this paper. First, equations of motion at the joint region are derived using a differential element approach. The transverse displacements of the upper and lower beam are considered to be different. The adhesive is assumed to be linearly viscoelastic and the widely used Kelvin-Voight model is used to represent the viscoelastic behavior of the adhesive. The shear force at the interface between the adhesive and the beam is obtained from the simple bending motion equations of the two beams. The resulting equations of motion are combined with the equations of transverse vibration of the beams in the unjointed regions. These are later solved as a boundary value problem to obtain the eigenvalues and eigenvectors of the system. The model can be used to predict the natural frequencies, modal damping ratios, and mode shapes of the system for free vibration. Good agreement between numerical and experimental results was obtained for a system of graphite epoxy beams lap-jointed by an epoxy adhesive.

  16. Parametric Study of Single Bolted Composite Bolted Joint Subjected to Static Tensile Loading

    NASA Astrophysics Data System (ADS)

    Awadhani, L. V.; Bewoor, Anand, Dr.

    2017-08-01

    The use of composites is increasing in the engineering applications in order to reduce the weight, building energy efficient systems, designing a suitable material according to the requirements of the application. But at the same time, building a structure is possible only by bonding or bolting or combination of them. There are limitations for the bonding methods and problems with the bolting such as stress concentration near the neighborhood of the bolt hole, tensile or shear failure, delamination etc. Hence the design of a composite bolted structure needs a special attention. This paper focuses on the performance of the composite bolted joint under static tensile loading and the effect of variation in the parameters such as the bolt pitch, plate width, thickness, bolt tightening torque, composite material, coefficient of friction between the bolt and plate etc. A simple spring mass model is used to study the single bolted composite bolted joint. The influencing parameters are identified through the developed model and compared with the results from the literature. The best geometric parameters for the applied load are identified for the composite bolted joints.

  17. Joint Likelihood study of Crab pulsar wind nebula with VERITAS and HAWC

    NASA Astrophysics Data System (ADS)

    Udara Abeysekara, Anushka

    2017-08-01

    The Crab Pulsar Wind Nebula (PWN) has been generally considered a steady source in the fields of high-energy and very-high-energy astronomy. The Fermi-LAT and AGILE satellites detected Crab PWN flux variations, questioning the steadiness of the Crab PWN emission. Significant flux variability has been observed in the MeV energy regime, whereas only marginal flux variability has been observed in the GeV energy regime. However, no variability has been detected in the TeV energy regime. Several viable models have been proposed to explain this behavior. To constrain these models, more sensitive observations of the Crab PWN are needed.The HAWC and VERITAS gamma-ray observatories have observed the Crab PWN at energies greater than very-high-energies (E > 100 GeV), and have already published independent spectral measurements from each instrument. However, jointly these two instruments are able to cover the extended energy range from 100 GeV to 100 TeV. In addition, a joint Crab PWN observation ismore sensitive than the observation of either independent instrument. This presentation reports on the progress of the ongoing VERITAS-HAWC joint likelihood study of the Crab PWN energy spectrum. This presentation will also report on the use of simultaneous observations of the Crab PWN to cross-calibrate the energy scale and detection aperture of the two observatories.

  18. Basal joint arthroplasty and carpal tunnel release through a single incision: an in vitro study.

    PubMed

    Cassidy, Charles; Glennon, Pamela E; Stein, Andrew B; Ruby, Leonard K

    2004-11-01

    Carpal tunnel syndrome coexists with basal joint arthritis in a large percentage of patients. These 2 conditions are often treated surgically through separate incisions. The purpose of this cadaver study is to show the effect of trapeziectomy and transverse carpal ligament release from the scaphoid tubercle on carpal canal pressures. This technique may permit both problems to be addressed through the same Wagner incision. In 4 fresh frozen cadaver limbs pressures in the carpal canal were elevated to 30 mm Hg through a percutaneously placed balloon. Pressures were measured using an 18-gauge sideport needle via a transducer. Trapeziectomy and release of the transverse carpal ligament from the scaphoid were performed in succession through a Wagner incision with canal pressures measured after each step. Carpal canal pressures decreased after trapeziectomy (mean, 7 mm Hg; range, 3-14 mm Hg) but did not return to baseline (0 mm Hg) until complete release of the ligament. Decompression of the carpal tunnel can be performed effectively through a Wagner incision during basal joint arthroplasty. This cadaver model shows reduction in the canal pressures after trapeziectomy and release of the transverse carpal ligament. This single-incision approach is attractive because it may decrease morbidity compared with a 2-incision approach in patients with concomitant carpal tunnel syndrome and basal joint arthritis.

  19. Case study: a case of debilitating gout in the 1st metatarsophalangeal joint.

    PubMed

    Tanner, Natalie; Diaper, Ross; King, Mathew; Metcalfe, Stuart A

    2015-03-01

    Gout is a painful arthritic condition that affects many people worldwide. The disease has been associated with hyperuricaemia and life style risk factors such as obesity, alcohol intake, meat and seafood consumption. We present a case of a 67-year-old male with a history of gout, who attended the clinic with a painful 1st metatarsophalangeal joint, which had progressively worsened in pain, mobility and deformity in the last 20 years. Although lifestyle changes had been advised by the GP some years earlier such as a low purine based diet, management had only consisted of NSAID's, which had not significantly improved symptoms. Surgical excision of chalky white material from around the 1st metatarsophalangeal joint rendered the patient symptom free with increased mobility after 6 weeks. Histopathology confirmed the excised tissue as gouty tophus. Following this, the patient was placed on allopurinol, a xanthine oxidase inhibitor to prevent recurrent attacks. This case study highlights the importance of early recognition and prophylactic management in gout sufferers. In joints where the disease process is well-established surgical excision of the gouty tophus may help mitigate further disease progression, and restore quality of life to individuals.

  20. Study on fatigue crack propagation characteristics around welded joint interface in complexed conditions

    NASA Astrophysics Data System (ADS)

    Ota, Akihiko; Suzuki, Naoyuki; Maeda, Yoshio; Mawari, Toshio; Matsuoka, Saburo; Nishijima, Satoshi

    1993-01-01

    Marine structures are often constructed by welding, and they are subject to repeated loading such as waves and mechanical vibrations which can create fatigue cracks and consequently break the structures. Fatigue crack propagation properties of welded joints are studied under random loading in the air, synthetic sea water, and compressive cycling. It was found that the most crucial factor that controls fatigue crack propagation was high tensile residual stress fields of welded joints. This stress constantly kept the cracks open, simplifying fatigue crack propagation, and therefore, the rate of crack propagation could be assessed with high accuracy. In the transverse matching welded joints with cracks in the center, crack closure did not occur due to the tensile residual stress constantly induced at the crack ends in the center of the test samples. Fatigue crack propagation was accelerated both in artificial sea water and in compressive cycling compared to that in the air, and the fatigue lowest values were about half. Serious crack closures occurred in compressive cycling in which dry hours exceeded 45 minutes, and the fatigue crack propagation rate deteriorated remarkably. Mean fatigue crack propagation rate under the random loading is estimated precisely using equivalent stress intensity factor limit.

  1. Feasibility study of a discrete bearing/roller drive rotary joint for the space station

    NASA Technical Reports Server (NTRS)

    Loewenthal, S. H.; Schuller, F. T.

    1986-01-01

    The most critical mechanism on board the proposed space station is the continously rotating joint which must accurately align the solar power units with the sun during earth orbit. The feasibility of a multiple, discrete bearing supported joint driven by a self-loading, pinch drive actuator was investigated for this application. This concept appears to offer greater protection against catastrophic jamming, less sensitivity to adverse thermal gradients, greater accessibility to inorbit servicing or replacement and greater adaptability to very large (5 m) truss members than to more conventional continuous support bearing/gear reducer joints. Analytical trade studies performed herein establish that a discrete cam roller bearing support system having eight hangers around a continuous ring would provide sufficient radial and bending stiffness to prevent any degradation in the fundamental frequencies of the solar wing structure. Furthermore, it appears that the pinch roller drive mechanism can be readily sized to meet or exceed system performance and service life requirements. Wear life estimates based on experimental data for a steel roller coated with an advanced polyimide film show a continuous service life more than two orders of magnitude greater than required for this application.

  2. Etodolac, aspirin, and placebo in patients with degenerative joint disease: a twelve-week study.

    PubMed

    Andelman, S Y

    1983-01-01

    Thirty patients from a private practice were enrolled in an investigation designed to compare the efficacy and safety of a new nonsteroidal anti-inflammatory drug, etodolac, with those of aspirin and placebo in ameliorating pain, inflammation, and functional deficits associated with degenerative joint disease. The 12-week, double-blind, parallel-group study was divided into drug-titration and maintenance periods and was preceded by a washout period of up to two weeks. There were ten patients in each of the three treatment groups. The mean daily maintenance dosages of etodolac and aspirin were 384 mg and 4,322 mg, respectively. Etodolac was significantly (less than or equal to 0.05) more effective than placebo according to 11 of 15 clinical indexes of efficacy: three assessments of the range of motion of the knee joint, and one each of pain while standing, pain while walking, pain while climbing stairs, the average of pains while bearing weight, pain at night, joint tenderness, patient's self-evaluation, and the time required to walk 50 feet. Aspirin was significantly more effective than placebo in only three assessments: two of the range of motion of the knee joint and one of pain while standing. One patient taking etodolac, three patients taking aspirin, and six patients taking placebo withdrew from the trial because of insufficient therapeutic response. There were four withdrawals due to adverse effects, two in the aspirin group and two in the placebo group. Adverse effects (tinnitus and hearing loss) leading to withdrawal of one of the two aspirin patients were probably due to drug administration. No significant side effects were reported by patients in the etodolac group.

  3. High‐resolution ultrasonography of the first metatarsal phalangeal joint in gout: a controlled study

    PubMed Central

    Wright, Stephen A; Filippucci, Emilio; McVeigh, Claire; Grey, Arthur; McCarron, Maura; Grassi, Walter; Wright, Gary D; Taggart, Allister J

    2007-01-01

    Objective To compare high‐resolution ultrasound (HRUS) with conventional radiography in the detection of erosions in the first metatarsophalangeal joints (1st MTPJs) of patients with gout and to identify the characteristic sonographic features of gout. Methods HRUS examination of the 1st MTPJs of both feet was performed by two independent sonographers. The presence of joint and soft‐tissue pathology was recorded. x Ray examination of the feet was performed on the same day and reported by the same radiologist. Results 39 male patients with gout and 22 age‐matched control subjects (14 with an inflammatory arthropathy and 8 disease free) were studied. The agreement on erosion between HRUS and x ray was poor, κ = 0.229 (non‐weighted), with McNemar's test being significant (p<0.001) indicating a large number of false negative x rays. 22 MTPJs in patients with gout had never been subjected to a clinical attack of acute gout. In these MTPJs, there were 10 erosions detected by HRUS and 3 erosions on x ray. HRUS features significantly more prevalent in the patients with gout were hard and soft tophus‐like lesions (p<0.01) and the double contour sign (p<0.01). Conclusions These data show that HRUS may assist in the management of gout in two ways: first, by aiding in the diagnosis by identifying the sonographic features that may be representative of the disease, and, second, by allowing the early detection of erosive joint damage and/or tophaceous deposits even in clinically silent joints. PMID:17185326

  4. Validation study of the Forgotten Joint Score-12 as a universal patient-reported outcome measure.

    PubMed

    Matsumoto, Mikio; Baba, Tomonori; Homma, Yasuhiro; Kobayashi, Hideo; Ochi, Hironori; Yuasa, Takahito; Behrend, Henrik; Kaneko, Kazuo

    2015-10-01

    The Forgotten Joint Score-12 (FJS-12) is for patients to forget their artificial joint and is reportedly a useful patient-reported outcome tool for artificial joints. The purpose of this study was to determine whether the FJS-12 is as useful as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) or the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ) in Japan. All patients who visited our hospital's hip joint specialists following unilateral THA from August 2013 to July 2014 were evaluated. Medical staff members other than physicians administered three questionnaires. Items evaluated were (1) the reliability of the FJS-12 and (2) correlations between the FJS-12 and the total and subscale scores of the WOMAC or JHEQ. Of 130 patients, 22 were excluded. Cronbach's α coefficient was 0.97 for the FJS-12. The FJS-12 showed a significantly lower score than the WOMAC or JHEQ (p < 0.01). The FJS-12 was moderately correlated with the total WOMAC score (r = 0.522) and its subscale scores for "stiffness" (r = 0.401) and "function" (r = 0.539) and was weakly correlated with the score for "pain" (r = 0.289). The FJS-12 was favorably correlated with the total JHEQ score (r = 0.686) and its subscale scores (r = 0.530-0.643). The FJS-12 was correlated with and showed reliability similar to that of the JHEQ and WOMAC. The FJS-12, which is not affected by culture or lifestyle, may be useful in Japan.

  5. An observational study of emergency department intern activities.

    PubMed

    Zhu, Jia Ni; Weiland, Tracey J; Taylor, David M; Dent, Andrew W

    2008-05-05

    To describe how intern time is spent, and the frequency of activities performed by interns during emergency department (ED) rotations. Prospective observational study of 42 ED interns from three Melbourne city teaching hospitals during 5 months in 2006. Direct observations were made by a single researcher for 390.8 hours, sampling all days of the week and all hours of the day. Proportion of time spent on tasks and number of procedures performed or observed by interns. Direct patient-related tasks accounted for 86.6% of total intern time, including 43.9% spent on liaising and documentation, 17.5% obtaining patient histories, 9.3% on physical examinations, 5.6% on procedures, 4.8% ordering or interpreting investigations, 3.0% on handover and 4.9% on other clinical activities. Intern time spent on non-clinical activities included 4.2% on breaks, 3.7% on downtime, 1.7% on education, and 1.3% on teaching others. Adjusted for an 8-week term, the ED intern would take 253 patient histories, consult more senior ED staff on 683 occasions, perform 237 intravenous cannulations/phlebotomies, 39 arterial punctures, 12 wound repairs and apply 16 plasters. They would perform chest compressions under supervision on seven occasions, observe defibrillation twice and intubation once, but may not see a thoracostomy. The ED exposes interns to a broad range of activities. With the anticipated increase in intern numbers, dilution of the emergency medicine experience may occur, and requirements for supervision may increase. Substitution of ED rotations may deprive interns of a valuable learning experience.

  6. Study of mechanical joint strength of aluminum alloy 7075-T6 and dual phase steel 980 welded by friction bit joining and weld-bonding under corrosion medium

    SciTech Connect

    Lim, Yong Chae; Squires, Lile; Pan, Tsung-Yu; Miles, Michael; Song, Guang-Ling; Wang, Yanli; Feng, Zhili

    2014-12-30

    We have employed a unique solid-sate joining process, called friction bit joining (FBJ), to spot weld aluminum alloy (AA) 7075-T6 and dual phase (DP) 980 steel. Static joint strength was studied in the lap shear tension configuration. In addition, weld-bonding (adhesive + FBJ) joints were studied in order to evaluate the ability of adhesive to mitigate the impact of corrosion on joint properties. Accelerated laboratory cyclic corrosion tests were carried out for both FBJ only and weld-bonding joints. Furthermore, the FBJ only joints that emerged from corrosion testing had lap shear failure loads that were significantly lower than freshly prepared joints. However, weld-bonding specimens retained more than 80% of the lap shear failure load of the freshly prepared weld-bonding specimens. Moreover, examination of joint cross sections confirmed that the presence of adhesive in the weld-bonding joints mitigated the effect of the corrosion environment, compared to FBJ only joints.

  7. Primary subtalar joint arthrodesis with internal and external fixation for the repair of a diabetic comminuted calcaneal fracture.

    PubMed

    Facaros, Zacharia; Ramanujam, Crystal L; Zgonis, Thomas

    2011-01-01

    Comminuted, intra-articular calcaneal fractures can cause severe lower extremity impairment and have devastating effects on a patient's well being. Diabetes is a multisystem process that may cause neuropathy and loss of protective sensation further complicating the prognosis. Not all calcaneal fractures are created equal and when considering the patient's overall presentation and extent of injury, the combined approach of internal and external fixation for fracture reduction may be beneficial for restoration of anatomic alignment and function. Copyright © 2011 Elsevier Inc. All rights reserved.

  8. Differences Regarding Branded HA in Italy, Part 2: Data from Clinical Studies on Knee, Hip, Shoulder, Ankle, Temporomandibular Joint, Vertebral Facets, and Carpometacarpal Joint

    PubMed Central

    Migliore, A.; Bizzi, E.; De Lucia, O.; Delle Sedie, A.; Tropea, S.; Bentivegna, M.; Mahmoud, A.; Foti, C.

    2016-01-01

    OBJECTIVES The aim of the current study is to collect scientific data on all branded hyaluronic acid (HA) products in Italy that are in use for intra-articular (IA) injection in osteoarthritis (OA) compared with that reported in the leaflet. METHODS An extensive literature research was performed for all articles reporting data on the IA use of HA in OA. Selected studies were taken into consideration only if they are related to products based on HAs that are currently marketed in Italy with the specific joint indication for IA use in patients affected by OA. RESULTS Sixty-two HA products are marketed in Italy: 30 products are indicated for the knee but only 8 were proved with some efficacy; 9 products were effective for the hip but only 6 had hip indication; 7 products proved to be effective for the shoulder but only 3 had the indication; 5 products proved effective for the ankle but only one had the indication; 6 products were effective for the temporomandibular joint but only 2 had the indication; only 2 proved effective for vertebral facet joints but only 1 had the indication; and 5 products proved effective for the carpometacarpal joint but only 2 had the indication. CONCLUSIONS There are only a few products with some evidences, while the majority of products remain without proof. Clinicians and regulators should request postmarketing studies from pharmaceuticals to corroborate with that reported in the leaflet and to gather more data, allowing the clinicians to choose the adequate product for the patient. PMID:27279754

  9. Suppressive antibiotic therapy with oral doxycycline for Staphylococcus aureus prosthetic joint infection: a retrospective study of 39 patients.

    PubMed

    Pradier, M; Nguyen, S; Robineau, O; Titecat, M; Blondiaux, N; Valette, M; Loïez, C; Beltrand, E; Dézeque, H; Migaud, H; Senneville, E

    2017-09-01

    The aim of this study was to describe the use of oral doxycycline as suppressive antibiotic therapy (SAT) in patients with Staphylococcus aureus periprosthetic (hip or knee) joint infections. The medical charts of all patients with surgical revisions for S. aureus hip or knee prosthetic joint infections (PJIs) who were given doxycycline-based SAT because of a high risk of failure of various origins were reviewed. Data regarding tolerability and effectiveness of doxycycline-based SAT were analysed. A total of 39 patients (mean age 66.1 ± 16.3 years) received doxycycline-base SAT in the period from January 2006 to January 2014. PJIs involved the hip in 23 patients (59.0%) and the knee in 16 (41.0%), and were qualified as early in 15 patients (38.5%). Methicillin-resistant S. aureus (MRSA) accounted for 22% of the total number of bacterial strains identified. All patients included in the study had surgery, which consisted of debridement and implant retention in 32 (82.1%). Adverse events likely attributable to SAT were reported in six patients (15.4%), leading to discontinuation of SAT in three (7.7%). A total of 29 patients (74.4%) remained event-free and 10 (25.6%) failed, including 8 (20.5%) relapses and 2 (5.1%) superinfections. Overall, 8 of the 10 failure cases were related to a doxycycline-susceptible pathogen. These results suggest that oral doxycycline used as SAT in patients treated for S. aureus hip or knee PJIs has an acceptable tolerability and effectiveness and appears to be a reasonable option in this setting. Copyright © 2017 Elsevier B.V. and International Society of Chemotherapy. All rights reserved.

  10. The effect of tranexamic acid on artificial joint materials: a biomechanical study (the bioTRANX study).

    PubMed

    Alshryda, Sattar; Mason, James M; Sarda, Praveen; Lou, T; Stanley, Martin; Wu, Junjie; Unsworth, Anthony

    2015-03-01

    Tranexamic acid (TXA) has been successfully used to reduce bleeding in joint replacement. Recently local TXA has been advocated to reduce blood loss in total knee or hip replacement; however, this raised concerns about potential adverse effects of TXA upon the artificial joint replacement. In this biomechanical study we compared the effects of TXA and saline upon the following biomechanical properties of artificial joint materials-(1) tensile properties (ultimate strength, stiffness and Young's modulus), (2) the wear rate using a multi-directional pin-on-plate machine, and (3) the surface topography of pins and plates before and after wear rate testing. There were no significant differences in tensile strength, wear rates or surface topography of either ultra-high-molecular-weight polyethylene pins or cobalt chromium molybdenum metal plates between specimens soaked in TXA and specimens soaked in saline. Biomechanical testing shows that there are no biomechanical adverse affects on the properties of common artificial joint materials from using topical TXA. V.

  11. Joint trajectories for social and physical aggression as predictors of adolescent maladjustment: internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features.

    PubMed

    Underwood, Marion K; Beron, Kurt J; Rosen, Lisa H

    2011-05-01

    This investigation examined the relation between developmental trajectories jointly estimated for social and physical aggression and adjustment problems at age 14. Teachers provided ratings of children's social and physical aggression in Grades 3, 4, 5, 6, and 7 for a sample of 255 children (131 girls, 21% African American, 52% European American, 21% Mexican American). Participants, parents, and teachers completed measures of the adolescent's adjustment to assess internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. Results showed that membership in a high and rising trajectory group predicted rule-breaking behaviors and borderline personality features. Membership in a high desister group predicted internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. The findings suggest that although low levels of social and physical aggression may not bode poorly for adjustment, individuals engaging in high levels of social and physical aggression in middle childhood may be at greatest risk for adolescent psychopathology, whether they increase or desist in their aggression through early adolescence.

  12. Joint trajectories for social and physical aggression as predictors of adolescent maladjustment: Internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features

    PubMed Central

    UNDERWOOD, MARION K.; BERON, KURT J.; ROSEN, LISA H.

    2011-01-01

    This investigation examined the relation between developmental trajectories jointly estimated for social and physical aggression and adjustment problems at age 14. Teachers provided ratings of children's social and physical aggression in Grades 3, 4, 5, 6, and 7 for a sample of 255 children (131 girls, 21% African American, 52% European American, 21% Mexican American). Participants, parents, and teachers completed measures of the adolescent's adjustment to assess internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. Results showed that membership in a high and rising trajectory group predicted rule-breaking behaviors and borderline personality features. Membership in a high desister group predicted internalizing symptoms, rule-breaking behaviors, and borderline and narcissistic personality features. The findings suggest that although low levels of social and physical aggression may not bode poorly for adjustment, individuals engaging in high levels of social and physical aggression in middle childhood may be at greatest risk for adolescent psychopathology, whether they increase or desist in their aggression through early adolescence. PMID:21532919

  13. Distribution and specific central projections of mechanoreceptors in the thorax and proximal leg joints of locusts. I. Morphology, location and innervation of internal proprioceptors of pro- and metathorax and their central projections.

    PubMed

    Bräunig, P; Hustert, R; Pflüger, H J

    1981-01-01

    The mechanoreceptive supply of ventral thoracic parts and proximal leg joints of the pro- and metathorax of two locust species has been studied with the help of a modification of the axonal infusion technique with cobaltous chloride, which permits staining of the peripheral nervous system of an entire segment. The number, location, and innervation of serially homologous chordotonal organs (CO), strand receptors (SR), multipolar sensilla (MS), hair plates (HP) and clustered campaniform sensilla (CS) are described, as well as population specific central projections of primary afferent fibers from internal receptors (CO, MS). CO projections tend to form intersegmental projections within the thoracic ganglia, the extent varying with the organ's location. Apart from dorso-lateral collaterals, they terminate mainly in the medioventral neuropile, where they also cross the longitudinal midline of the CNS. By contrast, MS projections stay ipsilateral and do not leave their ganglia, where they send collaterals into all levels of the neuropile.

  14. Analyzing International Students' Study Anxiety in Higher Education

    ERIC Educational Resources Information Center

    Khoshlessan, Rezvan; Das, Kumer Pial

    2017-01-01

    The purpose of this study is to explore international students' study anxiety in a mid-sized public four-year university in Southeast Texas by comparing their existing study anxiety along lines of nationality, gender, age, major, degree, and stage of education. The subjects were selected using a convenience sample during the Spring of 2013. The…

  15. Effect of nonablative laser energy on joint capsular properties: an in-vitro study using a rabbit model

    NASA Astrophysics Data System (ADS)

    Hayashi, Kei; Markel, Mark D.; Thabit, George, III; Bogdanske, John J.; Thielke, Robert J.; Cooley, A. J.; Vailas, Arthur C.; Mascio, Laura N.; Vanderby, Ray, Jr.

    1996-05-01

    Recent scientific studies evaluating laser energy for tissue welding and thermokeratoplasty have demonstrated that the application of laser energy at non-ablative levels can alter collagen's structural and biochemical properties. A recent pilot study has demonstrated that the non-ablative application of holmium: yttrium-aluminum-garnet (Ho:YAG) laser energy to the joint capsule of patients with glenohumeral instability shrank the joint capsule, stabilizing the shoulder in the majority of the patients treated. Based on the collective findings of these studies, we hypothesized that thermal modification of dense collagenous tissues such as joint capsule, ligament, and tendon can be achieved by applying non-ablative laser energy. The purpose of this study was to evaluate the effect of laser energy at non-ablative levels on joint capsular mechanical, biochemical, histological, and ultrastructural properties in an in vitro rabbit model.

  16. A play and joint attention intervention for teachers of young children with autism: a randomized controlled pilot study.

    PubMed

    Wong, Connie S

    2013-05-01

    The aim of this study was to pilot test a classroom-based intervention focused on facilitating play and joint attention for young children with autism in self-contained special education classrooms. Thirty-three children with autism between the ages of 3 and 6 years participated in the study with their classroom teachers (n = 14). The 14 preschool special education teachers were randomly assigned to one of three groups: (1) symbolic play then joint attention intervention, (2) joint attention then symbolic intervention, and (3) wait-list control period then further randomized to either group 1 or group 2. In the intervention, teachers participated in eight weekly individualized 1-h sessions with a researcher that emphasized embedding strategies targeting symbolic play and joint attention into their eve