Utility of the radial-deviated, thumb-abducted lateral radiographic view for the diagnosis of hamate hook fractures: case report

Data from all 225 women operated on for ectopic pregnancy in 1992-1994 at Sahlgrenska University Hospital were collected and compared with three previous cross-sectional investigations from our hospital (1975-1979, 1981-1982 and 1986-1987) in order to evaluate the extent to which surgical treatment and post-operative complications have changed over a 20 year period. Laparoscopic surgery, which was not possible in the 1970s, was used in almost 85% of the ectopic pregnancies in 1992-1994. Conservative treatment was still the most frequently used technique. The complication rate was 1.2% in 1975-1979 when only laparotomies were carried out. After the introduction of laparoscopic surgery (1986-1987), the complication rate rose significantly (7.3%) and continued to increase even when this procedure was established as routine (14.2% in 1992-1994). Post-operative complications were most frequent after conservative laparoscopic surgery (24.4%) while there were no complications after laparotomies. In spite of increasing complication rates the frequency of patients in pre-shock, as well as the proportion of patients with heavy intra-abdominal bleeding and tubal rupture, decreased over time.     

Paradigms of retirement: the importance of health and ageing in the Whitehall II study

This paper evaluates four well established sociological theories of ageing using qualitative data from the British Whitehall II study. We attempt to apply the theories to contemporary retirement and through each theory examine the issue of health in retirement. The effect of lowered income in retirement is discussed in relation to Townsend's theory of structured dependency. Change in participant's health following retirement is examined in respect of the theory of disengagement by Cumming and Henry, adjustment to retirement in relation to Laslett's theory of the third age. Parson's role theory is used to examine how social interactions and relationships change for people who have recently retired. We discuss the need for a multifaceted theory of ageing which can accommodate the continually changing experience and age of retirement. We analysed interviews conducted with 25 male and female civil servants aged between 55 and 63 years, from different grades who had been retired for less than 2 years.     

Two computational regimes of a single-compartment neuron separated by a planar boundary in conductance space

Recent in vitro data show that neurons respond to input variance with varying sensitivities. Here we demonstrate that Hodgkin-Huxley (HH) neurons can operate in two computational regimes: one that is more sensitive to input variance (differentiating) and one that is less sensitive (integrating). A boundary plane in the 3D conductance space separates these two regimes. For a reduced HH model, this plane can be derived analytically from the V nullcline, thus suggesting a means of relating biophysical parameters to neural computation by analyzing the neuron's dynamical system.     

Time dependence of the mechanical properties of GICs in simulated physiological conditions

The mechanical properties of glass-ionomer cements (GICs) have been satisfactory for dental applications and have shown their potential in orthopedic surgery. Because the physiological environment in orthopedics is different from dentistry by unavoidable contamination with blood and other fluids such as normal saline used during an operation, the determination of GICs for orthopedic applications should be performed in an appropriate environment. The properties of a novel resin-modified GIC, S430, for orthopedic applications were evaluated in simulated orthopedic conditions by an early exposure to and long-term storage in normal saline. An early exposure to normal saline caused 20–60% reduction of its compressive and flexural properties, whereas long-term storage in normal saline showed slight changes of its mechanical properties. The effects were probably due to the disturbance of the cross-linking formation in the acid-base reaction and also the reduction of electrostatic interactions of the cross-linking polymeric chain of hydroxyethyl methacrylate (HEMA) in resin-modified GIC.     

Kinetics of precipitation of U4O9 from hyperstoichiometric UO2+x

For safe and reliable operation of fission reactors in space, the phase diagrams and reaction kinetics of systems used as nuclear fuels, such as U-O, U-N, U-C, are required. Diffraction allows identification of phases and their weight fractions as a function of temperature in situ, with a time resolution of the order of minutes. In this paper, we will provide results from a neutron diffraction experiment studying the U-O system. Using the neutron diffractometer HIPPO, the decomposition of UO_2+x into UO₂ and U₄O₉ as a function of temperature was investigated in situ. From the diffraction data, the participating phases could be identified as UO_2+x, UO₂ and U₄O_8.94 and no stoichiometric U₄O₉ was found. Results of the experiment were used to improve existing thermodynamic models. The presented techniques (i.e., neutron diffraction and thermodynamic modeling) are also applicable to the other systems mentioned above.     

Forecasting small-area agricultural incomes using a CGE model of the Australian economy

In this paper the ORANI model, which is a large computable general equilibrium (hereafter, CGE) model of the Australian economy, is used to generate forecasts of agricultural incomes for the south-western region of Victoria. ORANI is first solved for the effects of an economic scenario on commodity output responses in a geographically defined agricultural industry of the model which encompasses the region. These responses are then used to generate output indexes in local government areas (LGAs) in the region according to their base-period commodity mixes. Finally, these projections are converted into real farm income forecasts. Our methodology breaks new ground in combining short- and long-term forecasts, and in disaggregating forecasts for a national agricultural industry to the LGA level.     

Compensatory neutral mutations and the evolution of RNA

There are many examples of RNA molecules in which the secondary structure has been strongly conserved during evolution, but the base sequence is much less conserved, e.g., transfer RNA, ribosomal RNA, and ribonuclease P. A model of compensatory neutral mutations is used here to describe the evolution of the base sequence in RNA helices. There are two loci (i.e., the two sides of the pair) with four alleles at each locus (corresponding to A, C, G, U). Watson-Crick base pairs (AU, CG, GC, and UA) are each assigned a fitness 1, whilst all other pairs are treated as mismatches and assigned fitness 1-s. A population of N diploid individuals is considered with a mutation rate of u per base. For biologically reasonable parameter values, the frequency of mismatches is always small but the frequency of the four matching pairs can vary over a wide range. Using a diffusion model, the stationary distribution for the frequency x of any of the four matching pairs is calculated. The shape depends on the combination of variables beta = 8Nu2/9s. For small beta, the distribution diverges at the two extremes, x = 0 and x = 1-z, where z is the mean frequency of mismatches. The population typically consists almost entirely of one of the four types of matching pairs, but occasionally makes shifts between the four possible states. The mean rate at which these shifts occur is calculated here. The effect of recombination between the two loci is to decrease the probability density at intermediate x, and to increase the weight at the extremes. The rate of transition between the four states is slowed by recombination (as originally shown by Kimura in a two-allele model with irreversible mutation). A very small recombination rate r approximately u2/s is sufficient to increase the mean time between transitions dramatically. In addition to its application to RNA, this model is also relevant to the 'shifting balance' theory describing the drift of populations between alternative equilibria separated by low fitness valleys. Equilibrium values for the frequencies of the different allele combinations in an infinite population are also calculated. It is shown that for low recombination rates the equilibrium is symmetric, but there is a critical recombination rate above which alternative asymmetric equilibria become stable.     

Variations in posteroanterior stiffness in the thoracolumbar spine: preliminary observations and proposed mechanisms

BACKGROUND AND PURPOSE: Evaluation of posteroanterior (PA) movement in the spine is commonly used in the clinic, but little is known about the mechanisms involved. The purposes of this study were to examine variations in PA stiffness along the thoracolumbar spine and to investigate possible factors that might determine the pattern of stiffness. SUBJECTS: Twenty-one pain-free volunteers (10 male, 11 female), aged 18 to 41 years (mean age=26.6, SD=7.5), participated. METHODS: Posteroanterior stiffness was measured at 5 locations (L4, L1, T10, T7, T4), together with various subject characteristics. RESULTS: Mean PA stiffness varied among locations, with the greatest stiffness at L4 (13.3 N/mm) and the lowest stiffness at L1 (10.4 N/mm). A relatively small, but important, proportion (22% or less) of the variance in stiffness data at some vertebral levels was accounted for by the variables describing subject characteristics. CONCLUSION AND DISCUSSION: Posteroanterior stiffness varies along the spine in a manner consistent with the nature of support for the spine. The observed pattern of variation of PA stiffness along the spine appears to be influenced by some factors other than those relating to the spine.