Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.

Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed.

Evolution of analogical reasoning in children: follow-up from six to eleven years old

The aim of this study is to establish the time and period of development of Analogical Reasoning (AR) and evaluate its independence and performance with respect to the age. We performed a longitudinal cohort study of two age groups and six annual follow-up phases from each one (2000-2005, 2001-2006) in six to eleven years-old children in the city of Huanuco (Peru) with a sample of 167 children (first stage), and N=121 (sixth stage). The Raven’s progressive matrices test, coloured version, was applied individually without time limits. Results indicate that AR development occurs in a constant and late way from seven to eleven years-old children, and also that there is independence between the ability of AR and the children age. We discuss the importance of knowledge in the relationships between analogies topics, adjusted to the age, as a mediating factor in the development of AR.

The Evolution of Rugby: from a Violent Sport into a Regulated one

After it’s birth in England in 1823 rugby has changed it’s appearance from a violent sport to a quite controlled and regulated one. The most important rule changes that have contributed to a reduction of the injuries are described

Lethal Closeness: The Evolution of a Small-World Drug Trafficking Network

The evolution of the drug trafficking network –so-called– ‘Cartel del Norte del Valle’, is studied using network analysis methods. We found that the average length between any pair of its members was bounded by 4 –an attribute of smallworld networks. In this tightly connected network, informational shocks induce fear and the unleashing of searches of threatening nodes, using available paths. Lethal violence ensues in clusters of increasing sizes that fragment the network, without compromising, however, the survival of the largest component, which proved to be resilient to massive violence. In spite of a success from the point of view of head counting, the US’ socialization program for drug traffickers did not effectively change the cyclical dynamics of the drug dealing business: war survivors took over what was left from the old network initiating a new cycle of business and violence.