Critical evaluation of outcome scales assessment of lateral ankle ligament reconstruction.

BACKGROUND: Outcome following foot and ankle surgery can be assessed by disease- and region-specific scores. Many scoring systems exist, making comparison among studies difficult. The present study focused on outcome measures for a common foot and ankle abnormality and compared the results obtained by 2 disease-specific and 2 body region-specific scores. METHODS: We reviewed 41 patients who underwent lateral ankle ligament reconstruction. Four outcome scales were administered simultaneously: the Cumberland Ankle Instability Tool (CAIT) and the Chronic Ankle Instability Scale (CAIS), which are disease specific, and the American Orthopedic Foot & Ankle Society (AOFAS) hindfoot scale and the Foot and Ankle Ability Measure (FAAM), which are both body region-specific. The degree of correlation between scores was assessed by Pearson's correlation coefficient. Nonparametric tests, the Kruskal-Wallis and the Mann-Whitney test for pairwise comparison of the scores, were performed. RESULTS: A significant difference (P < .005) was observed between the CAIS and the AOFAS score (P = .0002), between the CAIS and the FAAM 1 (P = .0001), and between the CAIT and the AOFAS score (P = .0003). CONCLUSIONS: This study compared the performances of 4 disease- and body region-specific scoring systems. We demonstrated a correlation between the 4 administered scoring systems and notable differences between the results given by each of them. Disease-specific scores appeared more accurate than body region-specific scores. A strong correlation between the AOFAS score and the other scales was observed. The FAAM seemed a good compromise because it offered the possibility to evaluate the patient according to his or her own functional demand. CLINICAL RELEVANCE: The present study contributes to the development of more critical and accurate outcome assesment methods in foot and ankle surgery.

Repeated sprinting on natural grass impairs vertical stiffness but does not alter plantar loading in soccer players.

This study aimed to determine changes in spring-mass model (SMM) characteristics, plantar pressures, and muscle activity induced by the repetition of sprints in soccer-specific conditions; i.e., on natural grass with soccer shoes. Thirteen soccer players performed 6 × 20 m sprints interspersed with 20 s of passive recovery. Plantar pressure distribution was recorded via an insole pressure recorder device divided into nine areas for analysis. Stride temporal parameters allowed to estimate SMM characteristics. Surface electromyographic activity was monitored for vastus lateralis, rectus femoris, and biceps femoris muscles. Sprint time, contact time, and total stride duration lengthened from the first to the last repetition (+6.7, +12.9, and +9.3%; all P < 0.05), while flight time, swing time, and stride length remained constant. Stride frequency decrease across repetitions approached significance (-6.8%; P = 0.07). No main effect of the sprint number or any significant interaction between sprint number and foot region was found for maximal force, mean force, peak pressure and mean pressure (all P > 0.05). Center of mass vertical displacement increased (P < 0.01) with time, together with unchanged (both P > 0.05) peak vertical force and leg compression. Vertical stiffness decreased (-15.9%; P < 0.05) across trials, whereas leg stiffness changes were not significant (-5.9%; P > 0.05). Changes in root mean square activity of the three tested muscles over sprint repetitions were not significant. Although repeated sprinting on natural grass with players wearing soccer boots impairs their leg-spring behavior (vertical stiffness), there is no substantial concomitant alterations in muscle activation levels or plantar pressure patterns.

Isolation of a novel monkey adenovirus reveals a new phylogenetic clade in the evolutionary history of simian adenoviruses

Adenoviruses of primates include human (HAdV) and simian (SAdV) isolates classified into 8 species (Human Adenovirus A to G, and Simian Adenovirus A). In this study, a novel adenovirus was isolated from a colony of cynomolgus macaques (Macaca fascicularis) and subcultured in VERO cells. Its complete genome was purified and a region encompassing the hexon gene, the protease gene, the DNA binding protein (DBP) and the 100 kDa protein was amplified by PCR and sequenced by primer walking. Sequence analysis of these four genes showed that the new isolate had 80% identity to other primate adenoviruses and lacked recombination events. The study of the evolutionary relationships of this new monkey AdV based on the combined sequences of the four genes supported a close relationship to SAdV-3 and SAdV-6, lineages isolated from Rhesus monkeys. The clade formed by these three types is separated from the remaining clades and establishes a novel branch that is related to species HAdV-A, F and G. However, the genetic distance corresponding to the newly isolated monkey AdV considerably differs from these as to belong to a new, not yet established species. Results presented here widen our knowledge on SAdV and represents an important contribution to the understanding of the evolutionary history of primate adenoviruses.

Isolation of a novel monkey adenovirus reveals a new phylogenetic clade in the evolutionary history of simian adenoviruses

Adenoviruses of primates include human (HAdV) and simian (SAdV) isolates classified into 8 species (Human Adenovirus A to G, and Simian Adenovirus A). In this study, a novel adenovirus was isolated from a colony of cynomolgus macaques (Macaca fascicularis) and subcultured in VERO cells. Its complete genome was purified and a region encompassing the hexon gene, the protease gene, the DNA binding protein (DBP) and the 100 kDa protein was amplified by PCR and sequenced by primer walking. Sequence analysis of these four genes showed that the new isolate had 80% identity to other primate adenoviruses and lacked recombination events. The study of the evolutionary relationships of this new monkey AdV based on the combined sequences of the four genes supported a close relationship to SAdV-3 and SAdV-6, lineages isolated from Rhesus monkeys. The clade formed by these three types is separated from the remaining clades and establishes a novel branch that is related to species HAdV-A, F and G. However, the genetic distance corresponding to the newly isolated monkey AdV considerably differs from these as to belong to a new, not yet established species. Results presented here widen our knowledge on SAdV and represents an important contribution to the understanding of the evolutionary history of primate adenoviruses.

Suggestive linkage to chromosome 1q for bone mineral apparent density in Brazilian sister adolescents.

OBJECTIVE: To investigate linkage to chromosome 1q and 11q region for lumbar spine, femoral neck and total body BMD and volumetric BMD in Brazilian sister adolescents aged 10-20-year-old and 57 mothers. METHODS: We evaluated 161 sister pairs (n=329) aged 10-20 years old and 57 of their mothers in this study. Physical traits and lifestyle factors were collected as covariates for lumbar spine (LS), femoral neck (FN) and total body (TB) BMD and bone mineral apparent density (BMAD). We selected nine microsatellite markers in chromosome 1q region (spanning nearly 33cM) and eight in chromosome 11q region (spanning nearly 34cM) to perform linkage analysis. RESULTS: The highest LOD score values obtained from our data were in sister pairs LS BMAD analysis. Their values were: 1.32 (P<0.006), 2.61 (P<0.0002) and 2.44 (P<0.0004) in D1S218, D1S2640 and D1S2623 markers, respectively. No significant LOD score was found with LS and FN BMD/BMAD in chromosome 11q region. Only TB BMD showed significant linkage higher than 1.0 for chromosome 11q region in the markers D11S4191 and D11S937. DISCUSSION/CONCLUSIONS: Our results provided suggestive linkage for LS BMAD at D1S2640 marker in adolescent sister pairs and suggest a possible candidate gene (LHX4) related to adolescent LS BMAD in this region. These results reinforce chromosome 1q21-23 as a candidate region to harbor one or more bone formation/maintenance gene. In the other hand, it did not repeat for chromosome 11q12-13 in our population.

High b-value Diffusion-weighted Imaging: A Sensitive Method to Reveal White Matter Changes in Schizophrenia

Background: b-value is the parameter characterizing the intensity of the diffusion weighting during image acquisition. Data acquisition is usually performed with low b value (b~1000 s/mm2). Evidence shows that high b-values (b>2000 s/mm2) are more sensitive to the slow diffusion compartment (SDC) and maybe more sensitive in detecting white matter (WM) anomalies in schizophrenia.Methods: 12 male patients with schizophrenia (mean age 35 +/-3 years) and 16 healthy male controls matched for age were scanned with a low b-value (1000 s/mm2) and a high b-value (4000 s/mm2) protocol. Apparent diffusion coefficient (ADC) is a measure of the average diffusion distance of water molecules per time unit (mm2/s). ADC maps were generated for all individuals. 8 region of interests (frontal and parietal region bilaterally, centrum semi-ovale bilaterally and anterior and posterior corpus callosum) were manually traced blind to diagnosis.Results: ADC measures acquired with high b-value imaging were more sensitive in detecting differences between schizophrenia patients and healthy controls than low b-value imaging with a gain in significance by a factor of 20- 100 times despite the lower image Signal-to-noise ratio (SNR). Increased ADC was identified in patient's WM (p=0.00015) with major contributions from left and right centrum semi-ovale and to a lesser extent right parietal region.Conclusions: Our results may be related to the sensitivity of high b-value imaging to the SDC believed to reflect mainly the intra-axonal and myelin bound water pool. High b-value imaging might be more sensitive and specific to WM anomalies in schizophrenia than low b-value imaging

Yrityksen sijaintipaikkapäätökseen vaikuttavat tekijät ja alueiden kilpailukyky Suomessa

Tämän diplomityön tavoite on luoda viitekehys kahdesta työn pääteorioista, jotka ovat: "liiketoiminnan ulkoiset menestystekijät" ja "alueiden kilpailukyky". Kummatkin teoriat sisältävät tekijöitä, joilla on vaikutusta yrityksen sijaintipaikkapäätökseen. Viitekehyksen pohjalta tarkastellaan kahta tutkimusaluetta: Landen seutua ja Kuuma-aluetta. Työn tuloksena syntyy kuva kummastakin tutkimusalueesta ja analyysi viitekehyksestä. Työn ensimmäisessä osassa käydään läpi aihealueen tutkimuksen taustaa ja mitä ongelmia tutkimuksissa on tullut esille. Senjälkeen esitellään kaikki liiketoiminnan ulkoiset menestystekijät. Alueiden kilpailukyvyn teoriaosuus täydentää viitekehyksen tekijät. Työn jälkimmäinen empiirinen osa perustuu lähdemateriaaliin, joka on kerätty haastatteluista, lehtiartikkeleista ja seminaareista koskien tutkimusalueita. Tutkimustuloksista selviää, että kummatkin tutkimusalueet ovat erilaisia ja niillä on omat avainklusterinsa ja menestyvät toimialansa. Viitekehys luotiin melko onnistuneesti. Lopulta selvisi, että se sopii hyvin aihealueen tutkimuksen laajentamiseen, mutta heikosti yksittäisenyrityksen sijaintipaikkapäätökseen.

Occurrence of Arthroderma benhamiae Genotype in Japan.

In this study, we epidemiologically investigated on clinical isolates of Arthroderma benhamiae from humans and animals in Japan by internal transcribed spacer (ITS) region sequence analysis and mating type (MAT)-specific PCR. Seven of 8 A. benhamiae isolates from a human, rabbits and guinea pigs were identified as group I (white phenotype) by morphological characters and ITS region sequence analysis. One strain isolated from a degus (Octodon degus) produced colonies with few irregular folds and yellow velvety mycelium without macro- and microconidia. This strain resembled to group II (yellow phenotype) strain. ITS sequence analysis was also 100 % identical to that of group II. MAT-specific PCR indicated that 6 of these 7 isolates of group I contained an alpha-box gene and that one strain contained high-mobility-group (HMG) gene. One strain of group II was revealed to have an alpha-box gene and no HMG gene. To our knowledge, it is the first A. benhamiae isolate of group II found in Japan. The A. benhamiae may be more widespread in worldwide than our surpassing what is common or usual or expected.

Etelä-Karjala asuin- ja elinympäristönä: Korkeasti koulutettujen nuorten näkökulma

Tämän tutkimuksen keskeisenä tarkoituksena on tutkia Etelä-karjalaa asuin- ja työpaikkana. Tutkimuksen päätavoitteena on selvittää asuin- ja elinympäristön laadun merkitystä alueella viihtymiseen. Tutkimus luokitellaan kaupunkitutkimukseksi, jossa tarkastelun kohteena on asuin- ja elinympäristön laatu. Tutkimuksessa hyödynnetään survey-tutkimusmenetelmää. Tutkimuksen teoriaoosassa tarkastellaan globalisaation alueellisia vaikutuksia, alueiden kilpailukyvyn ja kilpailuedun muodostumista sekä alueen imagon merkitystä kilpailussa. Tutkimukseen liittyvä tutkimusaineisto kerättiin kirjekyselyllä Lappeenrannan teknillisestä yliopistosta vuosina 1997-2000 valmistuneiden diblomi-insinöörien ja kauppatieteiden maistereiden keskuudesta. Tutkimuksen empiirisessä osassa mitataan tekijöitä, jotka vaikuttavat asuinpaikkakunnan valintaan. Lisäksi mitataan Etelä-Karjalan asuin- ja elinympäristön laatua. Aineiston perusteella voidaan todeta, että Etelä-Karjalan asuin- ja elinympäristön laadun fyysiset, toiminnalliset ja sosiaaliset ominaisuudet edesaauttavat yliopistoststa valmistuneita jäämään alueelle. Ongelmatekijäksi nousi alueen kyky tarjota korkeasti koulutetuille nuorille työpaikkoja

Precisiones cronoestratigráficas sobre la Fm. Escucha en el sector noroeste de la cuenca del Maestrazgo. Cordillera Ibérica oriental

Uno de los problemas clásicos en el estudio del registro sedimentario cretácico de la Cordillera Ibérica es la datación cronoestratigráfica de los materiales detriticos que subyacen al cretácico superior calcáreo, debido a su carácter continental y de transición. En el presente trabajo se muestrean dos series de la Fm. Escucha situadas en los depocentros de las cubetas de Calanda y de Castellote, para realizar un análisis palinológico de las mismas y compararlo con otros análisis realizados en la cubeta de Traiguera, en donde la edad está contrastada con el contenido en ammonites. Los resultados de este análisis, muestran un contenido en microflora equivalente para las dos series, asi como con las de Benassal, Benifassa, Traiguera y Salom. Este hecho nos lleva a datar a la Fm. Escucha en este sector como Albiense inferior terminal- Albiense medio, con 10 cual se contribuye a aclarar las relaciones estratigráficas entre las formaciones de Escucha, Val de la Piedra y Calizas de Benassal.

Laryngeal schwannoma: a case report with emphasis on sonographic findings

Schwannomas are benign nerve sheath tumors composed of Schwann cells, which normally produce the insulating myelin sheath covering peripheral, cranial and autonomic nerves. Twenty-five to forty-five percent of all schwannomas occur in the head and neck region, but location of such tumors in the larynx is rarely observed. The present report is aimed at describing a clinical case of laryngeal schwannoma, with emphasis on sonographic findings.

Intervalos de referência para elementos menores e traço em cabelo humano para a população da cidade do Rio de Janeiro - Brasil

Inductively coupled plasma mass spectrometry (ICP-MS) has been used for the determination of twenty minor and trace elements in hair samples from an urban population group (N = 1775), aiming at the establishment of reliable hair reference intervals. Statistical evaluation of the data with respect to age, sex and anatomic region was performed by multivariant analysis and according to recommendations of the International Federation of Clinical Chemistry (IFCC). The results show that mainly age and anatomic region (scalp or pubis) influence significantly the concentration of several elements. Comparison of the here calculated reference intervals with those previously published and used by clinical laboratories for this population showed larger discrepancies and the need for an urgent revision of these data.

Condiciones de trabajo psicosociales y desgaste psíquico en trabajadores de diversos sectores empresariales de centro-oriente, suroccidente y región Caribe en Colombia

Objetivo: Determinar la percepción de trabajadores de distintos sectores empresariales de Colombia sobre los factores psicosociales presentes en su entorno laboral y la relación entre los factores psicosociales nocivos y los síntomas subjetivos y alteraciones de la salud. Materiales y métodos: Estudio no experimental, transversal y cuantitativo. Participaron 370 trabajadores, de diferentes sectores empresariales de Colombia (Centro-Oriente, Suroccidente y región Caribe). Instrumento: batería para el estudio de las condiciones de trabajo de carácter psicosocial (CTCPS-MAC), validada para población iberoamericana, permite evaluar cuatro dimensiones: Contexto de trabajo, Contenido de trabajo, Factores individuales y Desgaste psíquico e incluye catorce factores psicosociales. Los datos se analizaron con IBM SPSS statistics 21. Se realizó análisis bivariado y regresión logística multivariante de factores psicosociales nocivos y desgaste psíquico. Resultados: Los factores formación, baja médica, contexto de trabajo, contenido de trabajo y factores individuales están asociados en este estudio con desgaste psíquico. El contexto de trabajo es la variable que infiere mayor riesgo (p=0.000; Exp (B)= 5.355) para provocar desgaste psíquico, seguida de la formación técnica o superior y del contenido del trabajo. Conclusiones: Si bien aquellos trabajadores cuya percepción nociva del contexto de trabajo (interrelación trabajo-vida familiar/personal, cultura de la organización, gestión de la empresa, etc.), del contenido de trabajo (concepción tareas, carga y ritmo de trabajo, etc.) y los que tienen formación técnica o superior tienen mayor probabilidad de padecer desgaste psíquico, se observan aspectos positivos de las condiciones de trabajo psicosocial y su influencia en los trabajadores y en las organizaciones.

Etelä-Karjalan energiaselvitys ja maakunnan energiatalouden tulevaisuus

Diplomityössä on selvitetty Etelä-Karjalan maakunnan energian käyttöä nyt ja tulevaisuudessa. Tavoitteena on selvittää eri energialähteiden hankintavaihtoehtoja, sekä eri energialähteiden käytön kehittymissuunnat seuraavan 10 - 20 vuoden kuluessa. Diplomityö on tehty Etelä-Karjalan liiton toimeksiannosta ja sitä tullaan käyttämään taustaselvityksenä maakuntakaavan laadinnassa sekä maakunnan aluevarauksia määriteltäessä. Tarkoituksena on arvioida miten energiahuollon rakenne tulee muuttumaan tulevaisuudessa ja mikä merkitys tulevaisuuden energiaratkaisuilla on alueiden käyttöön ja aluerakenteeseen liittyen. Etelä-Karjala on osa Euroopan suurinta metsäteollisuuskeskittymää ja maakunta on Suomen suurimpia teollisuuden energian- ja sähkönkäyttäjiä. Etelä-Karjalan vahva metsäteollisuus ja sen käyttämät puupolttoaineet sekä sijainti Venäjän maakaasuvarojen läheisyydessä ja kattava maakaasuverkko vaikuttavat merkittävästi maakunnan energiataseeseen. Vuonna 2007 Etelä-Karjalan primäärienergiankäyttö oli 24,3 TWh, tästä uusiutuvien energialähteiden osuus oli 68 % ja fossiilisten energialähteiden osuus 22 %. Etelä-Karjalan energiatalouden tulevaisuuteen vaikuttaa merkittävästi maakunnan metsäteollisuuden tulevaisuus. Tiukentuvan energia- ja ilmastopolitiikan ja ympäristömääräysten myötä maakunnan energiatehokkuutta on parannettava kaikilla sektoreilla. Maakunnan energiankulutusta voidaan vähentää tehostamalla energiantuotantoa, tiivistämällä yhdyskuntarakennetta ja lisäämällä bioenergian käyttöä energiantuotannossa. Etelä-Karjalassa on myös potentiaalia lisätä vaihtoehtoisten energialähteiden osuutta maakunnan energiatalouden tulevaisuudessa.

Molecular characterization of Brazilian Dicyma pulvinata isolates

Forty-nine Brazilian Dicyma pulvinata isolates were examined by morphological traits and RFLP, RAPD and AFLP analyses. This fungus is a mycoparasite of Microcyclus ulei, the causal agent of the most devastating rubber (Hevea brasiliensis) disease, known as "South American Leaf Blight" (SALB). These isolates were compared with an Indian isolate from Cercosporidium sp., and a French isolate from Cladosporium fulvum. They were also compared with Dicyma ampullifera from Papua New Guinea. The morphological parameters analyzed confirmed the identification of the Brazilian isolates. The graphic representations of the distance matrices of each molecular marker showed similar results. Dicyma pulvinata isolates from M. ulei were closely related, whereas the reference isolates examined were dispersed. Among the D. pulvinata isolates obtained from M. ulei, a significant pairwise distance was obtained, for all the molecular markers, between the isolates from the areas favorable to the occurrence of SALB (North and Northeast of Brazil) and the region of escape for the disease (Mato Grosso State).