Validation of a standardized mapping system of the hip joint for radial MRA sequencing

OBJECTIVE Intraarticular gadolinium-enhanced magnetic resonance arthrography (MRA) is commonly applied to characterize morphological disorders of the hip. However, the reproducibility of retrieving anatomic landmarks on MRA scans and their correlation with intraarticular pathologies is unknown. A precise mapping system for the exact localization of hip pathomorphologies with radial MRA sequences is lacking. Therefore, the purpose of the study was the establishment and validation of a reproducible mapping system for radial sequences of hip MRA. MATERIALS AND METHODS Sixty-nine consecutive intraarticular gadolinium-enhanced hip MRAs were evaluated. Radial sequencing consisted of 14 cuts orientated along the axis of the femoral neck. Three orthopedic surgeons read the radial sequences independently. Each MRI was read twice with a minimum interval of 7 days from the first reading. The intra- and inter-observer reliability of the mapping procedure was determined. RESULTS A clockwise system for hip MRA was established. The teardrop figure served to determine the 6 o'clock position of the acetabulum; the center of the greater trochanter served to determine the 12 o'clock position of the femoral head-neck junction. The intra- and inter-observer ICCs to retrieve the correct 6/12 o'clock positions were 0.906-0.996 and 0.978-0.988, respectively. CONCLUSIONS The established mapping system for radial sequences of hip joint MRA is reproducible and easy to perform.

N budget and NH3 exchange of a grass/clover crop at two levels of N application

Atmospheric ammonia (NH3) exchange during a single growing season was measured over two grass/clover fields managed by cutting and treated with different rates of mineral nitrogen (N) fertilizer. The aim was to quantify the total NH3 exchange of the two systems in relation to their N budget, the latter was split into N derived from symbiotic fixation, from fertilization, and from the soil. The experimental site was located in an intensively managed agricultural area on the Swiss plateau. Two adjacent fields with mixtures of perennial ryegrass (Lolium perenne L.), cocks foot (Dactylis glomerata L.), white clover (Trifolium repens L.) and red clover (Trifolium pratense L.) were used. These were treated with either 80 or 160 kg N ha−1 applied as NH4NO3 fertilizer in equal portions after each of four cuts. Continuous NH3 flux measurements were carried out by micrometeorological techniques. To determine the contribution of each species to the overall NH3 canopy compensation point, stomatal NH3 compensation points of the individual plant species were determined on the basis of NH4+ + NH3 (NHx) concentrations and pH in the apoplast. Symbiotic N2 fixation was measured by the 15N dilution method.

Blood-oxygen-level-dependent (BOLD) signal changes in total cortex and subcortex, pain, reward, and vigilance regions during mechanical pressure pain after morphine administration

Morphine is the most common clinical choice in the management of severe pain. Although the molecular mechanisms of morphine have already been characterized, the cerebral circuits by which it attenuates the sensation of pain have not yet been studied in humans. The objective of this two-arm (morphine versus placebo), between-subjects study was to examine whether morphine affects pain via pain-related cortical circuits, but also via reward regions that relate to the motivational state, as well as prefrontal regions that relate to vigilance as a result of morphine's sedative effects. Cortical activity was measured by the blood-oxygen-level-dependent (BOLD) signal changes using functional magnetic resonance imaging (fMRI). ^ The novelty of this study is at three levels: (i) to develop a methodology that will assess the average BOLD signal across subjects for the pain, reward, and vigilance cortical systems; (ii) to examine whether the reward and/or sedative effects of morphine are contributing factors to cortical regions associated with the motivational state and vigilance; and (iii) to propose a neuroanatomical model related to the opioid-sensitive effects of reward and sedation as a function of cortical activity related to pain in an effort to assess future analgesics. ^ Consistent with our hypotheses, our findings showed that the decrease in total pain-related volume activated between the post- and the pre-treatment morphine group was about 78%, while the post-treatment placebo group displayed only a 5% decrease when compared to pre-treatment levels of activation. The volume increase in reward regions was 451% in the post-treatment compared to the pre-treatment morphine condition. Finally, the volumetric decrease in vigilance regions was 63% in the posttreatment compared to the pre-treatment morphine condition. ^ These findings imply that changes in the blood flow of the reward and vigilance regions may be contributing factors in producing the analgesic effect under morphine administration. Future studies need to replicate this study in a higher resolution fMRI environment and to assess the proposed neuroanatomical model in patient populations. The necessity of pain research is apparent, since pain cuts across different diseases especially chronic ones, and thus, is recognized as a vital public health developing area. ^

Ethnographic and epidemiologic approaches for the programming of prenatal and birth services in Mesa los Hornos, Mexico

The investigator conducted an action-oriented investigation of pregnancy and birth among the women of Mesa los Hornos, an urban squatter slum in Mexico City. Three aims guided the project: (1) To obtain information for improving prenatal and maternity service utilization; (2) To examine the utility of rapid ethnographic and epidemiologic assessment methodologies; (3) To cultivate community involvement in health development.^ Viewing service utilization as a culturally-bound decision, the study included a qualitative phase to explore women's cognition of pregnancy and birth, their perceived needs during pregnancy, and their criteria of service acceptability. A probability-based community survey delineated parameters of service utilization and pregnancy health events, and probed reasons for decisions to use medical services, lay midwives, or other sources of prenatal and labor and delivery assistance. Qualitative survey of service providers at relevant clinics, hospitals, and practices contributed information on service availability and access, and on coordination among private, social security, and public assistance health service sectors. The ethnographic approach to exploring the rationale for use or non-use of services provided a necessary complement to conventional barrier-based assessment, to inform planning of culturally appropriate interventions.^ Information collection and interpretation was conducted under the aegis of an advisory committee of community residents and service agency representatives; the residents' committee formulated recommendations for action based on findings, and forwarded the mandate to governmental social and urban development offices. Recommendations were designed to inform and develop community participation in health care decision-making.^ Rapid research methods are powerful tools for achieving community-based empowerment toward investigation and resolution of local health problems. But while ethnography works well in synergy with quantitative assessment approaches to strengthen the validity and richness of short-term field work, the author strongly urges caution in application of Rapid Ethnographic Assessments. An ethnographic sensibility is essential to the research enterprise for the development of an active and cooperative community base, the design and use of quantitative instruments, the appropriate use of qualitative techniques, and the interpretation of culturally-oriented information. However, prescribed and standardized Rapid Ethnographic Assessment techniques are counter-productive if used as research short-cuts before locale- and subject-specific cultural understanding is achieved. ^

Occupational injuries among day laborers in Houston

Research has indicated that day laborers engage in higher risk occupations and suffer a high number of occupationally related fatal and non-fatal injuries. Although there have been some studies focusing on immigrant workers and their occupational injuries, none to our knowledge has studied Houston’s day laborers. An exploratory study of Houston’s day laborer population was conducted in 2008 by Dr. Fernández-Esquer from the University of Texas. ^ The aims of the current study are to analyze secondary data from this parent study and describe the prevalence of the self reported occupational injuries among Houston immigrant day laborers seeking work during the months of October through December 2008. The study also aims to determine if the reported injuries varied by age group, education level, length of time living in the U.S. and length of time working as day laborers and describe if injuries were more common by the number of different job types or job conditions reported or the use of personal protective equipment used (PPE). ^ This study analyzed 325 questionnaires that included job-related information from the parent study. One hundred and nine workers (35 %) reported an occupational injury or illness in the year before the interview. The most frequent injuries or illnesses reported were falls (26.7 %), cuts and lacerations (23.3 %) and being struck by an object (18.3 %). Over half of the workers (57 %) reported working 4 to 6 different jobs in the year before the interview, followed by 22.5 % reporting 1 to 3 different jobs. A combined 79 % of day laborers in Houston reported exposure to 7 or more of the job conditions listed and 69 % of those workers also reported an injury or illness. PPE use varied from 44 % of workers reporting using 4 to 6 PPE items to 6.8 % reporting not using any type of PPE. Thirty two percent of workers reporting not using any PPE also reported an injury or illness. ^ Injuries were found not to have varied significantly by age group, time living in the US, time working as a day laborer, numbers of different job types and the number of PPE used. Injuries did vary significantly by education level of the participants and the number of different job conditions reported (education, X2 (4, N = 315) = 12.651, p =0.013; and job conditions, X2 (3, N = 319) = 14.698, p = 0.002). ^ Although this first study of Houston’s day laborers was successful at engaging the population and getting background information regarding the occupational health of these workers, more studies are needed to further characterize the day laborers occupational experiences and injuries along with determining what specific job types and job conditions were present when injuries occurred and what kind of PPE was being used at the time. It is also clear that these workers need better safety training programs regarding working in potentially dangerous jobs and job conditions. They would also benefit from programs that would help empower them to negotiate for safer conditions.^

INTERACTION OF BACILLUS ANTHRACIS EXOSPORIUM PROTEIN BCLA WITH COMPLEMENT FACTOR H AND SPORE PERSISTENCE IN THE LUNG

Anthrax outbreaks in the United States and Europe and its potential use as a bioweapon have made Bacillus anthracis an interest of study. Anthrax infections are caused by the entry of B. anthracis spores into the host via the respiratory system, the gastrointestinal tract, cuts or wounds in the skin, and injection. Among these four forms, inhalational anthrax has the highest lethality rate and persistence of spores in the lungs of animals following pulmonary exposure has been noted for decades. However, details or mechanisms of spore persistence were not known. In this study, we investigated spore persistence in a mouse model. The results suggest that B. anthracis spores have special properties that promote persistence in the lung, and that there may be multiple mechanisms contributing to spore persistence. Moreover, recent discoveries from our laboratory suggest that spores evolved a sophisticated mechanism to interact with the host complement system. The complement system is a crucial part of the host defense mechanism against foreign microorganisms. Knowledge of the specific interactions that occur between the complement system and B. anthracis was limited. Studies performed in our laboratory have suggested that spores of B. anthracis can target specific proteins, such as Factor H (fH) of the complement system. Spores of B. anthracis are enclosed by an exosporium, which consists of a basal layer surrounded by a nap of hair-like filaments. The major structural component of the filaments is called Bacillus collagen-like protein of anthracis (BclA), which comprises a central collagen-like region and a globular C-terminal domain. BclA is the first point of contact with the innate system of an infected host. In this study, we investigated the molecular details of BclA-fH interaction with respect to the specific binding mechanism and the functional significance of this interaction in a murine model of anthrax infection. We hypothesized that the recruitment of fH to the spore surface by BclA limits the extent of complement activation and promotes pathogen survival and persistence in the infected host. Findings from this study are significant to understanding how to treat post-exposure prophylaxis and improve our knowledge of spores with the host immune system.

The impact of school year work on adolescent *development

In recent decades, work has become an increasingly common feature of adolescent life in the United States. Once assumed to be an inherently positive experience for youth, school year work has recently been associated with several adverse effects, especially as the number of hours of weekly work increases. The purpose of this dissertation was to describe the impact of school year work on adolescent development in a sample of high school students from rural South Texas, an area where economically-disadvantaged and Hispanic students are heavily represented.^ The first study described the prevalence and work circumstances of 3,565 10$\rm\sp{th}$ and 12$\rm\sp{th}$ grade students who responded to anonymous surveys conducted in regular classrooms. The overall prevalence of current work was 53%. Prevalence differed by grade, college-noncollege-bound status, and parent education. Fifty percent of employed students worked to support consumer spending.^ The second study examined the effects of four levels of work intensity on the academic, behavioral, social, mental and physical health of students. The following negative effects of intense work were reported: (1) decreased engagement in school, satisfaction with leisure time, and hours of weeknight and weekend sleep, and (2) increased health risk behaviors and psychological stress. The negative effects of intense work differed by gender, grade, ethnicity, but not by parent education.^ The third study described the prevalence of injury in the study population. A dose response effect was observed where increasing hours of weekly work were significantly related to work-related injury. The likelihood of being injured while employed in restaurant, farm/ranch, and construction work was greater than the probability of being injured while working in factory/office/skilled, yard, or retail work when compared to babysitting. Cuts, shocks/burns and sprains were the most common injuries in working teens.^ Students, parents, educators, health professionals and policymakers should continue to monitor the number of weekly hours that students work during the school year. ^

Microfiltración en restauraciones coronarias completas libres de metal

En el presente trabajo se estudió la microfiltración de núcleos de alúmina cementados con cemento de resina autoacondicionante y con cemento de ionómero de vidrio convencional. Una vez preparadas las muestras se sumergieron en azul de metileno, para luego ser cortadas longitudinalmente. Los cortes fueron observados en una lupa estereoscópica, estableciéndose su grado de filtración por penetración del colorante. El análisis estadístico demostró que las muestras cementadas con cemento de resina tuvieron menor filtración que las cementadas con ionómero de vidrio.

Consumer preferences towards beef cattle in Chile : Importance of country of origin, cut, packaging, brand and price

A study was carried out to evaluate preferences for two cuts, four countries of origin, two forms of presentation, brand and different prices of beef cattle among supermarket buyers in southern Chile, and to distinguish the existence of different market segments, through a survey of 800 people. Using a fractional factorial design for conjoint analysis, it was determined overall that the origin was more important (44.5%) than price (20.8%), form of presentation (12.2%), cut (12.0%) and brand (10.5%), with preference for Chilean and Argentinean striploin, packaged on trays, with no brand at medium price. Using a cluster analysis, three market segments were distinguished. The largest (52.3%) placed great importance on origin and preferred the highest price. The second (27.5%) also valued origin with the greatest preference for Argentinean beef, and it was the only group that preferred the ribeye as the cut. The third (20.5%) placed the greatest importance on price, and was the only group that preferred Paraguayan meat. The segments differed in the importance of eating meat for their personal well-being. The low importance of packaging and brand indicates poorly developed marketing of this product. In order to properly insert brand beef in the Chilean market, communication strategies must be implemented that identify the product with superior quality and that position the brand in the consumer's mind.

Aportes para una sociología del cuerpo : un análisis de los usos del cuerpo en la práctica de la danza clásica, moderna y contemporánea a partir de los discursos y saberes producidos por coreógrafos y bailarines durante el siglo XX

Este plan se propone indagar cómo se construyen las concepciones del cuerpo en la práctica de la danza escénica occidental, a partir del análisis de fuentes bibliográficas escritas por maestros coreógrafos y bailarines del siglo XX. En este sentido, la danza opera como instancia de recorte específico sobre un tema más general; el de construir un aporte a los desarrollos de una teoría social del cuerpo, de reciente formación en nuestro país, en base al análisis de unos referentes empíricos concretos. Se espera poder construir líneas de análisis fructíferas que, en base a la deconstrucción del saber generado en el campo de las prácticas específicas a observar y su re-construcción con eje en los elementos de la teoría social contemporánea, articulen el problema y análisis del cuerpo, con tópicos básicos del análisis sociológico: la cuestión de la subjetividad, las nuevas formas de auto-dominio y auto-control y la cuestión de las prácticas o experiencias autónomas y disruptivas.

Lengua y Literatura : Disciplina escolar. Hacia una metodología circunstanciada de su enseñanza

La metodología circunstanciada de la enseñanza de la lengua y la literatura desarrollada y argumentada a lo largo de esta investigación se presenta como un modo de renegociar los encastres de perspectivas de las didácticas de la lengua o la literatura que hoy muestran en la Argentina su historia de entramados y superposiciones de diversos estatutos de saberes. Estas reconfiguraciones, estudiadas en las últimas cuatro décadas, no son ajenas a las coyunturas políticas, ni a los mecanismos de reproducción y producción de la cultura escolar y del sistema educativo, expresados en las particularidades de la disciplina escolar. Por ello, esta metodología se articula en tres fundamentos que no sobreimprimen nuevas prerrogativas didácticas a las reconfiguraciones de la enseñanza de la lengua y la literatura que actualmente encarnan la disciplina escolar y el sistema educativo en tres de sus niveles [primario, pero con especial atención al secundario e ingresos a la educación superior]. Básicamente, y más allá de sus matices, se trata de reconfiguraciones que develan la reificación de la lectura y la escritura como contenidos de enseñanza en nombre de criterios de utilidad y realidad para los docentes y alumnos. Así, se explica que los efectos de este estado de situación van consolidando un vacío metodológico revelado a través de relatos que permiten recuperar una historia reciente de la enseñanza de la lengua y la literatura en la Argentina, de los devenires de cada una de sus perspectivas, que, en apariencia, no se cruzarían. Sin embargo, puestos en relación, muestran los hechos en los que esas perspectivas se conjugaron, acaso conjuraron, e iniciaron sus complejas, y, a veces, no tan nítidas, alianzas. No obstante, ninguna perspectiva se impone por completo. Mirados sus efectos desde el trabajo docente, se encuentra un encastre entre el textualismo cognitivista, la psicogénesis y la más reciente perspectiva sociocultural e histórica, que abonan a una argamasa de saberes desestabilizadores de la enseñanza de la lengua y la literatura como rito de institución. Por el contrario, con sus prerrogativas siempre articuladas en retóricas de "cómo debe ser la mejor enseñanza" de la lengua y la literatura, de la lectura y la escritura, suman categorías, conceptos, recortes de líneas teóricas, investigaciones, por lo general, todos disímiles, para remodelarlos en orientaciones por demás distantes y ajenas a las realizaciones cotidianas del trabajo docente.Los fundamentos aquí planteados, entonces, se circunstancian en los modos en que docentes y alumnos dicen que se realiza la enseña de la lengua y la literatura. Asimismo, se expone que una idea de cambio radical no es pertinente para la comprensión de prácticas/acciones sociales como las educativas institucionales, y que, en realidad, es necesario recuperar en sentido estricto, y de las teorías sociales, la noción de cambio como variación de la reproducción y producción social. Por lo tanto, los postulados desarrollados para una metodología circunstanciada de la enseñanza de la lengua y la literatura están pensados en ese orden de la variación y no del aplastamiento de los sentidos que, histórica y culturalmente, la constituyen e instituyen

La transferencia en la clínica con niños : Continuidades y rupturas

Cada marco teórico recorta una dimensión posible respecto del funcionamiento del aparato psíquico, dando lugar a la puesta en forma de los alcances y los límites, a partir de los cuales se delimitan vías posibles de intervención. En el entramado que allí se constituye, el concepto de transferencia encuentra su asiento. Ahora bien, ¿qué rasgos de particularidad atraviesan las nociones conceptuales cuando se emplazan y articulan con los movimientos fundacionales que dan cuenta de los tiempos de constitución psíquica? Determinar la singularidad de los conceptos, desde su emplazamiento en la red conceptual que cerca los tiempos de la constitución, supone remitirse a los inicios de una práctica. Para ello, se circunscribirán ciertas coordenadas que darán cuenta del trayecto teórico-clínico propuesto por aquellos autores que trazaron el origen de la clínica con niños y adolescentes. La presente investigación se conforma a partir de las propuestas de trabajo dadas en el marco de la carrera de Especialización en Clínica Psicoanalítica con Niños y Adolescentes de la Facultad de Psicología de la UNLP, cuya directora es la profesora psicóloga Norma Najt

La Plata: de la ciudad apreciada a la ciudad ignorada

La ciudad de La Plata nace como una ciudad avanzada, que en su momento causó gran impresión en el ámbito nacional e internacional, como expresión de pujanza de una sociedad, en un país nuevo y vigoroso. Tal momento histórico se fue diluyendo, al igual que dicha concepción de la ciudad por parte de los gobernantes, urbanistas y de los habitantes platenses; ello quedó expresado en la configuración de la ciudad. El presente artículo es un avance en el cual se intenta abordar esta problemática desde una mirada distinta de la arquitectura. El mismo tiene por objetivo analizar los cambios de la ciudad bajo la influencia de factores políticos, económicos, urbanísticos y la manera en que estas mutaciones eran recibidas por la sociedad. Para ello se hizo un análisis evolutivo de dichos factores mediante tres cortes temporales: la Fundación (1882), el Cincuentenario (1932) y el Centenario (1982).

Lengua y Literatura : Disciplina escolar. Hacia una metodología circunstanciada de su enseñanza

La metodología circunstanciada de la enseñanza de la lengua y la literatura desarrollada y argumentada a lo largo de esta investigación se presenta como un modo de renegociar los encastres de perspectivas de las didácticas de la lengua o la literatura que hoy muestran en la Argentina su historia de entramados y superposiciones de diversos estatutos de saberes. Estas reconfiguraciones, estudiadas en las últimas cuatro décadas, no son ajenas a las coyunturas políticas, ni a los mecanismos de reproducción y producción de la cultura escolar y del sistema educativo, expresados en las particularidades de la disciplina escolar. Por ello, esta metodología se articula en tres fundamentos que no sobreimprimen nuevas prerrogativas didácticas a las reconfiguraciones de la enseñanza de la lengua y la literatura que actualmente encarnan la disciplina escolar y el sistema educativo en tres de sus niveles [primario, pero con especial atención al secundario e ingresos a la educación superior]. Básicamente, y más allá de sus matices, se trata de reconfiguraciones que develan la reificación de la lectura y la escritura como contenidos de enseñanza en nombre de criterios de utilidad y realidad para los docentes y alumnos. Así, se explica que los efectos de este estado de situación van consolidando un vacío metodológico revelado a través de relatos que permiten recuperar una historia reciente de la enseñanza de la lengua y la literatura en la Argentina, de los devenires de cada una de sus perspectivas, que, en apariencia, no se cruzarían. Sin embargo, puestos en relación, muestran los hechos en los que esas perspectivas se conjugaron, acaso conjuraron, e iniciaron sus complejas, y, a veces, no tan nítidas, alianzas. No obstante, ninguna perspectiva se impone por completo. Mirados sus efectos desde el trabajo docente, se encuentra un encastre entre el textualismo cognitivista, la psicogénesis y la más reciente perspectiva sociocultural e histórica, que abonan a una argamasa de saberes desestabilizadores de la enseñanza de la lengua y la literatura como rito de institución. Por el contrario, con sus prerrogativas siempre articuladas en retóricas de "cómo debe ser la mejor enseñanza" de la lengua y la literatura, de la lectura y la escritura, suman categorías, conceptos, recortes de líneas teóricas, investigaciones, por lo general, todos disímiles, para remodelarlos en orientaciones por demás distantes y ajenas a las realizaciones cotidianas del trabajo docente.Los fundamentos aquí planteados, entonces, se circunstancian en los modos en que docentes y alumnos dicen que se realiza la enseña de la lengua y la literatura. Asimismo, se expone que una idea de cambio radical no es pertinente para la comprensión de prácticas/acciones sociales como las educativas institucionales, y que, en realidad, es necesario recuperar en sentido estricto, y de las teorías sociales, la noción de cambio como variación de la reproducción y producción social. Por lo tanto, los postulados desarrollados para una metodología circunstanciada de la enseñanza de la lengua y la literatura están pensados en ese orden de la variación y no del aplastamiento de los sentidos que, histórica y culturalmente, la constituyen e instituyen

La transferencia en la clínica con niños : Continuidades y rupturas

Cada marco teórico recorta una dimensión posible respecto del funcionamiento del aparato psíquico, dando lugar a la puesta en forma de los alcances y los límites, a partir de los cuales se delimitan vías posibles de intervención. En el entramado que allí se constituye, el concepto de transferencia encuentra su asiento. Ahora bien, ¿qué rasgos de particularidad atraviesan las nociones conceptuales cuando se emplazan y articulan con los movimientos fundacionales que dan cuenta de los tiempos de constitución psíquica? Determinar la singularidad de los conceptos, desde su emplazamiento en la red conceptual que cerca los tiempos de la constitución, supone remitirse a los inicios de una práctica. Para ello, se circunscribirán ciertas coordenadas que darán cuenta del trayecto teórico-clínico propuesto por aquellos autores que trazaron el origen de la clínica con niños y adolescentes. La presente investigación se conforma a partir de las propuestas de trabajo dadas en el marco de la carrera de Especialización en Clínica Psicoanalítica con Niños y Adolescentes de la Facultad de Psicología de la UNLP, cuya directora es la profesora psicóloga Norma Najt