Long Term Outcomes of Computer-Navigated Lateral Opening Wedge Distal Femoral Osteotomy for Lateral Compartment Knee Arthrosis / Resultados a longo prazo de osteotomia varizante femoral distal (OVFD) com cunha de abertura lateral para artrose do compartimento lateral do joelho utilizando navegação computadorizada

Abstract Objective The primary aim of the present study was to evaluate the long-term outcomes including survivorship of computer navigated distal femoral lateral opening wedge osteotomy (DFLOWO). The secondary aim was to identify the potential factors that may influence its survivorship. Methods A retrospective analysis of prospectively collected data for patients with lateral compartment arthritis who underwent navigated DFLOWO from December 2006 to November 2012 was performed. The International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Score (KOOS) scores were analyzed for outcome measures. Conversion to arthroplasty during the follow-up was the end point. Results A total of 19 DFLOWOs were performed in 17 patients with a mean age of 46.6 ± 6.5 years formed the study cohort. The coronal alignment was corrected from a mean of 7.1° (2-11°) valgus to a mean of 2.1° (0.5°-3°) varus. The IKDC scores improved from mean of 39 preoperatively to 53 at the mean long-term follow-up of 9.1 years. The mean KOOS scores at the long-term follow-up were pain 71, symptoms 56, activities of daily living 82, sports and recreation 59, quality of life 43. Survivorship of the DFLOWO was 78.9% at a follow-up of 9.1 years. Presence of ≥ grade 2 according to the International Cartilage Repair Society (ICRS) cartilage degeneration in the medial compartment of the knee and >7° preoperative valgus deformity were strongly correlated with conversion to total knee arthroplasty (TKA) at the long-term follow-up (r= 0.66). ConclusionsComputer navigated DFLOWO has satisfactory clinical outcomes and 79% survivorship in long-term follow-up. Presence of more than ICRS ≥ grade 2 degenerative changes in the medial compartment of knee with > 7° preoperative valgus deformity negatively affects the survivorship of DFLOWO in the long-term follow-up.

Resumo Objetivo O objetivo principal do presente estudo foi avaliar os resultados a longo prazo, incluindo a sobrevivência em Osteotomia Varizante Femoral Distal com Cunha de Abertura Lateral (OVFD-CAL) utilizando navegação computadorizada. O objetivo principal do presente estudo foi avaliar os resultados a longo prazo, incluindo a sobrevivência. Métodos Foi realizada uma análise retrospectiva dos dados coletados prospectivamente de pacientes com artrite do compartimento lateral submetidos a OVFD-CAL por navegação de dezembro de 2006 a novembro de 2012. As pontuações International Knee Documentation Committee (IKDC, na sigla em inglês) e Knee Injury and Osteoarthritis Outcome Score (KOOS, na sigla em inglês) foram analisadas para medição de resultados. Conversão para artroplastia durante o acompanhamento foi o ponto final. Resultados Um total de 19 OVFD-CAL foram realizados em 17 pacientes com média de idade de 46,6 ± 6,5 anos formaram a coorte do estudo. O alinhamento coronal foi corrigido a partir de uma média de 7,1° (2-11°) de valgo para uma média de 2,1° (0,5°-3°) de varo. As pontuações do IKDC melhoraram de uma média pré-operatória de 39 para 53 no acompanhamento de médio de longo prazo de 9,1 anos. Os escores do KOOS no acompanhamento a longo prazo foram: dor 71, sintomas 56, atividades da vida diária 82, esportes e recreação 59, qualidade de vida 43. A sobrevivência do OVFD-CAL foi de 78,9% em um acompanhamento de 9,1 anos. Presença de degeneração da cartilagem segundo a Sociedade Internacional de Reparação de Cartilagem (International Cartilage Repair Society [ICRS, na sigla em inglês])≥ grau 2 no compartimento medial do joelho e deformidade pré-operatória em valgo > 7° fortemente correlacionado com a conversão para artroplastia total do joelho (ATJ) no acompanhamento a longo prazo (r - 0,66). ConclusõesA OVFD-CAL por navegação computadorizada apresentou resultados clínicos satisfatórios e sobrevida de 79% no acompanhamento a longo prazo. Presença de alterações degenerativas ICRS ≥ grau 2 no compartimento medial do joelho com > 7° de deformidade pré-operatória em valgo afeta negativamente a sobrevivência da OVFD-CAL no acompanhamento de longo prazo.

Size, growth, and density data for shallow-water sea urchins from Mexico to the Aleutian Islands, Alaska, 1956-2016.

Size, growth, and density have been studied for North American Pacific coast sea urchins Strongylocentrotus purpuratus, S. droebachiensis, S. polyacanthus, Mesocentrotus (Strongylocentrotus) franciscanus, Lytechinus pictus, Centrostephanus coronatus, and Arbacia stellata by various workers at diverse sites and for varying lengths of time from 1956 to present. Numerous peer-reviewed publications have used some of these data but some data have appeared only in graduate theses or the gray literature. There also are data that have never appeared outside original data sheets. Motivation for studies has included fisheries management and environmental monitoring of sewer and power plant outfalls as well as changes associated with disease epidemics. Studies also have focused on kelp restoration, community effects of sea otters, basic sea urchin biology, and monitoring. The data sets presented here are a historical record of size, density, and growth for a common group of marine invertebrates in intertidal and nearshore environments that can be used to test hypotheses concerning future changes associated with fisheries practices, shifts of predator distributions, climate and ecosystem changes, and ocean acidification along the Pacific Coast of North America and islands of the north Pacific. No copyright restrictions apply. Please credit this paper when using the data.

Capture and accumulation of perchlorate in lettuce. Effect of genotype, temperature, perchlorate concentration, and competition with anions.

Various studies have evaluated the accumulation of ClO4(-) in lettuce (Lactuca sativa), but very few have dealt with the variables that can interfere with its capture. The present study evaluates the transfer of ClO4(-) in two L. sativa varieties: butter head (L. sativa var. capitata) and cos lettuce (L. sativa var. crispa) under hydroponic conditions. The ClO4(-) concentrations used correspond to levels (1 and 2mgL(-1)), measured in irrigation water in the Iquique region in the north of Chile. Results indicate that the capture of ClO4(-) is dependent on its concentration, lettuce genotype, and temperature. The butter head variety accumulates the highest perchlorate concentrations. Anion competition involving NO3(-) (16 and 48mM), Cl(-) (23 and 56mM), and SO4(2-) (10 and 20mM) was evaluated, being NO3(-) (48mM), the most significant competition reducing the concentration of ClO4(-) in tissues of L. sativa varieties.

Impact of selenium on mortality, bioaccumulation and feeding deterrence in the invasive Argentine ant, Linepithema humile (Hymenoptera: Formicidae).

Ants are known for the important roles they play in processes contributing to ecosystem functioning in many habitats. However, pollutants can impact the ecosystem services provided by ants. The Argentine ant, an invasive species in North America, was investigated for the potential impact selenium (Se) may have on ants residing within a contaminated habitat. Mortality tests were conducted using worker ants fed an artificial nectar source containing 1-of-4 environmentally common Se compounds (forms): seleno-l-methionine, methylselenocysteine, selenate or selenite. Accumulation of Se in ant bodies at the end of two weeks was quantified with the use of hydride generation atomic absorption spectroscopy. Lastly, we conducted choice tests using dyes to determine whether ants might avoid a carbohydrate diet containing Se by providing them a choice between sucrose with or without Se. Choice tests also tested the responses of ants to selenium when provided in different background sucrose concentrations. The results of this study indicated that form and quantity of Se, as well as time of exposure, impact mortality in Argentine ant workers. Methylselenocysteine and selenate were found to be the most toxic among the 4 chemical forms when presented in sucrose solutions, whereas seleno-l-methionine and selenite caused greater Se body burdens. Furthermore, choice tests showed that ants did not prefer control sucrose solution to sucrose treated with Se regardless of the background sucrose concentration. These findings serve as first look into the possible detrimental impacts these contaminants may pose for ants that frequent sugary nectar sources.

Civilizando la ciudad de los Reyes: higiene y vivienda en Lima, 1890-1920 / Civilizing the Ciudad de los Reyes: hygiene and housing in Lima, 1890-1920

No sólo analiza el discurso y las políticas de los médicos higienistas lanzados a ordenar la vida en la Lima de fines del siglo XIX y comienzos del siglo XX, sino también discute algunos de los problemas asociados a la generalización de la cultura de la higiene entre los sectores populares urbanos.(AU)

Civilizando la ciudad de los Reyes: higiene y vivienda en Lima, 1890-1920 / Civilizing the Ciudad de los Reyes: hygiene and housing in Lima, 1890-1920

No sólo analiza el discurso y las políticas de los médicos higienistas lanzados a ordenar la vida en la Lima de fines del siglo XIX y comienzos del siglo XX, sino también discute algunos de los problemas asociados a la generalización de la cultura de la higiene entre los sectores populares urbanos.