Unpressurised cement acetabular liner (UCAL)--an additional technique for enhancing hip spacer performance.

First stage revision of an infected hip can be a complex procedure. Effective infection control may dictate leaving a skeletalised hip with bony defects. Decisions must be made to adapt to the intra-operative findings. It is important that the surgeon has many options to deal with the many potential challenges. The ideal spacer preserves the remaining bone stock but also allows articulation, is stable in doing so, delivers antibiotics locally, is resistant to breakage and is easily removed. Current spacer options struggle to achieve all of these goals. The use of an unpressurised cement acetabular liner (UCAL) is an additional option, which bestows a number of advantages. We describe two cases, which illustrate this.

The distribution and most recent common ancestor of the 17q21 inversion in humans.

The polymorphic inversion on 17q21, sometimes called the microtubular associated protein tau (MAPT) inversion, is an approximately 900 kb inversion found primarily in Europeans and Southwest Asians. We have identified 21 SNPs that act as markers of the inverted, i.e., H2, haplotype. The inversion is found at the highest frequencies in Southwest Asia and Southern Europe (frequencies of approximately 30%); elsewhere in Europe, frequencies vary from < 5%, in Finns, to 28%, in Orcadians. The H2 inversion haplotype also occurs at low frequencies in Africa, Central Asia, East Asia, and the Americas, though the East Asian and Amerindian alleles may be due to recent gene flow from Europe. Molecular evolution analyses indicate that the H2 haplotype originally arose in Africa or Southwest Asia. Though the H2 inversion has many fixed differences across the approximately 900 kb, short tandem repeat polymorphism data indicate a very recent date for the most recent common ancestor, with dates ranging from 13,600 to 108,400 years, depending on assumptions and estimation methods. This estimate range is much more recent than the 3 million year age estimated by Stefansson et al. in 2005.

A global view of the OCA2-HERC2 region and pigmentation.

Mutations in the gene OCA2 are responsible for oculocutaneous albinism type 2, but polymorphisms in and around OCA2 have also been associated with normal pigment variation. In Europeans, three haplotypes in the region have been shown to be associated with eye pigmentation and a missense SNP (rs1800407) has been associated with green/hazel eyes (Branicki et al. in Ann Hum Genet 73:160-170, 2009). In addition, a missense mutation (rs1800414) is a candidate for light skin pigmentation in East Asia (Yuasa et al. in Biochem Genet 45:535-542, 2007; Anno et al. in Int J Biol Sci 4, 2008). We have genotyped 3,432 individuals from 72 populations for 21 SNPs in the OCA2-HERC2 region including those previously associated with eye or skin pigmentation. We report that the blue-eye associated alleles at all three haplotypes were found at high frequencies in Europe; however, one is restricted to Europe and surrounding regions, while the other two are found at moderate to high frequencies throughout the world. We also observed that the derived allele of rs1800414 is essentially limited to East Asia where it is found at high frequencies. Long-range haplotype tests provide evidence of selection for the blue-eye allele at the three haplotyped systems but not for the green/hazel eye SNP allele. We also saw evidence of selection at the derived allele of rs1800414 in East Asia. Our data suggest that the haplotype restricted to Europe is the strongest marker for blue eyes globally and add further inferential evidence that the derived allele of rs1800414 is an East Asian skin pigmentation allele.

The distinctive geographic patterns of common pigmentation variants at the OCA2 gene.

Oculocutaneous Albinism type 2 (OCA2) is a gene of great interest because of genetic variation affecting normal pigmentation variation in humans. The diverse geographic patterns for variant frequencies at OCA2 have been evident but have not been systematically investigated, especially outside of Europe. Here we examine population genetic variation in and near the OCA2 gene from a worldwide perspective. The very different patterns of genetic variation found across world regions suggest strong selection effects may have been at work over time. For example, analyses involving the variants that affect pigmentation of the iris argue that the derived allele of the rs1800407 single nucleotide polymorphism, which produces a hypomorphic protein, may have contributed to the previously demonstrated positive selection in Europe for the enhancer variant responsible for light eye color. More study is needed on the relationships of the genetic variation at OCA2 to variation in pigmentation in areas beyond Europe.

Structural diversity and African origin of the 17q21.31 inversion polymorphism.

The 17q21.31 inversion polymorphism exists either as direct (H1) or inverted (H2) haplotypes with differential predispositions to disease and selection. We investigated its genetic diversity in 2,700 individuals, with an emphasis on African populations. We characterize eight structural haplotypes due to complex rearrangements that vary in size from 1.08-1.49 Mb and provide evidence for a 30-kb H1-H2 double recombination event. We show that recurrent partial duplications of the KANSL1 gene have occurred on both the H1 and H2 haplotypes and have risen to high frequency in European populations. We identify a likely ancestral H2 haplotype (H2') lacking these duplications that is enriched among African hunter-gatherer groups yet essentially absent from West African populations. Whereas H1 and H2 segmental duplications arose independently and before human migration out of Africa, they have reached high frequencies recently among Europeans, either because of extraordinary genetic drift or selective sweeps.

Inhibition of return for target discriminations: the effect of repeating discriminated and irrelevant stimulus dimensions.

Inhibition of return (IOR) refers to slowed reaction times when a target repeats in the same location as a preceding stimulus. In four experiments, the participants were presented with two successive stimuli, S1 and S2. In Experiments 1 and 2, the participants made a speeded discrimination of the identity or orientation of both S1 and S2 (Experiment 1) or of S2 only (Experiment 2). An IOR effect occurred for the repetition of stimulus location, but a facilitatory effect occurred if the stimulus remained unchanged or if an overt response was repeated. In Experiments 3 and 4, the participants localized S1 and S2 (Experiment 3) or S2 only (Experiment 4) to the left or right of center. In this case, repeating the same stimulus had no effect: IOR occurred any time stimulus location repeated. These results demonstrate that the expression of IOR is modulated by the repetition of a target object, but only when the task requires the discrimination of that object; when no discrimination is required, IOR is unaffected.