Mechanical prophylaxis, early mobilisation and risk stratification: as effective as drugs for low risk patients undergoing primary joint replacement. Results in 13,384 patients.

Introduction: Current NICE Guidelines state that all patients undergoing total hip and knee arthroplasty should be given both mechanical and chemical prophylaxis. At our institution, a targeted thromboprophylaxis policy has been in place since October 1999. The aim of this study was to calculate our venous thromboembolism rates and compare these to published rates in the literature.

The Outcome of Revision Surgery for Failed Metal-on-Metal Total Hip Arthroplasty.

Background: Metal-on-metal total hip arthroplasties (MoM THAs) are frequently revised, though there is a paucity of functional outcome data. We report on outcomes and prognostic factors predictive of outcome from the largest series of MoM THA revisions to date.

Methods: A single-center consecutive series of revisions from MoM THAs was identified.

Modeling carbon-nutrient interactions during the early recovery of tundra after fire.

Fire frequency has dramatically increased in the tundra of northern Alaska, USA, which has major implications for the carbon budget of the region and the functioning of these ecosystems, which support important wildlife species. We investigated the postfire succession of plant and soil carbon (C), nitrogen (N), and phosphorus (P) fluxes and stocks along a burn severity gradient in the 2007 Anaktuvuk River fire scar in northern Alaska. Modeling results indicated that the early regrowth of postfire tundra vegetation was limited primarily by its canopy photosynthetic potential, rather than nutrient availability, because of the initially low leaf area and relatively high inorganic N and P concentrations in soil.

Unraveling associations between cyanobacteria blooms and in-lake environmental conditions in Missisquoi Bay, Lake Champlain, USA, using a modified self-organizing map.

Exploratory data analysis on physical, chemical, and biological data from sediments and water in Lake Champlain reveals a strong relationship between cyanobacteria, sediment anoxia, and the ratio of dissolved nitrogen to soluble reactive phosphorus. Physical, chemical, and biological parameters of lake sediment and water were measured between 2007 and 2009. Cluster analysis using a self-organizing artificial neural network, expert opinion, and discriminant analysis separated the data set into no-bloom and bloom groups.