Impact of changes in native coronal plane alignment of the knee (CPAK) on patient-reported outcome measures (PROMS). A bilateral single implant study.

Background: A contemporary trend favours a restricted kinematic alignment (rKA) strategy, incorporating safe boundaries to restore a variable percentage of a patient's natural alignment.This study aims to compare preoperative and postoperative coronal plane knee alignment (CPAK) in patients undergoing bilateral TKA with SAIPH implants (MatOrtho, UK). The concept was to control the implant (same prosthesis both sides), patient (bilateral model) and assess what effect any surgical alteration in alignment had on patient's outcomes measured by patient-reported outcome measures (PROMS) and patient satisfaction.

Lung cancer mortality among aircraft manufacturing workers with long-term, low-level, hexavalent chromium exposure.

Hexavalent chromium (CrVI) is known to cause lung cancer among workers exposed to high concentrations in certain historical industries. It is also a toxic air contaminant considered to pose a potentially significant cancer risk at comparatively low concentrations in urban air. However, very limited data currently exist to quantify risk at low-concentration occupational or environmental exposures.

Analysis of EPA air toxics monitoring data and tools for use in general population exposure assessments: Using acrylonitrile as a case study.

Acrylonitrile was recently proposed to be designated as a high-priority substance for risk evaluation by the U.S. Environmental Protection Agency (EPA) under the Toxic Substances Control Act (TSCA).

Medial meniscal and bony slopes are higher in knees with failed ACL reconstruction than in patients with successful ACL reconstruction.

Background: We aimed to compare tibial soft tissue and bony slopes in patients with failed and non-failed ACL reconstructions (ACLR). We hypothesized that patients with failed ACLR have increased slopes compared to non-failed ACLR, and unexplained failures have higher slopes than failures with clear technical errors and failed synthetic ligaments.

Methods: Between 2015 and 2022, 130 patients with failed ACLR were retrospectively identified; 79 knees with adequate MRI scans were analyzed.

Climate change as observed through the IMS radionuclide station in Spitzbergen.

The International Monitoring System (IMS), installed and maintained by the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO) with the support of States Signatories, is a global system of monitoring stations based on four complementary technologies: seismic, hydroacoustic, infrasound and radionuclide. One of the IMS radionuclide stations is located in Spitzbergen, the largest island of the Norwegian Svalbard Archipelago, which borders the Barents Sea and the Northern Atlantic Ocean. It has been demonstrated that signs of climate change are particularly noticeable in that region.

Excessive posterior pelvic tilt from preoperative supine to postoperative standing after total hip arthroplasty.

Aims: Excessive posterior pelvic tilt (PT) may increase the risk of anterior instability after total hip arthroplasty (THA). The aim of this study was to investigate the changes in PT occurring from the preoperative supine to postoperative standing position following THA, and identify factors associated with significant changes in PT.

Methods: Supine PT was measured on preoperative CT scans and standing PT was measured on preoperative and one-year postoperative standing lateral radiographs in 933 patients who underwent primary THA.

A calibration procedure for beta-gamma coincidence detector-systems using four radioxenon spikes.

The determination of activity concentrations of the CTBT-relevant radioxenon relies on a robust calibration method. A procedure is outlined using four radioxenon spikes for beta-gamma detector-systems with 4π geometry. Detection efficiencies of beta-gamma coincidences in the net count calculation method, including the interference matrix between radioxenon and radon, are determined by three measurement channels: beta singles, gamma singles and beta-gamma coincidences, without reference activity values.

Assessment of perfluorocarboxylic acids in fluorinated high-density polyethylene containers and estimation of potential non-cancer risks associated with anticipated use scenarios.

High density polyethylene (HDPE) containers are fluorinated to impart barrier properties that prevent permeation of liquid products filled in the container. The process of fluorination may result in the unintentional formation of certain per- and polyfluoroalkyl substances (PFAS), specifically perfluoroalkyl carboxylic acids (PFCAs), as impurities. This study measured the amounts of PFCAs that may be present in the fluorinated HDPE containers, which could migrate into products stored in these containers.

Patient-reported impairment following TKA is reduced when a computationally simulated predicted ideal alignment is achieved.

Purpose: Joint dynamics following Total Knee Arthroplasty (TKA) may influence patient-reported outcome. Simulations allow many knee alignment approaches to a single patient to be considered prior to surgery. The simulated kinematics can be matched to patient-reported outcome to predict kinematic patterns most likely to give the best outcome.

Overview of temporary radioxenon background measurement campaigns conducted for the CTBTO between 2008 and 2018.

The Comprehensive Nuclear-Test-Ban Treaty (CTBT) specifies that an overall network of at least 40 International Monitoring System (IMS) stations should monitor the presence of radioxenon in the atmosphere upon its entry into force. The measurement of radioxenon concentrations in the air is one of the major techniques to detect underground nuclear explosions. It is, together with radionuclide particulate monitoring, the only component of the network able to confirm whether an event originates from a nuclear test, leaving the final proof to on-site inspection.

Characterisation of Xe-133 background at the IMS stations in the East Asian region: Insights based on known sources and atmospheric transport modelling.

Radioxenon can be produced with a high fission yield during a nuclear explosion, making it an important tracer to demonstrate the nuclear origin of an explosion. For this reason, it is continuously monitored by the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO) as part of the verification regime. Radioxenon is emitted by civil nuclear facilities, like nuclear power plants (NPPs) or isotope production facilities (IPFs), providing significant but variable contribution to the noble gas background.

Third international challenge to model the medium- to long-range transport of radioxenon to four Comprehensive Nuclear-Test-Ban Treaty monitoring stations.

In 2015 and 2016, atmospheric transport modeling challenges were conducted in the context of the Comprehensive Nuclear-Test-Ban Treaty (CTBT) verification, however, with a more limited scope with respect to emission inventories, simulation period and number of relevant samples (i.e., those above the Minimum Detectable Concentration (MDC)) involved.

Acute mania following COVID-19 in a woman with no past psychiatric history case report.

Background: The COVID-19 pandemic that began in late 2019 is caused by infection with the severe acute respiratory syndrome coronavirus-2. Since that time, many neuropsychiatric sequelae including psychosis, neurocognitive disorders, and mood disorders have been observed. The mechanism underlying these effects are currently unknown, however several mechanisms have been proposed.

Modular dual-mobility articulations in patients with adverse spinopelvic mobility.

Aims: Adverse spinal motion or balance (spine mobility) and adverse pelvic mobility, in combination, are often referred to as adverse spinopelvic mobility (SPM). A stiff lumbar spine, large posterior standing pelvic tilt, and severe sagittal spinal deformity have been identified as risk factors for increased hip instability. Adverse SPM can create functional malposition of the acetabular components and hence is an instability risk.

Correctability of the knee joint observed under a stressed state.

Background: Well-balanced postoperative knee joints are often based on subjective 'feel' of experienced surgeons rather than quantifiable references. Most alignment strategies continue to reference the bone despite the complexity in anatomical variations and presence of deformity. Categorical prescription of a singular alignment philosophy for all patients may not be appropriate.

Modeling spatially resolved characterization factors for eutrophication potential in life cycle assessment.

Purpose: Prior versions of the Tool for Reduction and Assessment of Chemical and other environmental Impacts (TRACI) have recognized the need for spatial variability when characterizing eutrophication. However, the method's underlying environmental models had not been updated to reflect the latest science. This new research provides the ability to differentiate locations with a high level of detail within the USA and provides global values at the country level.

Minimal important change and minimum clinically important difference values of the KOOS-12 after total knee arthroplasty.

Purpose: The minimal important change (minimal amount of change vs. baseline that a patient recognizes as a clinical change) and minimum clinically important difference (smallest difference between two measurements that are deemed important by patients) are important values to evaluate the clinical relevance of changes over time and differences between groups. This study aims to establish these values for the KOOS-12 at 1 year postoperatively.

The ceiling effects of patient reported outcome measures for total knee arthroplasty.

Background: Patient reported outcome measurements (PROMs) that exhibit a substantial ceiling effect show clustering of participant's scores towards the upper limit of a scale and consequently have low discriminatory power among high end scores. This study aimed to compare ceiling effects at 1 and 2 years postoperatively across commonly usedPROMs for TKA.

Hypothesis: We hypothesized, that the analyzed PROMs differ substantially in regards to their ceiling effect.

Quantification and valuation of ecosystem services in life cycle assessment: Application of the cascade framework to rice farming systems.

The integration of ecosystem service (ES) assessment with life cycle assessment (LCA) is important for developing decision support tools for environmental sustainability. A prequel study has proposed a 4-step methodology that integrates the ES cascade framework within the cause-effect chain of life cycle impact assessment (LCIA) to characterize the physical and monetary impacts on ES provisioning due to human interventions. We here follow the suggested steps in the abovementioned study, to demonstrate the first application of the integrated ES-LCIA methodology and the added value for LCA studies, using a case study of rice farming in the United States, China, and India.

Integrating exposure to chemicals in building materials during use stage.

Purpose: There do not currently exist scientifically defensible ways to consistently characterize the human exposures (via various pathways) to near-field chemical emissions and associated health impacts during the use stage of building materials. The present paper thus intends to provide a roadmap which summarizes the current status and guides future development for integrating into LCA the chemical exposures and health impacts on various users of building materials, with a focus on building occupants.

Methods: We first review potential human health impacts associated with the substances in building materials and the methods used to mitigate these impacts, also identifying several of the most important online data resources.

Does Prosthetic or Bony Impingement Occur More Often in Total Hip Arthroplasty: A Dynamic Preoperative Analysis.

Background: Impingement is a leading cause for instability resulting in revision total hip arthroplasty (THA). Impingement can be prosthetic, bony, or soft tissue. The purpose of this study is to investigate, using a virtual simulation, whether bony or prosthetic impingement presents first in well-positioned THAs.

The KOOS-12 shortform shows no ceiling effect, good responsiveness and construct validity compared to standard outcome measures after total knee arthroplasty.

Purpose: To investigate the validity, responsiveness and ceiling effect of the recently introduced KOOS-12 and compare its performance to the KOOS, OKS, WOMAC and UCLA activity scales.

Methods: Patients from an independent multicentre study examining a medially stabilized knee system prospectively completed the KOOS, OKS, WOMAC and UCLA preoperatively and at 1 year postoperatively. KOOS-12 scores were calculated from the full length KOOS data.

Methodological review and detailed guidance for the life cycle interpretation phase.

Life cycle interpretation is the fourth and last phase of life cycle assessment (LCA). Being a "pivot" phase linking all other phases and the conclusions and recommendations from an LCA study, it represents a challenging task for practitioners, who miss harmonized guidelines that are sufficiently complete, detailed, and practical to conduct its different steps effectively. Here, we aim to bridge this gap.

Defining freshwater as a natural resource: A framework linking water use to the area of protection natural resources.

Purpose: While many examples have shown unsustainable use of freshwater resources, existing LCIA methods for water use do not comprehensively address impacts to natural resources for future generations. This framework aims to (1) define freshwater resource as an item to protect within the Area of Protection (AoP) natural resources, (2) identify relevant impact pathways affecting freshwater resources, and (3) outline methodological choices for impact characterization model development.

Method: Considering the current scope of the AoP natural resources, the complex nature of freshwater resources and its important dimensions to safeguard safe future supply, a definition of freshwater resource is proposed, including water quality aspects.