Outcome of a Nail-plate Fixation Combination for a Distal Femur Fracture in a 99-year-old Patient.

Introduction: This report describes the use of a combination of a retrograde femoral nail and distal femur locking plate for the treatment of an open intra-articular distal femur fracture in a 99-year-old female. The purpose of this report is to highlight that nail-plate fixation constructs can be performed percutaneously and expeditiously even in extremely old patients; therefore, patient age should not be a limiting factor in choosing this construct to allow for immediate weight-bearing.

Case Report: The patient was a 99-year-old female who presented to the emergency room after a fall.

Timing of Surgery for Elbow Fractures (OTA 13 A-C and 21 A-C) and Patient Outcomes.

Objectives: To determine if there is a correlation between time to surgery (TTS) and outcomes following repair of elbow fractures.

Methods: Design: Retrospective comparative study.

Setting: A single, urban hospital system.

Racial disparities in arthroscopic rotator cuff repair: an analysis of utilization and perioperative outcomes.

Background: There remains a paucity of literature addressing racial disparities in utilization and perioperative metrics in arthroscopic rotator cuff repair procedures.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was used to evaluate patients undergoing arthroscopic rotator cuff repair from 2010 to 2019. Baseline demographics, utilization trends, and perioperative measures, including adverse events, operative time, length of hospital stay, days from operation to discharge, and readmission, were analyzed.

Sex differences in utilization and perioperative outcomes of arthroscopic rotator cuff repair.

Background: As the volume and proportion of patients treated arthroscopically for rotator cuff repair increases, it is important to recognize sex differences in utilization and outcomes.

Methods: Patients who underwent arthroscopic rotator cuff repair between 2010 and 2019 were identified in the American College of Surgeons National Surgical Quality Improvement Program registry. Baseline demographic and clinical characteristics were collected, and information concerning utilization, operative time, length of hospital stay, days from operation to discharge, readmission, and adverse events were analyzed by sex.

Comparing and Contrasting the Properties of the Inner Heliosphere for the Three Most Recent Solar Minima.

The previous three solar cycles have ended in progressively more quiescent conditions, suggesting a continual slide into an ever deeper minimum state. Although the Sun's magnetic field is undoubtedly responsible for this quiescence, it is not clear how changes in its structure and strength modulate the properties of the solar wind. In this study, we compare the statistical properties of the solar wind during the three most recent minima (08/1996, 12/2008, and 12/2019) and develop global MHD model solutions to help interpret these observations.

The State of the Solar Wind, Magnetosphere, and Ionosphere During the Maunder Minimum.

Both direct observations and reconstructions from various datasets, suggest that conditions were radically different during the Maunder Minimum (MM) than during the space era. Using an MHD model, we develop a set of feasible solutions to infer the properties of the solar wind during this interval. Additionally, we use these results to drive a global magnetospheric model.

Assessing the Quality of Models of the Ambient Solar Wind.

In this paper we present an assessment of the status of models of the global Solar Wind in the inner heliosphere. We limit our discussion to the class of models designed to provide solar wind forecasts, excluding those designed for the purpose of testing physical processes in idealized configurations. In addition, we limit our discussion to modeling of the 'ambient' wind in the absence of coronal mass ejections.

Global Non-Potential Magnetic Models of the Solar Corona During the March 2015 Eclipse.

Seven different models are applied to the same problem of simulating the Sun's coronal magnetic field during the solar eclipse on 2015 March 20. All of the models are non-potential, allowing for free magnetic energy, but the associated electric currents are developed in significantly different ways. This is not a direct comparison of the coronal modelling techniques, in that the different models also use different photospheric boundary conditions, reflecting the range of approaches currently used in the community.

SUN-TO-EARTH MHD SIMULATION OF THE 14 JULY 2000 "BASTILLE DAY" ERUPTION.

Solar eruptions are the main driver of space-weather disturbances at the Earth. Extreme events are of particular interest, not only because of the scientific challenges they pose, but also because of their possible societal consequences. Here we present a magnetohydrodynamic (MHD) simulation of the 14 July 2000 "Bastille Day" eruption, which produced a very strong geomagnetic storm.

Early Characterization of the Severity and Transmissibility of Pandemic Influenza Using Clinical Episode Data from Multiple Populations.

The potential rapid availability of large-scale clinical episode data during the next influenza pandemic suggests an opportunity for increasing the speed with which novel respiratory pathogens can be characterized. Key intervention decisions will be determined by both the transmissibility of the novel strain (measured by the basic reproductive number R0) and its individual-level severity. The 2009 pandemic illustrated that estimating individual-level severity, as described by the proportion pC of infections that result in clinical cases, can remain uncertain for a prolonged period of time.

Vicarious traumatization and coping in medical students: a pilot study.

Objective: This study explored the impact of traumatic experiences on medical students during their clerkships.

Methods: Medical students completed an anonymous online survey inquiring about traumatic experiences on required clerkships during their third year of medical school, including any symptoms they may have experienced as well as coping strategies they may have used.

Results: Twenty-six percent of students reported experiencing vicarious traumatization (VT) during their third year of medical school.

Probing the solar magnetic field with a Sun-grazing comet.

On 15 and 16 December 2011, Sun-grazing comet C/2011 W3 (Lovejoy) passed deep within the solar corona, effectively probing a region that has never been visited by spacecraft. Imaged from multiple perspectives, extreme ultraviolet observations of Lovejoy's tail showed substantial changes in direction, intensity, magnitude, and persistence. To understand this unique signature, we combined a state-of-the-art magnetohydrodynamic model of the solar corona and a model for the motion of emitting cometary tail ions in an embedded plasma.

Multiple estimates of transmissibility for the 2009 influenza pandemic based on influenza-like-illness data from small US military populations.

Rapidly characterizing the amplitude and variability in transmissibility of novel human influenza strains as they emerge is a key public health priority. However, comparison of early estimates of the basic reproduction number during the 2009 pandemic were challenging because of inconsistent data sources and methods. Here, we define and analyze influenza-like-illness (ILI) case data from 2009-2010 for the 50 largest spatially distinct US military installations (military population defined by zip code, MPZ).

An analysis of racial and sex differences for smoking among adolescents in a juvenile correctional center.

The purpose of this study was to investigate racial and sex differences on the risk factors for smoking initiation and daily smoking among juvenile justice adolescents, a population that is traditionally ignored in school-based epidemiological samples. This study used archival data collected by juvenile justice authorities for a large sample of juvenile justice adolescents (N=4381), examining interaction terms to determine race and sex differences for risk factors. About 70% of juvenile justice adolescents reported ever having smoked cigarettes while almost half reported daily smoking.

Evidence for topological nonequilibrium in magnetic configurations.

We use direct numerical simulations to study the evolution, or relaxation, of magnetic configurations to an equilibrium state. We use the full single-fluid equations of motion for a magnetized, nonresistive, but viscous fluid; and a Lagrangian approach is used to obtain exact solutions for the magnetic field. As a result, the topology of the magnetic field remains unchanged, which makes it possible to study the case of topological nonequilibrium.

A Magnetic Signature at Io: Initial Report from the Galileo Magnetometer.

During the inbound pass of the Galileo spacecraft, the magnetometer acquired 1 minute averaged measurements of the magnetic field along the trajectory as the spacecraft flew by Io. A field decrease, of nearly 40 percent of the background jovian field at closest approach to Io, was recorded. Plasma sources alone appear incapable of generating perturbations as large as those observed and an induced source for the observed moment implies an amount of free iron in the mantle much greater than expected.