Projected shifts in loggerhead sea turtle thermal habitat in the Northwest Atlantic Ocean due to climate change.

It is well established that sea turtles are vulnerable to atmospheric and oceanographic shifts associated with climate change. However, few studies have formally projected how their seasonal marine habitat may shift in response to warming ocean temperatures. Here we used a high-resolution global climate model and a large satellite tagging dataset to project changes in the future distribution of suitable thermal habitat for loggerheads along the northeastern continental shelf of the United States.

Riders on the storm: loggerhead sea turtles detect and respond to a major hurricane in the Northwest Atlantic Ocean.

Background: Extreme weather events, including hurricanes, have considerable biological, ecological, and anthropogenic impacts. Hurricane Irene caused substantial economic damage when it hit the Mid-Atlantic Bight (MAB) off of the eastern United States in August of 2011. The MAB is highly stratified during the summer when a strong thermocline separates warm, surface water from deep, cold water, and this oceanographic phenomenon makes modeling hurricane strength difficult.

Same-day discharge is not inferior to longer length of in-hospital stay for 90-day readmissions following shoulder arthroplasty.

Background: Shoulder arthroplasty is a common orthopedic procedure, performed historically in the inpatient setting. However, interest in same-day discharge has increased. We sought to evaluate 90-day readmission, 90-day emergency department (ED) visit, 90-day deep infection, 90-day venous thromboembolism (VTE), and 1-year mortality after same-day shoulder arthroplasty compared with an inpatient stay.

Life-history constraints on maximum population growth for loggerhead turtles in the northwest Atlantic.

Conservation planning for protected species often relies on estimates of life-history parameters. A commonly used parameter is the instantaneous maximum population growth rate ( ) that can be used to limit removals and design recovery targets. Estimation of can be challenging because of limited availability of species- and population-specific data and life-history information.

Impact of Image-Derived Instrumentation on Total Knee Arthroplasty Revision Rates: An Analysis of 83,823 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry.

Background: Computer navigation and image-derived instrumentation (IDI) are technology-based methods developed to improve outcomes and potentially reduce revision total knee arthroplasty (TKA). IDI refers to the use of manufactured, patient-specific surgical jigs. Conflicting reports exist on IDI-associated improvements in outcomes.

Outpatient Total Shoulder Arthroplasty Does Not Increase the 90-Day Risk of Complications Compared With Inpatient Surgery in Prescreened Patients.

Outpatient total joint arthroplasty is becoming a more attractive option for hospitals, surgeons, and patients. In this study, the authors evaluated the safety of outpatient shoulder arthroplasty by comparing an outpatient cohort with an inpatient cohort. Ninety-day outcomes of consecutively performed elective shoulder arthroplasty cases from 2012 to 2016 were retrospectively reviewed.

Tread carefully: A functional variant in the human NADPH oxidase 4 (NOX4) is not disease causing.

In this study, we report a paediatric patient with a lethal phenotype of respiratory distress, failure to thrive, pancreatic insufficiency, liver dysfunction, hypertrophic cardiomyopathy, bone marrow suppression, humoral and cellular immune deficiency. To identify the genetic basis of this unusual clinical phenotype and potentially make available the option of future prenatal testing, whole exome sequencing (WES) was used followed by functional studies in a bid to confirm pathogenicity. The WES we identified a homozygous novel variant, AK298328; c.

A comparison between traditional and measurement-error growth models for weakfish Cynoscion regalis.

Inferring growth for aquatic species is dependent upon accurate descriptions of age-length relationships, which may be degraded by measurement error in observed ages. Ageing error arises from biased and/or imprecise age determinations as a consequence of misinterpretation by readers or inability of ageing structures to accurately reflect true age. A Bayesian errors-in-variables (EIV) approach (i.

Proximal humerus osteolysis after revision rotator cuff repair with bioabsorbable suture anchors.

Biodegradable anchors were designed to provide secure fixation while allowing for later resorption and replacement by host tissue. First-generation implants degraded relatively rapidly and caused foreign-body reactions, synovitis, fragmentation, and osteolysis. Newer implants have similar complications.

MRI evaluation of isolated arthroscopic partial meniscectomy patients at a minimum five-year follow-up.

Background: The risk of radiographic knee degeneration after partial or total meniscectomy is well documented, but no prior study has employed cartilage-sensitive MRI technology to assess degenerative changes after meniscectomy.

Hypothesis: Arthroscopic partial meniscectomy results in early articular cartilage wear and subchondral bony degeneration, even in the absence of clinical symptoms, and these findings can be evaluated with cartilage-sensitive MRI.

Study Design: Retrospective cohort.

Evaluation of tendon graft fixation using alpha-BSM calcium phosphate cement.

Purpose: Many ligament reconstruction procedures require tendon healing within a surgically prepared bone tunnel. The interface between the graft and tunnel wall is the "weak link" in the initial phase of this process. By providing additional fixation and serving as a carrier for bone-derived growth factors, calcium phosphate cements may augment healing.

Advances in the management of medial elbow pain in baseball pitchers.

Overhead-throwing athletes, particularly baseball pitchers, subject their elbows to tremendous amounts of valgus stress during the throwing motion. As a result of this stress, baseball pitchers are at considerable risk for injury. The proper functioning and stability of the elbow depends upon the bony articulations and soft tissue structures.