Augmented Reality Versus Freehand Spinopelvic Fixation in Spinal Deformity: A Case-Control Study.

Purpose: This study sought to compare screw placement accuracy and outcomes between freehand (FH) and AR-guided pelvic fixation. While pelvic fixation is a critical technique in spinal deformity surgery, S2-alar iliac (S2AI) screw placement poses challenges.

Methods: We conducted a case-control study of 50 consecutive patients who underwent spinopelvic fixation at a single institution.

Using Lower Limb Wearable Sensors to Identify Gait Modalities: A Machine-Learning-Based Approach.

Real-world gait analysis can aid in clinical assessments and influence related interventions, free from the restrictions of a laboratory setting. Using individual accelerometers, we aimed to use a simple machine learning method to quantify the performance of the discrimination between three self-selected cyclical locomotion types using accelerometers placed at frequently referenced attachment locations. Thirty-five participants walked along a 10 m walkway at three different speeds.

Augmented reality in spine surgery - past, present, and future.

Background Context: Augmented reality (AR) is increasingly recognized as a valuable tool in spine surgery. Here we provides an overview of the key developments and technological milestones that have laid the foundation for AR applications in this field. We also assess the quality of existing studies on AR systems in spine surgery and explore potential future applications.

Global hotspots of traded phylogenetic and functional diversity.

Wildlife trade is a multibillion-dollar industry targeting a hyperdiversity of species and can contribute to major declines in abundance. A key question is understanding the global hotspots of wildlife trade for phylogenetic (PD) and functional (FD) diversity, which underpin the conservation of evolutionary history, ecological functions and ecosystem services benefiting humankind. Using a global dataset of traded bird and mammal species, we identify that the highest levels of traded PD and FD are from tropical regions, where high numbers of evolutionary distinct and globally endangered species in trade occur.

The ecological drivers and consequences of wildlife trade.

Wildlife trade is a key driver of extinction risk, affecting at least 24% of terrestrial vertebrates. The persistent removal of species can have profound impacts on species extinction risk and selection within populations. We draw together the first review of characteristics known to drive species use - identifying species with larger body sizes, greater abundance, increased rarity or certain morphological traits valued by consumers as being particularly prevalent in trade.

Exoscope improves visualization and extent of hippocampal resection in temporal lobectomy.

Introduction: Anterior temporal lobectomy (ATL) is a safe and well-validated procedure in the treatment of temporal lobe epilepsy (TLE), but is a challenging technique to master and still confers a risk of morbidity and mortality due to the complex anatomy of the mesial temporal lobe structures. Automated robotic 3D exoscopes have been developed to address limitations traditionally associated with microscopic visualization, allowing for ergonomic, high-definition 3D visualization with hands-free control of the robot. Given the potential advantages of using such a system for visualization of complex anatomy seen during mesial structure resection in ATL, this group sought to investigate impact on the percentage of hippocampal resection in both exoscope and microscope guided procedures.

Repetitions in Reserve Is a Reliable Tool for Prescribing Resistance Training Load.

Lovegrove, S, Hughes, L, Mansfield, S, Read, P, Price, P, and Patterson, SD. Repetitions in reserve is a reliable tool for prescribing resistance training load. J Strength Cond Res 36(10): 2696-2700, 2022-This study investigated the reliability of repetitions in reserve (RIR) as a method for prescribing resistance training load for the deadlift and bench press exercises.

Exploring the interaction of knee and ankle component use on mobility test performance in people with unilateral transfemoral amputation.

Background: Ankle-foot and knee components are important determinants of mobility for individuals with transfemoral amputation. Individually, advanced ankle-foot and knee components have been shown to benefit mobility in this group of people. However, it is not clear what effect a variety of combinations of ankle-foot and knee components have on mobility test performance.

The Impact of Incorporating Evidence-Based Guidelines for Lumbar Fusion Surgery in Neurosurgical Resident Education.

Background: Instrumented fusion procedures are essential in the treatment of degenerative lumbar spine disease to alleviate pain and improve neurological function, but they are being performed with increasing incidence and variability. We implemented a training module for neurosurgery residents that is based on evidence-based criteria for lumbar fusion surgery and measured its effectiveness in residents' decision making regarding whether patients should or should not undergo instrumented fusion.

Methods: The study design was a pretest versus posttest experiment conducted from September 2019 until July 2020 to measure improvement after formalized instruction on evidence-based guidelines.

Intradural extramedullary capillary hemangioma of the cauda equina: case report of a rare spinal tumor.

Introduction: Intradural extramedullary capillary hemangiomas of the cauda equina are exceedingly rare, with only 20 previous cases reported. In the adult population, these tumors are rare and can arise in the central and peripheral nervous systems from the dura or spinal nerve roots. Intradural capillary hemangiomas of the cauda equina can yield symptoms such as lower extremity weakness, pain, and bladder and bowel dysfunction.

The Use of Integra Dermal Regeneration Templates and Cortical Bone Fenestrations over Exposed Tibia.

We present the case of an 86-year-old woman who suffered full-thickness soft tissue loss secondary to degloving injury to the lower left limb, resulting in an exposed tibia. This patient underwent drilling to create artificial fenestrations in the cortical bone followed by placement of Integra dermal regeneration template. The technique of drilling fenestrations to expose underlying vasculature of cortical bone has not previously been described in its relationship with Integra dermal regeneration templates in large degloving injuries of the lower limb.

Estimating Repetitions in Reserve in Four Commonly Used Resistance Exercises.

Hughes, LJ, Peiffer, JJ, and Scott, B. Estimating repetitions in reserve in four commonly used resistance exercises. J Strength Cond Res XX(X): 000-000, 2020-This study aimed to determine the accuracy and reliability of estimating repetitions in reserve (RIR) across the squat, bench press, overhead press, and prone row exercises, using both free-weight and Smith machine modalities.

A comparison of homemade vascular access ultrasound phantom models for peripheral intravenous catheter insertion.

Background: Ultrasound (U/S) guided peripheral IV catheter (PIV) placement is often needed after unsuccessful traditional IV attempts. Commercial U/S PIV training phantoms are expensive and difficult to alter. Non-commercial phantoms have been described; however, there has been no comparison of these models.

Use of the color Doppler twinkle artifact for teaching ultrasound guided peripheral vascular access.

Background: The optimal method for teaching ultrasound guided peripheral IV (USGPIV) insertion is unknown. Poor needle tip visualization has been cited for USGPIV failure. Twinkle artifact (TA), visualized with color Doppler, is used in other clinical settings.

Estimating Repetitions in Reserve for Resistance Exercise: An Analysis of Factors Which Impact on Prediction Accuracy.

Mansfield, Sean, K, Peiffer, Jeremiah, J, Hughes, Liam, J, and Scott Brendan, R. Estimating repetitions in reserve for resistance exercise: an analysis of factors which impact on prediction accuracy. J Strength Cond Res XX(X): 000-000, 2020-The purpose of this study was to examine the influence of knowing the load being lifted on the accuracy of repetitions-in-reserve (RIR) estimates, during both moderate- (60% 1 repetition maximum [RM]) and heavy-load (80% 1RM) exercise.

Load-velocity relationship 1RM predictions: A comparison of Smith machine and free-weight exercise.

This study aimed to determine differences in the validity and reliability of 1RM predictions made using load-velocity relationships in Smith machine and free-weight exercise. Twenty well-trained males attended six sessions, comprising the Smith machine and free-weight squat, bench press, prone row and overhead press. Load-velocity relationship-based 1RM predictions were performed using minimal velocity threshold (1RM), load at zero velocity (1RM) and force-velocity (1RM) methods, with 5- or 7-loads.

Meeting the Challenge of Analgesia in a Pregnant Woman With Burn Injury Using Subanesthetic Ketamine: A Case Report and Literature Review.

Pain management guidelines for burn injury in pregnant women are scarce. Maternal and fetal morbidity and mortality in pregnant burn patients have been shown to be higher than that of the general population, especially in severe burns. Early intervention and interdisciplinary treatment are critical to optimize maternal and fetal outcomes.

Using a Load-Velocity Relationship to Predict One repetition maximum in Free-Weight Exercise: A Comparison of the Different Methods.

Hughes, LJ, Banyard, HG, Dempsey, AR, and Scott, BR. Using a load-velocity relationship to predict one repetition maximum in free-weight exercise: a comparison of the different methods. J Strength Cond Res 33(9): 2409-2419, 2019-The purpose of this study was to investigate the reliability and validity of predicting 1 repetition maximum (1RM) in trained individuals using a load-velocity relationship.

Using Load-Velocity Relationships to Quantify Training-Induced Fatigue.

Hughes, LJ, Banyard, HG, Dempsey, AR, Peiffer, JJ, and Scott, BR. Using load-velocity relationships to quantify training-induced fatigue. J Strength Cond Res 33(3): 762-773, 2019-The purpose of this study was to investigate using load-velocity relationships to quantify fluctuations in maximal strength (1 repetition maximum [1RM]), which occur as a result of training-induced fatigue.

Hyperpolarized gas diffusion MRI of biphasic lung inflation in short- and long-term emphysema models.

During lung inflation, airspace dimensions are affected nonlinearly by both alveolar expansion and recruitment, potentially confounding the identification of emphysematous lung by hyperpolarized helium-3 diffusion magnetic resonance imaging (HP MRI). This study aimed to characterize lung inflation over a broad range of inflation volume and pressure values in two different models of emphysema, as well as in normal lungs. Elastase-treated rats ( = 7) and healthy controls ( = 7) were imaged with HP MRI.

Randomized trial of preventive angioplasty in myocardial infarction.

Background: In acute ST-segment elevation myocardial infarction (STEMI), the use of percutaneous coronary intervention (PCI) to treat the artery responsible for the infarct (infarct, or culprit, artery) improves prognosis. The value of PCI in noninfarct coronary arteries with major stenoses (preventive PCI) is unknown.

Methods: From 2008 through 2013, at five centers in the United Kingdom, we enrolled 465 patients with acute STEMI (including 3 patients with left bundle-branch block) who were undergoing infarct-artery PCI and randomly assigned them to either preventive PCI (234 patients) or no preventive PCI (231 patients).