Classification and measurement of displacement of isolated greater tuberosity fractures: Intra and interobserver reliability.

Background: Literature demonstrates variability in the amount of displacement of isolated greater tuberosity (GT) fractures and measurement techniques that orthopaedic surgeons deem warrant surgical intervention. This study aims to assess the intra and interobserver reliability for classifying and measuring the displacement amount for isolated GT fractures.

Methods: Eight surgeons, consisting of four shoulder specialists and four trainee surgeons, reviewed 25 plain radiographs on two separate occasions, 3 months apart.

Exceptional Clearances, "Real" Cases of Intimate Partner Violence, and Mandatory Arrest Laws.

This study examined the extent to which cases of intimate partner violence were cleared by arrest, remained open, or closed by exceptional clearance. Incident and state-level factors associated with each outcome were examined for incidents submitted to the National Incident-Based Reporting System (NIBRS) from 2000 to 2009. Using the 10 years of data, comprising 5,481 jurisdictions in 36 states and the District of Columbia, findings show exceptional clearance is more likely to occur in residences, incidents of lower severity, and with same-sex couples, while being less likely in states with preferred and mandatory arrest laws.

From embodiment to evidence: The harmful intersection of poor regulation of medical implants and obstructed narratives in embodied experiences of failed metal-on-metal hips.

This research presents the results of a study about people with failed metal-on-metal hip implants, and draws on the STS concept of the technological imperative alongside research on the value of patient knowledge in clinical settings and the legitimacy of embodied stories. Popularly understood as positive and life changing, hip replacement surgery was hailed as 'the operation of the century', until a series of widespread failures of hundreds of thousands of hip implants, known collectively as metal-on-metal (MoM) hips, drew attention to the poor regulation of medical implants. This paper argues that poor regulation intersects with narratives of patients' pain, which are obstructed by surgeons and the UK regulatory body, with the effect of denying both patients' embodied experiences of implant failure, and their restitution to good health.

Using systems thinking-based risk assessment methods to assess hazardous manual tasks: a comparison of Net-HARMS, EAST-BL, FRAM and STPA.

Formal risk assessment is a component of safety management relating to hazardous manual tasks (HMT). Systems thinking approaches are currently gaining interest for supporting safety management. Existing HMT risk assessment methods have been found to be limited in their ability to identify risks across the whole work system; however, systems thinking-based risk assessment (STBRA) methods were not designed for the HMT context and have not been tested in this area.