Presidents and vaccines: head of state inoculation as a tool for vaccine promotion.

Introduction: Vaccine hesitancy, an important threat to global health, has increased since the onset of the COVID-19 pandemic. The public vaccination of high-profile figures, such as heads of state, has been touted as a potential tool for increasing vaccine acceptance among the general population. However, systematic information on such role modelling is lacking and existing studies focus on a small number of high-income countries.

Predictors of Abdominal Aortic Aneurysm Shrinkage after Endovascular Repair.

Recent studies demonstrate that patients with a shrinking abdominal aortic aneurysm (AAA), one-year after endovascular repair (EVAR), have better long-term outcomes than patients with a stable AAA. It is not known what factors determine whether an AAA will shrink or not. In this study, a range of parameters was investigated to identify their use in differentiating patients that will develop a shrinking AAA from those with a stable AAA one-year after EVAR.

Excess Entropies Suggest the Physiology of Neurons to Be Primed for Higher-Level Computation.

Biological neuronal networks excel over artificial ones in many ways, but the origin of this is still unknown. Our symbolic dynamics-based tool of excess entropies suggests that neuronal cultures naturally implement data structures of a higher level than what we expect from artificial neural networks, or from close-to-biology neural networks. This points to a new pathway for improving artificial neural networks towards a level demonstrated by biology.

Covid-19 vs. Ebola: Impact on households and small businesses in North Kivu, Democratic Republic of Congo.

In April 2020, the Eastern Democratic Republic of Congo was facing two major infectious disease outbreaks: Covid-19 and Ebola Virus Disease (EVD). We highlight large differences in the socioeconomic impact of these two outbreaks. The data come from a phone survey that we conducted in the period May-July 2020 with 637 households and 363 small firms from a megacity and two rural communes in the province of North Kivu.

Long-term quality of life outcome after spondylodiscitis treatment.

Background Context: Spondylodiscitis is the most common spinal infection of which the incidence has increased and the peak prevalence is between 50 and 70 years of age. Spondylodiscitis is often a complication of a distant infection. Early diagnosis can be challenging, and although improvements in diagnostic techniques and modern therapy have diminished the mortality of the disease, current literature about the outcome of spondylodiscitis is scarce.

Institutional mistrust and child vaccination coverage in Africa.

Introduction: Despite considerable improvements in vaccination coverage over the last decade, half of the world's unvaccinated and undervaccinated children are located in Africa. The role of institutional trust in explaining vaccination gaps has been highlighted in several qualitative reports but so far has only been quantified in a small number of high-income countries.

Methods: We matched information on child vaccination status from the Demographic Health Surveys with information on institutional trust from the Afrobarometer surveys at the subnational level.

Universality in the firing of minicolumnar-type neural networks.

An open question in biological neural networks is whether changes in firing modalities are mainly an individual network property or whether networks follow a joint pathway. For the early developmental period, our study focusing on a simple network class of excitatory and inhibitory neurons suggests the following answer: Networks with considerable variation of topology and dynamical parameters follow a universal firing paradigm that evolves as the overall connectivity strength and firing level increase, as seen in the process of network maturation. A simple macroscopic model reproduces the main features of the paradigm as a result of the competition between the fundamental dynamical system notions of synchronization vs chaos and explains why in simulations the paradigm is robust regarding differences in network topology and largely independent from the neuron model used.

Physical Function and Quality of Life After Resection of Mobile Spine Chondrosarcoma.

Study Design: Retrospective cohort study.

Objectives: (1) To assess patient-reported outcomes-physical function, pain, and quality of life-in patients who underwent resection of a mobile spine chondrosarcoma. (2) To assess complications (90 days), readmissions, reoperations, oncological outcomes, and neurologic status.

Controlling fracture cascades through twisting and quenching.

Fracture fundamentally limits the structural stability of macroscopic and microscopic matter, from beams and bones to microtubules and nanotubes. Despite substantial recent experimental and theoretical progress, fracture control continues to present profound practical and theoretical challenges. While bending-induced fracture of elongated rod-like objects has been intensely studied, the effects of twist and quench dynamics have yet to be explored systematically.

More legislation, more violence? The impact of Dodd-Frank in the DRC.

The Dodd Frank Act was passed by the US Congress in July 2010 and included a provision-Section 1502-that aimed to break the link between conflict and minerals in the Eastern Democratic Republic of Congo. To date there is only one rigorous quantitative analysis that investigates the impact of Dodd-Frank on local conflict events. Looking at the short-term impact (2011-2012), it finds that the policy backfired.

Geometry of Wave Propagation on Active Deformable Surfaces.

Fundamental biological and biomimetic processes, from tissue morphogenesis to soft robotics, rely on the propagation of chemical and mechanical surface waves to signal and coordinate active force generation. The complex interplay between surface geometry and contraction wave dynamics remains poorly understood, but it will be essential for the future design of chemically driven soft robots and active materials. Here, we couple prototypical chemical wave and reaction-diffusion models to non-Euclidean shell mechanics to identify and characterize generic features of chemomechanical wave propagation on active deformable surfaces.

Defect formation dynamics in curved elastic surface crystals.

Topological defects shape the material and transport properties of physical systems. Examples range from vortex lines in quantum superfluids, defect-mediated buckling of graphene, and grain boundaries in ferromagnets and colloidal crystals, to domain structures formed in the early universe. The Kibble-Zurek (KZ) mechanism describes the topological defect formation in continuous non-equilibrium phase transitions with a constant finite quench rate.

Incidental Flexor Carpi Radialis Tendinopathy on Magnetic Resonance Imaging.

Wrist pain is often nonspecific. Magnetic resonance imaging (MRI) is regularly obtained to evaluate wrist pain. Variations and pathophysiology identified on MRI may not account for patient's clinical symptoms.

Curvature-Induced Instabilities of Shells.

Induced by proteins within the cell membrane or by differential growth, heating, or swelling, spontaneous curvatures can drastically affect the morphology of thin bodies and induce mechanical instabilities. Yet, the interaction of spontaneous curvature and geometric frustration in curved shells remains poorly understood. Via a combination of precision experiments on elastomeric spherical shells, simulations, and theory, we show how a spontaneous curvature induces a rotational symmetry-breaking buckling as well as a snapping instability reminiscent of the Venus fly trap closure mechanism.

The PROMIS Global Health Questionnaire Correlates With the QuickDASH in Patients With Upper Extremity Illness.

Background: The objective of this study is to evaluate the construct validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health instrument by establishing its correlation to the Quick-Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire in patients with upper extremity illness.

Methods: A cohort of 112 patients completed a sociodemographic survey and the PROMIS Global Health and QuickDASH questionnaires. Pearson correlation coefficients were used to evaluate the association of the QuickDASH with the PROMIS Global Health items and subscales.

Curvature-driven morphing of non-Euclidean shells.

We investigate how thin structures change their shape in response to non-mechanical stimuli that can be interpreted as variations in the structure's natural curvature. Starting from the theory of non-Euclidean plates and shells, we derive an effective model that reduces a three-dimensional stimulus to the natural fundamental forms of the mid-surface of the structure, incorporating expansion, or growth, in the thickness. Then, we apply the model to a variety of thin bodies, from flat plates to spherical shells, obtaining excellent agreement between theory and numerics.

Actomyosin-based tissue folding requires a multicellular myosin gradient.

Tissue folding promotes three-dimensional (3D) form during development. In many cases, folding is associated with myosin accumulation at the apical surface of epithelial cells, as seen in the vertebrate neural tube and the ventral furrow. This type of folding is characterized by constriction of apical cell surfaces, and the resulting cell shape change is thought to cause tissue folding.

Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation.

Purpose: Stable fixation of distal humerus fracture fragments is necessary for adequate healing and maintenance of reduction. The purpose of this study was to measure the reliability and accuracy of interpretation of postoperative radiographs to predict which implants will loosen or break after operative treatment of bicolumnar distal humerus fractures. We also addressed agreement among surgeons regarding which fracture fixation will loosen or break and the influence of years in independent practice, location of practice, and so forth.

Curvature-Controlled Defect Localization in Elastic Surface Crystals.

We investigate the influence of curvature and topology on crystalline dimpled patterns on the surface of generic elastic bilayers. Our numerical analysis predicts that the total number of defects created by adiabatic compression exhibits universal quadratic scaling for spherical, ellipsoidal, and toroidal surfaces over a wide range of system sizes. However, both the localization of individual defects and the orientation of defect chains depend strongly on the local Gaussian curvature and its gradients across a surface.

Influence of Priming on Patient-Reported Outcome Measures: A Randomized Controlled Trial.

Background: Patient-reported outcome measures (PROMs) are influenced by psychosocial factors, but it is unknown whether we can influence PROM scores by modifying the mindset of the patient.

Purpose: We assessed whether priming affects scores on PROMs.

Methods: In all, 168 patients with musculoskeletal illness participated in this double-blinded, randomized, controlled, parallel study between July 2014 and October 2014 in a level I trauma center.

Bimodal rheotactic behavior reflects flagellar beat asymmetry in human sperm cells.

Rheotaxis, the directed response to fluid velocity gradients, has been shown to facilitate stable upstream swimming of mammalian sperm cells along solid surfaces, suggesting a robust physical mechanism for long-distance navigation during fertilization. However, the dynamics by which a human sperm orients itself relative to an ambient flow is poorly understood. Here, we combine microfluidic experiments with mathematical modeling and 3D flagellar beat reconstruction to quantify the response of individual sperm cells in time-varying flow fields.

What factors are associated with a second opioid prescription after treatment of distal radius fractures with a volar locking plate?

Purpose: Knowledge of factors associated with patient's requests for a second opioid prescription after volar plate fixation of a fracture of the distal radius might inform better pain management protocols and encourage decreased and safer use of opioids. This study tested the primary null hypothesis that there is no difference in demographics, prior opioid prescriptions, injury characteristics, and psychological factors between patients that do and do not receive a second opioid prescription following treatment volar locking plate after distal radius fracture.

Patients And Methods: We used data on 206 patients enrolled in one of two prospective studies.

Curvature-induced symmetry breaking determines elastic surface patterns.

Symmetry-breaking transitions associated with the buckling and folding of curved multilayered surfaces-which are common to a wide range of systems and processes such as embryogenesis, tissue differentiation and structure formation in heterogeneous thin films or on planetary surfaces-have been characterized experimentally. Yet owing to the nonlinearity of the underlying stretching and bending forces, the transitions cannot be reliably predicted by current theoretical models. Here, we report a generalized Swift-Hohenberg theory that describes wrinkling morphology and pattern selection in curved elastic bilayer materials.