Background The definition of osseous instability in radiographic borderline dysplastic hips is difficult. A reliable radiographic tool that aids decision-makingspecifically, a tool that might be associated with instability-therefore would be very helpful for this group of patients. Questions/purposes (1) To compare a new radiographic measurement, which we call the Femoro-Epiphyseal Acetabular Roof (FEAR) index, with the lateral centeredge angle (LCEA) and acetabular index (AI), with respect to intra-and interobserver reliability; (2) to correlate AI, neck-shaft angle, LCEA, iliocapsularis volume, femoral antetorsion, and FEAR index with the surgical treatment received in stable and unstable borderline dysplastic hips; and (3) to assess whether the FEAR index is associated clinical instability in borderline dysplastic hips. Methods We defined and validated the FEAR index in 10 standardized radiographs of asymptomatic controls using two blinded independent observers. Interrater and intrarater coefficients were calculated, supplemented by Bland-Altman plots. We compared its reliability with LCEA and AI. We performed a case-control study using standardized radiographs of 39 surgically treated symptomatic borderline radiographically dysplastic hips and 20 age-matched controls with asymptomatic hips (a 2:1 ratio), the latter were patients attending our institution for trauma unrelated to their hips but who had standardized pelvic radiographs between January 1, 2016 and March 1, 2016. Patient demographics were assessed using univariate Wilcoxon two-sample tests. There was no difference in mean age (overall: 31.5 ± 11.8 years [95% CI, 27.7-35.4 years]; stable borderline group: mean, 32.1± 13.3 years [95% CI, 25.5-38.7 years]; unstable borderline group: mean, 31.1 ± 10.7 years [95% CI, 26.2-35.9 years]; p = 0.96) among study groups. Treatment received was either a periacetabular osteotomy (if the hip was unstable) or, for patients with femoroacetabular impingement, either an open or arthroscopic femoroacetabular impingement procedure. The association of received treatment categories with the variables AI, neck-shaft angle, LCEA, iliocapsularis volume, femoral antetorsion, and FEAR index were evaluated first using Wilcoxon two-sample tests (two-sided) followed by stepwise multiple logistic regression analysis to identify the potential associated variables in a combined setting. Sensitivity, specificity, and receiver operator curves were calculated. The primary endpoint was the association between the FEAR index and instability, which we defined as migration of the femoral head either already visible on conventional radiographs or recentering of the Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Results The FEAR index showed excellent intra-and interobserver reliability, ...
Summary1. Development plasticity is a common evolutionary and phenotypic response to poor growth condition, in particular in organisms with determinate growth such as most birds and mammals. Because various body structures can contribute differently to overall fitness, natural selection will adjust the degree of plasticity of each structure to its proportionate contribution to fitness at a given life stage. 2. Two non-mutually exclusive mechanisms can account for plasticity in the growth of offspring to compensate for the effect of parasites. First, if parasite infestation levels fluctuate over the nestling period, parasitized young may show reduced growth until peak parasite infestation, and accelerated growth once the conditions improve (the accelerated growth hypothesis). Secondly, if the period of tissue maturation is not fixed in time, hosts may grow slower than parasite-free hosts but for a longer period of time (the delayed maturation hypothesis). 3. To test whether hosts compensate for the effects of parasites on their development, the load of the blood-sucking louse-fly Crataerina melbae Rondani in the nests of Alpine swifts, Apus melba Linnaeus, was increased or decreased experimentally. Parasite prevalence was 100% in both treatments, but intensity (no. of parasites per nestling) was significantly lower for deparasitized nestlings. In both treatments, parasite intensity increased up to halfway through the rearing period (i.e. 30 days of age) and decreased afterwards. 4. In line with the accelerated growth hypothesis, wings of parasitized nestlings grew at a lower rate than those of deparasitized ones before the peak of parasite infestation, but at a greater rate after the peak. Louse-flies had no significant effect on the growth of body mass. In agreement with the delayed-maturation hypothesis, wings of parasitized nestlings grew for 3 additional days and were of similar size at fledging as in deparasitized birds. 5. In summary, the present study shows in a wild bird population that nestling hosts can compensate for the effect of parasitism on their phenotype. It emphasizes the need to take the dynamics of parasite populations into account in studies of host-parasite relationships, and to investigate the effect of parasites on host development over the entire growing period rather than only at fledging, as employed traditionally.
The aim of our study was to examine the effects of 16.7 Hz electromagnetic-field exposure on pineal melatonin production in healthy humans. The study was based on comparing urinary 6-hydroxymelatonin sulfate (6-OHMS) levels of 108 male railway workers between leisure periods and days following the start of service on electrically powered engines (66 engineers) or working beneath transmission lines (42 railway employees such as train attendants and station managers; controls). A repeated measures design was used, i.e., each volunteer served as his own control. The exposure averaged 20 muTesla in the most exposed workers and around 1 muTesla in the least exposed. Apart from magnetic exposure the workers were subject to a shift work schedule with daily advances between 15 min and 1 hr. Melatonin was assessed by sampling urinary 6-OHMS both in the morning and the early evening. Evening 6-OHMS values appeared to be lowered by a factor of 0.81 (95%CI: 0.73-0.90) during work days compared to leisure days among engine drivers, but not in the controls. The lowering was not confined to certain types of shift work such as early, normal, or late shifts. During subsequent leisure periods evening values recovered significantly, mean ratio = 1.27 (95%CI: 1.03-1.56), i.e., the effects appeared to be reversible. In contrast, morning 6-OHMS samples of engineers and controls did not differ much between work and leisure days. There was, however, a tendency for a rebound of morning values in a leisure period following a work period both for engineers and controls. The observed pattern appears to be in line with predictions of the "phase response curve." No evidence for a dose-response relation was found. The results support the hypothesis that 16.7 Hz magnetic fields alter 6-OHMS excretion in humans exposed to magnetic fields. An alternative explanation that cannot be excluded in this study is that the difference between engineers and controls is due to differential exposure to day light at work.
In a shoal of four sticklebacks (Gasterosteus aculeatus) individual fish had partners with whom they repeatedly performed pairwise predator inspection visits. In six different trials, we found two reciprocal pairs per trial significantly more often than would be expected by chance. These results provide further evidence for a TIT FOR TAT like cooperation strategy in sticklebacks.
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