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AIMS: This pilot study aimed to evaluate prospectively the use of inlet radiographs of the hip as an alternative method of the assessment of reduction after the surgical treatment of developmental dysplasia of the hip (DDH). PATIENTS AND METHODS: The children in this study underwent surgery between January 2013 and January 2015. All had inlet radiographs and CT scans post-operatively. Data were analysed by determining inter-observer reliability and intra-observer reproducibility, using the kappa value (K). Differences were settled by discussion between the two observers until a consensus was reached. The sensitivity and specificity of the radiographic and CT results were compared. A total of 26 radiographs were obtained from 23 children, with a mean age of 2.38 years (one to five). RESULTS: Similar high levels of intra- and inter-observer agreement were observed (K = 0.834, 95% confidence interval (CI)). There was a high agreement between the radiographic and CT results (K = 0.834, 5% CI), with excellent sensitivity and a specificity of 95.5%. CONCLUSION: These results suggest that inlet radiographs may be a reliable method of assessing the reduction of the hip after the surgical treatment of DDH. Cite this article: Bone Joint J 2017;99-B:697-701.
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Luxação Congênita de Quadril/diagnóstico por imagem , Luxação Congênita de Quadril/cirurgia , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/cirurgia , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Variações Dependentes do Observador , Projetos Piloto , Cuidados Pós-Operatórios/métodos , Estudos Prospectivos , Radiografia/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
We propose a highly sensitive sensor based on enhancing the transversal magneto-optical Kerr effect (TMOKE) through excitation of surface plasmon resonances in a novel and simple architecture, which consists of a metal grating on a metal magneto-optical layer. Detection of the change in the refractive index of the analyte medium is made by monitoring the angular shift of the Fano-like resonances associated with TMOKE. A higher resolution is obtained with this technique than with reflectance curves. The key aspect of the novel architecture is to achieve excitation of surface plasmon resonances mainly localized at the sensing layer, where interaction with the analyte occurs. This led to a high sensitivity, S = 190° RIU-1, and high performance with a figure of merit of the order of 103, which can be exploited in sensors and biosensors.
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A theoretical study of the photonic band structure and transmission spectra for 1D periodic superlattices with an elementary cell composed of two layers of refractive indices n(a) and n(b), which may take on positive as well as negative values, has been performed within the transfer-matrix approach. The dependence on the angle of incidence of the electromagnetic wave for excitation of plasmon-polaritons as well as the properties of the (n) = 0 gap were thoroughly investigated. Results are found for the generalized conditions that must be satisfied by the ratio a/b of the layer widths of metamaterial photonic superlattices, for both transverse electric and transverse magnetic polarizations, in order to have an omnidirectional (n) = 0 gap. The present study indicates new perspectives in the design and development of future optical devices.
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We have performed a theoretical study of the effects of the non-parabolicity and coupling barrier in between GaAs quantum wells on the conduction electron cyclotron effective mass and Landé [Formula: see text] factor under the action of a growth-direction applied magnetic field. Numerical calculations are performed within the effective mass approximation and taking into account the non-parabolicity effects for the conduction-band electrons, by means of the Ogg-McCombe effective Hamiltonian. The system consists of two GaAs quantum wells connected by a Ga(1 - x)Al(x)As barrier and surrounded by Ga(1 - y)Al(y)As material. We have found that both the [Formula: see text] factor and the cyclotron effective mass are sensitive to the coupling strength, that is the height and width of the barrier in between the GaAs quantum wells. This behavior is similar for every Landé [Formula: see text] factor and the cyclotron effective mass calculated for different Landau levels. It is noticeable that the splitting between the [Formula: see text] and [Formula: see text] cyclotron effective mass increases with the central barrier width and the growth-direction applied magnetic field. As in a single quantum well, we found that the electron Landé [Formula: see text] factor increases with the growth-direction applied magnetic field, comparing quite well with the experimental reports, and that the magnetic field plays an important role in decoupling the quantum wells of the system. Additionally, we have studied the electron cyclotron effective mass and Landé g factor as functions of the Landau levels, depending on the non-parabolicity. From this result one can infer that their population must be taken into account for a complete study of the band parameters as has been proposed in previous works. The present theoretical results are in very good agreement with previous experimental reports in the limiting geometry of a single quantum well.
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The influence of an intense laser field on shallow-donor states in cylindrical GaAs-Ga(1-x)Al(x)As quantum-well wires under an external magnetic field applied along the wire axis is theoretically studied. Numerical calculations are performed in the framework of the effective-mass approximation, and the impurity energies corresponding to the ground state and 2p(±) excited states are obtained via a variational procedure. The laser-field effects on the shallow-donor states are considered within the extended dressed-atom approach, which allows one to treat the problem 'impurity + heterostructure + laser field + magnetic field' as a renormalized 'impurity + heterostructure + magnetic field' problem, in which the laser effects are taken into account through a renormalization of both the conduction-band effective mass and fundamental semiconductor gap.
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We have performed a theoretical study of the quantum confinement (geometrical and barrier potential confinements) and axis-parallel applied magnetic-field effects on the conduction-electron effective Landé g factor in GaAs-(Ga, Al)As cylindrical quantum dots. Numerical calculations of the g factor are performed by using the Ogg-McCombe effective Hamiltonian-which includes non-parabolicity and anisotropy effects-for the conduction-band electrons. The quantum dot is assumed to consist of a finite-length cylinder of GaAs surrounded by a Ga(1-x)Al(x)As barrier. Theoretical results are given as functions of the Al concentration in the Ga(1-x)Al(x)As barrier, radius, lengths and applied magnetic fields. We have studied the competition between the quantum confinement and applied magnetic field, finding that in this type of heterostructure the geometrical confinement and Al concentration determine the behavior of the electron effective Landé [Formula: see text] factor, as compared to the effect of the applied magnetic field. Present theoretical results are in good agreement with experimental reports in the limiting geometry of a quantum well, and with previous theoretical findings in the limiting case of a quantum well wire.
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The hydrostatic-pressure effects on the electron-effective Landé [Formula: see text] factor and g-factor anisotropy in semiconductor GaAs-Ga(1-x)Al(x)As quantum wells under magnetic fields are studied. The [Formula: see text] factor is computed by considering the non-parabolicity and anisotropy of the conduction band through the Ogg-McCombe effective Hamiltonian, and numerical results are displayed as functions of the applied hydrostatic pressure, magnetic fields, and quantum-well widths. Good agreement between theoretical results and experimental measurements in GaAs-(Ga, Al)As quantum wells for the electron g factor and g-factor anisotropy at low values of the applied magnetic field and in the absence of hydrostatic pressure is obtained. Present results open up new possibilities for manipulating the electron-effective g factor in semiconductor heterostructures.
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A theoretical study of the photoluminescence peak energies in InAs self-assembled quantum dots embedded in a GaAs matrix in the presence of magnetic fields applied perpendicular to the sample plane is performed. The effective mass approximation and a parabolic potential cylinder-shaped model for the InAs quantum dots are used to describe the effects of magnetic field and hydrostatic pressure on the correlated electron-hole transition energies. Theoretical results are found in quite good agreement with available experimental measurements for InAs/GaAs self-assembled quantum dots.
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The aim of the present study was to compare the sensitivity, specificity and usefulness of the DIG-ELISA, DOT-ELISA and Indirect ELISA tests for determining the seroprevalence of fasciolosis in cattle under tropical conditions in Mexico. To standardize the tests, positive and negative sera to F. hepatica from 88 Holstein Freisian adult cows located in an enzootic area of fascioliosis and 88 crossbred adult cattle from a fluke-free area were used. For the epidemiological study, 85 crossbred cattle between 1 to 7 years of age were used. Animals were bled every two months, from March 1995 to September 1996 and the sera obtained were stored at -70 degrees C, until used. Indirect ELISA showed a sensitivity of 96.5% and a specificity of 98.8%, DIG-ELISA 97.5% and 80.0% and DOT-ELISA 93.1% and 95.4%, respectively. During 1995, Indirect ELISA yielded the highest levels of IgG anti-F. hepatica antibodies. However, in 1996, after animal treatment with triclabendazole, DIG-ELISA tended to show higher percentages of antibody-positive animals, but it was not significantly different (p>0.05) from the other tests. Comparisons made in parallel to the faecal sedimentation test demonstrated that all serological tests detected higher percentages of positive animals. Only one serum out of ten (10%) of Paramphistomum spp. cross-reacted with the DOT-ELISA test, but no cross-reaction was observed with sera from animals with other parasites. All ELISA tests were highly sensitive and specific; they may be recommended for use in seroepidemiological surveys for F. hepatica.
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Anticorpos Anti-Helmínticos/sangue , Doenças dos Bovinos/epidemiologia , Ensaio de Imunoadsorção Enzimática/veterinária , Fasciola hepatica/imunologia , Fasciolíase/veterinária , Animais , Anti-Helmínticos/farmacologia , Anti-Helmínticos/uso terapêutico , Antígenos de Helmintos/biossíntese , Antígenos de Helmintos/química , Benzimidazóis/farmacologia , Benzimidazóis/uso terapêutico , Bovinos , Doenças dos Bovinos/diagnóstico , Reações Cruzadas , Fasciolíase/diagnóstico , Fasciolíase/epidemiologia , Fezes/parasitologia , México/epidemiologia , Contagem de Ovos de Parasitas , Sensibilidade e Especificidade , Estudos Soroepidemiológicos , Triclabendazol , Clima TropicalRESUMO
The authors present a study about the frequency of the injuries caused by traffic accidents on the orthopedic patients admitted to the emergency of Institute of Orthopedics and Traumatology at the Hospital das Clínicas of the School of Medicine São Paulo University, before and after the new National Traffic Code. They found a decreased number of polytraumatized patients and severe injuries after the beginning of this new legislation.