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- Ayeni, O. R., et al.
(författare)
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Clinical and Radiographic Criteria Define "Acceptable" Surgical Correction of Hip Femoroacetabular Impingement Syndrome as Well as Postoperative Complications: An International Modified Delphi Study
- 2023
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Ingår i: Arthroscopy-the Journal of Arthroscopic and Related Surgery. - : Elsevier BV. - 0749-8063. ; 39:5, s. 1198-1210
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To develop recommendations for clinical and radiographic criteria to help define the "acceptable" surgical correction of femoroacetabular impingement syndrome (FAIS) and identify/define complications postoperatively. Methods: A 3-phase modified Delphi study was conducted involving a case-based survey; a Likert/multiple choice-based survey concerning radiographic and physical examination characteristics to help define FAIS correction, as well as the prevalence and definition of potential postoperative complications; and 2 consensus meetings. Results: Of the 75 experts invited, 54 completed the Phase I survey, 50 completed the Phase II survey (72% and 67% response rate), and 50 participated in the Phase III consensus meetings. For both typical and atypical (complex) cases, there was consensus that fluoroscopy with multiple views and dynamic hip assessment should be used intraoperatively (96% and 100%, respectively). For typical FAIS cases, the Expert Panel agreed that Dunn lateral and anteroposterior radiographs were the most important radiographs to evaluate the hip postoperatively (88%, consensus). When asked about evaluating the correction of cam impingement postoperatively, 87% voted that they use subjective evaluation of the "sphericity" of the femoral head. In the case of focal and global pincer-type FAIS, there was consensus that the reduction or elimination of the crossover sign (84%) and lateral center-edge angle (91%) were important to inform the extent of the FAIS correction. There was consensus for recommending further investigation at 6 months postoperatively if hip pain had increased/plateaued (92% agreed); that additional investigation and treatment should occur between 6 and 12 months (90% agreed); and that a reoperation may be recommended at 12 months or later following this investigation period (89% agreed). Conclusions: This consensus project identified the importance of using fluoroscopy and dynamic hip assessment intraoperatively; Dunn lateral and anteroposterior view radiographs postoperatively; evaluating the "sphericity" of the femoral head for cam-type correction and the use of dynamic hip assessment; reducing/eliminating the crossover sign for focal pincertype FAIS; evaluating the lateral center-edge angle for global pincer-type FAIS; and avoiding overcorrection of pincer-type FAIS. In cases in which postoperative hip pain increased/plateaued, further investigation and treatment is warranted between 6 and 12 months, and a reoperation may be recommended at a minimum of 12 months depending on the cause of the hip pain. Clinical Relevance: Hip arthroscopy surgeons have yet to reach a firm agreement on what constitutes an "acceptable" or "good" surgery radiographically and how they can achieve desired clinical outcomes. Although this was a comprehensive effort, more study is needed to determine therapeutic thresholds that can be universally applied.
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| 2. |
- Baron, P., et al.
(författare)
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The level 2 research product algorithms for the superconducting submillimeter-wave limb-emission sounder (SMILES)
- 2011
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Ingår i: Atmospheric Measurement Techniques Discussions. - : Copernicus GmbH. - 1867-8610. ; 4:3, s. 3593-3645
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Tidskriftsartikel (refereegranskat)abstract
- This paper describes the algorithms of the level-2 research (L2r) processingchain developed for the Superconducting Submillimeter-Wave Limb-EmissionSounder (SMILES). The chain has been developed in parallel to the operationalchain for conducting researches on calibration and retrieval algorithms. L2rchain products are available to the scientific community. The objective ofversion 2 is the retrieval of the vertical distribution of trace gases in thealtitude range of 18-90 km. An theoretical error analysis is conducted toestimate the retrieval feasibility of key parameters of the processing:line-of-sight elevation tangent altitudes (or angles), temperature and O3 profiles. The line-of-sight tangent altitudes are retrievedbetween 20 and 50 km from the strong ozone (O3) line at 625.371 GHz,with low correlation with the O3 volume-mixing ratio and temperatureretrieved profiles. Neglecting the non-linearity of the radiometric gain inthe calibration procedure is the main systematic error. It is large for theretrieved temperature (between 5-10 K). Therefore, atmospheric pressure cannot be derived from the retrieved temperature, and, then, in the altituderange where the line-of-sight tangent altitudes are retrieved, the retrievedtrace gases profiles are found to be better represented on pressure levelsthan on altitude levels. The error analysis for the retrieved HOCl profiledemonstrates that best results for inverting weak lines can be obtained byusing narrow spectral windows. Future versions of the L2r algorithms willimprove the temperature/pressure retrievals and also provide information inthe upper tropospheric/lower stratospheric region (e.g., water vapor, icecontent, O3) and on stratospheric and mesospheric line-of-sight winds.
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| 4. |
- Sato, T.O., et al.
(författare)
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Strato-mesospheric ClO observations by SMILES : error analysis and diurnal variation
- 2012
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Ingår i: Atmospheric Measurement Techniques. - : Copernicus GmbH. - 1867-1381 .- 1867-8548. ; 5:11, s. 2809-2825
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Tidskriftsartikel (refereegranskat)abstract
- Chlorine monoxide (ClO) is the key species for anthropogenic ozone losses in the middle atmosphere. We observed ClO diurnal variations using the Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES) on the International Space Station, which has a non-sun-synchronous orbit. This includes the first global observations of the ClO diurnal variation from the stratosphere up to the mesosphere. The observation of mesospheric ClO was possible due to 10–20 times better signal-to-noise (S/N) ratio of the spectra than those of past or ongoing microwave/submillimeter-wave limb-emission sounders. We performed a quantitative error analysis for the strato- and mesospheric ClO from the Level-2 research (L2r) product version 2.1.5 taking into account all possible contributions of errors, i.e. errors due to spectrum noise, smoothing, and uncertainties in radiative transfer model and instrument functions. The SMILES L2r v2.1.5 ClO data are useful over the range from 0.01 and 100 hPa with a total error estimate of 10–30 pptv (about 10%) with averaging 100 profiles. The SMILES ClO vertical resolution is 3–5 km and 5–8 km for the stratosphere and mesosphere, respectively. The SMILES observations reproduced the diurnal variation of stratospheric ClO, with peak values at midday, observed previously by the Microwave Limb Sounder on the Upper Atmosphere Research Satellite (UARS/MLS). Mesospheric ClO demonstrated an opposite diurnal behavior, with nighttime values being larger than daytime values. A ClO enhancement of about 100 pptv was observed at 0.02 to 0.01 hPa (about 70–80 km) for 50° N–65° N from January–February 2010. The performance of SMILES ClO observations opens up new opportunities to investigate ClO up to the mesopause.
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