Surgical Treatment of Nonmineralized Supraspinatus Tendinopathy in Dogs: A Retrospective Long-Term Follow-Up.

(1) Background: two forms of supraspinatus tendinopathy (ST) have been reported in dogs: mineralized and non-mineralized. Surgical treatment consists of longitudinal incisions (splitting) in the tendon of insertion of the supraspinatus muscle. The purpose of this retrospective study is to describe the diagnostic workout, the surgical procedure and the short and long term follow up of dogs treated for non-mineralized ST. (2) Methods: medical records (2010-2017) of dogs diagnosed with non-mineralized ST that underwent surgical treatment were reviewed. Data retrieved were: signalment, history, clinical signs, orthopaedic examination findings, diagnostic imaging findings, surgical treatment, histopathologic diagnosis and clinical outcome. (3) Results: A total of 27 dogs met the inclusion criteria. The most consistent clinical findings were intermittent lameness accompanied by pain on palpation of the insertion of the supraspinatus. Magnetic resonance imaging (MRI) of 27 shoulders distended sheaths of the biceps tendon (10/27), compression of the biceps brachii tendon sheaths (5/27) and enlargement of the supraspinatus tendon (3/27) were observed. The most prominent histologic finding was severe myxomatous degeneration in all 27 samples. Resolution of lameness was achieved in 80% of the cases surgically treated without any further lameness episodes in the long-term follow-up. (4) Conclusions: the surgical splitting of the non-mineralized supraspinatus tendon is an effective procedure with no intra-operative complications and a low incidence of minor (18%) and major (4%) complications.

Unbiasedness and optimization of regional weight cancellation.

The Monte Carlo method is often used to simulate systems which can be modeled by random walks. To calculate observables, in many implementations the "walkers" carry a statistical weight which is generally assumed to be positive. Some random walk simulations, however, may require walkers to have positive or negative weights: it has been shown that the presence of a mixture of positive and negative weights can impede the statistical convergence, and special weight-cancellation techniques must be adopted to overcome these issues. In a recent work we demonstrated the usefulness of one such method, exact regional weight cancellation, to solve eigenvalue problems in nuclear reactor physics in three spatial dimensions. The method previously exhibited had several limitations (including multigroup transport and isotropic scattering) and needed homogeneous cuboid cancellation regions. In this paper we lift the previous limitations, in view of applying exact regional cancellation to more realistic continuous-energy neutron transport problems. This extended regional cancellation framework is used to optimize the efficiency of the weight cancellation. Our findings are illustrated on a benchmark configuration for reactor physics.

Space and time correlations for diffusion models with prompt and delayed birth-and-death events.

Understanding the statistical properties of a collection of individuals subject to random displacements and birth-and-death events is key to several applications in physics and life sciences, encompassing the diagnostic of nuclear reactors and the analysis of epidemic patterns. Previous investigations of the critical regime, where births and deaths balance on average, have shown that highly non-Poissonian fluctuations might occur in the population, leading to spontaneous spatial clustering, and eventually to a "critical catastrophe," where fluctuations can result in the extinction of the population. A milder behavior is observed when the population size is kept constant: the fluctuations asymptotically level off and the critical catastrophe is averted. In this paper, we extend these results by considering the broader class of models with prompt and delayed birth-and-death events, which mimic the presence of precursors in nuclear reactor physics or incubation in epidemics. We consider models with and without population control mechanisms. Analytical or semi-analytical results for the density, the two-point correlation function, and the mean-squared pair distance will be derived and compared with Monte Carlo simulations, which will be used as a reference.

A comparison of 0.375% ropivacaine psoas compartment block and 2% prilocaine spinal anaesthesia in dogs undergoing tibial plateau levelling osteotomy.

BACKGROUND: In dogs undergoing routine elective orthopaedic surgeries carried out as same-day surgeries regional anaesthetic techniques (RATs) should aim to produce analgesia but minimising the postoperative motor dysfunction. Our objective was to compare the perioperative analgesic effects and the time to motor recovery between spinal anaesthesia (SA) with hyperbaric solution of prilocaine 2% (mg = 4 x [0.3 × BW (kg) + 0.05 × SCL (cm)]) and morphine (0.03 mg/kg) and combined ultrasound (US) and electro stimulator-guided psoas compartment and ischiatic nerve block (PB) with ropivacaine 0.375% (0.45 mL/kg). Dogs undergoing tibial plateau levelling osteotomy (TPLO) were randomly assigned to receive either SA or PB. Procedural failure, perioperative rescue analgesia, motor block recovery and complications were recorded. RESULTS: Procedural failure rate (PFR) was 19% (7 out of 36) for SA and 9% (3 out of 32) for PB (p = 0.31). Intraoperative rescue analgesia was administered to 6/29 (21%) SA group dogs and in 15/29 (52%) PB group dogs, respectively (p = 0.03). At 3 h after RAT, percentage of dogs with complete block recovery was 25/29 (86%) and 25/29 (86%) in group SA and PB, respectively (p = 1). Two cases of pruritus and one case of urinary retention were recorded in the SA group. Residual ischiatic nerve block was noted at 12 h after RAT in 2/15 (13%) of dogs in group PB; it completely resolved 24 h after RAT. CONCLUSIONS: SA with prilocaine 2% and PB with ropivacaine 0.37% were found suitable for dogs undergoing same-day TPLO surgery. Pruritus and urinary retention in SA and residual block in both groups might occasionally delay the time of discharge.

Exact weight cancellation in Monte Carlo eigenvalue transport problems.

Random walks are frequently used as a model for very diverse physical phenomena. The Monte Carlo method is a versatile tool for the study of the properties of systems modeled as random walks. Often, each walker is associated with a statistical weight, used in the estimation of observable quantities. Weights are typically assumed to be positive; nonetheless, some applications require the use of positive and negative weights or complex weights and often pose particular challenges with convergence. In this paper we examine such a case from the field of nuclear reactor physics, where the negative particle weights prevent the power iteration algorithm from converging on the sought fundamental eigenstate of the Boltzmann transport equation. We demonstrate how the use of weight cancellation allows convergence on the physical eigenstate. To this end, we develop a method to perform weight cancellation in an exact manner, in three spatial dimensions. The viability of this algorithm is then demonstrated on a reactor physics problem.

Calculation of energy-deposition distributions and microdosimetric estimation of the biological effect of a 9C beam.

Among the alternative beams being recently considered for external cancer radiotherapy, (9)C has received some attention because it is expected that its biological effectiveness could be boosted by the beta-delayed emission of two alpha particles and a proton that takes place at the ion-stopping site. Experiments have been performed to characterise this exotic beam physically and models have been developed to estimate quantitatively its biological effect. Here, the particle and heavy-ion transport code system ( PHITS ) is used to calculate energy-deposition and linear energy transfer distributions for a (9)C beam in water and the results are compared with published data. Although PHITS fails to reproduce some of the features of the distributions, it suggests that the decay of (9)C contributes negligibly to the energy-deposition distributions, thus contradicting the previous interpretation of the measured data. We have also performed a microdosimetric calculation to estimate the biological effect of the decay, which was found to be negligible; previous microdosimetric Monte-Carlo calculations were found to be incorrect. An analytical argument, of geometrical nature, confirms this conclusion and gives a theoretical upper bound on the additional biological effectiveness of the decay. However, no explanation can be offered at present for the observed difference in the biological effectiveness between (9)C and (12)C; the reproducibility of this surprising result will be verified in coming experiments.