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When daytime tropical convection develops away from mesoscale disturbances, it typically transitions gradually from dry to shallow to deep convection on hourly timescales. The transition is commonly associated with the formation of larger horizontal boundary‐layer structures and an increasing level of cloud organization aloft. This study demonstrates that a spectral analysis of the resolved high‐resolution sub‐cloud flow features allows for a robust identification of dominant length scales and the quantification of their growth rates during the transition. Furthermore, it is shown that temperature, moisture, and horizontal winds develop multiple length scales with the largest ones growing up to several kilometers in magnitude. However, the vertical velocity behaves in a distinct manner developing significantly smaller values, comparable over land and ocean. This indicates stronger inherent limits of vertical velocity to self‐organize by size. Plain Language Summary: When tropical storms form away from big weather systems, they usually go through several stages, starting with shallow clouds and then gradually intensifying until deep clouds with anvils develop. As the transition progresses, larger flow patterns form in the air close to the ground, and the clouds above become more organized. This study found that by looking at high‐resolution modeling data in terms of energy distribution per structure size, we can see how these patterns change and grow over time. It also found that the sizes of temperature, moisture, and horizontal wind patterns are similar to each other and can be several kilometers wide. But the patterns of vertical motion behave differently, staying smaller and not growing as much, whether over land or ocean. This indicates natural limits to how big the structures of vertical air movement can get during the formation of local storms. Key Points: Simulated transition to deep convection over both land and ocean is analyzed using a novel method based on spectral analysisDominant sub‐cloud length scales for temperature, moisture, and wind grow linearly until the onset of deep convectionNotably, vertical velocity length scale remains at much lower values, indicating a weaker tendency to self‐organize by size [ABSTRACT FROM AUTHOR]

Non-septic olecranon bursitis (NSOB) is the inflammation of the olecranon bursa, which is usually self-limiting with aseptic clinical manifestations. NSOB can be idiopathic or secondary to repetitive trauma or rheumatological conditions. Septic olecranon bursitis (SOB) is usually caused by bacterial skin colonisers, such as staphylococci and streptococci, and patients tend to present with systemic symptoms requiring medical and/or surgical interventions. Herein we present a case of disseminated cryptococcal infection stemming from bilateral septic olecranon bursitis in a previously healthy immunocompetent 24-year-old female. Fluid cultures were positive for Cryptococcus neoformans . Patient underwent bilateral olecranon bursectomy, washouts and debridement. Moreover, the patient was started on long-term intravenous amphotericin B and later switched to oral flucytosine and fluconazole with good effect. Patient had good clinical outcomes at one-year follow-up.  SOB secondary to unusual pathogens, such as Cryptococcus neoformans , is a rare occurrence, and tends to affect immunocompromised individuals. The clinical course of such infections has shown to be subtle and insidious, which in turn hinders the diagnosis and leads to inappropriate treatment administration. Early follow-up and consideration of these organisms, together with appropriate discussion with microbiologists and/or infectious disease teams is crucial to reduce long-term morbidity and mortality., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Bianco et al.)

Introduction Anterior cruciate ligament (ACL) tears are common injuries that can considerably impact an individual's quality of life and athletic performance. In these cases, surgical reconstruction of the ligament can be considered to restore stability to the knee. This study aims to investigate the time taken for individuals to return to sport post-ACL reconstruction, assess the rate of re-injury and evaluate the reliability of the International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Score (KOOS) scoring systems in predicting a return to sport at the pre-injury level. Methods In this retrospective study, a total of 104 patients who underwent ACL reconstruction between January 2016 and December 2022 by one surgical team at Mater Dei Hospital, Malta were evaluated using a self-administered questionnaire. The questionnaire was based on different components including the sport practised at the time of injury, sport engagement classification, return to sport, the ability to return to pre-injury levels of performance and re-injury. The participants then had to fill in IKDC and KOOS evaluation forms. Results In this study, 73% (n=76) of individuals successfully returned to sport after ACL reconstruction, with no significant difference being found between professional and recreational athletes (Chi-squared=0.00455, p=0.95). After reconstruction, 31.7% (n=33) of participants experienced an ipsilateral or contralateral ACL tear, with those returning to sport within six months showing a fivefold increase in re-injury risk compared to individuals who returned at eight or 12 months, suggesting a significant association between return duration and re-injury. The relationship between scoring systems and return to sport at the pre-injury level of performance was analysed using binary logistic regression, revealing that achieving scores of 85.6 or higher in IKDC or 89 or higher in KOOS meant having a 95% probability of returning to sport at the pre-injury level. Conclusions By considering these scoring systems with other post-operative criteria, clinicians can offer a more customised rehabilitation plan tailored to each patient who undergoes ACL reconstruction., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Paris et al.)