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Background: Little is known about total joint arthroplasty (TJA) outcomes in gout patients. The purpose of this study was to compare adverse events between gout and nongout patients who underwent primary TJA.Methods: Using our institutional database and medical records review, a retrospective case-control study was conducted. From 2000 to 2012, a total of 482 gout TJA patients were matched with nongout TJA patients in a 1:1 ratio. Length of stay, complications, 90-day emergency room visits, and 90-day readmissions in these patients were compared.Results: Gout patients had greater wound healing problems (12.2% vs 5.0%, P = .001) and renal complications (8.9% vs 3.1%, P = .0003) compared with nongout patients. There were no significant differences between gout and nongout patients in terms of mean length of hospital stay (3.82 vs 3.17 days, P = .11) and 90-day emergency room visits (5.6% vs 3.5%, P = 1.00). Subgroup analysis showed that 90-day readmission rates were higher in gout patients who underwent total hip arthroplasty compared with those in nongout THA patients (6.8% vs 2.1%, P = .02).Conclusion: Gout patients undergoing TJA have greater wound healing problems and renal complications. Surgeons should be cognizant of fluid management, renal monitoring and wound issues and should be cautious when treating TJA gout patients. [ABSTRACT FROM AUTHOR]

Wildfires are critical for ecosystems in many geographical regions. However, our current urbanized existence in these environments is inducing the ecological balance to evolve into a different dynamic leading to the biggest fires in history. Wildfire wind speeds and directions change in an instant, and first responders can only be effective if they take action as quickly as the conditions change. What is lacking in disaster management today is a system integration of real-time sensor networks, satellite imagery, near-real time data management tools, wildfire simulation tools, and connectivity to emergency command centers before, during and after a wildfire. As a first time example of such an integrated system, the WIFIRE project is building an end-to-end cyberinfrastructure for real-time and data-driven simulation, prediction and visualization of wildfire behavior. This paper summarizes the approach and early results of the WIFIRE project to integrate networked observations, e.g., heterogeneous satellite data and real-time remote sensor data with computational techniques in signal processing, visualization, modeling and data assimilation to provide a scalable, technological, and educational solution to monitor weather patterns to predict a wildfire's Rate of Spread. [ABSTRACT FROM AUTHOR]

Abstract: Infant joint attention is related to behavioral and social outcomes, as well as language in childhood. Recent research and theory suggests that the relations between joint attention and social–behavioral outcomes may reflect the role of executive self-regulatory processes in the development of joint attention. To test this hypothesis two studies were conducted. The first, cross-sectional study examined the development of responding to joint attention (RJA) skill in terms of increasing executive efficiency of responding between 9 and 18 months of age. The results indicated that development of RJA was characterized by a decreased latency to shift attention in following another person''s gaze and head turn, as well as an increase in the proportion of correct RJA responses exhibited by older infants. The second study examined the longitudinal relations between 12-month measures of responding to joint attention and 36-month attention regulation in a delay of gratification task. The results indicated that responding to joint attention at 12-months was significantly related to children''s use of three types of self-regulation behaviors while waiting for a snack reward at 36 months of age. These observations are discussed in light of a developmental theory of attention regulation and joint attention in infancy. [Copyright &y& Elsevier]

Objective: To assess the relationship between infertility, marital benefit, and coping in a sample of men and women undergoing unsuccessful fertility treatments. Design: Prospective longitudinal cohort design using multilevel modeling. Setting: Danish public and private hospitals (n = 5) specializing in treating fertility patients. Patient(s): Participants were Danish men and women about to start a cycle of medically assisted reproduction treatment who were followed for a 5-year period of unsuccessful treatments. Intervention(s): None. Main Outcome Measure(s): The Copenhagen Multicenter Psychosocial Infertility research program Coping Strategy Scales and Marital Benefit Measure. Result(s): Compared with men, a greater percentage of women reported high levels of marital benefit. For active-avoidance coping, there was a significant partner effect by gender interaction. Meaning-based strategies increased between 1 and 5 years for men and women. The use of meaning-based coping had a significant positive actor effect with marital benefit for both men and women. Conclusion(s): Approximately one-third of participants undergoing unsuccessful fertility treatments reported high marital benefit as a positive consequence of the infertility experience. Partner effects for men and women related to active-avoidance coping may be related to the degree of emotional support that each spouse can offer the other, whereas differences in meaning-based coping indicate a possible timing effect related to gender. [ABSTRACT FROM AUTHOR]