4 results on '"Blocker ER"'
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2. Light scattering by pure water and seawater: the depolarization ratio and its variation with salinity.
- Author
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Zhang X, Stramski D, Reynolds RA, and Blocker ER
- Abstract
We measured the linearly polarized light scattering of pure water and seawater at various salinities and estimated the depolarization ratio using five different methods of data analysis after removing the scattering due to contamination by residual nanoparticles. The depolarization ratio values (δ) estimated for pure water using these different methods are largely consistent with each other and result in a mean value of 0.039±0.001. For seawater, our results reveal a trend of a slight linear increase of δ with salinity (S), δ=0.039+a
1 ×S, where a1 varies in the range of 1×10-4 to 2×10-4 between the methods.- Published
- 2019
- Full Text
- View/download PDF
3. Femoral anteversion in children with cerebral palsy. Assessment with two and three-dimensional computed tomography scans.
- Author
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Davids JR, Marshall AD, Blocker ER, Frick SL, Blackhurst DW, and Skewes E
- Subjects
- Child, Femur pathology, Humans, Observer Variation, Phantoms, Imaging, Cerebral Palsy pathology, Femur diagnostic imaging, Imaging, Three-Dimensional, Tomography, X-Ray Computed
- Abstract
Background: Assessment of femoral anteversion in children with cerebral palsy with two or three-dimensional computed tomography scans may be limited by both positional and anatomic variables. Three-dimensional computed tomography techniques are considered to be more accurate than two-dimensional imaging when the femur is not optimally positioned in the gantry or when the neck-shaft angle is increased., Methods: Computed tomography scanning was performed on a series of nine model femora with anteversion ranging from 20 degrees to 60 degrees and neck-shaft angles ranging from 120 degrees to 160 degrees. Each femoral model was scanned in two holding devices, the first of which held the femur in optimal alignment (normal model) and the second of which held the femur in flexion, adduction, and internal rotation (cerebral palsy model) relative to the gantry. Femoral anteversion was calculated for each model from two and three-dimensional computed tomography scans by four examiners on two separate occasions. The intraobserver and interobserver reliability, the accuracy, and the effect of increasing the neck-shaft angle on the accuracy of the measurements made on the two and three-dimensional scans of the normal and cerebral palsy models were then examined., Results: The mean differences in the measurements of femoral anteversion made by the same examiner (intraobserver reliability) were <2 degrees for the two-dimensional scans of the normal and cerebral palsy models and the three-dimensional scans of the normal models, and the mean difference was <4 degrees for the three-dimensional scans of the cerebral palsy models. The mean differences among examiners (interobserver reliability) were <3 degrees for the two-dimensional scans of the normal and cerebral palsy models and the three-dimensional scans of the normal models, and the mean difference was <6 degrees for the three-dimensional scans of the cerebral palsy models. The accuracy of the assessments of femoral anteversion of the normally aligned models was comparable between the two and three-dimensional scans. However, the three-dimensional assessment was significantly more accurate than the two-dimensional assessment for measurement of anteversion of the cerebral palsy models (p = 0.003). Accuracy within 5 degrees was comparable between the two and three-dimensional scans for measurement of the normally aligned models, with 86% of the two-dimensional measurements and 78% of the three-dimensional measurements falling within 5 degrees of the actual measurements. However, the accuracy within 5 degrees was significantly compromised when the models were placed in cerebral palsy alignment. Only 3% of the two-dimensional measurements and 14% of the three-dimensional measurements fell within 5 degrees of the actual measurements, with three-dimensional assessment being significantly better than two-dimensional assessment (p = 0.006). Increasing the neck-shaft angle did not significantly compromise the accuracy of measurement of femoral anteversion with either the two-dimensional or the three-dimensional technique (p > 0.05 for all comparisons)., Conclusions: When adequate alignment of the femur in the computed tomography scanner was possible, a simple two-dimensional technique exhibited excellent intraobserver and interobserver reliability and clinically acceptable accuracy within the relevant ranges of anatomic variability tested (neck-shaft angles of 120 degrees to 160 degrees and femoral anteversion of 20 degrees to 60 degrees). When optimal alignment of the femur in the scanner was not possible, neither two-dimensional nor three-dimensional techniques exhibited clinically acceptable accuracy for the measurement of femoral anteversion.
- Published
- 2003
4. Glenohumeral instability.
- Author
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Friedman RJ, Blocker ER, and Morrow DL
- Subjects
- Arthroscopy, Biomechanical Phenomena, Humans, Magnetic Resonance Imaging, Rotator Cuff physiopathology, Tomography, X-Ray Computed, Joint Instability diagnosis, Joint Instability physiopathology, Joint Instability therapy, Shoulder Joint physiopathology, Shoulder Joint surgery
- Abstract
Glenohumeral instability can be defined as pain associated with loss of shoulder function due to excessive translation of the humeral head on the glenoid fossa. It can be classified according to many factors, such as direction, degree, mechanism, and frequency. A thorough understanding of the anatomy and biomechanics of the shoulder joint as they relate to instability is helpful in understanding the pathophysiology of this condition. All components of the instability must be correctly diagnosed so that appropriate treatment can be selected. Clinical examination is most important in making the correct diagnosis, but plain radiographs, arthrography, computed tomography, magnetic resonance imaging, examination under anesthesia, and arthroscopy can be helpful in difficult and challenging cases. Conservative treatment with a rehabilitation program can be successful in a large percentage of cases and should be the initial approach for most patients. Operative treatment is based on the direction and type of instability and is recommended only after an adequate trial of conservative therapy has failed to improve recurrent instability.
- Published
- 1995
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