Nerves in Continuity Following Hand Trauma: A Descriptive Report

Background: Understanding the clinical presentation of nontransected nerve injuries in acute hand trauma/wrist trauma will help in early intervention, which is vital for maximizing return of function in patients. This retrospective study evaluated patients who experienced traumatic hand injuries with nerve in continuity within the zone of injury. Methods: This was a single-center retrospective chart review of 20 patients with hand or wrist trauma resulting in damage to bone, tendon, or soft tissues within Zones II to V. Patients were 18 to 70 years of age and had documented visualization of at least one nerve within the zone of injury at the time of surgery but no documented full or partial nerve transection. The cohort was characterized using descriptive statistics including mechanism of injury, extent of strength and sensation deficits, and outcomes. Resolution of symptoms was defined as full, partial, or none. Results: Of the 20 patients included in the study, 15 patients (75%) showed symptoms of impaired nerve function either prior to surgery or at the first post-surgical follow-up visit. Without direct nerve treatment, only 23% (3/13) of patients experienced full recovery based on qualitative sensory assessment. However, patients reporting pain after surgery (57%; 8/14) showed full recovery from pain despite no direct nerve treatment. Conclusions: In our retrospective cohort of patients with hand/wrist trauma that presented with an intact nerve in continuity, we found that a majority showed symptoms of nerve injury. Further, these patients showed slow recovery over time with a minority achieving partial or full recovery or improvement in pain.

EUROPEAN UNION’S QUEST FOR STRATEGIC AUTONOMY AND BIDEN’S FOREIGN POLICY

Over the last decade the EU has faced challenges on numerous fronts: economic crisis and slow recovery, refugee crisis, terrorism, Brexit, lack of effectiveness of its foreign and security policy. In recent years, the EU has put new effort to define its purpose and standing in international relations, and it seeks to become strategically autonomous actor. That means an actor with the ability to set priorities and make decisions. As the role of the United States is still pre-eminent in the security of Europe, the EU-US relations have a special bearing on that EU’s ambition. In this paper we provide an overview of the relations between these two actors with the focus on the first year of Joseph Biden presidency, and we argue that through a complex interaction the EU will seek to define its policies independently of the United States, wishing to expand its space for maneuver and action.

Comfort Evaluation of Slow-Recovery Ejection Seat Cushions Based on Sitting Pressure Distribution

Sitting discomfort not only affects the health of pilots carrying out long-endurance missions but also affects operational performance. The experimental objects included four ejection seat cushions: N1 was a fast-recovery foam as the comparison group, and the experimental groups were slow-recovery foams with different indentation force deflection (IFD), named N2 (hard), N3 (mid), and N4 (soft). The sitting comfort of 20 participants was tested on the four cushions by using subjective rating and sitting pressure distribution analysis. The results showed that compared with fast-recovery cushion N3 and N4 slow-recovery cushions have lower contact pressure and more uniform pressure distribution. Slow-recovery cushions that were too soft or too hard would reduce the comfort. No matter from the subjective rating or the analysis of the contact pressure data, the N3 cushion with a thickness of 3 cm and 65% IFD of 280 N had the highest comfort. In addition, the seat pressure distribution (SPD%) has a significant correlation with the subjective rating (p = 0.019, R = −0.98), which is more suitable for evaluating the comfort of the cushions. However, the slow-recovery cushions would show a decrease in support after a period of sitting, while the fast-recovery cushion could always maintain constant support.

Sod Tensile Strength, Handling Quality, and Their Interrelationship for 39 Bermudagrasses

Suitable tensile strength is essential for sod harvest, transport, and installation. Thirty-nine bermudagrass (Cynodon sp.) entries were evaluated for sod handling quality (SHQ) and sod tensile strength (STS) during 2014–15. The SHQ (a discontinuous qualitative parameter) was evaluated using a 1 to 5 scale with 1 = complete pad separation during handling and 5 = no cracking or separation in the sod pad with excellent quality. The STS (a quantitative parameter) was determined using the force required to shear/separate the sod pad. Sod harvests were conducted at 14, 22, and 24 months after planting (MAP). The entry, harvest date, and their interaction affected STS and SHQ. Entries OKC 1302 and 12-TSB-1 had greater STS than ‘Patriot’ but less STS than ‘Latitude 36’, ‘Tifway’, ‘Astro’, and ‘TifGrand’. The seeded entry PST-R6T9S had the lowest STS and SHQ. The overall mean STS and SHQ were lowest at 22 MAP, which could be attributed to the slow recovery of the entries after Winter 2014. A strong positive correlation (r = 0.92) between STS and SHQ suggests that SHQ can be used as a rapid field method to estimate suitability for sod harvest. A predictive linear relationship between overall STS and overall SHQ (r2 = 0.85) found predicted STS values of 8.5, 22.6, 36.8, and 51.0 kg⋅dm–2 for overall mean SHQ ratings of 2, 3, 4, and 5, respectively. The results of this work will help sod producers in cultivar selection and will aid breeders in making commercialization decisions.

Design and Research of Wrist-Assisted Recovery Robot Hand

With the gradual development of the times, people’s material life has been greatly improved. All kinds of sports have become an indispensable part of people’s life, but sports are always accompanied by certain risks. People injured by sports show an increasing trend every year. However, it can be found that among many rehabilitation instruments, there is not much research on wrist rehabilitation instruments, which leads to the restoration of bandage splint or plaster fixation in most of the time. These traditional methods have the problems of slow recovery cycle, difficult disassembly and complex replacement. At the same time, most of the wrist rehabilitation instruments that have been developed are large and medium-sized instruments, which can not be carried, can not play a real-time protective role, and can not be well applied to daily life. Therefore, a wearable periodic recovery robot with traditional strap splint, modern transmission and flexible positioning is proposed.

Financial Risk Capacity

Financial crises are particularly severe and lengthy when banks fail to recapitalize after bearing large losses. We present a model that explains the slow recovery of bank capital and economic activity. Banks provide intermediation in markets with information asymmetries. Large equity losses force banks to tighten intermediation, which exacerbates adverse selection. Adverse selection lowers bank profit margins, which slows both the internal growth of equity and equity injections. This mechanism generates financial crises characterized by persistent low growth. The lack of equity injections during crises is a coordination failure that is solved when the decision to recapitalize banks is centralized. (JEL D82, E32, E44, G01, G21, G32, L25)

Repair of Peripheral Nerve Injury Using Hydrogels Based on Self-Assembled Peptides

Peripheral nerve injury often occurs in young adults and is characterized by complex regeneration mechanisms, poor prognosis, and slow recovery, which not only creates psychological obstacles for the patients but also causes a significant burden on society, making it a fundamental problem in clinical medicine. Various steps are needed to promote regeneration of the peripheral nerve. As a bioremediation material, self-assembled peptide (SAP) hydrogels have attracted international attention. They can not only be designed with different characteristics but also be applied in the repair of peripheral nerve injury by promoting cell proliferation or drug-loaded sustained release. SAP hydrogels are widely used in tissue engineering and have become the focus of research. They have extensive application prospects and are of great potential biological value. In this paper, the application of SAP hydrogel in peripheral nerve injury repair is reviewed, and the latest progress in peptide composites and fabrication techniques are discussed.

The COVID-19 crisis and counter-cyclical policies in Brazil

This paper examines the Brazilian economy during the COVID-19 pandemic and the economic policies implemented in 2020 to address the economic and social crisis. Using primary and secondary sources, the article differs in its analysis from other heterodox approaches according to which state action in response to the pandemic crisis in Brazil was weak and inconsistent. It is argued that counter-cyclical actions, especially those relating to emergency aid, have had a strong counter-cyclical effect on the economy and on reducing poverty and social inequality, even though there was no strategy previously coordinated by the federal government. The article concludes that the poor outlook for the Brazilian economy relates to both the resumption of orthodox policies and the unleashing of a second wave of the COVID-19 pandemic, both contributing to a slow recovery of the Brazilian economy.