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\"Hyperlocal Journalism critically explores the development of citizen-led community news operations that have appeared in the wake of the withdrawal of commercial journalism from local communities at the beginning of the 21st century. The book draws together a wide range of original research by way of case studies, interviews, and industry and policy analysis, to give a complete view of what is happening to communities as their local newspapers close or decline, to be replaced by emerging forms of digital news provision. This study takes the United Kingdom as its focus but its findings speak to common issues found in local media systems in Western democracies. The authors investigate who is producing hyperlocal news and why, as well as production practices, models of community and participatory journalism, and the economics of hyperlocal operations. In looking holistically at hyperlocal news, Hyperlocal Journalism paints a vivid picture of citizens creating their own news services via social media and on free blogging platforms to hold power to account, redress negative reputational geographies, and to tell everyday stories of community life. It also raises key questions about sustainability of such endeavours in the face of optimism from commentators and policy-makers\"-- Provided by publisher.

A recently developed model of general collective intelligence defines a method for organizing humans or artificially intelligent agents that is believed to create the potential to exponentially increase the general problem-solving ability of groups of such entities over that of any individual entity. An analysis based on this model suggests that many and perhaps all \"wicked problems\" are collective optimization problems that cannot reliably be addressed without a system of collective optimization, but that might be reliably addressed through such a system. This paper briefly introduces the concept of GCI as well as why it is a system of collective optimization, and explores why \"wicked problems\" from the perspective of GCI are collective optimization problems, and therefore why such problems might require GCI to be reliably solvable.

Lonely Planet's Europe on a Shoestring is your passport to having big experiences on a small budget, offering the most relevant, up-to-date advice on what to see and skip, what hidden discoveries await you, and how to optimise your budget for an extended continental trip. Hit the streets and free museums of one of the world's greatest capital cities, London; soak up history and art by day and party by night in Berlin; pick your Greek island for fresh food and golden beaches. All with your trusted travel companion.

Background Total Knee Arthroplasty (TKA) is an established surgical option for knee osteoarthritis (OA). There are varying perceptions of the most suitable surgical technique for making bone cuts in TKA. Conventional Instrumentation (CI) uses generic cutting guides (extra- and intra-medullary) for TKA; however, patient specific instrumentation (PSI) has become a popular alternative amongst surgeons. Methods A literature search of electronic databases Embase, Medline and registry platform portals was conducted on the 16 th May 2021. The search was performed using a predesigned search strategy. Eligible studies were critically appraised for methodological quality. The primary outcome measure was Knee Society Function Score. Functional scores were also collected for the secondary outcome measures: Oxford Knee Score (OKS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS) and Visual Analog Scale (VAS) for pain. Review Manager 5.3 was used for all data synthesis and analysis. Results There is no conclusive evidence in the literature to suggest that PSI or CI instrumentation is better for functional outcomes. 23 studies were identified for inclusion in this study. Twenty-two studies (18 randomised controlled trials and 4 prospective studies) were included in the meta analysis, with a total of 2277 total knee arthroplasties. There were 1154 PSI TKA and 1123 CI TKA. The majority of outcomes at 3-months, 6-months and 12 show no statistical difference. There was statistical significance at 24 months in favour of PSI group for KSS function (mean difference 4.36, 95% confidence interval 1.83–6.89). The mean difference did not exceed the MCID of 6.4. KSS knee scores demonstrated statistical significance at 24 months (mean difference 2.37, 95% confidence interval (CI) 0.42—4.31), with a MCID of 5.9. WOMAC scores were found to be statistically significant favouring PSI group at 12 months (mean difference -3.47, 95% confidence interval (CI) -6.57- -0.36) and 24 months (mean difference -0.65, 95% confidence interval (CI) -1.28—-0.03), with high level of bias noted in the studies and a MCID of 10. Conclusions This meta-analysis of level 1 and level 2 evidence shows there is no clinical difference when comparing PSI and CI KSS function scores for TKA at definitive post operative time points (3 months, 6 months, 12 months and 24 months). Within the secondary outcomes for this study, there was no clinical difference between PSI and CI for TKA. Although there was no clinical difference between PSI and CI for TKA, there was statistical significance noted at 24 months in favour of PSI compared to CI for TKA when considering KSS function, KSS knee scores and WOMAC scores. Studies included in this meta-analysis were of limited cohort size and prospective studies were prone to methodological bias. The current literature is limited and insufficiently robust to make explicit conclusions and therefore further high-powered robust RCTs are required at specific time points.

\"Max Faraday was an ordinary college student who spent all his time on the Internet - until the day he accidentally downloaded the Creation Equation. Suddenly able to access the limitless powers of the universe itself, this pizza delivery boy found himself the target of a secret government agency! Now, aided by a band of warriors sworn to protect the formula, Max, his sister, and his best friend must stay one step ahead of the deadly assassins and horrific demons that are hunting them down. But when his actions begin to wreak havoc across the globe, Max turns from messiah to megalomaniac\" -- summary from forbiddenplanet.com.

Purpose The purpose of this work was to develop the rationale for adding a lateral extra-articular tenodesis to an ACL reconstruction in a knee with an injury that included both the ACL and anterolateral structures, and to show the early clinical picture. Methods The paper includes a review of recent anatomical and biomechanical studies of the anterolateral aspect of the knee. It then provides a detailed description of a modified Lemaire tenodesis technique. A short-term clinical follow-up of a case and control group was performed, with two sequential groups of patients treated by isolated ACL reconstruction, and by combined ACL plus lateral tenodesis. Results The anatomical and biomechanical literature guide the surgeon towards a procedure based on the ilio-tibial band. The clinical study found a reduction in pivot-shift instability in the group of patients with the combined procedure. Conclusion The evidence suggests that it should be appropriate to add a lateral extra-articular procedure to an ACL reconstruction in selected cases, but it was concluded that further data are required before definitive guidelines on the use of a lateral tenodesis can be established. Level of evidence III.

A trio of chimpanzees are recruited to retrieve a wayward space probe and find themselves having to save the peaceful inhabitants of a distant planet from an evil dictator.

Persistent rotatory knee laxity is increasingly recognized as a common finding after anterior cruciate ligament (ACL) reconstruction. While the reasons behind rotator knee laxity are multifactorial, the impact of the anterolateral knee structures is significant. As such, substantial focus has been directed toward better understanding these structures, including their anatomy, biomechanics, in vivo function, injury patterns, and the ideal procedures with which to address any rotatory knee laxity that results from damage to these structures. However, the complexity of lateral knee anatomy, varying dissection techniques, differing specimen preparation methods, inconsistent sectioning techniques in biomechanical studies, and confusing terminology have led to discrepancies in published studies on the topic. Furthermore, anatomical and functional descriptions have varied widely. As such, we have assembled a panel of expert surgeons and scientists to discuss the roles of the anterolateral structures in rotatory knee laxity, the healing potential of these structures, the most appropriate procedures to address rotatory knee laxity, and the indications for these procedures. In this round table discussion, KSSTA Editor-in-Chief Professor Jón Karlsson poses a variety of relevant and timely questions, and experts from around the world provide answers based on their personal experiences, scientific study, and interpretations of the literature. Level of evidence V.

\"The Cajun rages on! Join Gambit on a time-tossed trip to the 19th century, and discover how the Thieves' Guild was shaped by Candra...and Mr. Sinister! Back in the present, Remy needs help - and Rogue flies to his aid! Thanks to Gambit's evolving powers, he can finally greet her with a kiss - but as his abilities get more unstable, any thoughts of romance will be short-lived. Gambit's destiny looms as he takes leadership of the Guild - assuming he can survive an Assassination Game against deadly villains like Bullseye, Constrictor, Zaran, Deadpool...and Archangel? And what are X-Cutioner and Ego the Living Planet doing here?! Gambit will finally discover the secret of his mysterious patron, the New Son - but is he hero or villain, and what will Gambit have to sacrifice to triumph?\"--Page [4] of cover.

Purpose The infrapatellar fat pad (IFP) is a common cause of knee pain and loss of knee flexion and extension. However, its anatomy and behavior are not consistently defined. Methods Thirty-six unpaired fresh frozen knees (median age 34 years, range 21–68) were dissected, and IFP attachments and volume measured. The rectus femoris was elevated, suprapatellar pouch opened and videos recorded looking inferiorly along the femoral shaft at the IFP as the knee was flexed. The patellar retinacula were incised and the patella reflected distally. The attachment of the ligamentum mucosum (LMuc) to the intercondylar notch was released from the anterior cruciate ligament (ACL), both menisci and to the tibia via meniscotibial ligaments. IFP strands projecting along both sides of the patella were elevated and the IFP dissected from the inferior patellar pole. Magnetic resonance imaging (MRI) of one knee at ten flexion angles was performed and the IFP, patella, tibia and femur segmented. Results In all specimens the IFP attached to the inferior patellar pole, femoral intercondylar notch (via the LMuc), proximal patellar tendon, intermeniscal ligament, both menisci and the anterior tibia via the meniscotibial ligaments. In 30 specimens the IFP attached to the anterior ACL fibers via the LMuc, and in 29 specimens it attached directly to the central anterior tibia. Proximal IFP extensions were identified alongside the patella in all specimens and visible on MRI [medially (100% of specimens), mean length 56.2 ± 8.9 mm, laterally (83%), mean length 23.9 ± 6.2 mm]. Mean IFP volume was 29.2 ± 6.1 ml. The LMuc, attached near the base of the middle IFP lobe, acting as a ‘tether’ drawing it superiorly during knee extension. The medial lobe consistently had a pedicle superomedially, positioned between the patella and medial trochlea. MRI scans demonstrated how the space between the anterior tibia and patellar tendon (‘the anterior interval’) narrowed during knee flexion, displacing the IFP superiorly and posteriorly as it conformed to the trochlear and intercondylar notch surfaces. Conclusion Proximal IFP extensions are a novel description. The IFP is a dynamic structure, displacing significantly during knee motion, which is, therefore, vulnerable to interference from trauma or repetitive overload. Given that this trauma is often surgical, it may be appropriate that surgeons learn to minimize injury to the fat pad at surgery.