App-based Self-administrable Clinical Tests of Physical Function: Development and Usability Study

BACKGROUND: Objective measures of physical function in older adults are widely used to predict health outcomes such as disability, institutionalization, and mortality. App-based clinical tests allow users to assess their own physical function and have objective tracking of changes over time by use of their smartphones. Such tests can potentially guide interventions remotely and provide more detailed prognostic information about the participant's physical performance for the users, therapists, and other health care personnel. We developed 3 smartphone apps with instrumented versions of the Timed Up and Go (Self-TUG), tandem stance (Self-Tandem), and Five Times Sit-to-Stand (Self-STS) tests. OBJECTIVE: This study aimed to test the usability of 3 smartphone app-based self-tests of physical function using an iterative design. METHODS: The apps were tested in 3 iterations: the first (n=189) and second (n=134) in a lab setting and the third (n=20) in a separate home-based study. Participants were healthy adults between 60 and 80 years of age. Assessors observed while participants self-administered the tests without any guidance. Errors were recorded, and usability problems were defined. Problems were addressed in each subsequent iteration. Perceived usability in the home-based setting was assessed by use of the System Usability Scale, the User Experience Questionnaire, and semi-structured interviews. RESULTS: In the first iteration, 7 usability problems were identified; 42 (42/189, 22.0%) and 127 (127/189, 67.2%) participants were able to correctly perform the Self-TUG and Self-Tandem, respectively. In the second iteration, errors caused by the problems identified in the first iteration were drastically reduced, and 108 (108/134, 83.1%) and 106 (106/134, 79.1%) of the participants correctly performed the Self-TUG and Self-Tandem, respectively. The first version of the Self-STS was also tested in this iteration, and 40 (40/134, 30.1%) of the participants performed it correctly. For the third usability test, the 7 usability problems initially identified were further improved. Testing the apps in a home setting gave rise to some new usability problems, and for Self-TUG and Self-STS, the rates of correctly performed trials were slightly reduced from the second version, while for Self-Tandem, the rate increased. The mean System Usability Scale score was 77.63 points (SD 16.1 points), and 80-95% of the participants reported the highest or second highest positive rating on all items in the User Experience Questionnaire. CONCLUSIONS: The study results suggest that the apps have the potential to be used to self-test physical function in seniors in a nonsupervised home-based setting. The participants reported a high degree of ease of use. Evaluating the usability in a home setting allowed us to identify new usability problems that could affect the validity of the tests. These usability problems are not easily found in the lab setting, indicating that, if possible, app usability should be evaluated in both settings. Before being made available to end users, the apps require further improvements and validation

Absolute Frequency Measurements of the Hg^+ and Ca Optical Clock Transitions with a Femtosecond Laser

The frequency comb created by a femtosecond mode-locked laser and a microstructured fiber is used to phase coherently measure the frequencies of both the Hg^+ and Ca optical standards with respect to the SI second as realized at NIST. We find the transition frequencies to be f_Hg=1 064 721 609 899 143(10) Hz and f_Ca=455 986 240 494 158(26) Hz, respectively. In addition to the unprecedented precision demonstrated here, this work is the precursor to all-optical atomic clocks based on the Hg^+ and Ca standards. Furthermore, when combined with previous measurements, we find no time variations of these atomic frequencies within the uncertainties of |(df_Ca/dt)/f_Ca| < 8 x 10^{-14} yr^{-1}, and |(df_Hg/dt)/f_Hg|< 30 x 10^{-14} yr^{-1}.Comment: 6 pages, including 4 figures. RevTex 4. Submitted to Phys. Rev. Let

Conditional resonance-fluorescence spectra of single atoms.

Published versio

Lorentz invariant intrinsic decoherence

Quantum decoherence can arise due to classical fluctuations in the parameters which define the dynamics of the system. In this case decoherence, and complementary noise, is manifest when data from repeated measurement trials are combined. Recently a number of authors have suggested that fluctuations in the space-time metric arising from quantum gravity effects would correspond to a source of intrinsic noise, which would necessarily be accompanied by intrinsic decoherence. This work extends a previous heuristic modification of Schr\"{o}dinger dynamics based on discrete time intervals with an intrinsic uncertainty. The extension uses unital semigroup representations of space and time translations rather than the more usual unitary representation, and does the least violence to physically important invariance principles. Physical consequences include a modification of the uncertainty principle and a modification of field dispersion relations, in a way consistent with other modifications suggested by quantum gravity and string theory .Comment: This paper generalises an earlier model published as Phys. Rev. A vol44, 5401 (1991

Speed of ion trap quantum information processors

We investigate theoretically the speed limit of quantum gate operations for ion trap quantum information processors. The proposed methods use laser pulses for quantum gates which entangle the electronic and vibrational degrees of freedom of the trapped ions. Two of these methods are studied in detail and for both of them the speed is limited by a combination of the recoil frequency of the relevant electronic transition, and the vibrational frequency in the trap. We have experimentally studied the gate operations below and above this speed limit. In the latter case, the fidelity is reduced, in agreement with our theoretical findings. // Changes: a) error in equ. 24 and table III repaired b) reference Jonathan et al, quant-ph/ 0002092, added (proposes fast quantum gates using the AC-Stark effect)Comment: 10 pages, 4 figure

Space-Time Variation of Physical Constants and Relativistic Corrections in Atoms

Detection of high-redshift absorption in the optical spectra of quasars have provided a powerful tool to measure spatial and temporal variations of physical ``constants'' in the Universe. It is demonstrated that high sensitivity to the variation of the fine structure constant alpha can be obtained from a comparison of the spectra of heavy and light atoms (or molecules). We have performed calculations for the pair FeII and MgII for which accurate quasar and laboratory spectra are available. A possibility of $10^5$ times enhanced effects of the fundamental constants variation suitable for laboratory measurements is also discussed.Comment: 8 pages; LaTeX; Submitted to Phys. Rev. Let

Spontaneous emission of an atom in front of a mirror

Motivated by a recent experiment [J. Eschner {\it et al.}, Nature {\bf 413}, 495 (2001)], we now present a theoretical study on the fluorescence of an atom in front of a mirror. On the assumption that the presence of the distant mirror and a lens imposes boundary conditions on the electric field in a plane close to the atom, we derive the intensities of the emitted light as a function of an effective atom-mirror distance. The results obtained are in good agreement with the experimental findings.Comment: 8 pages, 6 figures, revised version, references adde

Isothermal Recombinase Polymerase amplification (RPA) of Schistosoma haematobium DNA and oligochromatographic lateral flow detection

© 2015 Rosser et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The attached file is the published version of the article

Quantum jumps in hydrogen-like systems

In this paper it is shown that the Lyman-$\alpha$ transition of a single hydrogen-like system driven by a laser exhibits macroscopic dark periods, provided there exists an additional constant electric field. We describe the photon-counting process under the condition that the polarization of the laser coincides with the direction of the constant electric field. The theoretical results are given for the example of $^4{He}^+$. We show that the emission behavior depends sensitively on the Lamb shift (W.E. Lamb, R.C. Retherford, Phys. Rev. 72, 241 (1947)) between the $2s_{1/2}$ and $2p_{1/2}$ energy levels. A possibly realizable measurement of the mean duration of the dark periods should give quantitative information about the above energy difference by using the proposed photon-counting process.Comment: 7 pages RevTeX + 2 figures Phys. Rev A accepte

Cellular and humoral immune responses and protection against schistosomes induced by a radiation-attenuated vaccine in chimpanzees

The radiation-attenuated Schistosoma mansoni vaccine is highly effective in rodents and primates but has never been tested in humans, primarily for safety reasons. To strengthen its status as a paradigm for a human recombinant antigen vaccine, we have undertaken a small-scale vaccination and challenge experiment in chimpanzees (Pan troglodytes). Immunological, clinical, and parasitological parameters were measured in three animals after multiple vaccinations, together with three controls, during the acute and chronic stages of challenge infection up to chemotherapeutic cure. Vaccination induced a strong in vitro proliferative response and early gamma interferon production, but type 2 cytokines were dominant by the time of challenge. The controls showed little response to challenge infection before the acute stage of the disease, initiated by egg deposition. In contrast, the responses of vaccinated animals were muted throughout the challenge period. Vaccination also induced parasite-specific immunoglobulin M (IgM) and IgG, which reached high levels at the time of challenge, while in control animals levels did not rise markedly before egg deposition. The protective effects of vaccination were manifested as an amelioration of acute disease and overall morbidity, revealed by differences in gamma-glutamyl transferase level, leukocytosis, eosinophilia, and hematocrit. Moreover, vaccinated chimpanzees had a 46% lower level of circulating cathodic antigen and a 38% reduction in fecal egg output, compared to controls, during the chronic phase of infection