Electronic transport in graphene with particle-hole-asymmetric disorder

We study the conductivity of graphene with a smooth but particle-hole-asymmetric disorder potential. Using perturbation theory for the weak-disorder regime and numerical calculations we investigate how the particle-hole asymmetry shifts the position of the minimal conductivity away from the Dirac point $\varepsilon = 0$. We find that the conductivity minimum is shifted in opposite directions for weak and strong disorder. For large disorder strengths the conductivity minimum appears close to the doping level for which electron and hole doped regions ("puddles") are equal in size

Second-order topological insulators and superconductors with an order-two crystalline symmetry

Second-order topological insulators and superconductors have a gapped excitation spectrum in bulk and along boundaries, but protected zero modes at corners of a two-dimensional crystal or protected gapless modes at hinges of a three-dimensional crystal. A second-order topological phase can be induced by the presence of a bulk crystalline symmetry. Building on Shiozaki and Sato's complete classification of bulk crystalline phases with an order-two crystalline symmetry [Phys. Rev. B 90, 165114 (2014)], such as mirror reflection, twofold rotation, or inversion symmetry, we classify all corresponding second-order topological insulators and superconductors. The classification also includes antiunitary symmetries and antisymmetries

Symmetry-based indicators for topological Bogoliubov–de Gennes Hamiltonians

We develop a systematic approach for constructing symmetry-based indicators of a topological classification for superconducting systems. The topological invariants constructed in this work form a complete set of symmetry-based indicators that can be computed from knowledge of the Bogoliubov–de Gennes Hamiltonian on high-symmetry points in the Brillouin zone. After excluding topological invariants corresponding to the phases without boundary signatures, we arrive at a natural generalization of symmetry-based indicators [H. C. Po, A. Vishwanath, and H. Watanabe, Nat. Commun. 8, 50 (2017)] to Hamiltonians of Bogoliubov–de Gennes type

Survival of closing-wedge high tibial osteotomy - Good outcome in men with low-grade osteoarthritis after 10-16 years

BACKGROUND AND PURPOSE: High tibial valgus osteotomy (HTO) is a well-accepted treatment for medial unicompartmental osteoarthritis of the knee with varus alignment in relatively young and active patients. Controversies about the factors affecting survival of HTO still exist. We assessed preoperative risk factors for failure of closing-wedge HTO at long-term follow-up. PATIENTS AND METHODS: A cohort of 100 patients with a mean age of 49 (24-67) years, who had closing-wedge HTO performed between January 1991 and December 1996, were analyzed retrospectively. A survival analysis was carried out according to the Kaplan-Meier method. Logistic regression analysis was used to assess the association between failure of the osteotomy and known potential preoperative risk factors. RESULTS: The probability of survival for HTO was 75% (SD 4%) at 10 years with knee replacement as the endpoint. Female sex and osteoarthritis of grade > or = 2 were identified as preoperative risk factors for conversion to arthroplasty 10 years after HTO. INTERPRETATION: Our findings suggest that ideal candidates for corrective osteotomy are men with symptomatic medial compartmental osteoarthritis of Ahlback grade 1, who, 10 years after surgery, have an almost tenfold lower probability of failure of HTO than women with more advanced osteoarthritis

Topological Graph Neural Networks

Graph neural networks (GNNs) are a powerful architecture for tackling graph learning tasks, yet have been shown to be oblivious to eminent substructures, such as cycles. We present TOGL, a novel layer that incorporates global topological information of a graph using persistent homology. TOGL can be easily integrated into any type of GNN and is strictly more expressive in terms of the Weisfeiler--Lehman test of isomorphism. Augmenting GNNs with our layer leads to beneficial predictive performance for graph and node classification tasks, both on synthetic data sets, which can be classified by humans using their topology but not by ordinary GNNs, and on real-world data

Medial knee osteoarthritis treated by insoles or braces: a randomized trial.

BACKGROUND: There is controversial evidence regarding whether foot orthoses or knee braces improve pain and function or correct malalignment in selected patients with osteoarthritis (OA) of the medial knee compartment. However, insoles are safe and less costly than knee bracing if they relieve pain or improve function. QUESTIONS/PURPOSES: We therefore asked whether laterally wedged insoles or valgus braces would reduce pain, enhance functional scores, and correct varus malalignment comparable to knee braces. PATIENTS AND METHODS: We prospectively enrolled 91 patients with symptomatic medial compartmental knee OA and randomized to treatment with either a 10-mm laterally wedged insole (index group, n = 45) or a valgus brace (control group, n = 46). All patients were assessed at 6 months. The primary outcome measure was pain severity as measured on a visual analog scale. Secondary outcome measures were knee function score using WOMAC and correction of varus alignment on AP whole-leg radiographs taken with the patient in the standing position. Additionally, we compared the percentage of responders according to the OMERACT-OARSI criteria for both groups. RESULTS: We observed no differences in pain or WOMAC scores between the two groups. Neither device achieved correction of knee varus malalignment in the frontal plane. According to the OMERACT-OARSI criteria, 17% of our patients responded to the allocated intervention. Patients in the insole group complied better with their intervention. Although subgroup analysis results should be translated into practice cautiously, we observed a slightly higher per

Is a high tibial osteotomy (HTO) superior to non-surgical treatment in patients with varus malaligned medial knee osteoarthritis (OA)?

Objective: No randomized controlled trial (RCT) has compared the high tibial osteotomy (HTO) with non-surgical treatment in patients with medial knee osteoarthritis (OA) and varus malalignment. The aim was to compare the effectiveness of an unloader brace treatment or a usual care program to the HTO regarding pain severity and knee function. Design: Surgical treatment (HTO) to two non-surgical options was compared by combining the data of two RCTs. One RCT (n = 117) compared an unloader brace to usual care treatment; the other RCT (n = 92) compared closing to opening wedge HTO. One-to-many propensity score matching was used to equalize patient characteristics. We compared clinical outcome at 1 year follow-up (VAS pain (0-10) and knee function (HSS, 0-100)) with mixed model analysis. Results: Propensity score matching resulted in a comparison of 30 brace patient with 83 HTO patients, and of 28 usual care patients with 71 HTO patients. Pain at 1 year after HTO (VAS 3.8) was lower than after valgus bracing (VAS 5.0) with a mean difference of -1.1 (95% CI -2.2; -0.1). Function showed a nonsignificant mean difference of 2.1 [95% CI -3.1; 7.3]. Comparing HTO to usual care a difference was seen in pain (-1.7 [95% CI -2.8; -0.6]) and function (6.6 [95% CI 0.2; 13.1])

Varus inclination of the proximal tibia or the distal femur does not influence high tibial osteotomy outcome

We have analysed retrospectively the influence of different sources of knee deformity on failure of closing wedge high tibial valgus osteotomy (HTO). Preoperative frontal plane varus deformities of the lower extremity, distal femur and proximal tibia, and medial convergence of the knee joint line were assessed on a standard whole leg radiograph in 76 patients. Using the logistic regression model, the probability of survival for HTO was 77% (SD 4%) at 10-years follow-up. Varus deformity of the lower extremity ( 3 degrees ) were identified as preoperative risk factors for conversion to arthroplasty (P = 0.03 and P = 0.006). We found no evidence that varus inclination of the proximal tibia or distal femur influences long-term survival of HTO

A role for ColV plasmids in the evolution of pathogenic Escherichia coli ST58

Escherichia coli ST58 has recently emerged as a globally disseminated uropathogen that often progresses to sepsis. Unlike most pandemic extra-intestinal pathogenic E. coli (ExPEC), which belong to pathogenic phylogroup B2, ST58 belongs to the environmental/commensal phylogroup B1. Here, we present a pan-genomic analysis of a global collection of 752 ST58 isolates from diverse sources. We identify a large ST58 sub-lineage characterized by near ubiquitous carriage of ColV plasmids, which carry genes encoding virulence factors, and by a distinct accessory genome including genes typical of the Yersiniabactin High Pathogenicity Island. This sub-lineage includes three-quarters of all ExPEC sequences in our study and has a broad host range, although poultry and porcine sources predominate. By contrast, strains isolated from cattle often lack ColV plasmids. Our data indicate that ColV plasmid acquisition contributed to the divergence of the major ST58 sub-lineage, and different sub-lineages inhabit poultry, swine and cattle

Improving the prediction of overall survival for head and neck cancer patients using image biomarkers in combination with clinical parameters

Purpose: To develop and validate prediction models of overall survival (OS) for head and neck cancer (HNC) patients based on image biomarkers (IBMs) of the primary tumor and positive lymph nodes (Ln) in combination with clinical parameters. Material and methods: The study cohort was composed of 289 nasopharyngeal cancer (NPC) patients from China and 298 HNC patients from the Netherlands. Multivariable Cox-regression analysis was performed to select clinical parameters from the NPC and HNC datasets, and IBMs from the NPC dataset. Final prediction models were based on both IBMs and clinical parameters. Results: Multivariable Cox-regression analysis identified three independent IBMs (tumor Volume density, Run Length Non-uniformity and Ln Major-axis-length). This IBM model showed a concordance (c)-index of 0.72 (95%Cl: 0.65-0.79) for the NPC dataset, which performed reasonably with a c-index of 0.67 (95%Cl: 0.62-0.72) in the external validation HNC dataset. When IBMs were added in clinical models, the c-index of the NPC and HNC datasets improved to 0.75 (95%Cl: 0.68-0.82; p = 0.019) and 0.75 (95%Cl: 0.70-0.81; p <0.001), respectively. Conclusion: The addition of IBMs from the primary tumor and Ln improved the prognostic performance of the models containing clinical factors only. These combined models may improve pre-treatment individualized prediction of OS for HNC patients. (C) 2017 The Authors. Published by Elsevier Ireland Ltd