Rehabilitation following first-time patellar dislocation: a randomised controlled trial of purported vastus medialis obliquus muscle versus general quadriceps strengthening exercises.

Purpose: Define whether distal vastus medialis (VM) muscle strengthening improves functional outcomes compared to general quadriceps muscles strengthening following first-time patellar dislocation (FTPD). Methods: Fifty patients post-FTPD were randomised to either a general quadriceps exercise or rehabilitation programme (n=25) or to a specific-VM exercise and rehabilitation regime (n=25). Primary outcome was the Lysholm Knee Score, secondary outcomes included the Tegner Level of Activity Scale, the Norwich Patellar Instability (NPI) Score, and isometric knee extensions strength at various knee flexion ranges of motion. Outcomes were assessed at baseline, six weeks, six months and 12 months. Results: There were statistically significant differences in functional outcome and activity levels through the Lysholm Knee Score and Tegner Level of Activity Scale at 12 months in the general quadriceps exercise group compared to the VM group (p=0.05; 95% CI: -14.0 to 0.0/p=0.04; 95% CI: -3.0 to 0.0). This did not reach a clinically important difference. There was no statistically significant difference between the groups for the NPI Score and isometric strength at any follow-up interval. The trial experienced substantial participant attrition (52% at 12 months). Conclusions: Whilst there was a statistical difference in Lysholm Knee Score and Tegner Level of Activity Score between general quadriceps and VM exercise groups at 12 months, this may not have necessarily been clinically important. This trial highlights that the recruitment and retention of participants from this population is a challenge and should be considered during the design of future trials in this populatio

Bose-Einstein Condensation in a Harmonic Potential

We examine several features of Bose-Einstein condensation (BEC) in an external harmonic potential well. In the thermodynamic limit, there is a phase transition to a spatial Bose-Einstein condensed state for dimension D greater than or equal to 2. The thermodynamic limit requires maintaining constant average density by weakening the potential while increasing the particle number N to infinity, while of course in real experiments the potential is fixed and N stays finite. For such finite ideal harmonic systems we show that a BEC still occurs, although without a true phase transition, below a certain ``pseudo-critical'' temperature, even for D=1. We study the momentum-space condensate fraction and find that it vanishes as 1/N^(1/2) in any number of dimensions in the thermodynamic limit. In D less than or equal to 2 the lack of a momentum condensation is in accord with the Hohenberg theorem, but must be reconciled with the existence of a spatial BEC in D=2. For finite systems we derive the N-dependence of the spatial and momentum condensate fractions and the transition temperatures, features that may be experimentally testable. We show that the N-dependence of the 2D ideal-gas transition temperature for a finite system cannot persist in the interacting case because it violates a theorem due to Chester, Penrose, and Onsager.Comment: 34 pages, LaTeX, 6 Postscript figures, Submitted to Jour. Low Temp. Phy

The Inhibition of Mixing in Chaotic Quantum Dynamics

We study the quantum chaotic dynamics of an initially well-localized wave packet in a cosine potential perturbed by an external time-dependent force. For our choice of initial condition and with $\hbar$ small but finite, we find that the wave packet behaves classically (meaning that the quantum behavior is indistinguishable from that of the analogous classical system) as long as the motion is confined to the interior of the remnant separatrix of the cosine potential. Once the classical motion becomes unbounded, however, we find that quantum interference effects dominate. This interference leads to a long-lived accumulation of quantum amplitude on top of the cosine barrier. This pinning of the amplitude on the barrier is a dynamic mechanism for the quantum inhibition of classical mixing.Comment: 20 pages, RevTeX format with 6 Postscript figures appended in uuencoded tar.Z forma

Shape and structure of N=Z 64Ge; Electromagnetic transition rates from the application of the Recoil Distance Method to knock-out reaction

Transition rate measurements are reported for the first and the second 2+ states in N=Z 64Ge. The experimental results are in excellent agreement with large-scale Shell Model calculations applying the recently developed GXPF1A interactions. Theoretical analysis suggests that 64Ge is a collective gamma-soft anharmonic vibrator. The measurement was done using the Recoil Distance Method (RDM) and a unique combination of state-of-the-art instruments at the National Superconducting Cyclotron Laboratory (NSCL). States of interest were populated via an intermediate-energy single-neutron knock-out reaction. RDM studies of knock-out and fragmentation reaction products hold the promise of reaching far from stability and providing lifetime information for excited states in a wide range of nuclei

Phase separation in supersolids

We study quantum phase transitions in the ground state of the two dimensional hard-core boson Hubbard Hamiltonian. Recent work on this and related models has suggested ``supersolid'' phases with simultaneous diagonal and off-diagonal long range order. We show numerically that, contrary to the generally held belief, the most commonly discussed ``checkerboard'' supersolid is thermodynamically unstable. Furthermore, this supersolid cannot be stabilized by next near neighbour interaction. We obtain the correct phase diagram using the Maxwell construction. We demonstrate the ``striped'' supersolid is thermodynamically stable and is separated from the superfluid phase by a continuous phase transition.Comment: 4 pages, 4 eps figures, include

DARTAB: a program to combine airborne radionuclide environmental exposure data with dosimetric and health effects data to generate tabulations of predicted health impacts

The DARTAB computer code combines radionuclide environmental exposure data with dosimetric and health effects data to generate tabulations of the predicted impact of radioactive airborne effluents. DARTAB is independent of the environmental transport code used to generate the environmental exposure data and the codes used to produce the dosimetric and health effects data. Therefore human dose and risk calculations need not be added to every environmental transport code. Options are included in DARTAB to permit the user to request tabulations by various topics (e.g., cancer site, exposure pathway, etc.) to facilitate characterization of the human health impacts of the effluents. The DARTAB code was written at ORNL for the US Environmental Protection Agency, Office of Radiation Programs

Optimizing thermal transport in the Falicov-Kimball model: binary-alloy picture

We analyze the thermal transport properties of the Falicov-Kimball model concentrating on locating regions of parameter space where the thermoelectric figure-of-merit ZT is large. We focus on high temperature for power generation applications and low temperature for cooling applications. We constrain the static particles (ions) to have a fixed concentration, and vary the conduction electron concentration as in the binary-alloy picture of the Falicov-Kimball model. We find a large region of parameter space with ZT>1 at high temperature and we find a small region of parameter space with ZT>1 at low temperature for correlated systems, but we believe inclusion of the lattice thermal conductivity will greatly reduce the low-temperature figure-of-merit.Comment: 13 pages, 14 figures, typeset with ReVTe

Examination of a blood-brain barrier targeting β-galactosidase-monoclonal antibody fusion protein in a murine model of GM1-gangliosidosis

GM1-gangliosidosis is a lysosomal disease resulting from a deficiency in the hydrolase β-galactosidase (β-gal) and subsequent accumulation of gangliosides, primarily in neuronal tissue, leading to progressive neurological deterioration and eventually early death. Lysosomal diseases with neurological involvement have limited non-invasive therapies due to the inability of lysosomal enzymes to cross the blood-brain barrier (BBB). A novel fusion enzyme, labeled mTfR-GLB1, was designed to act as a ferry across the BBB by fusing β-gal to the mouse monoclonal antibody against the mouse transferrin receptor and tested in a murine model of GM1-gangliosidosis (β-ga

Collective excitations of a two-dimensional interacting Bose gas in anti-trap and linear external potentials

We present a method of finding approximate analytical solutions for the spectra and eigenvectors of collective modes in a two-dimensional system of interacting bosons subjected to a linear external potential or the potential of a special form $u(x,y)=\mu -u \cosh^2 x/l$, where $\mu$ is the chemical potential. The eigenvalue problem is solved analytically for an artificial model allowing the unbounded density of the particles. The spectra of collective modes are calculated numerically for the stripe, the rare density valley and the edge geometry and compared with the analytical results. It is shown that the energies of the modes localized at the rare density region and at the edge are well approximated by the analytical expressions. We discuss Bose-Einstein condensation (BEC) in the systems under investigations at $T\ne 0$ and find that in case of a finite number of the particles the regime of BEC can be realized, whereas the condensate disappears in the thermodynamic limit.Comment: 10 pages, 2 figures include

Condensation Energy and Spectral Functions in High Temperature Superconductors

If high temperature cuprate superconductivity is due to electronic correlations, then the energy difference between the normal and superconducting states can be expressed in terms of the occupied part of the single particle spectral function. The latter can, in principle, be determined from angle resolved photoemission (ARPES) data. As a consequence, the energy gain driving the development of the superconducting state is intimately related to the dramatic changes in the photoemission lineshape when going below Tc. These points are illustrated in the context of the "mode" model used to fit ARPES data in the normal and superconducting states, where the question of kinetic energy versus potential energy driven superconductivity is explored in detail. We use our findings to comment on the relation of ARPES data to the condensation energy, and to various other experimental data. In particular, our results suggest that the nature of the superconducting transition is strongly related to how anomalous (non Fermi liquid like) the normal state spectral function is, and as such, is dependent upon the doping level.Comment: 10 pages, revtex, 4 encapsulated postscript figure