Interactions with a photonic crystal micro-cavity using AFM in contact or tapping mode operation

In this paper we show how the evanescent field of a localized mode in a photonic crystal micro-cavity can be perturbed by a nano-sized AFM tip. Due to the high field intensities in the cavity, we can see a significant change in output power when the tip is brought into the evanescent field in either contact or tapping mode operation. We find a 4 dB modulation, when using a $Si_{3}N_{4}$ tip and we show that the transmittance can be tuned from 0.32 to 0.8 by varying the average tapping height

Nano-mechanical tuning and imaging of a photonic crystal micro-cavity resonance

We show that nano-mechanical interaction using atomic force microscopy (AFM) can be used to map out mode-patterns of an optical micro-resonator with high spatial accuracy. Furthermore we demonstrate how the Q-factor and center wavelength of such resonances can be sensitively modified by both horizontal and vertical displacement of an AFM tip consisting of either Si3N4 or Si material. With a silicon tip we are able to tune the resonance wavelength by 2.3 nm, and to set Q between values of 615 and zero, by expedient positioning of the AFM tip. We find full on/off switching for less than 100 nm vertical, and for 500 nm lateral\ud displacement at the strongest resonance antinode locations

The binding study advice in medical education: a 2-year experience.

To improve the effectiveness of higher education, Dutch universities implemented the binding study advice at medical faculties. Accordingly, medicine students of Radboud University need to gain ≥ 42 out of 60 European Credit Transfer System (ECTS) credits to obtain a positive binding study advice and to continue their study programme. In case of a negative advice, the student is obliged to terminate the study, and he/she cannot register for the same study programme in the Netherlands within the next three years. The purpose of this manuscript is to evaluate the effect of implementation of the binding study advice on study outcomes. First, the binding study advice did not impact on student performance, as the average ECTS credits were comparable before and after its introduction. Second, study progress improved 8 % with 93 % of the students obtaining access to the second year of the study programme after binding study advice implementation. Third, the binding study advice did not impact propaedeutic graduation rates. These data demonstrate that the implementation of the binding study advice in medical faculties has only a small impact on study outcomes. The high performance levels of medical students compared with peers at other faculties are likely to contribute to these findings and suggest a 'ceiling effect' in the potential improvement of study outcomes at medical faculties

Towards adiabatic waveforms for inspiral into Kerr black holes: I. A new model of the source for the time domain perturbation equation

We revisit the problem of the emission of gravitational waves from a test mass orbiting and thus perturbing a Kerr black hole. The source term of the Teukolsky perturbation equation contains a Dirac delta function which represents a point particle. We present a technique to effectively model the delta function and its derivatives using as few as four points on a numerical grid. The source term is then incorporated into a code that evolves the Teukolsky equation in the time domain as a (2+1) dimensional PDE. The waveforms and energy fluxes are extracted far from the black hole. Our comparisons with earlier work show an order of magnitude gain in performance (speed) and numerical errors less than 1% for a large fraction of parameter space. As a first application of this code, we analyze the effect of finite extraction radius on the energy fluxes. This paper is the first in a series whose goal is to develop adiabatic waveforms describing the inspiral of a small compact body into a massive Kerr black hole.Comment: 21 pages, 6 figures, accepted by PRD. This version removes the appendix; that content will be subsumed into future wor

Dropout from exercise programs for seniors: a prospective cohort study

This study examines dropout incidence, moment of dropout, and switching behavior in organized exercise programs for seniors in the Netherlands, as determined in a prospective cohort study (with baseline measurements at the start of the exercise program and follow-up after 6 months; N = 1,725, response rate 73%). Participants were community-living individuals 50+ who participated in different forms of organized exercise programs. The average dropout incidence was 0.15 per 6 months, which is lower than that for the general population. The dropout incidence and the timing of dropout differed substantially between the exercise programs. In total, 31% of people who dropped out of one type of exercise program switched to another type of exercise. The type of program and exercise had a strong effect on differences in this switching behavior. It is recommended that switching behavior be monitored in future studie

Determinants of physical activity and exercise in healthy older adults: A systematic review

<p>Abstract</p> <p>Background</p> <p>The health benefits of regular physical activity and exercise have been widely acknowledged. Unfortunately, a decline in physical activity is observed in older adults. Knowledge of the determinants of physical activity (unstructured activity incorporated in daily life) and exercise (structured, planned and repetitive activities) is needed to effectively promote an active lifestyle. Our aim was to systematically review determinants of physical activity and exercise participation among healthy older adults, considering the methodological quality of the included studies.</p> <p>Methods</p> <p>Literature searches were conducted in PubMed/Medline and PsycINFO/OVID for peer reviewed manuscripts published in English from 1990 onwards. We included manuscripts that met the following criteria: 1) population: community dwelling healthy older adults, aged 55 and over; 2) reporting determinants of physical activity or exercise. The outcome measure was qualified as physical activity, exercise, or combination of the two, measured objectively or using self-report. The methodological quality of the selected studies was examined and a best evidence synthesis was applied to assess the association of the determinants with physical activity or exercise.</p> <p>Results</p> <p>Thirty-four manuscripts reporting on 30 studies met the inclusion criteria, of which two were of high methodological quality. Physical activity was reported in four manuscripts, exercise was reported in sixteen and a combination of the two was reported in fourteen manuscripts. Three manuscripts used objective measures, twenty-two manuscripts used self-report measures and nine manuscripts combined a self-report measure with an objective measure. Due to lack of high quality studies and often only one manuscript reporting on a particular determinant, we concluded "insufficient evidence" for most associations between determinants and physical activity or exercise.</p> <p>Conclusions</p> <p>Because physical activity was reported in four manuscripts only, the determinants of physical activity particularly need further study. Recommendations for future research include the use of objective measures of physical activity or exercise as well as valid and reliable measures of determinants.</p

The impact of exercise-induced core body temperature elevations on coagulation responses.

OBJECTIVES: Exercise induces changes in haemostatic parameters and core body temperature (CBT). We aimed to assess whether exercise-induced elevations in CBT induce pro-thrombotic changes in a dose-dependent manner. DESIGN: Observational study. METHODS: CBT and haemostatic responses were measured in 62 participants of a 15-km road race at baseline and immediately after finishing. As haemostasis assays are routinely performed at 37°C, we corrected the assay temperature for the individual's actual CBT at baseline and finish in a subgroup of n=25. RESULTS: All subjects (44±11 years, 69% male) completed the race at a speed of 12.1±1.8km/h. CBT increased significantly from 37.6±0.4°C to 39.4±0.8°C (p<0.001). Post-exercise, haemostatic activity was increased, as expressed by accelerated thrombin generation and an attenuated plasmin response. Synchronizing assay temperature to the subjects' actual CBT resulted in additional differences and stronger acceleration of thrombin generation parameters. CONCLUSIONS: This study demonstrates that exercise induces a prothrombotic state, which might be partially dependent on the magnitude of the exercise-induced CBT rise. Synchronizing the assay temperature to approximate the subject's CBT is essential to obtain more accurate insight in the haemostatic balance during thermoregulatory challenging situations. Finally, this study shows that short-lasting exposure to a CBT of 41.2°C does not result in clinical symptoms of severe coagulation. We therefore hypothesize that prolonged exposure to a high CBT or an individual-specific CBT threshold needs to be exceeded before derailment of the haemostatic balance occurs

The impact of obesity on cardiac troponin levels after prolonged exercise in humans

Elevated cardiac troponin I (cTnI), a marker for cardiac damage, has been reported after high-intensity exercise in healthy subjects. Currently, little is known about the impact of prolonged moderate-intensity exercise on cTnI release, but also the impact of obesity on this response. 97 volunteers (55 men and 42 women), stratified for BMI, performed a single bout of walking exercise (30–50 km). We examined cTnI-levels before and immediately after the exercise bout in lean (BMI < 25 kg/m2, n = 30, 57 ± 19 years), overweight (25 ≤ BMI < 30 kg/m2, n = 29, 56 ± 11 years), and obese subjects (BMI ≥ 30 kg/m2, n = 28, 53 ± 9 years). Walking was performed at a self-selected pace. cTnI was assessed using a high-sensitive cTnI-assay (Centaur; clinical cut-off value ≥0.04 μg/L). We recorded subject characteristics (body weight, blood pressure, presence of cardiovascular risk) and examined exercise intensity by recording heart rate. Mean cTnI-levels increased significantly from 0.010 ± 0.006 to 0.024 ± 0.046 μg/L (P < 0.001). The exercise-induced increase in cTnI was not different between lean, overweight and obese subjects (two-way ANOVA interaction; P = 0.27). In 11 participants, cTnI was elevated above the clinical cut-off value for myocardial infarction. Logistic regression analysis identified exercise intensity (P < 0.001), but not BMI, body fat percentage or waist circumference to significantly relate to positive troponin tests. In conclusion, prolonged, moderate-intensity exercise results in a comparable increase in cTnI-levels in lean, overweight and obese subjects. Therefore, measures of obesity unlikely relate to the magnitude of the post-exercise elevation in cTnI

A symmetry-preserving second-order time-accurate PISO-based method

A new conservative symmetry-preserving second-order time-accurate PISO-based pressure-velocity coupling for solving the incompressible Navier-Stokes equations on unstructured collocated grids is presented in this paper. This new method for implicit time stepping is an extension of the conservative symmetry-preserving incremental-pressure projection method for explicit time stepping and unstructured collocated meshes of Trias et al. [35]. In order to assess and compare both methods, we have implemented them within one unified solver in the open source code OpenFOAM where we use a Butcher array to prescribe the Runge-Kutta method. Thus, by changing the entries of the Butcher array, explicit and diagonally implicit Runge-Kutta schemes can be combined into one solver. We assess the energy conservation properties of the implemented discretisation methods and the temporal consistency of the selected Runge-Kutta schemes using Taylor-Green vortex and lid-driven cavity flow test cases. Finally, we use a more complex turbulent channel flow test case in order to further assess the performance of the presented new conservative symmetry-preserving incremental-pressure PISO-based method. Although both implemented methods are based on a symmetry-preserving discretisation, we show they still produce a small amount of numerical dissipation when the total pressure is directly solved from a Poisson equation. When an incremental-pressure approach is used, where a pressure correction is solved from a Poisson equation, both methods are effectively fully-conservative. For high-fidelity simulations of incompressible turbulent flows, it is highly desirable to use fully-conservative methods. For such simulations, the presented numerical methods are therefore expected to have large added value, since they pave the way for the execution of truly energy-conservative high-fidelity simulations in complex geometries. Furthermore, both methods are implemented in OpenFOAM, which is widely used within the CFD community, so that a large part of this community can benefit from the developed and implemented numerical methods