Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

Objective: Telemedicine and telementoring have had a significant boost across all medical and surgical specialties over the last decade and especially during the COVID-19 pandemic. The aim of this scoping review is to synthesize the current use of telemedicine and telementoring in otorhinolaryngology and head and neck surgery. Data Sources: PubMed and Cochrane Library. Review Methods: A scoping review search was conducted, which identified 469 articles. Following full-text screening by 2 researchers, 173 articles were eligible for inclusion and further categorized via relevant subdomains. Conclusions: Virtual encounters and telementoring are the 2 main applications of telemedicine in otolaryngology. These applications can be classified into 7 subdomains. Different ear, nose, and throat subspecialties utilized certain telemedicine applications more than others; for example, almost all articles on patient engagement tools are rhinology based. Overall, telemedicine is feasible, showing similar concordance when compared with traditional methods; it is also cost-effective, with high patient and provider satisfaction. Implications for Practice: Telemedicine in otorhinolaryngology has been widely employed during the COVID-19 pandemic and has a huge potential, especially with regard to its distributing quality care to rural areas. However, it is important to note that with current exponential use, it is equally crucial to ensure security and privacy and integrate HIPAA-compliant systems (Health Insurance Portability and Accountability Act) in the big data era. It is expected that many more applications developed during the pandemic are here to stay and will be refined in years to come

Spin densities in the transverse plane and generalized transversity distributions

We show how generalized quark distributions in the nucleon describe the density of polarized quarks in the impact parameter plane, both for longitudinal and transverse polarization of the quark and the nucleon. This density representation entails positivity bounds including chiral-odd distributions, which tighten the known bounds in the chiral-even sector. Using the quark equations of motion, we derive relations between the moments of chiral-odd generalized parton distributions of twist two and twist three. We exhibit the analogy between polarized quark distributions in impact parameter space and transverse momentum dependent distribution functions.Comment: 23 pages, 6 eps-figure

Instability driven fragmentation of nanoscale fractal islands

Formation and evolution of fragmentation instabilities in fractal islands, obtained by deposition of silver clusters on graphite, are studied. The fragmentation dynamics and subsequent relaxation to the equilibrium shapes are controlled by the deposition conditions and cluster composition. Sharing common features with other materials' breakup phenomena, the fragmentation instability is governed by the length-to-width ratio of the fractal arms.Comment: 5 pages, 3 figures, Physical Review Letters in pres

Generic Mechanism of Emergence of Amyloid Protofilaments from Disordered Oligomeric aggregates

The presence of oligomeric aggregates, which is often observed during the process of amyloid formation, has recently attracted much attention since it has been associated with neurodegenerative conditions such as Alzheimer's and Parkinson's diseases. We provide a description of a sequence-indepedent mechanism by which polypeptide chains aggregate by forming metastable oligomeric intermediate states prior to converting into fibrillar structures. Our results illustrate how the formation of ordered arrays of hydrogen bonds drives the formation of beta-sheets within the disordered oligomeric aggregates that form early under the effect of hydrophobic forces. Initially individual beta-sheets form with random orientations, which subsequently tend to align into protofilaments as their lengths increases. Our results suggest that amyloid aggregation represents an example of the Ostwald step rule of first order phase transitions by showing that ordered cross-beta structures emerge preferentially from disordered compact dynamical intermediate assemblies.Comment: 14 pages, 4 figure

Leptonic Decays of Heavy Quarks on the Lattice

The status of lattice calculations of heavy-light decay constants and of the $B$ parameter $B_B$ is reviewed. After describing the lattice approach to heavy quark systems, the main results are discussed, with special emphasis on the systematic errors in present lattice calculations. A detailed analysis of the continuum limit for decay constants is performed. The implications of lattice results on studies of CP violation in the Standard Model are discussed.Comment: Invited review to be published in Int. J. Mod. Phys. A, 63 pages, LaTeX, ijmpa1.sty (included), 8 postscript figure

Enhancing surface heat transfer by carbon nanofins: towards an alternative to nanofluids?

Background: Nanofluids are suspensions of nanoparticles and fibers which have recently attracted much attention because of their superior thermal properties. Nevertheless, it was proven that, due to modest dispersion of nanoparticles, such high expectations often remain unmet. In this article, by introducing the notion of nanofin, a possible solution is envisioned, where nanostructures with high aspect-ratio are sparsely attached to a solid surface (to avoid a significant disturbance on the fluid dynamic structures), and act as efficient thermal bridges within the boundary layer. As a result, particles are only needed in a small region of the fluid, while dispersion can be controlled in advance through design and manufacturing processes. Results: Toward the end of implementing the above idea, we focus on single carbon nanotubes to enhance heat transfer between a surface and a fluid in contact with it. First, we investigate the thermal conductivity of the latter nanostructures by means of classical non-equilibrium molecular dynamics simulations. Next, thermal conductance at the interface between a single wall carbon nanotube (nanofin) and water molecules is assessed by means of both steady-state and transient numerical experiments. Conclusions: Numerical evidences suggest a pretty favorable thermal boundary conductance (order of 107 W·m-2·K-1) which makes carbon nanotubes potential candidates for constructing nanofinned surface

Fluctuation-dissipation theorem and flux noise in overdamped Josephson junction arrays

The form of the fluctuation-dissipation theorem for a resistively shunted Josephson juction array is derived with the help of the method which explicitely takes into acoount screening effects. This result is used to express the flux noise power spectrum in terms of frequency dependent sheet impedance of the array. The relation between noise amplitude and parameters of the detection coil is analysed for the simplest case of a single-loop coil.Comment: ReVTeX, 8 page