Measurement of tibial nerve excursion during ankle joint dorsiflexion in a weight-bearing position with ultrasound imaging

The ability of peripheral nerves to stretch and slide is thought to be of paramount importance to maintain ideal neural function. Excursion in peripheral nerves such as the tibial can be measured by analysis of ultrasound images. The aim of this study was to assess the degree of longitudinal tibial nerve excursion as the ankle moved from plantar flexion to dorsiflexion in a standardised weight-bearing position. The reliability of ultrasound imaging to measure tibial nerve excursion was also quantified

Spatial Structure and Coherent Motion in Dense Planetary Rings Induced by Self-Gravitational Instability

We investigate the formation of spatial structure in dense, self-gravitating particle systems such as Saturn's B-ring through local $N$-body simulations to clarify the intrinsic physics based on individual particle motion. In such a system, Salo (1995) showed that the formation of spatial structure such as wake-like structure and particle grouping (clump) arises spontaneously due to gravitational instability and the radial velocity dispersion increases as the formation of the wake structure. However, intrinsic physics of the phenomena has not been clarified. We performed local $N$-body simulations including mutual gravitational forces between ring particles as well as direct (inelastic) collisions with identical (up to $N\sim40000$) particles. In the wake structure particles no longer move randomly but coherently. We found that particle motion was similar to Keplerian motion even in the wake structure and that the coherent motion was produced since the particles in a clump had similar eccentricity and longitude of perihelion. This coherent motion causes the increase and oscillation in the radial velocity dispersion. The mean velocity dispersion is rather larger in a more dissipative case with a smaller restitution coefficient and/or a larger surface density since the coherence is stronger in the more dissipative case. Our simulations showed that the wavelength of the wake structure was approximately given by the longest wavelength \hs{\lambda}{cr} = 4\pi^2 G\Sigma/\kappa^2 in the linear theory of axisymmetric gravitational instability in a thin disk, where $G$, $\Sigma$, and $\kappa$ are the gravitational constant, surface density, and a epicyclic frequency.Comment: Accepted by Earth, Planets, and Space. 39 pages, 20 figures. PostScript files also available from http://www.geo.titech.ac.jp/nakazawalab/hdaisaka/works

Unusual behaviors in the transport properties of REFe4_{4}P12_{12} (RE: La, Ce, Pr, and Nd)

We have investigated the resistivity ($\rho$), thermoelectric power (TEP) and Hall coefficient ($R_{H}$) on high quality single crystals of REFe$_{4}$P$_{12}$. TEP in CeFe$_{4}$P$_{12}$ is extremely large ($\sim$ 0.5mV/K at 290K) with a peak of $\sim$ 0.75mV/K at around 65K. The Hall mobility also shows a peak at $\sim$ 65K, suggesting carriers with heavy masses developed at lower temperatures related with the f-hybridized band. Both Pr- and Nd- systems exhibit an apparent increase of $\rho$ with decreasing temperature far above their magnetic transition temperatures. In the same temperature ranges, TEP exhibits unusually large absolute values of -50$\mu$V/K for PrFe$_{4}$P$_{12}$ and -15$\mu$V/K for NdFe$_{4}$P$_{12}$, respectively. For PrFe$_{4}$P$_{12}$, such anomalous transport properties suggest an unusual ground state, possibly related with the Quadrupolar Kondo effect.Comment: 5 pages, 8 figure

Coefficient of restitution for elastic disks

We calculate the coefficient of restitution, $\epsilon$, starting from a microscopic model of elastic disks. The theory is shown to agree with the approach of Hertz in the quasistatic limit, but predicts inelastic collisions for finite relative velocities of two approaching disks. The velocity dependence of $\epsilon$ is calculated numerically for a wide range of velocities. The coefficient of restitution furthermore depends on the elastic constants of the material via Poisson's number. The elastic vibrations absorb kinetic energy more effectively for materials with low values of the shear modulus.Comment: 25 pages, 12 Postscript figures, LaTex2

Impact of SARS-CoV-2 on training and mental well-being of surgical gynecological oncology trainees

Introduction: The SARS-CoV-2 global pandemic has caused a crisis disrupting health systems worldwide. While efforts are being made to determine the extent of the disruption, the impact on gynecological oncology trainees/training has not been explored. We conducted an international survey of the impact of SARS-CoV-2 on clinical practice, medical education, and mental well-being of surgical gynecological oncology trainees. Methods: In our cross-sectional study, a customized web-based survey was circulated to surgical gynecological oncology trainees from national/international organizations from May to November 2020. Validated questionnaires assessed mental well-being. The Wilcoxon rank-sum test and Fisher's exact test were used to analyse differences in means and proportions. Multiple linear regression was used to evaluate the effect of variables on psychological/mental well-being outcomes. Outcomes included clinical practice, medical education, anxiety and depression, distress, and mental well-being. Results: A total of 127 trainees from 34 countries responded. Of these, 52% (66/127) were from countries with national training programs (UK/USA/Netherlands/Canada/Australia) and 48% (61/127) from countries with no national training programs. Altogether, 28% (35/125) had suspected/confirmed COVID-19, 28% (35/125) experienced a fall in household income, 20% (18/90) were self-isolated from households, 45% (57/126) had to re-use personal protective equipment, and 22% (28/126) purchased their own. In total, 32.3% (41/127) of trainees (16.6% (11/66) from countries with a national training program vs 49.1% (30/61) from countries with no national training program, p=0.02) perceived they would require additional time to complete their training fellowship. The additional training time anticipated did not differ between trainees from countries with or without national training programs (p=0.11) or trainees at the beginning or end of their fellowship (p=0.12). Surgical exposure was reduced for 50% of trainees. Departmental teaching continued throughout the pandemic for 69% (87/126) of trainees, although at reduced frequency for 16.1% (14/87), and virtually for 88.5% (77/87). Trainees reporting adequate pastoral support (defined as allocation of a dedicated mentor/access to occupational health support services) had better mental well-being with lower levels of anxiety/depression (p=0.02) and distress (p<0.001). Trainees from countries with a national training program experienced higher levels of distress (p=0.01). Mean (SD) pre-pandemic mental well-being scores were significantly higher than post-pandemic scores (8.3 (1.6) vs 7 (1.8); p<0.01). Conclusion: SARS-CoV-2 has negatively impacted the surgical training, household income, and psychological/mental well-being of surgical gynecological oncology trainees. The overall clinical impact was worse for trainees in countries with no national training program than for those in countries with a national training program, although national training program trainees reported greater distress. COVID-19 sickness increased anxiety/depression. The recovery phase must focus on improving mental well-being and addressing lost training opportunities

Ovarian cancer symptoms in pre-clinical invasive epithelial ovarian cancer - An exploratory analysis nested within the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

OBJECTIVE: UKCTOCS provides an opportunity to explore symptoms in preclinical invasive epithelial ovarian cancer (iEOC). We report on symptoms in women with pre-clinical (screen-detected) cancers (PC) compared to clinically diagnosed (CD) cancers. METHODS: In UKCTOCS, 202638 postmenopausal women, aged 50-74 were randomly allocated (April 17, 2001-September 29, 2005) 2:1:1 to no screening or annual screening till Dec 31,2011, using a multimodal or ultrasound strategy. Follow-up was through national registries. An outcomes committee adjudicated on OC diagnosis, histotype, stage. Eligible women were those diagnosed with iEOC at primary censorship (Dec 31, 2014). Symptom details were extracted from trial clinical-assessment forms and medical records. Descriptive statistics were used to compare symptoms in PC versus CD women with early (I/II) and advanced (III/IV/unable to stage) stage high-grade-serous (HGSC) cancer. ISRCTN-22488978; ClinicalTrials.gov-NCT00058032. RESULTS: 1133 (286PC; 847CD) women developed iEOC. Median age (years) at diagnosis was earlier in PC compared to CD (66.8PC, 68.7CD, p = 0.0001) group. In the PC group, 48% (112/234; 90%, 660/730CD) reported symptoms when questioned. Half PC (50%, 13/26PC; 36%, 29/80CD; p = 0.213) women with symptomatic HGSC had >1symptom, with abdominal symptoms most common, both in early (62%, 16/26, PC; 53% 42/80, CD; p = 0.421) and advanced (57%, 49/86, PC; 74%, 431/580, CD; p = 0.001) stages. In symptomatic early-stage HGSC, compared to CD, PC women reported more gastrointestinal (change in bowel habits and dyspepsia) (35%, 9/26PC; 9%, 7/80CD; p = 0.001) and systemic (mostly lethargy/tiredness) (27%, 7/26PC; 9%, 7/80CD; p = 0.017) symptoms. CONCLUSIONS: Our findings, add to the growing evidence, that we should reconsider what constitutes alert symptoms for early tubo-ovarian cancer. We need a more nuanced complex of key symptoms which is then evaluated and refined in a prospective trial

Plasticity and memory effects in the vortex solid phase of twinned YBa2Cu3O7 single crystals

We report on marked memory effects in the vortex system of twinned YBa2Cu3O7 single crystals observed in ac susceptibility measurements. We show that the vortex system can be trapped in different metastable states with variable degree of order arising in response to different system histories. The pressure exerted by the oscillating ac field assists the vortex system in ordering, locally reducing the critical current density in the penetrated outer zone of the sample. The robustness of the ordered and disordered states together with the spatial profile of the critical current density lead to the observed memory effects

Quantum fluctuations and strong mass renormalization in NiCl2-4SC(NH2)2

In a number of quantum paramagnets, magnetic field can induce a quantum phase transition to an antiferromagnetic state which exists for a range of fields Hc1 < H < Hc2. Generally, these compounds exhibit a significant asymmetry in their properties at low- and high-field transitions. Here we present detailed specific heat and thermal conductivity measurements in NiCl2-4SC(NH2)2 together with analytical and numerical results. We show that the asymmetry is caused by a strong renormalization of the effective mass of spin excitations due to quantum fluctuations for H<Hc1 that are absent for H<Hc2.Comment: 4 pages, 3 figures. Acepted for publication in Phy. Rev. Let

Magnetic field - temperature phase diagram of quasi-two-dimensional organic superconductor lambda-(BETS)_2 GaCl_4 studied via thermal conductivity

The thermal conductivity kappa of the quasi-two-dimensional (Q2D) organic superconductor lambda-(BETS)_2 GaCl_4 was studied in the magnetic field H applied parallel to the Q2D plane. The phase diagram determined from this bulk measurement shows notable dependence on the sample quality. In dirty samples the upper critical field H_{c2} is consistent with the Pauli paramagnetic limiting, and a sharp change is observed in kappa(H) at H_{c2 parallel}. In contrast in clean samples H_{c2}(T) shows no saturation towards low temperatures and the feature in kappa(H) is replaced by two slope changes reminiscent of second-order transitions. The peculiarity was observed below ~ 0.33T_c and disappeared on field inclination to the plane when the orbital suppression of superconductivity became dominant. This behavior is consistent with the formation of a superconducting state with spatially modulated order parameter in clean samples.Comment: 10 pages, 8 figures, new figure (Fig.5) and references added, title change