DEVELOPMENT OF A CLASSIFICATION SYSTEM ON ANKLE-JOINT STIFFNESS

AIM OF THE PROJECT Aim of the project is to develop a classification system for the ankle stiffness in sideward rotations of the fool. MOTIVATION In a previous study (1) a classification system for (running) shoes has been developed on the aspects stability and shock absorption based on a mechanical test protocol. If corresponding features can be quantified for the (lower) legs of the runner, running shoes can be more carefully selected. For example, a runner with less stiff ankles may need shoes which have high stabilizing properties, whereas runners with stable ankles may ask for (more) shock absorbency of their shoes. Consequently, classification systems may contribute to the reduction and /or prevention of running-related injuries. In the present project we have focused ourselves on the stiffness of the ankle. Method: An apparatus has been constructed to quantify the resistance of the foot against sideward rotations. The foot of a person to be tested in a sitting position is placed on a platform and fixed by a special technique. The lower leg is kept in vertical position by straps. The leg is allowed to rotate and translate to some extent around and along the vertical axis of the lower leg. By rotating the platform, the foot can be moved through plantar/dorsal flexion, abduction/adduction and inward/outward rotation. In the first two planes of motion discrete positions of the foot are prescribed while the inward/outward motion is imposed in a motor-driven way. The axes of rotation can be adjusted to individual differences. The axial load on the lower leg can be varied in discrete steps. In this project, the moment of force (M) as a function of rotation (Φ) is measured during inversion/aversion cycle in two positions of the foot, viz. neutral position (0 degrees flexion, 0 degrees adduction) and flexed position (20 degrees plantar flexion, 10 degrees adduction) without axial loading of the tibia. At present, the left ankles of a group of 14 volunteers without ankle complaints and 6 with ankle complaints are measured. Results and Discussion:Based on the specific and reproducible non-linear M- Φ relationship several parameters are deduced such as primary stiffness, mobility, and secondary stiffness for aversion and inversion. One of the results is that in both foot positions the primary stiffness shows to be linear related to the mobility ( a higher stiffness results in a lower mobility.) In the flexed position the primary stiffness is less than in neutral foot position. Using the primary stiffness results of the “sound” group in the flexed foot position a starting classification is made in terms of “stiff”, “neutral”, and “lax”. Depiction of the results of the “injured” ankles in this classification shows that most of these ankles belong to the “lax” category. Biomechanical and epidemiological studies are necessary to evaluate the ultimate effects of combinated foot/shoe classifications

Sharp Inequalities of Bienaym\'e-Chebyshev and Gau\ss Type for Possibly Asymmetric Intervals around the Mean

Gau\ss (1823) proved a sharp upper bound on the probability that a random variable falls outside a symmetric interval around zero when its distribution is unimodal with mode at zero. For the class of all distributions with mean at zero, Bienaym\'e (1853) and Chebyshev (1867) independently provided another, simpler sharp upper bound on this probability. For the same class of distributions, Cantelli (1928) obtained a strict upper bound for intervals that are a half line. We extend these results to arbitrary intervals for six classes of distributions, namely the general class of `distributions', the class of `symmetric distributions', of `concave distributions', of `unimodal distributions', of `unimodal distributions with coinciding mode and mean', and of `symmetric unimodal distributions'. For some of the known inequalities, such as the Gau\ss \, inequality, an alternative proof is given.Comment: 33 pages, 1 tabl

In-situ spectroscopy of intrinsic Bi2Te3 topological insulator thin films and impact of extrinsic defects

Combined in-situ x-ray photoemission spectroscopy, scanning tunnelling spectroscopy and angle resolved photoemission spectroscopy of molecular beam epitaxy grown Bi2Te3 on lattice mismatched substrates reveal high quality stoichiometric thin films with topological surface states without a contribution from the bulk bands at the Fermi energy. The absence of bulk states at the Fermi energy is achieved without counter doping. We observe that the surface morphology and electronic band structure of Bi2Te3 are not affected by in-vacuo storage and exposure to oxygen, whereas major changes are observed when exposed to ambient conditions. These films help define a pathway towards intrinsic topological devices.Comment: 8 pages, 5 figure

An optical parsec-scale jet from a massive young star in the Large Magellanic Cloud

Highly collimated parsec-scale jets, generally linked to the presence of an accretion disk, are a commonly observed phenomenon from revealed low-mass young stellar objects. In the past two decades, only a very few of these objects have been directly (or indirectly) observed towards high-mass (M > 8 M$_{\odot}$) young stellar objects, adding to the growing evidence that disk-mediated accretion is a phenomenon also occurring in high-mass stars, the formation mechanism of which is still poorly understood. Of the observed jets from massive young stars, none is in the optical regime (due to these being typically highly obscured by their native material), and none are found outside of the Milky Way. Here, we report the detection of HH 1177, the first extragalactic optical ionized jet originating from a massive young stellar object located in the Large Magellanic Cloud. The jet is highly collimated over the entire measured extent of at least 10 pc, and has a bipolar geometry. The presence of a jet indicates ongoing, disk-mediated accretion, and together with the high degree of collimation, this system is therefore likely to be an up-scaled version of low-mass star formation. We conclude that the physics governing jet launching and collimation is independent of stellar mass.Comment: 9 pages, 5 figures, 2 table

CO in HI Self-Absorbed Clouds in Perseus

We have observed 12CO J = 2-1 and J = 1-0, and 13CO J = 1-0 emission in two regions of HI Self-Absorption (HISA) in Perseus: a small, isolated HISA feature called the globule and a more extended HISA cloud called the complex. Using both Large Velocity Gradient and Monte Carlo radiative transfer codes we found that, in the globule, N(12CO) < 6.0x10^15 cm-2 which, using PDR models, implies that N(H_2) < 9.9x10^20 cm-2. In the complex we found that the H_2 column densities ranged from 1.2 - 2.2 x 10^21 cm-2. By comparing the HISA and CO observations we are able to constrain the physical conditions and atomic gas fraction (f). In the globule, 8 K < T_spin < 22 K and 0.02 < f < 0.2 depending on whether the (unknown) gas density is 10^2, 10^3, or 10^4 cm-3. In the complex, 12 K < T_spin < 24 K, 0.02 < f < 0.05, and we were also able to constrain the gas density (100 < n < 1200 cm-3). These results imply that the gas in the HISA clouds is colder and denser than that usually associated with the atomic ISM and, indeed, is similar to that seen in molecular clouds. The small atomic gas fractions also imply that there is a significant molecular component in these HISA clouds, even when little or no 12CO is detected. The level of 12CO detected and the visual extinction due to dust is consistent with the idea that these HISA clouds are undergoing a transition from the atomic to molecular phase.Comment: 25 pages, 5 figures, tentatively scheduled for the ApJ 1 October 2005, v 631, 2 issu

Record RF performance of standard 90 nm CMOS technology

We have optimized 3 key RF devices realized in standard logic 90 nm CMOS technology and report a record performance in terms of n-MOS maximum oscillation frequency f/sub max/ (280 GHz), varactor tuning range and varactor and inductor quality factor

PROMISE:effect of protein supplementation on fat-free mass preservation after bariatric surgery, a randomized double-blind placebo-controlled trial

Introduction: Protein malnutrition after bariatric surgery is a severe complication and leads to significant morbidity. Previous studies have shown that protein intake and physical activity are the most important factors in the preservation of fat-free mass during weight loss. Low protein intake is very common in patients undergoing bariatric surgery despite dietary counseling. Protein powder supplements might help patients to achieve the protein intake recommendations after bariatric surgery and could therefore contribute to preserve fat-free mass. This double-blind randomized placebo-controlled intervention study aims to assess the effect of a daily consumed clear protein powder shake during the first 6 months after bariatric surgery on fat-free mass loss in the first 12 months after laparoscopic Roux-en-Y gastric bypass (LRYGB). Methods and analysis:Inclusion will take place at the outpatient clinic of the bariatric expertise center for obesity of the Maasstad Hospital. Patients will be randomly assigned to either the intervention or control group before surgery. The intervention group will receive a clear protein powder shake of 200 ml containing 20 g of whey protein dissolved in water which should be taken daily during the first 6 months after LRYGB on top of their normal postoperative diet. The control group will receive an isocaloric, clear, placebo shake containing maltodextrine. Postoperative rehabilitation and physiotherapeutical guidance will be standardized and similar in both groups. Also, both groups will receive the same dietary advice from specialized dieticians. The main study parameter is the percentage of fat-free mass loss 6 months after surgery, assessed by multi-frequency bioelectrical impedance analysis (MF-BIA). Ethics and dissemination: The protocol, version 2 (February 20, 2022) has been approved by the Medical Research Ethics Committees United (MEC-U) (NL 80414.100.22). The results of this study will be submitted to peer-reviewed journals. Trial registration: ClinicalTrials.gov NCT05570474. Registered on October 5, 2022.</p