Unraveling the Mystery of Knee Pain: A Case Report

Evaluation and treatment of patients referred from physicians with a diagnosis of “knee pain” is commonplace in an outpatient physical therapy (PT) setting. Patients coming to PT through direct access without a physician referral may not have had diagnostic imaging performed to aid in identification of the cause of their knee pain. These situations require physical therapists to be skilled in PT differential diagnosis. The purpose of this case report is to describe the differential diagnosis and clinical decision making used to determine a PT diagnosis based on medical history, patient presentation, and examination findings and secondarily to describe the interventions and rationale used in the patient’s rehabilitation

On Extracting Mechanical Properties from Nanoindentation at Temperatures up to 1000∘^{\circ}C

Alloyed MCrAlY bond coats, where M is usually cobalt and/or nickel, are essential parts of modern turbine blades, imparting environmental resistance while mediating thermal expansivity differences. Nanoindentation allows the determination of their properties without the complexities of traditional mechanical tests, but was not previously possible near turbine operating temperatures. Here, we determine the hardness and modulus of CMSX-4 and an Amdry-386 bond coat by nanoindentation up to 1000$^{\circ}$C. Both materials exhibit a constant hardness until 400$^{\circ}$C followed by considerable softening, which in CMSX-4 is attributed to the multiple slip systems operating underneath a Berkovich indenter. The creep behaviour has been investigated via the nanoindentation hold segments. Above 700$^{\circ}$C, the observed creep exponents match the temperature-dependence of literature values in CMSX-4. In Amdry-386, nanoindentation produces creep exponents very close to literature data, implying high-temperature nanoindentation may be powerful in characterising these coatings and providing inputs for material, model and process optimisations

Almost reducibility for finitely differentiable SL(2,R)-valued quasi-periodic cocycles

Quasi-periodic cocycles with a diophantine frequency and with values in SL(2,R) are shown to be almost reducible as long as they are close enough to a constant, in the topology of k times differentiable functions, with k great enough. Almost reducibility is obtained by analytic approximation after a loss of differentiability which only depends on the frequency and on the constant part. As in the analytic case, if their fibered rotation number is diophantine or rational with respect to the frequency, such cocycles are in fact reducible. This extends Eliasson's theorem on Schr\"odinger cocycles to the differentiable case

Phase detection at the quantum limit with multi-photon Mach-Zehnder interferometry

We study a Mach-Zehnder interferometer fed by a coherent state in one input port and vacuum in the other. We explore a Bayesian phase estimation strategy to demonstrate that it is possible to achieve the standard quantum limit independently from the true value of the phase shift and specific assumptions on the noise of the interferometer. We have been able to implement the protocol using parallel operation of two photon-number-resolving detectors and multiphoton coincidence logic electronics at the output ports of a weakly-illuminated Mach-Zehnder interferometer. This protocol is unbiased and saturates the Cramer-Rao phase uncertainty bound and, therefore, is an optimal phase estimation strategy.Comment: 4 pages, 5 figures replaced fig. 1 to correct graphics bu

Nonsolar astronomy with the Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI)

The Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI) is a NASA Small Explorer satellite designed to study hard x-ray and gamma-ray emission from solar flares. In addition, its high-resolution array of germanium detectors can see photons from high-energy sources throughout the Universe. Here we discuss the various algorithms necessary to extract spectra, lightcurves, and other information about cosmic gamma-ray bursts, pulsars, and other astrophysical phenomena using an unpointed, spinning array of detectors. We show some preliminary results and discuss our plans for future analyses. All RHESSI data are public, and scientists interested in participating should contact the principal author

Virtual water highway: water use efficiency in global food trade

International audienceAmid an increasing water scarcity in many parts of the world, virtual water trade as both a policy instrument and practical means to balance the regional, national and global water budget has received much attention in recent years. Built upon the knowledge of virtual water accounting in the literature, this study examines the efficiency of the resource use embodied in the global virtual water trade from the perspectives of exporting and importing countries. Different characteristics between "green" and "blue" virtual water corresponding to rainfed and irrigated agriculture are elaborated. The investigation reveals that the virtual water flows primarily from countries of high water productivity to countries of low water productivity, generating a global saving of water resources. Meanwhile, the domination of green virtual water in the total virtual water trade constitutes low opportunity costs and environmental impacts as opposed to blue virtual water. The results suggest efficiency gains in the global food trade in terms of water resource utilization. The study raises awareness of negative impacts of increasing reliance on irrigation for food production in many countries, including food exporting countries. The findings of the study call for a greater emphasis on rainfed agriculture to improve global food security and environmental sustainability

Measurement of electron screening in muonic lead

Energies of the transitions between high-lying (n≥6) states of muonic lead were accurately determined. The results are interpreted as a ∼2% test of the electron screening. The agreement between experiment and theory is good if it is assumed that the refilling of the electron K shell is fast. The present results furthermore severely restrict possible ionization of the electron L shell

Microcompression experiments on glasses ‐ strain rate sensitive cracking behavior

Figure 11 – microcompression experiments on glasses showing stable crack growth (a) and reversible deformation (b) It is well known that the mechanical properties of glasses are closely related to their atomic structure. The exact structure-property-relationship, however, is only poorly understood even for fundamental mechanisms like shear and densification. Nanomechanical test methods like micropillar compression and nano indentation can help fill this gap. In this study a sodium-boro-silicate glass is quenched from different temperatures to induce changes in the atomic structure. Micropillar compression was used to introduce plastic deformation into these glasses at room temperature under a uniaxial stress state. By changing the strain rate it is shown that deformation shifts from completely reversible deformation, to stable crack growth, and finally brittle failure. It is shown that by changing the glass structure, the strain rates corresponding to these deformation regimes are shifted. Finally, the occurrence of shear and densification is discussed. These findings are analysed against the background of the glass structure. Please click Additional Files below to see the full abstract

NMR implementation of Quantum Delayed-Choice Experiment

We report the first experimental demonstration of quantum delayed-choice experiment via nuclear magnetic resonance techniques. An ensemble of molecules each with two spin-1/2 nuclei are used as target and the ancilla qubits to perform the quantum circuit corresponding the delayed-choice setup. As expected in theory, our experiments clearly demonstrate the continuous morphing of the target qubit between particle-like and wave-like behaviors. The experimental visibility of the interference patterns shows good agreement with the theory.Comment: Revised text, more figures adde

Room temperature deformation mechanisms of the C14 Laves Phase in the Mg‐Al‐Ca system

In order to improve the creep resistance of magnesium alloys and thereby increase their operating temperature, hard intermetallic phases can be incorporated in the microstructure. In particular the addition of Al or Ca to Mg results in the formation of a skeleton-like intermetallic structure at the grain boundaries. This structure consists predominately of Laves phases, which reduces the minimum creep rate by a few orders of magnitude. In bulk, these Laves phases are extremely brittle at low temperatures, limiting our understanding of the underlying mechanisms of plasticity. Additionally, the small size of the microstructural features in technical alloys make bulk-scale tests unsuitable for studying these phases. Using nanomechanical testing (nanoindentation and microcompression) in individual grains, cracking can be suppressed and plastic deformation can be observed [1]. Micropillars were milled using FIB in individual grains of a polycrystalline specimen, and orientations determined by EBSD to activate and interrogate slip systems. These data have then been combined with slip line analysis around indents. Such an approach reveals the presence of pyramidal, prismatic and basal slip at ambient conditions, with pyramidal 1st order being the predominant slip plane. Critical resolved shear stresses for these slip systems have been calculated, and TEM analysis of the deformation microstructure performed. This work therefore exemplifies how nanomechanical testing in conjunction with electron microscopy can extend the current knowledge of plasticity in macroscopically brittle crystals. [1] S. Korte, W.J. Clegg, Studying Plasticity in Hard and Soft Nb–Co Intermetallics, Advanced Engineering Materials, 14, No. 11 (2012), 991-99