295 research outputs found
Shoulder pain due to cervical radiculopathy: an underestimated long-term complication of herpes zoster virus reactivation?
Purpose
To evaluate if herpes zoster virus (HZV) reactivation may be considered in the aetiology of cervical radiculopathy.
Methods
The study group was composed of 110 patients (52 M-58F;mean age ± SD:46.5 ± 6.12; range:40-73) with a clinical diagnosis of cervical radiculopathy. Patients with signs of chronic damage on neurophysiological studies were submitted to an X-ray and to an MRI of the cervical spine in order to clarify the cause of the cervical radiculopathy and were investigated for a possible reactivation of HZV; HZV reactivation was considered as “recent” or “antique” if it occurs within or after 24 months from the onset of symptoms, respectively. Data were submitted to statistics.
Results
Thirty-eight patients (34,5%,16 M-22F) had a history of HZV reactivation: four (2 M-2F) were “recent” and 34 (14 M-20F) were “antique”. In 68 of 110 participants (61,8%,30 M-38F), pathological signs on X-ray and/or MRI of the cervical spine appeared; in the remaining 42 (38,2%,22 M-20F) X-ray and MRI resulted as negative. Among patients with HZV reactivation, seven (18,4%) had a “positive” X-ray-MRI while in 31 (81,6%) the instrumental exams were considered as negative. The prevalence of “antique” HZV reactivations was statistically greater in the group of patients with no pathological signs on X-ray/MRI of the cervical spine with respect to the group with a pathological instrumental exam (p < 0.01).
Conclusions
It may be useful to investigate the presence of a positive history of HZV reactivation and to consider it as a long-term complication of a cervical root inflammation especially in patients in which X-ray and MRI of the cervical spine did not show pathological findings
A new spin-anisotropic harmonic honeycomb iridate
The physics of Mott insulators underlies diverse phenomena ranging from high
temperature superconductivity to exotic magnetism. Although both the electron
spin and the structure of the local orbitals play a key role in this physics,
in most systems these are connected only indirectly --- via the Pauli exclusion
principle and the Coulomb interaction. Iridium-based oxides (iridates) open a
further dimension to this problem by introducing strong spin-orbit
interactions, such that the Mott physics has a strong orbital character. In the
layered honeycomb iridates this is thought to generate highly spin-anisotropic
interactions, coupling the spin orientation to a given spatial direction of
exchange and leading to strongly frustrated magnetism. The potential for new
physics emerging from such interactions has driven much scientific excitement,
most recently in the search for a new quantum spin liquid, first discussed by
Kitaev \cite{kitaev_anyons_2006}. Here we report a new iridate structure that
has the same local connectivity as the layered honeycomb, but in a
three-dimensional framework. The temperature dependence of the magnetic
susceptibility exhibits a striking reordering of the magnetic anisotropy,
giving evidence for highly spin-anisotropic exchange interactions. Furthermore,
the basic structural units of this material suggest the possibility of a new
family of structures, the `harmonic honeycomb' iridates. This compound thus
provides a unique and exciting glimpse into the physics of a new class of
strongly spin-orbit coupled Mott insulators.Comment: 12 pages including bibliography, 5 figure
Scale-invariant magnetoresistance in a cuprate superconductor
The anomalous metallic state in high-temperature superconducting cuprates is
masked by the onset of superconductivity near a quantum critical point. Use of
high magnetic fields to suppress superconductivity has enabled a detailed study
of the ground state in these systems. Yet, the direct effect of strong magnetic
fields on the metallic behavior at low temperatures is poorly understood,
especially near critical doping, . Here we report a high-field
magnetoresistance study of thin films of \LSCO cuprates in close vicinity to
critical doping, . We find that the metallic state
exposed by suppressing superconductivity is characterized by a
magnetoresistance that is linear in magnetic field up to the highest measured
fields of T. The slope of the linear-in-field resistivity is
temperature-independent at very high fields. It mirrors the magnitude and
doping evolution of the linear-in-temperature resistivity that has been
ascribed to Planckian dissipation near a quantum critical point. This
establishes true scale-invariant conductivity as the signature of the strange
metal state in the high-temperature superconducting cuprates.Comment: 10 pages, 3 figure
Controlling magnetic order and quantum disorder in molecule-based magnets.
We investigate the structural and magnetic properties of two molecule-based magnets synthesized from the same starting components. Their different structural motifs promote contrasting exchange pathways and consequently lead to markedly different magnetic ground states. Through examination of their structural and magnetic properties we show that [Cu(pyz)(H 2 O)(gly) 2 ](ClO 4 ) 2 may be considered a quasi-one-dimensional quantum Heisenberg antiferromagnet whereas the related compound [Cu(pyz)(gly)](ClO 4 ) , which is formed from dimers of antiferromagnetically interacting Cu 2+ spins, remains disordered down to at least 0.03 K in zero field but shows a field-temperature phase diagram reminiscent of that seen in materials showing a Bose-Einstein condensation of magnons
Controlling magnetic order and quantum disorder in molecule-based magnets
We investigate the structural and magnetic properties of two molecule-based magnets synthesized from the same starting components. Their different structural motifs promote contrasting exchange pathways and consequently lead to markedly different magnetic ground states. Through examination of their structural and magnetic properties we show that [Cu(pyz)(H2O)(gly)2](ClO4)2 may be considered a quasi-one-dimensional quantum Heisenberg antiferromagnet whereas the related compound [Cu(pyz)(gly)](ClO4), which is formed from dimers of antiferromagnetically interacting Cu2+ spins, remains disordered down to at least 0.03 K in zero field but shows a field-temperature phase diagram reminiscent of that seen in materials showing a Bose-Einstein condensation of magnons
Tin telluride: a weakly co-elastic metal
We report resonant ultrasound spectroscopy (RUS),
dilatometry/magnetostriction, magnetotransport, magnetization, specific heat,
and Sn M\"ossbauer spectroscopy measurements on SnTe and
SnCrTe. Hall measurements at K indicate that our
Bridgman-grown single crystals have a -type carrier concentration of cm and that our Cr-doped crystals have an -type
concentration of cm. Although our SnTe crystals are
diamagnetic over the temperature range , the Cr-doped crystals are room temperature ferromagnets with a Curie
temperature of 294 K. For each sample type, three-terminal capacitive
dilatometry measurements detect a subtle 0.5 micron distortion at K. Whereas our RUS measurements on SnTe show elastic hardening near the
structural transition, pointing to co-elastic behavior, similar measurements on
SnCrTe show a pronounced softening, pointing to
ferroelastic behavior. Effective Debye temperature, , values of SnTe
obtained from Sn M\"ossbauer studies show a hardening of phonons in the
range 60--115K ( = 162K) as compared with the 100--300K range
( = 150K). In addition, a precursor softening extending over
approximately 100 K anticipates this collapse at the critical temperature, and
quantitative analysis over three decades of its reduced modulus finds with , a value
indicating a three-dimensional softening of phonon branches at a temperature
K, considerably below . We suggest that the differences in
these two types of elastic behaviors lie in the absence of elastic domain wall
motion in the one case and their nucleation in the other
Variability in Surgical Treatment of Spondylolisthesis Among Spine Surgeons
Background
There are a multitude of treatments for low-grade lumbar spondylolisthesis. There are no clear guidelines for the optimal approach.
Objective
To identify the surgical treatment patterns for spondylolisthesis among United States spine surgeons.
Methods
445 spine surgeons in the United States completed a survey of clinical/radiographic case scenarios on patients with lumbar spondylolisthesis with neurogenic claudication with (S+BP) or without (S−BP) associated mechanical back pain. Treatment options included decompression, laminectomy with posterolateral fusion, posterior lumbar interbody fusion, or none of the above. The primary outcome measure was the probability of 2 randomly chosen surgeons disagreeing on the treatment method.
Results
There was 64% disagreement (36% agreement) among surgeons for treatment of spondylolisthesis with mechanical back pain (S+BP) and 71% disagreement (29% agreement) for spondylolisthesis without mechanical back pain (S−BP). For S+BP, disagreement was 52% for those practicing 5 to 10 years versus 70% among those practicing more than 20 years. Orthopedic surgeons had greater disagreement than did neurosurgeons (76% vs. 56%) for S+BP. Greater clinical equipoise was seen for S−BP than for S+BP regardless of surgeon characteristics. For spondylolisthesis without mechanical back pain, neurosurgeons were significantly more likely to select decompression-only than were orthopedic surgeons, who more commonly selected fusion.
Conclusions
Clinical equipoise exists for the treatment of spondylolisthesis. Differences are greater when the patient presents without associated back pain. Surgeon case volume, practice duration, and specialty training influence operative decisions for a given pathologic condition. Recognizing this practice variation will hopefully lead to better evidence and practice guidelines for the optimal and most cost-effective treatment paradigms
Report of virtual meeting for 13th MEDiterranean International Acoustic Surveys (MEDIAS) in the framework of European Data Collection Framework (DCF)
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