A three-dimensional finite element model of maximal grip loading in the human wrist

The aim of this work was to create an anatomically accurate three-dimensional finite element model of the wrist, applying subject-specific loading and quantifying the internal load transfer through the joint during maximal grip. For three subjects, representing the anatomical variation at the wrist, loading on each digit was measured during a maximal grip strength test with simultaneous motion capture. The internal metacarpophalangeal joint load was calculated using a biomechanical model. High-resolution magnetic resonance scans were acquired to quantify bone geometry. Finite element analysis was performed, with ligaments and tendons added, to calculate the internal load distribution. It was found that for the maximal grip the thumb carried the highest load, an average of 72.2 ¡ 20.1 N in the neutral position. Results from the finite element model suggested that the highest regions of stress were located at the radial aspect of the carpus. Most of the load was transmitted through the radius, 87.5 per cent, as opposed to 12.5 per cent through the ulna with the wrist in a neutral position. A fully three-dimensional finite element analysis of the wrist using subject-specific anatomy and loading conditions was performed. The study emphasizes the importance of modelling a large ensemble of subjects in order to capture the spectrum of the load transfer through the wrist due to anatomical variation

Where are the Hedgehogs in Nematics?

In experiments which take a liquid crystal rapidly from the isotropic to the nematic phase, a dense tangle of defects is formed. In nematics, there are in principle both line and point defects (``hedgehogs''), but no point defects are observed until the defect network has coarsened appreciably. In this letter the expected density of point defects is shown to be extremely low, approximately $10^{-8}$ per initially correlated domain, as result of the topology (specifically, the homology) of the order parameter space.Comment: 6 pages, latex, 1 figure (self-unpacking PostScript)

Multichannel Si Photonic Crystal filters with Fine-Tuning Capability of Individual Channels for WDM optical interconnects

This is the author accepted manuscriptWe demonstrate a simple, low-cost solution for a single multi-channel WDM (Wavelength Division Multiplexing) filter with fine-tuning capability at the level of the individual channels. The filter is based on silicon photonic crystal and microfluidic technologies and can be integrated with CMOS processes.Engineering and Physical Sciences Research Council (EPSRC

The Zero Temperature Chiral Phase Transition in SU(N) Gauge Theories

We investigate the zero temperature chiral phase transition in an SU(N) gauge theory as the number of fermions $N_f$ is varied. We argue that there exists a critical number of fermions $N_f^c$, above which there is no chiral symmetry breaking or confinement, and below which both chiral symmetry breaking and confinement set in. We estimate $N_f^c$ and discuss the nature of the phase transition.Comment: 13 pages, LaTeX, version published in PR

Hot dense capsule implosion cores produced by z-pinch dynamic hohlraum radiation

Hot dense capsule implosions driven by z-pinch x-rays have been measured for the first time. A ~220 eV dynamic hohlraum imploded 1.7-2.1 mm diameter gas-filled CH capsules which absorbed up to ~20 kJ of x-rays. Argon tracer atom spectra were used to measure the Te~ 1keV electron temperature and the ne ~ 1-4 x10^23 cm-3 electron density. Spectra from multiple directions provide core symmetry estimates. Computer simulations agree well with the peak compression values of Te, ne, and symmetry, indicating reasonable understanding of the hohlraum and implosion physics.Comment: submitted to Phys. Rev. Let

How does quality enter into health care purchasing decisions?

A number of employers, business consortia, and public purchasers are promoting value-based purchasing as a way to improve the quality of patient care. Some purchasers are using publicly available information on health plan and provider performance to make their health plan and provider choices, while others are using their market power to drive improvements in patient care and safety. This article examines six key strategies used by purchasers

Efficacy and safety of secukinumab administration by autoinjector in patients with psoriatic arthritis: results from a randomized, placebo-controlled trial (FUTURE 3)

Background: The study aimed to assess 52-week efficacy and safety of secukinumab self-administration by autoinjector in patients with active psoriatic arthritis (PsA) in the FUTURE 3 study (ClinicalTrials.gov NCT01989468). Methods: Patients (≥ 18 years of age; N = 414) with active PsA were randomized 1:1:1 to subcutaneous (s.c.) secukinumab 300 mg, 150 mg, or placebo at baseline, weeks 1, 2, 3, and 4, and every 4 weeks thereafter. Per clinical response, placebo-treated patients were re-randomized to s.c. secukinumab 300 or 150 mg at week 16 (nonresponders) or week 24 (responders) and stratified at randomization by prior anti-tumor necrosis factor (TNF) therapy (anti-TNF-naïve, 68.1%; intolerant/inadequate response (anti-TNF-IR), 31.9%). The primary endpoint was the proportion of patients achieving at least 20% improvement in American College of Rheumatology response criteria (ACR20) at week 24. Autoinjector usability was evaluated by Self-Injection Assessment Questionnaire (SIAQ). Results: Overall, 92.1% (300 mg), 91.3% (150 mg), and 93.4% (placebo) of patients completed 24 weeks, and 84.9% (300 mg) and 79.7% (150 mg) completed 52 weeks. In the overall population (combined anti-TNF-naïve and anti-TNF-IR), ACR20 response rate at week 24 was significantly higher in secukinumab groups (300 mg, 48.2% (p < 0.0001); 150 mg, 42% (p < 0.0001); placebo, 16.1%) and was sustained through 52 weeks. SIAQ results showed that more than 93% of patients were satisfied/very satisfied with autoinjector usage. Secukinumab was well tolerated with no new or unexpected safety signals reported. Conclusions: Secukinumab provided sustained improvements in signs and symptoms in active PsA patients through 52 weeks. High acceptability of autoinjector was observed. The safety profile was consistent with that reported previously

The Phase Structure of an SU(N) Gauge Theory with N_f Flavors

We investigate the chiral phase transition in SU(N) gauge theories as the number of quark flavors, $N_f$, is varied. We argue that the transition takes place at a large enough value of $N_f$ so that it is governed by the infrared fixed point of the $\beta$ function. We study the nature of the phase transition analytically and numerically, and discuss the spectrum of the theory as the critical value of $N_f$ is approached in both the symmetric and broken phases. Since the transition is governed by a conformal fixed point, there are no light excitations on the symmetric side. We extend previous work to include higher order effects by developing a renormalization group estimate of the critical coupling.Comment: 34 pages, 1 figure. More references adde

Influence of rare regions on magnetic quantum phase transitions

The effects of quenched disorder on the critical properties of itinerant quantum magnets are considered. Particular attention is paid to locally ordered rare regions that are formed in the presence of quenched disorder even when the bulk system is still in the nonmagnetic phase. It is shown that these local moments or instantons destroy the previously found critical fixed point in the case of antiferromagnets. In the case of itinerant ferromagnets, the critical behavior is unaffected by the rare regions due to an effective long-range interaction between the order parameter fluctuations.Comment: 4 pp., REVTe

Localized Nasopharyngeal Amyloidosis

A mass in the nasopharynx often implies a malignancy in adults, particularly in the endemic areas of Epstein-Barr virus-associated undifferentiated carcinoma. We report an 86-year-old male patient who presented to our rhinologic outpatient department with postnasal drip for several years, with no other associated nasal symptoms. Physical examination with nasal endoscopy found a prominent bulge in the nasopharynx. Pathological examination of the biopsied specimens identified features consistent with amyloidosis. Magnetic resonance imaging demonstrated an enhanced soft-tissue mass localized to the nasopharyngeal region. We excluded the possibility of a partial representation of a potential systemic amyloidosis. Regular follow-up including nasal endoscopy was undertaken. Over 3 years of observation, the disease process remained silent. Here, the clinical presentation, diagnosis and treatment options of this rare entity are discussed