Prosthesis coupling

A coupling for use in an apparatus for connecting a prosthesis to the bone of a stump of an amputated limb is described which permits a bio-compatible carbon sleeve forming a part of the prosthesis connector to float so as to prevent disturbing the skin seal around the carbon sleeve. The coupling includes a flexible member interposed between a socket that is inserted within an intermedullary cavity of the bone and the sleeve. A lock pin is carried by the prosthesis and has a stem portion which is adapted to be coaxially disposed and slideably within the tubular female socket for securing the prosthesis to the stump. The skin around the percutaneous carbon sleeve is able to move as a result of the flexing coupling so as to reduce stresses caused by changes in the stump shape and/or movement between the bone and the flesh portion of the stump

Orthostatic intolerance and autonomic dysfunction following bariatric surgery: A retrospective study and review of the literature

The prevalence and costs of the obesity epidemic and obesity-related conditions, including diabetes mellitus, is consistently increasing worldwide. Bariatric medicine is attempting to address this with weight loss and exercise programmes, and with increasing frequency, various forms of bariatric surgery. There has been considerable success reported after bariatric surgery but not without. We describe 14 patients with orthostatic intolerance (OI) post bariatric surgery. We report on OI (postural dizziness, palpitations and fainting), the results of cardiovascular autonomic testing and the associated and/or causative findings as well as reviewing the literature to consider the possible mechanisms. Comprehensive autonomic testing revealed that 35.7% (Buchwald et al., 2004) of these patients fulfilled the criteria for the Postural Tachycardia Syndrome (PoTS), 57.1% (Cremieux et al., 2008) had low levels of basal BP and 42.9% (Cammisotto & Bendayan, 2007) patients were presyncopal and 14.3% (Billakanty et al., 2008) experienced syncope. We propose that the incidence of OI post-bariatric surgery is higher than considered, that certain cohorts may be more susceptible to complications, and that further research is needed to identify the prevalence and, ideally anticipate occurrence. With the increasing prevalence of obesity and required clinical interventions, further understanding of the pathophysiological processes causing autonomic dysfunction after bariatric interventions will aid management, which may differ in those with an underlying disposition to autonomic involvement, such as diabetics, in whom such procedures are increasingly used

Drogue Parachute Effects on the Orion Crew Module Stability

A forced oscillation test of the Orion Crew Module (CM) was conducted in the Langley 20-Foot Vertical Spin Tunnel. The objective of the test was to quantify the rate damping characteristics of the CM-drogue chute system. Numerous configurations were tested to measure the influence of the chutes on the CM dynamic aerodynamics and, conversely, the influence of the CM on drogue performance. Results show that the CM-drogue system is well-damped at all combinations of frequency, amplitude, and Strouhal number. The wake of the CM significantly reduces the drogue chute riser line force, and the drogues have little upstream influence on the CM aerodynamics. These results are being used to improve simulation model fidelity of CM flight with drogues deployed, which has been identified by the project as key to a successful Orion Critical Design Review

Decorin protein core affects the global gene expression profile of the tumor microenvironment in a triple-negative orthotopic breast carcinoma xenograft model

Decorin, a member of the small leucine-rich proteoglycan gene family, exists and functions wholly within the tumor microenvironment to suppress tumorigenesis by directly targeting and antagonizing multiple receptor tyrosine kinases, such as the EGFR and Met. This leads to potent and sustained signal attenuation, growth arrest, and angiostasis. We thus sought to evaluate the tumoricidal benefits of systemic decorin on a triple-negative orthotopic breast carcinoma xenograft model. To this end, we employed a novel high-density mixed expression array capable of differentiating and simultaneously measuring gene signatures of both Mus musculus (stromal) and Homo sapiens (epithelial) tissue origins. We found that decorin protein core modulated the differential expression of 374 genes within the stromal compartment of the tumor xenograft. Further, our top gene ontology classes strongly suggests an unexpected and preferential role for decorin protein core to inhibit genes necessary for immunomodulatory responses while simultaneously inducing expression of those possessing cellular adhesion and tumor suppressive gene properties. Rigorous verification of the top scoring candidates led to the discovery of three genes heretofore unlinked to malignant breast cancer that were reproducibly found to be induced in several models of tumor stroma. Collectively, our data provide highly novel and unexpected stromal gene signatures as a direct function of systemic administration of decorin protein core and reveals a fundamental basis of action for decorin to modulate the tumor stroma as a biological mechanism for the ascribed anti-tumorigenic properties

Seasonal Variation in Terrestrial Invertebrate Subsidies to Tropical Streams and Implications for the Feeding Ecology of Hart’s Rivulus (Anablepsoides hartii)

Terrestrial invertebrates are important subsidies to fish diets, though their seasonal dynamics and importance to tropical stream consumers are particularly understudied. In this year-round study of terrestrial invertebrate input to two Trinidadian headwater streams with different forest canopy densities, we sought to (a) measure the mass and composition of terrestrial inputs with fall-in traps to evaluate the influences of seasonality, canopy cover, and rainfall intensity, and; (b) compare terrestrial and benthic prey importance to Anablepsoides hartii(Hart’s Rivulus), the dominant invertivorous fish in these streams, by concurrently measuring benthic and drifting invertebrate standing stocks and the volume and composition of invertebrates in Rivulus guts throughout the year. The biomass of terrestrial invertebrate fall-in was 53% higher in the wet versus dry season; in particular, ant input was 320% higher. Ant biomass fall-in also increased with the density of canopy cover among sampling locations within both streams. Greater precipitation correlated with increased ant inputs to the more open-canopied stream and increased inputs of winged insects in the more closed canopy stream. Concurrently, the biomass of benthic invertebrates was reduced by more than half in the wet season in both streams. We detected no differences in the total volume of terrestrial prey in Rivulus diets between seasons, though ants were a greater proportion of their diet in the wet season. In contrast, benthic prey were nearly absent from Rivulus diets in the wet season in both streams. We conclude that terrestrial invertebrates are a substantial year-round prey subsidy for invertivores in tropical stream ecosystems like those we studied, which may contrast to most temperate streams where such terrestrial inputs are significantly reduced in the cold season. Interestingly, the strongest seasonal pattern in these tropical streams was observed in benthic invertebrate biomass which was greatly reduced and almost absent from Rivulus diets during the wet season. This pattern is essentially the inverse of the pattern observed in many temperate streams and highlights the need for additional studies in tropical ecosystems to better understand how spatial and temporal variation in terrestrial subsidies and benthic prey populations combine to influence consumer diets and the structure of tropical stream food webs

Recombination Models

We review the current status of recombination and coalescence models that have been successfully applied to describe hadronization in heavy ion collisions at RHIC energies. Basic concepts as well as actual implementations of the idea are discussed. We try to evaluate where we stand in our understanding at the moment and what remains to be done in the future.Comment: Plenary Talk at Quark Matter 2004, submitted to J. Phys. G, 8 pages, 3 figure

Near-Earth solar wind forecasting using corotation from L5: the error introduced by heliographic latitude offset

Routine in‐situ solar wind observations from L5, located 60° behind Earth in its orbit, would provide a valuable input to space‐weather forecasting. One way to ulitise such observations is to assume that the solar wind is in perfect steady state over the 4.5 days it takes the Sun to rotate 60° and thus near‐Earth solar wind in 4.5‐days time would be identical to that at L5 today. This corotation approximation is most valid at solar minimum when the solar wind is slowly evolving. Using STEREO data, it has been possible to test L5‐corotation forecasting for a few months at solar minimum, but the various contributions to forecast error cannot be disentangled. This study uses 40+ years of magnetogram‐constrained solar wind simulations to isolate the effect of latitudinal offset between L5 and Earth due to the inclination of the ecliptic plane to the solar rotational equator. Latitudinal offset error is found to be largest at solar minimum, due to the latitudinal ordering of solar wind structure. It is also a strong function of time of year; maximum at the solstices and very low at equinoxes. At solstice, the latitudinal offset alone means L5‐corotation forecasting is expected to be less accurate than numerical solar wind models, even before accounting for time‐dependent solar wind structures. Thus, a combination of L5‐corotation and numerical solar wind modelling may provide the best forecast. These results also highlight that three‐dimensional solar wind structure must be accounted for when performing solar wind data assimilation

Propagation of cosmic-ray nucleons in the Galaxy

We describe a method for the numerical computation of the propagation of primary and secondary nucleons, primary electrons, and secondary positrons and electrons. Fragmentation and energy losses are computed using realistic distributions for the interstellar gas and radiation fields, and diffusive reacceleration is also incorporated. The models are adjusted to agree with the observed cosmic-ray B/C and 10Be/9Be ratios. Models with diffusion and convection do not account well for the observed energy dependence of B/C, while models with reacceleration reproduce this easily. The height of the halo propagation region is determined, using recent 10Be/9Be measurements, as >4 kpc for diffusion/convection models and 4-12 kpc for reacceleration models. For convection models we set an upper limit on the velocity gradient of dV/dz < 7 km/s/kpc. The radial distribution of cosmic-ray sources required is broader than current estimates of the SNR distribution for all halo sizes. Full details of the numerical method used to solve the cosmic-ray propagation equation are given.Comment: 15 pages including 23 ps-figures and 3 tables, latex2e, uses emulateapj.sty (ver. of 11 May 1998, enclosed), apjfonts.sty, timesfonts.sty. To be published in ApJ 1998, v.509 (December 10 issue). More details can be found at http://www.gamma.mpe-garching.mpg.de/~aws/aws.html Some references are correcte

Double-Peaked X-Ray Lines from the Oxygen/Neon-Rich Accretion Disk in 4U1626-67

We report on a 39 ks observation of the 7.7-s low-mass X-ray binary pulsar 4U1626-67 with the High Energy Transmission Grating Spectrometer (HETGS) on the Chandra X-Ray Observatory. This ultracompact system consists of a disk-accreting magnetic neutron star and a very low mass, hydrogen-depleted companion in a 42-min binary. We have resolved the previously reported Ne/O emission line complex near 1 keV into Doppler pairs of broadened (2500 km/s FWHM) lines from highly ionized Ne and O. In most cases, the blue and red line components are of comparable strength, with blueshifts of 1550-2610 km/s and redshifts of 770-1900 km/s. The lines appear to originate in hot (10^6 K), dense material just below the X-ray-heated skin of the outer Keplerian accretion disk, or else possibly in a disk wind driven from the pulsar's magnetopause. The observed photoelectric absorption edges of Ne and O appear nearly an order of magnitude stronger than expected from interstellar material and are likely formed in cool, metal-rich material local to the source. Based on the inferred local abundance ratios, we argue that the mass donor in this binary is probably the 0.02 M_sun chemically fractionated core of a C-O-Ne or O-Ne-Mg white dwarf which has previously crystallized.Comment: 9 pages. Accepted for publication in ApJ. Table 2 correcte

Can HRCT be used as a marker of airway remodelling in children with difficult asthma?

BACKGROUND: Whole airway wall thickening on high resolution computed tomography (HRCT) is reported to parallel thickening of the bronchial epithelial reticular basement membrane (RBM) in adult asthmatics. A similar relationship in children with difficult asthma (DA), in whom RBM thickening is a known feature, may allow the use of HRCT as a non-invasive marker of airway remodelling. We evaluated this relationship in children with DA. METHODS: 27 children (median age 10.5 [range 4.1-16.7] years) with DA, underwent endobronchial biopsy from the right lower lobe and HRCT less than 4 months apart. HRCTs were assessed for bronchial wall thickening (BWT) of the right lower lobe using semi-quantitative and quantitative scoring techniques. The semi-quantitative score (grade 0-4) was an overall assessment of BWT of all clearly identifiable airways in HRCT scans. The quantitative score (BWT %; defined as [airway outer diameter - airway lumen diameter]/airway outer diameter x100) was the average score of all airways visible and calculated using electronic endpoint callipers. RBM thickness in endobronchial biopsies was measured using image analysis. 23/27 subjects performed spirometry and the relationships between RBM thickness and BWT with airflow obstruction evaluated. RESULTS: Median RBM thickness in endobronchial biopsies was 6.7(range 4.6-10.0) microm. Median qualitative score for BWT of the right lower lobe was 1(range 0-1.5) and quantitative score was 54.3 (range 48.2-65.6)%. There was no relationship between RBM thickness and BWT in the right lower lobe using either scoring technique. No relationship was found between FEV1 and BWT or RBM thickness. CONCLUSION: Although a relationship between RBM thickness and BWT on HRCT has been found in adults with asthma, this relationship does not appear to hold true in children with D