537 research outputs found

    Exploring factors influencing low back pain in people with non-dysvascular lower limb amputation: a national survey

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    Background: Chronic low back pain (LBP) is a common musculoskeletal impairment in people with lower limb amputation. Given the multifactorial nature of LBP, exploring the factors influencing the presence and intensity of LBP is warranted. Objective: To investigate which physical, personal, and amputee-specific factors predicted presence and intensity of low back pain (LBP) in persons with non-dysvascular transfemoral (TFA) and transtibial amputation (TTA). Design: A retrospective cross-sectional survey. Setting: A national random sample of people with non-dysvascular TFA and TTA. Participants: Participants (N = 526) with unilateral TFA and TTA due to non-dysvascular aetiology (i.e. trauma, tumours, and congenital causes) and a minimum prosthesis usage of one year since amputation were invited to participate in the survey. The data from 208 participants (43.4% response rate) were used for multivariate regression analysis Methods (Independent variables): Personal (i.e. age, body mass, gender, work status, and presence of comorbid conditions), amputee-specific (i.e. level of amputation, years of prosthesis use, presence of phantom limb pain, residual limb problems, and non-amputated limb pain), and physical factors (i.e. pain provoking postures including standing, bending, lifting, walking,sitting, sit-to stand, and climbing stairs). Main outcome measures (Dependent variables): LBP presence and intensity. Results: A multivariate logistic regression model showed that the presence of two or more comorbid conditions (prevalence odds ratio (POR) = 4.34, p = .01), residual limb problems (POR 22 = 3.76, p<.01), and phantom limb pain (POR = 2.46, p = .01) influenced the presence of LBP. Given the high LBP prevalence (63%) in the study, there is a tendency for overestimation of PORand the results must be interpreted with caution. In those with LBP, the presence of residual limb problems (beta = 0.21, p = .01), and experiencing LBP symptoms during sit-to-stand task (beta = 0.22, p = .03) were positively associated with LBP intensity, while being employed demonstrated a negative association (beta = - 0.18, p = .03) in the multivariate linear regression model. Conclusions: Rehabilitation professionals should be cognisant of the influence that comorbid conditions, residual limb problems, and phantom pain have on the presence of LBP in people with non-dysvascular lower limb amputation. Further prospective studies could investigate the underlying causal mechanisms of LBP

    First Measurement of Electron Neutrino Appearance in NOvA

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    We report results from the first search for nu(mu) -\u3e nu(e) transitions by the NOvA experiment. In an exposure equivalent to 2.74 x 10(20) protons on target in the upgraded NuMI beam at Fermilab, we observe 6 events in the Far Detector, compared to a background expectation of 0.99 +/- 0.11 (syst) events based on the Near Detector measurement. A secondary analysis observes 11 events with a background of 1.07 +/- 0.14 (syst). The 3.3 sigma excess of events observed in the primary analysis disfavors 0.1 pi \u3c delta(CP) \u3c 0.5 pi in the inverted mass hierarchy at the 90% C.L

    Electron Neutrino and Antineutrino Appearance in the Full MINOS Data Sample

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    We report on v(e) and (v) over bar (e) appearance in v(mu) and (v) over bar (mu) beams using the full MINOS data sample. The comparison of these v(e) and (v) over bar (e) appearance data at a 735 km baseline with theta(13) measurements by reactor experiments probes delta, the theta(23) octant degeneracy, and the mass hierarchy. This analysis is the first use of this technique and includes the first accelerator long-baseline search for (v) over bar (mu) -\u3e (v) over bar (e). Our data disfavor 31% (5%) of the three-parameter space defined by delta, the octant of the theta(23), and the mass hierarchy at the 68% (90%) C.L. We measure a value of 2sin(2)(2 theta(13))sin(2)(theta(23)) that is consistent with reactor experiments. DOI: 10.1103/PhysRevLett.110.17180

    Precision measurement of the speed of propagation of neutrinos using the MINOS detectors

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    We report a two-detector measurement of the propagation speed of neutrinos over a baseline of 734 km. The measurement was made with the NuMI beam at Fermilab between the near and far MINOS detectors. The fractional difference between the neutrino speed and the speed of light is determined to be (v/c - 1) = (1.0 +/- 1.1) x 10(-6), consistent with relativistic neutrinos

    Observation of seasonal variation of atmospheric multiple-muon events in the MINOS Near and Far Detectors

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    We report the first observation of seasonal modulations in the rates of cosmic ray multiple-muon events at two underground sites, the MINOS Near Detector with an overburden of 225 mwe, and the MINOS Far Detector site at 2100 mwe. At the deeper site, multiple-muon events with muons separated by more than 8 m exhibit a seasonal rate that peaks during the summer, similar to that of single-muon events. In contrast and unexpectedly, the rate of multiple-muon events with muons separated by less than 5-8 m, and the rate of multiple-muon events in the smaller, shallower Near Detector, exhibit a seasonal rate modulation that peaks in the winter
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