Stability Properties of Nonhyperbolic Chaotic Attractors under Noise

We study local and global stability of nonhyperbolic chaotic attractors contaminated by noise. The former is given by the maximum distance of a noisy trajectory from the noisefree attractor, while the latter is provided by the minimal escape energy necessary to leave the basin of attraction, calculated with the Hamiltonian theory of large fluctuations. We establish the important and counterintuitive result that both concepts may be opposed to each other. Even when one attractor is globally more stable than another one, it can be locally less stable. Our results are exemplified with the Holmes map, for two different sets of parameter, and with a juxtaposition of the Holmes and the Ikeda maps. Finally, the experimental relevance of these findings is pointed out.Comment: Phys.Rev. Lett., to be publishe

Hepatitis B testing and treatment in HIV patients in The Gambia - compliance with international guidelines and clinical outcomes

Background Compliance with WHO guidelines on HBV screening and treatment in HIV-coinfected patients is often challenging in resource limited countries and has been poorly assessed in sub-Saharan Africa. Methods Between 2015 and 2016, we assessed physician’s compliance with WHO guidelines on HIV-HBV coinfection in the largest HIV clinic in The Gambia, and the hepatic outcomes in HIV-HBV coinfected patients as compared to randomly selected HIV-monoinfected controls. Results 870 HIV-infected patients regularly seen in this clinic agreed to participate in our study. Only 187 (21.5%, 95% CI 18.8–24.3) had previously been screened for HBsAg, 23 (12.3%, 95% CI 8.0–17.9) were positive of whom none had liver assessment and only 6 (26.1%) had received Tenofovir. Our HBV testing intervention was accepted by all participants and found 94/870 (10.8%, 95% CI 8.8–13.1) positive, 78 of whom underwent full liver assessment along with 40 HBsAg-negative controls. At the time of liver assessment, 61/78 (78.2%) HIV-HBV coinfected patients received ART with 7 (11.5%) on Tenofovir and 54 (88.5%) on Lamivudine alone. HIV-HBV coinfected patients had higher APRI score compared to controls (0.58 vs 0.42, p = 0.002). HBV DNA was detectable in 52/53 (98.1%) coinfected patients with 14/53 (26.4%) having HBV DNA >20,000 IU/L. 10/12 (83.3%) had at least one detectable 3TC-associated HBV resistance, which tended to be associated with increase in liver fibrosis after adjusting for age and sex (p = 0.05). Conclusions Compliance with HBV testing and treatment guidelines is poor in this Gambian HIV programme putting coinfected patients at risk of liver complications. However, the excellent uptake of HBV screening and linkage to care in our study suggests feasible improvements

A 0535+26: an X-ray/Optical Tour

We compiled X-ray and Optical observations of the accreting X-ray binary system A 0535+262 since its discovery in 1975, that will allow us to shed light on the unpredictable behavior of this binary system. We present the data in terms of the Be-disk interaction with the neutron star companion. In addition, we show recent results from the continuous monitoring of this source by the Gamma-ray Burst Monitor(GBM), on board the Fermi observatory, since its launch in 2008 June 11.Comment: 4 pages, 5 figures, Conference proceeding of "Astrophysics of Neutron Stars 2010 - a conference in honor of M. Ali Alpar", 2-6 August 2010, Cesme, Izmir, Turke

The Role of Pain Catastrophizing and Pain Acceptance in Performance-Based and Self-Reported Physical Functioning in Individuals with Fibromyalgia and Obesity

Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e., subjective) physical functioning. However, physical function is a multidimensional concept encompassing both subjective and objective functioning. The contribution of psychological factors to performance-based (i.e., objective) functioning is unclear. This study aims to investigate the contribution of pain catastrophizing and pain acceptance to both self-reported and performance-based physical functioning. In this cross-sectional study, 160 participants completed self-report measures of pain catastrophizing, pain acceptance, and pain severity. A self-report measure and a performance-based test were used to assess physical functioning. Higher pain catastrophizing and lower pain acceptance were associated with poorer physical functioning at both self-reported and performance-based levels. Our results are consistent with previous evidence on the association between pain catastrophizing and pain acceptance with self-reported physical functioning. This study contributes to the current literature by providing novel insights into the role of psychological factors in performance-based physical functioning. Multidisciplinary interventions that address pain catastrophizing and pain acceptance are recommended and might be effective to improve both perceived and performance-based functioning in women with FM and obesity

Fourier transform infrared spectroscopy as a non-destructive method for analysing herbarium specimens.

Dried plant specimens stored in herbaria are an untapped treasure chest of information on environmental conditions, plant evolution and change over many hundreds of years. Owing to their delicate nature and irreplaceability, there is limited access for analysis to these sensitive samples, particularly where chemical data are obtained using destructive techniques. Fourier transform infrared (FTIR) spectroscopy is a chemical analysis technique which can be applied non-destructively to understand chemical bonding information and, therefore, functional groups within the sample. This provides the potential for understanding geographical, spatial and species-specific variation in plant biochemistry. Here, we demonstrate the use of mid-FTIR microspectroscopy for the chemical analysis of Drosera rotundifolia herbarium specimens, which were collected 100 years apart from different locations. Principal component and hierarchical clustering analysis enabled differentiation between three main regions on the plant (lamina, tentacle stalk and tentacle head), and between the different specimens. Lipids and protein spectral regions were particularly sensitive differentiators of plant tissues. Differences between the different sets of specimens were smaller. This study demonstrates that relevant information can be extracted from herbarium specimens using FTIR, with little impact on the specimens. FTIR, therefore, has the potential to be a powerful tool to unlock historic information within herbaria

Movement representation strategies as a tool for educational innovation in physiotherapy students: a randomized single-blind controlled-pilot trial

Physiotherapy has a strictly theoretical body of knowledge, but for the most part, the physiotherapist’s learning is practical. The practical part is fundamental to acquire clinical skills that the physiotherapist will later use in professional practice. The main aim of this study was to assess the effectiveness of movement representation strategies (MRS) in the improvement of manual skills of physiotherapy students as an educational innovation strategy. We randomly assigned 30 participants to an action observation practice (AOP), motor imagery practice (MIP), or sham observation (SO) group. A high velocity, low amplitude lumbar manipulation technique that is widely used in clinical physiotherapy practice was taught in one session. The primary outcomes were required time and test score. The secondary outcomes were perceived mental fatigue and perceived difficulty for learning. The outcomes were assessed preintervention and immediately after the intervention (postintervention). The main results showed that both AOP and MIP improved the total time required and the test score, as well as entailed less perceived difficulty for learning. However, both strategies showed a higher level of mental fatigue after the intervention, which was higher in the MIP group. Based on the results obtained, it seems that the application of MRS promotes greater learning of manual motor tasks in physiotherapy students and could be used as educational innovation strategies

Enhancement of Noise-induced Escape through the Existence of a Chaotic Saddle

We study the noise-induced escape process in a prototype dissipative nonequilibrium system, the Ikeda map. In the presence of a chaotic saddle embedded in the basin of attraction of the metastable state, we find the novel phenomenon of a strong enhancement of noise-induced escape. This result is established by employing the theory of quasipotentials. Our finding is of general validity and should be experimentally observable.Comment: 4 page

X-Ray and Optical Observations of A 0535+26

We present recent contemporaneous X-ray and optical observations of the Be/X-ray binary system A\,0535+26 with the \textit{Fermi}/Gamma-ray Burst Monitor (GBM) and several ground-based observatories. These new observations are put into the context of the rich historical data (since $\sim$1978) and discussed in terms of the neutron star Be-disk interaction. The Be circumstellar disk was exceptionally large just before the 2009 December giant outburst, which may explain the origin of the unusual recent X-ray activity of this source. We found a peculiar evolution of the pulse profile during this giant outburst, with the two main components evolving in opposite ways with energy. A hard 30-70 mHz X-ray QPO was detected with GBM during this 2009 December giant outburst. It becomes stronger with increasing energy and disappears at energies below 25\,keV. In the long-term a strong optical/X-ray correlation was found for this system, however in the medium-term the H$_\alpha$ EW and the V-band brightness showed an anti-correlation after $\sim$2002 Agust. Each giant X-ray outburst occurred during a decline phase of the optical brightness, while the H$_\alpha$ showed a strong emission. In late 2010 and before the 2011 February outburst, rapid V/R variations are observed in the strength of the two peaks of the H$_\alpha$ line. These had a period of $\sim$\,25 days and we suggest the presence of a global one-armed oscillation to explain this scenario. A general pattern might be inferred, where the disk becomes weaker and shows V/R variability beginning $\sim$\,6 months following a giant outburst.Comment: 18, 11 figures, 1 tabl