SMAUG: a new technique for the deprojection of galaxy clusters

This paper presents a new technique for reconstructing the spatial distributions of hydrogen, temperature and metal abundance of a galaxy cluster. These quantities are worked out from the X-ray spectrum, modeled starting from few analytical functions describing their spatial distributions. These functions depend upon some parameters, determined by fitting the model to the observed spectrum. We have implemented this technique as a new model in the XSPEC software analysis package. We describe the details of the method, and apply it to work out the structure of the cluster A1795. We combine the observation of three satellites, exploiting the high spatial resolution of Chandra for the cluster core, the wide collecting area of XMM-Newton for the intermediate regions and the large field of view of Beppo-SAX for the outer regions. We also test the validity and precision of our method by i) comparing its results with those from a geometrical deprojection, ii) examining the spectral residuals at different radii of the cluster and iii) reprojecting the unfolded profiles and comparing them directly to the measured quantities. Our analytical method yields the parameters defining the spatial functions directly from the spectra. Their explicit knowledge allows a straightforward derivation of other indirect physical quantities like the gravitating mass, as well as a fast and easy estimate of the profiles uncertainties.Comment: 24 pages, 11 figures, 3 tables; emulateapj; accepted for publication in the Astrophysical Journa

Radiative cooling, heating and thermal conduction in M87

The crisis of the standard cooling flow model brought about by Chandra and XMM-Newton observations of galaxy clusters, has led to the development of several models which explore different heating processes in order to assess if they can quench the cooling flow. Among the most appealing mechanisms are thermal conduction and heating through buoyant gas deposited in the ICM by AGNs. We combine Virgo/M87 observations of three satellites (Chandra, XMM-Newton and Beppo-SAX) to inspect the dynamics of the ICM in the center of the cluster. Using the spectral deprojection technique, we derive the physical quantities describing the ICM and determine the extra-heating needed to balance the cooling flow assuming that thermal conduction operates at a fixed fraction of the Spitzer value. We assume that the extra-heating is due to buoyant gas and we fit the data using the model developed by Ruszkowski and Begelman (2002). We derive a scale radius for the model of $\sim 5$ kpc, which is comparable with the M87 AGN jet extension, and a required luminosity of the AGN of a $few \times 10^{42}$ erg s$^{-1}$, which is comparable to the observed AGN luminosity. We discuss a scenario where the buoyant bubbles are filled of relativistic particles and magnetic field responsible for the radio emission in M87. The AGN is supposed to be intermittent and to inject populations of buoyant bubbles through a succession of outbursts. We also study the X-ray cool component detected in the radio lobes and suggest that it is structured in blobs which are tied to the radio buoyant bubbles.Comment: 25 pages, 10 figures and 2 tables. Accepted for publication in Ap

Environmental Noise and Nonlinear Relaxation in Biological Systems

We analyse the effects of environmental noise in three different biological systems: (i) mating behaviour of individuals of \emph{Nezara viridula} (L.) (Heteroptera Pentatomidae); (ii) polymer translocation in crowded solution; (iii) an ecosystem described by a Verhulst model with a multiplicative L\'{e}vy noise.Comment: 32 pages; In "Ecological Modeling" by Ed. Wen-Jun Zhang. ISBN: 978-1-61324-567-5. - Nova Science Publishers, New York, 201

Biofeedback for gait retraining based on real-time estimation of tibiofemoral joint contact forces

Biofeedback assisted rehabilitation and intervention technologies have the potential to modify clinically relevant biomechanics. Gait retraining has been used to reduce the knee adduction moment, a surrogate of medial tibiofemoral joint loading often used in knee osteoarthritis research. In this study we present an electromyogram-driven neuromusculoskeletal model of the lower-limb to estimate, in real-time, the tibiofemoral joint loads. The model included 34 musculotendon units spanning the hip, knee, and ankle joints. Full-body inverse kinematics, inverse dynamics, and musculotendon kinematics were solved in real-time from motion capture and force plate data to estimate the knee medial tibiofemoral contact force (MTFF). We analyzed 5 healthy subjects while they were walking on an instrumented treadmill with visual biofeedback of their MTFF. Each subject was asked to modify their gait in order to vary the magnitude of their MTFF. All subjects were able to increase their MTFF, whereas only 3 subjects could decrease it, and only after receiving verbal suggestions about possible gait modification strategies. Results indicate the important role of knee muscle activation patterns in modulating the MTFF. While this study focused on the knee, the technology can be extended to examine the musculoskeletal tissue loads at different sites of the human body

Biofeedback for gait retraining based on real-time estimation of tibiofemoral joint contact forces

Biofeedback assisted rehabilitation and intervention technologies have the potential to modify clinically relevant biomechanics. Gait retraining has been used to reduce the knee adduction moment, a surrogate of medial tibiofemoral joint loading often used in knee osteoarthritis research. In this study we present an electromyogram-driven neuromusculoskeletal model of the lower-limb to estimate, in real-time, the tibiofemoral joint loads. The model included 34 musculotendon units spanning the hip, knee, and ankle joints. Full-body inverse kinematics, inverse dynamics, and musculotendon kinematics were solved in real-time from motion capture and force plate data to estimate the knee medial tibiofemoral contact force (MTFF). We analyzed 5 healthy subjects while they were walking on an instrumented treadmill with visual biofeedback of their MTFF. Each subject was asked to modify their gait in order to vary the magnitude of their MTFF. All subjects were able to increase their MTFF, whereas only 3 subjects could decrease it, and only after receiving verbal suggestions about possible gait modification strategies. Results indicate the important role of knee muscle activation patterns in modulating the MTFF. While this study focused on the knee, the technology can be extended to examine the musculoskeletal tissue loads at different sites of the human body

Determinants of inappropriate acute pain management in old people unable to communicate verbally in the emergency department

Objectives: Poor pain management is relevant among individuals unable to communicate verbally (UCV). Analgesia may be due to three determinants: patients' status, physician's characteristics and pain etiology. Our aim is to investigate the association between prescription of ED pain treatment and these determinants. Materials and Methods: An observational prospective study including UCV patients was conducted. Severity of pain was evaluated by ALGOPLUS Scale and a score P â¥Â 2 out of 5 on the pain scale was retained as the threshold for the presence of acute pain in elderly UCV patients. Results: Our data showed that only 31,9% of UCV patients received a pharmacological treatment. The presence of the caregiver would influence the rate of therapy administration [OR 6,19 (95% CI 2,6â14,75)]. The presence of leg pain [OR 0,32 (95% CI 0,12â0,86)] and head pain [OR 0,29 (95% CI 0,10â0,84)] were less likely associated to receive analgesia. Pain related to trauma [OR 4.82 (95% CI 1.17 to 19.78)] and youngest physicians [OR 1.08 (95% CI 1.001 to 1.18)] were variables associated with the administration of drugs opiates. Discussion: Older UCV patients presenting to the ED with pain are at high risk of inadequate analgesia. Providers should always suspect presence of pain and an increasing need for behavioural pain evaluation is necessary for a complete assessment. Conclusions: Presence of a caregiver influences a more appropriate pain management in these patients. Staff training on pain management could result in better assessment, treatment, and interaction with caregivers. Keywords: Emergency department, Pain, Oligoanalgesi

A muscle synergy-based method to estimate muscle activation patterns of children with cerebral palsy using data collected from typically developing children

Preparing children with cerebral palsy prior to gait analysis may be a challenging and time-intensive task, especially when large number of sensors are involved. Collecting minimum number of electromyograms (EMG) and yet providing adequate information for clinical assessment might improve clinical workflow. The main goal of this study was to develop a method to estimate activation patterns of lower limb muscles from EMG measured from a small set of muscles in children with cerebral palsy. We developed and implemented a muscle synergy extrapolation method able to estimate the full set of lower limbs muscle activation patterns from only three experimentally measured EMG. Specifically, we extracted a set of hybrid muscle synergies from muscle activation patterns of children with cerebral palsy and their healthy counterparts. Next, those muscle synergies were used to estimate activation patterns of muscles, which were not initially measured in children with cerebral palsy. Two best combinations with three (medial gastrocnemius, semi membranous, and vastus lateralis) and four (lateral gastrocnemius, semi membranous, sartorius, and vastus medialis) experimental EMG were able to estimate the full set of 10 muscle activation patterns with mean (+/- standard deviation) variance accounted for of 79.93 (+/- 9.64)% and 79.15 (+/- 6.40)%, respectively, using only three muscle synergies. In conclusion, muscle activation patterns of unmeasured muscles in children with cerebral palsy can be estimated from EMG measured from three to four muscles using our muscle synergy extrapolation method. In the future, the proposed muscle synergy-based method could be employed in gait clinics to minimise the required preparation time

Platelet Accumulation in Brain Microvessels in Fatal Pediatric Cerebral Malaria

The pathogenesis of fatal cerebral malaria (CM) is not well understood, in part because data from patients in whom a clinical diagnosis was established prior to death are rare. In a murine CM model, platelets accumulate in brain microvasculature, and antiplatelet therapy can improve outcome. We determined whether platelets are also found in cerebral vessels in human CM, and we performed immunohistopathology for platelet-specific glycoprotein, GPIIb-IIIa, on tissue from multiple brain sites in Malawian children whose fatal illness was severe malarial anemia, CM, or nonmalarial encephalopathy. Platelets were observed in 3 locations within microvessels: between malaria pigment and leukocytes, associated with malaria pigment, or alone. The mean surface area of platelet staining and the proportion of vessels showing platelet accumulation were significantly higher in patients with CM than in those without it. Platelet accumulation occurs in the microvasculature of patients with CM and may play a role in the pathogenesis of the diseas

Cold Feedback in Cooling-Flow Galaxy Clusters

We put forward an alternative view to the Bondi-driven feedback between heating and cooling of the intra-cluster medium (ICM) in cooling flow galaxies and clusters. We adopt the popular view that the heating is due to an active galactic nucleus (AGN), i.e. a central black hole accreting mass and launching jets and/or winds. We propose that the feedback occurs with the entire cool inner region (5-30 kpc). A moderate cooling flow does exist here, and non-linear over-dense blobs of gas cool fast and are removed from the ICM before experiencing the next major AGN heating event. Some of these blobs may not accrete on the central black hole, but may form stars and cold molecular clouds. We discuss the conditions under which the dense blobs may cool to low temperatures and feed the black hole.Comment: 6 pages, no figures, to appear in the Proceedings of "Heating vs. Cooling in Galaxies and Clusters of Galaxies", August 2006, Garching (Germany

Towards co-design of rehabilitation technologies: a collaborative approach to prioritize usability issues

IntroductionEarly stakeholder engagement is critical to the successful development and translation of rehabilitation technologies, a pivotal step of which is usability testing with intended end-users. To this end, several methods employ end-user feedback to identify usability and implementation issues. However, the process of prioritizing identified issues seldom leverages the knowledge and expertise of the range of stakeholders who will ultimately affect the demand and supply of a device. This paper describes a novel method to prioritize end-user feedback using transdisciplinary stakeholder consultation and address it in subsequent product development. The proposed approach was demonstrated using a case study relating to the development of a novel technology for neural recovery after spinal cord injury.MethodFeedback from five individuals with chronic spinal cord injury was collected during two-hour usability evaluation sessions with a fully functional high-fidelity system prototype. A think-aloud and semi-structured interview protocol was used with each participant to identify usability and acceptability issues relating to the system in a 3-phase approach. Phase 1 involved extracting usability issues from think-aloud and semi-structured interview data. Phase 2 involved rating the usability issues based on their significance, technical feasibility, and implementation priority by relevant internal and external stakeholders. Finally, Phase 3 involved aggregating the usability issues according to design and implementation elements to facilitate solution generation, and these solutions were then raised as action tasks for future design iterations.ResultsSixty usability issues representing nine facets of usability were rated. Eighty percent of issues were rated to be of moderate to high significance, 83% were rated as being feasible to address, and 75% were rated as addressable using existing project resources. Fifty percent of the issues were rated to be a high priority for implementation. Evaluation of the grouped issues identified 21 tasks which were mapped to the product roadmap for integration into future design iterations.DiscussionThis paper presents a method for meaningful transdisciplinary stakeholder engagement in rehabilitation technology development that can extended to other projects. Alongside a worked example, we offer practical considerations for others seeking to co-develop rehabilitation technologies