Finding My New Balance.

All of us walk with faith, unaware of what lies ahead in our life, until we have that fall, my story is about how I lost my balance and regained it in a better form. Little did I know about this rare brain tumor that was slowly taking over my neural commands. To fight for my life was the only aim prior to surgery and getting back to living my life after neurosurgery was aiming higher than before. This narrative essay is about my trials and tribulations of a rare brain tumor that presented with audio-vestibular symptoms. It portrays vividly my experience of this brain tumor, and importantly vestibular rehabilitation that which allows the brain to achieve recovery of neural functions due to its inherent properties of neural plasticity

Current Advancements in Pancreatic Islet Cryopreservation Techniques

There have been significant advancements in the research of pancreatic islet transplantations over the past 50 years as a treatment for Type 1 Diabetes Mellitus (T1DM). This work has resulted in hundreds of clinical islet transplantation procedures internationally. One limitation of the procedure includes effective storage techniques during donor-recipient cross-matching following islet isolation from deceased donor. Cryopreservation, which is heavily used in embryology research, has been proposed as a prospective method for pancreatic islet banking to bridge the temporal intervals between donor-recipient matching. The cryopreservation methods currently involve the freezing of islets to subzero (−80/−196°C) temperatures for storage followed by a thawing and warming period, which can be increasingly harmful to islet viability and insulin secretion capabilities. Recent advances in islet cryopreservation technologies have improved outcomes for islet health and survivability during this process. The aim of this chapter is to characterize aspects of the islet cryopreservation method while reviewing current procedural improvements that have led to better outcomes to islet health

Current Perspective and Advancements of Alginate-Based Transplantation Technologies

Versatile yet biocompatible bio-materials are in high demand in nearly every industry, with biological and biomedical engineering relying heavily on common biomaterials like alginate polymers. Alginate is a very common substance found in various marine plants which can easily be extracted and purified through cheap nonhazardous methods. A key characteristic of alginate polymers includes easily manipulatable physical properties due to its inert but functional chemical composition. Factors including its functional versatility, long-term polymer stability and biocompatibility have caused alginate-based technologies to draw major attention from both the scientific and industrial communities alike. While also used in food industry manufacturing and standard dental procedures, this chapter will focus on a discussion of the both clinical and nonclinical use of alginate-based technologies in transplantation for regenerative cell and drug delivery systems. In addition, we overview the immune system response prompted following implantation of alginate hydrogels. Consequences of immune cell reactivity to foreign materials, such as inflammation and the foreign body response (FBR), are also analyzed and current and future strategies for potential circumvention of severe immune responses toward alginate-based devices are reviewed and suggested

Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR):study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture [ ISRCTN22464643 ]

Background Proximal femoral fracture is a common, major health problem in old age resulting in loss of functional independence and a high-cost burden on society, with estimated health and social care costs of £2.3 billion per year in the UK. Rehabilitation has the potential to maximise functional recovery and maintain independent living, but evidence of effectiveness is lacking. Usual rehabilitation care is delivered by a multi-disciplinary team in the hospital and in the community. An ‘enhanced rehabilitation’ intervention has been developed consisting of a workbook, goal-setting diary and extra therapy sessions, designed to improve self-efficacy and increase the amount and quality of the practice of physical exercise and activities of daily living. Methods/design This paper describes the design of a phase II study comprising an anonymous cohort of all proximal femoral fracture patients admitted to the three acute hospitals in Betsi Cadwaladr University Health Board over a 6-month period with a randomised feasibility study comparing the enhanced rehabilitation intervention with usual care. These will assess the feasibility of a future definitive randomised controlled trial and concurrent economic evaluation in terms of recruitment, retention, outcome measure completion, compliance with the intervention and fidelity of delivery, health service use data, willingness to be randomised and effect size for a future sample size calculation. Focus groups will provide qualitative data to contribute to the assessment of the acceptability of the intervention amongst patients, carers and rehabilitation professionals and the feasibility of delivering the planned intervention. The primary outcome measure is function assessed by the Barthel Index. Secondary outcomes measure the ability to perform activities of daily living, anxiety and depression, potential mediators of outcomes such as hip pain, self-efficacy and fear of falling, health utility, health service use, objectively assessed physical function and adverse events. Participants’ preference for rehabilitation services will be assessed in a discrete choice experiment. Discussion Phase II studies are an opportunity to not only assess the feasibility of trial methods but also to compare different methods of outcome measurement and novel methods of obtaining health service use data from routinely collected patient information. Trial registration Current Controlled Trials ISRCTN22464643, UKCRN16677

A Non-Singular One-Loop Wave Function of the Universe From a New Eigenvalue Asymptotics in Quantum Gravity

Recent work on Euclidean quantum gravity on the four-ball has proved regularity at the origin of the generalized zeta-function built from eigenvalues for metric and ghost modes, when diffeomorphism-invariant boundary conditions are imposed in the de Donder gauge. The hardest part of the analysis involves one of the four sectors for scalar-type perturbations, the eigenvalues of which are obtained by squaring up roots of a linear combination of Bessel functions of integer adjacent orders, with a coefficient of linear combination depending on the unknown roots. This paper obtains, first, approximate analytic formulae for such roots for all values of the order of Bessel functions. For this purpose, both the descending series for Bessel functions and their uniform asymptotic expansion at large order are used. The resulting generalized zeta-function is also built, and another check of regularity at the origin is obtained. For the first time in the literature on quantum gravity on manifolds with boundary, a vanishing one-loop wave function of the Universe is found in the limit of small three-geometry, which suggests a quantum avoidance of the cosmological singularity driven by full diffeomorphism invariance of the boundary-value problem for one-loop quantum theory.Comment: 21 Pages, Latex and .eps files with JHEP3 style. The discussion in Section 5 has been improved, and Ref. 26 has been adde

Four-fermion interaction from torsion as dark energy

The observed small, positive cosmological constant may originate from a four-fermion interaction generated by the spin-torsion coupling in the Einstein-Cartan-Sciama-Kibble gravity if the fermions are condensing. In particular, such a condensation occurs for quark fields during the quark-gluon/hadron phase transition in the early Universe. We study how the torsion-induced four-fermion interaction is affected by adding two terms to the Dirac Lagrangian density: the parity-violating pseudoscalar density dual to the curvature tensor and a spinor-bilinear scalar density which measures the nonminimal coupling of fermions to torsion.Comment: 6 pages; published versio

Global attractor for a nonlinear oscillator coupled to the Klein-Gordon field

The long-time asymptotics is analyzed for all finite energy solutions to a model U(1)-invariant nonlinear Klein-Gordon equation in one dimension, with the nonlinearity concentrated at a single point: each finite energy solution converges as time goes to plus or minus infinity to the set of all ``nonlinear eigenfunctions'' of the form \psi(x)e\sp{-i\omega t}. The global attraction is caused by the nonlinear energy transfer from lower harmonics to the continuous spectrum and subsequent dispersive radiation. We justify this mechanism by the following novel strategy based on inflation of spectrum by the nonlinearity. We show that any omega-limit trajectory has the time-spectrum in the spectral gap [-m,m] and satisfies the original equation. This equation implies the key spectral inclusion for spectrum of the nonlinear term. Then the application of the Titchmarsh Convolution Theorem reduces the spectrum of each omega-limit trajectory to a single harmonic in [-m,m]. The research is inspired by Bohr's postulate on quantum transitions and Schroedinger's identification of the quantum stationary states to the nonlinear eigenfunctions of the coupled U(1)-invariant Maxwell-Schroedinger and Maxwell-Dirac equations.Comment: 29 pages, 1 figur

Cosmology of the Lifshitz universe

We study the ultraviolet complete non-relativistic theory recently proposed by Horava. After introducing a Lifshitz scalar for a general background, we analyze the cosmology of the model in Lorentzian and Euclidean signature. Vacuum solutions are found and it is argued the existence of non-singular bouncing profiles. We find a general qualitative agreement with both the picture of Causal Dynamical Triangulations and Quantum Einstein Gravity. However, inflation driven by a Lifshitz scalar field on a classical background might not produce a scale-invariant spectrum when the principle of detailed balance is assumed.Comment: 23 pages. v2: one reference and one equation added, main conclusions unchanged; v3: matches published version, discussion improved, typos correcte

Measurement of Exclusive rho+rho- Production in Mid-Virtuality Two-Photon Interactions and Study of the gamma gamma* -> rho rho Process at LEP

Exclusive rho+rho- production in two-photon collisions between a quasi-real photon, gamma, and a mid-virtuality photon, gamma*, is studied with data collected at LEP at centre-of-mass energies root(s)=183-209GeV with a total integrated luminosity of 684.8pb^-1. The cross section of the gamma gamma* -> rho+ rho- process is determined as a function of the photon virtuality, Q^2, and the two-photon centre-of-mass energy, W_gg, in the kinematic region: 0.2GeV^2 < Q^2 <0.85GeV^2 and 1.1GeV < W_gg < 3GeV. These results, together with previous L3 measurements of rho0 rho0 and rho+ rho- production, allow a study of the gamma gamma* -> rho rho process over the Q^2-region 0.2GeV^2 < Q^2 < 30 GeV^2

Bose-Einstein Correlations of Neutral and Charged Pions in Hadronic Z Decays

Bose-Einstein correlations of both neutral and like-sign charged pion pairs are measured in a sample of 2 million hadronic Z decays collected with the L3 detector at LEP. The analysis is performed in the four-momentum difference range 300 MeV < Q < 2 GeV. The radius of the neutral pion source is found to be smaller than that of charged pions. This result is in qualitative agreement with the string fragmentation model