Clinically insignificant association between anterior knee pain and patellofemoral lesions which are found incidentally.

Patellofemoral chondral lesions are frequently identified incidentally during the arthroscopic treatment of other knee pathologies. A role has been described for arthroscopic debridement of such lesions when symptoms are known to originate from pathology of the patellofemoral joint. However, it remains unclear how to manage lesions which are found incidentally whilst tackling other pathologies. The purpose of this study was to establish the strength of association between anterior knee pain and patellofemoral lesions identified incidentally in a typical arthroscopic population. A consecutive series of patients undergoing arthroscopy for a range of standard indications formed the basis of this cross section study. We excluded those with patellofemoral conditions in order to identify patellofemoral lesions which were solely incidental. Pre-operative assessments were performed on 64 patients, where anterior knee pain was sought by three methods: an annotated photographic knee pain map (PKPM), patient indication with one finger and by palpated tenderness. A single surgeon, who was blinded to previous recordings, performed standard arthroscopies and recorded patellofemoral lesions. Statistical correlations were performed to identify the association magnitude. Associations were identified between incidental patellofemoral lesions and tenderness palpated on the medial patella (P=0.007, χ2=0.32) and the quadriceps tendon (P=0.029, χ2=0.26), but these associations were at best fair, which could be interpreted as clinically insignificant. In which case incidental patellofemoral lesions are not necessarily associated with anterior knee pain, we suggest that they could be left alone. This recommendation is only applicable to patellofemoral lesions which are found incidentally whilst addressing other pathology

Electromagnetically Induced Transparency (EIT) and Autler-Townes (AT) splitting in the Presence of Band-Limited White Gaussian Noise

We investigate the effect of band-limited white Gaussian noise (BLWGN) on electromagnetically induced transparency (EIT) and Autler-Townes (AT) splitting, when performing atom-based continuous-wave (CW) radio-frequency (RF) electric (E) field strength measurements with Rydberg atoms in an atomic vapor. This EIT/AT-based E-field measurement approach is currently being investigated by several groups around the world as a means to develop a new SI traceable RF E-field measurement technique. For this to be a useful technique, it is important to understand the influence of BLWGN. We perform EIT/AT based E-field experiments with BLWGN centered on the RF transition frequency and for the BLWGN blue-shifted and red-shifted relative to the RF transition frequency. The EIT signal can be severely distorted for certain noise conditions (band-width, center-frequency, and noise power), hence altering the ability to accurately measure a CW RF E-field strength. We present a model to predict the changes in the EIT signal in the presence of noise. This model includes AC Stark shifts and on resonance transitions associated with the noise source. The results of this model are compared to the experimental data and we find very good agreement between the two.Comment: 14 page, 15 figures, 1 tabl

Polymeric blends for sensor and actuation dual functionality

The invention described herein supplies a new class of electroactive polymeric blend materials which offer both sensing and actuation dual functionality. The blend comprises two components, one component having a sensing capability and the other component having an actuating capability. These components should be co-processable and coexisting in a phase separated blend system. Specifically, the materials are blends of a sensing component selected from the group consisting of ferroelectric, piezoelectric, pyroelectric and photoelectric polymers and an actuating component that responds to an electric field in terms of dimensional change. Said actuating component includes, but is not limited to, electrostrictive graft elastomers, dielectric electroactive elastomers, liquid crystal electroactive elastomers and field responsive polymeric gels. The sensor functionality and actuation functionality are designed by tailoring the relative fraction of the two components. The temperature dependence of the piezoelectric response and the mechanical toughness of the dual functional blends are also tailored by the composition adjustment

Pola Resistensi Bakteri Terhadap Antibiotik Pada Penderita Pneumonia Di Rsup Dr. Soeradji Tirtonegoro Klaten Periode Agustus 2013– Agustus 2015

Pneumonia is one of the acute respiratory infection caused by microorganisms in the end of bronhiolus and alveoli. The use of broad-spectrum antibiotics to treat pneumonia too often increases the resistance of bacteria to antibiotics so antibiotics should be used based on the resistance patterns of bacteria that causes pneumonia. The purpose of this study was to determine the pattern of bacterial resistance to antibiotics as well as the appropriateness of use of antibiotics based on the results of bacteria sensitivity test in patients with pneumonia in Dr. Soeradji Tirtonegoro Hospital Klaten between August 2013 and August 2015. This study was a non-experimental study with retrospective data collection in patients with pneumonia in Dr. Soeradji Tirtonegoro Hospital Klaten between August 2013 and August 2015 and analyzed descriptively. The data collected was the data of culture and bacteria sensitivity test results to antibiotics as well as data on the use of antibiotics in patients with pneumonia. The results showed that most pneumonia-causing bacteria isolated from sputum and blood specimens in 40 patients with pneumonia in Dr. Soeradji Tirtonegoro Hospital Klaten between August 2013 and August 2015 was Pseudomonas sp and Staphylococcus epidermidis with a percentage of 12,91%. Resistance patterns showed that the Pseudomonas sp were resistant to amoxicillin clavulanic acid and ampicillin (87,5%), cefixime (75%), gentamicin (75%), cotrimoxazole (62,5%), and ciprofloxacin (50%). Staphylococcus epidermidis were resistant to ampicillin, cefixim, cotrimoxazol with a percentage of 87,5%, gentamicin, and ciprofloxacin (62,5%). The results of the analysis of appropriateness of definitive antibiotics showed that 52,64% of antibiotics were given in accordance with the culture results, sensitivity test, as well as antibiotic spectrum activity. Keywords: resistance, antibiotics, pneumoni

Ordered silicon nanocones arrays for label-free DNA quantitative analysis by surface-enhanced Raman spectroscopy

published_or_final_versio

Validation of an electrogoniometry system as a measure of knee kinematics during activities of daily living

Purpose: The increasing use of electrogoniometry (ELG) in clinical research requires the validation of different instrumentation. The purpose of this investigation was to examine the concurrent validity of an ELG system during activities of daily living. Methods: Ten asymptomatic participants gave informed consent to participate. A Biometrics SG150 electrogoniometer was directly compared to a 12 camera three dimensional motion analysis system during walking, stair ascent, stair descent, sit to stand, and stand to sit activities for the measurement of the right knee angle. Analysis of validity was undertaken by linear regression. Standard error of estimate (SEE), standardised SEE (SSEE), and Pearson’s correlation coefficient r were computed for paired trials between systems for each functional activity. Results: The 95% confidence interval of SEE was reasonable between systems across walking (LCI = 2.43 °; UCI = 2.91 °), stair ascent (LCI = 2.09 °; UCI = 2.42 °), stair descent (LCI = 1.79 °; UCI = 2.10 °), sit to stand (LCI = 1.22 °; UCI = 1.41 °), and stand to sit (LCI = 1.17 °; UCI = 1.34 °). Pearson’s correlation coefficient r across walking (LCI = 0.983; UCI = 0.990), stair ascent (LCI = 0.995; UCI = 0.997), stair descent (LCI = 0.995; UCI = 0.997), sit to stand (LCI = 0.998; UCI = 0.999), and stand to sit (LCI = 0.996; UCI = 0.997) was indicative of a strong linear relationship between systems. Conclusion: ELG is a valid method of measuring the knee angle during activities representative of daily living. The range is within that suggested to be acceptable for the clinical evaluation of patients with musculoskeletal conditions

Hydrodynamic transport functions from quantum kinetic theory

Starting from the quantum kinetic field theory [E. Calzetta and B. L. Hu, Phys. Rev. D37, 2878 (1988)] constructed from the closed-time-path (CTP), two-particle-irreducible (2PI) effective action we show how to compute from first principles the shear and bulk viscosity functions in the hydrodynamic-thermodynamic regime. For a real scalar field with $\lambda \Phi ^{4}$ self-interaction we need to include 4 loop graphs in the equation of motion. This work provides a microscopic field-theoretical basis to the ``effective kinetic theory'' proposed by Jeon and Yaffe [S. Jeon and L. G. Yaffe, Phys. Rev. D53, 5799 (1996)], while our result for the bulk viscosity reproduces their expression derived from linear response theory and the imaginary-time formalism of thermal field theory. Though unavoidably involved in calculations of this sort, we feel that the approach using fundamental quantum kinetic field theory is conceptually clearer and methodically simpler than the effective kinetic theory approach, as the success of the latter requires clever rendition of diagrammatic resummations which is neither straightforward nor failsafe. Moreover, the method based on the CTP-2PI effective action illustrated here for a scalar field can be formulated entirely in terms of functional integral quantization, which makes it an appealing method for a first-principles calculation of transport functions of a thermal non-abelian gauge theory, e.g., QCD quark-gluon plasma produced from heavy ion collisions.Comment: 25 pages revtex, 11 postscript figures. Final version accepted for publicatio

Environmental Factors in the Relapse and Recurrence of Inflammatory Bowel Disease:A Review of the Literature

The causes of relapse in patients with Crohn's disease (CD) and ulcerative colitis (UC) are largely unknown. This paper reviews the epidemiological and clinical data on how medications (non-steroidal anti-inflammatory drugs, estrogens and antibiotics), lifestyle factors (smoking, psychological stress, diet and air pollution) may precipitate clinical relapses and recurrence. Potential biological mechanisms include: increasing thrombotic tendency, imbalances in prostaglandin synthesis, alterations in the composition of gut microbiota, and mucosal damage causing increased permeability