The Boston equalens: A clinical evaluation for wear

Recent advances in gas permeable contact lens materials have accounted for their successful use in extended wear. In this study, 18 subjects were fitted with the Boston Equalens, a new silicon/acrylate lens which is combined with a flourinated monomer. The subjects wore one lens as a daily wear contact lens and the other lens as an extended wear contact lens for a period of 90 days. Four patients successfully completed the 90 days of extended wear and five patients completed between 30 and 90 days of extended wear. No significant differences of corneal curvature, refractive error, corrected visual acuity, or subjective responses were noted between the daily wear eye and the extended wear eye. Also there were no reports of lens adhesion on any of the subjects\u27 eyes

Reproducibility and reliability of the ankle-brachial index as assessed by vascular experts, family physicians and nurses

The reliability of ankle—brachial index (ABI) measurements performed by different observer groups in primary care has not yet been determined. The aims of the study were to provide precise estimates for all effects influencing the variability of the ABI (patients' individual variability, intra- and inter-observer variability), with particular focus on the performance of different observer groups. Using a partially balanced incomplete block design, 144 unselected individuals aged 65 years underwent double ABI measurements by one vascular surgeon or vascular physician, one family physician and one nurse with training in Doppler sonography. Three groups comprising a total of 108 individuals were analyzed (only two with ABI < 0.90). Errors for two repeated measurements for all three observer groups did not differ (experts 8.5%, family physicians 7.7%, and nurses 7.5%, p = 0.39). There was no relevant bias among observer groups. Intra-observer variability expressed as standard deviation divided by the mean was 8%, and inter-observer variability was 9%. In conclusion, reproducibility of the ABI measurement was good in this cohort of elderly patients who almost all had values in the normal range. The mean error of 8—9% within or between observers is smaller than with established screening measures. Since there were no differences among observers with different training backgrounds, our study confirms the appropriateness of ABI assessment for screening peripheral arterial disease (PAD) and generalized atherosclerosis in the primary case setting. Given the importance of the early detection and management of PAD, this diagnostic tool should be used routinely as a standard for PAD screening. Additional studies will be required to confirm our observations in patients with PAD of various severities

Record spintronic harvesting of thermal fluctuations using paramagnetic molecular centers

Experiments and theory are reexamining how the laws of thermodynamics are expressed in a quantum world. Most quantum thermodynamics research is performed at sub-Kelvin temperatures to prevent thermal fluctuations from smearing the quantum engine's discrete energy levels that mediate the asymmetric shuffling of electrons between the electrodes. Meanwhile, several groups report that building an electron-spin based implementation by placing the discrete spin states of paramagnetic centers between ferromagnetic electrodes can not only overcome this drawback, but also induce a net electrical power output despite an apparent thermal equilibrium. We illustrate this thermodynamics conundrum through measurements on several devices of large output power, which endures beyond room temperature. We've inserted the Co paramagnetic center in Co phthalocyanine molecules between electron spin-selecting Fe/C60 interfaces within vertical molecular nanojunctions. We observe output power as high as 450nW(24nW) at 40K(360K), which leapfrogs previous results, as well as classical spintronic energy harvesting strategies involving a thermal gradient. Our data links magnetic correlations between the fluctuating paramagnetic centers and output power. This device class also behaves as a spintronically controlled switch of current flow, and of its direction. We discuss the conceptual challenges raised by these measurements. Better understanding the phenomenon and further developing this technology could help accelerate the transition to clean energy. Abstract (150 words) Several experiments have suggested that building a quantum engine using the electron spin enables the harvesting of thermal fluctuations on paramagnetic centers even though the device is at thermal equilibrium. We illustrate this thermodynamics conundrum through measurements on several devices of large output power, which endures beyond room temperature. We've inserted the Co paramagnetic center in Co phthalocyanine molecules between electron spin-selecting Fe/C60 interfaces within vertical molecular nanojunctions. We observe output power as high as 450nW(24nW) at 40K(360K), which leapfrogs previous results, as well as classical spintronic energy harvesting strategies involving a thermal gradient. Our data links magnetic correlations between the fluctuating paramagnetic centers and output power. This device class also behaves as a spintronically controlled switch of current flow, and of its direction. We discuss th

Localized states in advanced dielectrics from the vantage of spin- and symmetry-polarized tunnelling across MgO

Équipe 101 : Nanomagnétisme et électronique de spinInternational audienceResearch on advanced materials such as multiferroic perovskites underscores promising applications, yet studies on these materials rarely address the impact of defects on the nominally expected materials property. Here, we revisit the comparatively simple oxide MgO as the model material system for spin-polarized solid-state tunnelling studies. We present a defect-mediated tunnelling potential landscape of localized states owing to explicitly identified defect species, against which we examine the bias and temperature dependence of magnetotransport. By mixing symmetry-resolved transport channels, a localized state may alter the effective barrier height for symmetry-resolved charge carriers, such that tunnelling magnetoresistance decreases most with increasing temperature when that state is addressed electrically. Thermal excitation promotes an occupancy switchover from the ground to the excited state of a defect, which impacts these magnetotransport characteristics. We thus resolve contradictions between experiment and theory in this otherwise canonical spintronics system, and propose a new perspective on defects in dielectrics

Localized states in advanced dielectrics from the vantage of spin- and symmetry-polarized tunnelling across MgO

Research on advanced materials such as multiferroic perovskites underscores promising applications, yet studies on these materials rarely address the impact of defects on the nominally expected materials property. Here, we revisit the comparatively simple oxide MgO as the model material system for spin-polarized solid-state tunnelling studies. We present a defect-mediated tunnelling potential landscape of localized states owing to explicitly identified defect species, against which we examine the bias and temperature dependence of magnetotransport. By mixing symmetry-resolved transport channels, a localized state may alter the effective barrier height for symmetry-resolved charge carriers, such that tunnelling magnetoresistance decreases most with increasing temperature when that state is addressed electrically. Thermal excitation promotes an occupancy switchover from the ground to the excited state of a defect, which impacts these magnetotransport characteristics. We thus resolve contradictions between experiment and theory in this otherwise canonical spintronics system, and propose a new perspective on defects in dielectrics