Are older people putting themselves at risk when using their walking frames?

Background Walking aids are issued to older adults to prevent falls, however, paradoxically their use has been identified as a risk factor for falling. To prevent falls, walking aids must be used in a stable manner, but it remains unknown to what extent associated clinical guidance is adhered to at home, and whether following guidance facilitates a stable walking pattern. It was the aim of this study to investigate adherence to guidance on walking frame use, and to quantify user stability whilst using walking frames. Additionally, we explored the views of users and healthcare professionals on walking aid use, and regarding the instrumented walking frames (‘Smart Walkers’) utilized in this study. Methods This observational study used Smart Walkers and pressure-sensing insoles to investigate usage patterns of 17 older people in their home environment; corresponding video captured contextual information. Additionally, stability when following, or not, clinical guidance was quantified for a subset of users during walking in an Activities of Daily Living Flat and in a gait laboratory. Two focus groups (users, healthcare professionals) shared their experiences with walking aids and provided feedback on the Smart Walkers. Results Incorrect use was observed for 16% of single support periods and for 29% of dual support periods, and was associated with environmental constraints and a specific frame design feature. Incorrect use was associated with reduced stability. Participants and healthcare professionals perceived the Smart Walker technology positively. Conclusions Clinical guidance cannot easily be adhered to and self-selected strategies reduce stability, hence are placing the user at risk. Current guidance needs to be improved to address environmental constraints whilst facilitating stable walking. The research is highly relevant considering the rising number of walking aid users, their increased falls-risk, and the costs of falls. Trial Registration Not applicable

On the degree of stochastic asymmetry in the tidal tails of star clusters

Context: Tidal tails of star clusters are commonly understood to be populated symmetrically. Recently, the analysis of Gaia data revealed large asymmetries between the leading and trailing tidal tail arms of the four open star clusters Hyades, Praesepe, Coma Berenices and NGC 752. Aims: As the evaporation of stars from star clusters into the tidal tails is a stochastic process, the degree of stochastic asymmetry is quantified in this work. Methods: For each star cluster 1000 configurations of test particles are integrated in the combined potential of a Plummer sphere and the Galactic tidal field over the life time of the particular star cluster. For each of the four star clusters the distribution function of the stochastic asymmetry is determined and compared with the observed asymmetry. Results: The probabilities for a stochastic origin of the observed asymmetry of the four star clusters are: Praesepe ~1.7 sigma, Coma Berenices ~2.4 sigma, Hyades ~6.7 sigma, NGC 752 ~1.6 sigma. Conclusions: In the case of Praesepe, Coma Berenices and NGC 752 the observed asymmetry can be interpreted as a stochastic evaporation event. However, for the formation of the asymmetric tidal tails of the Hyades additional dynamical processes beyond a pure statistical evaporation effect are required.Comment: accepted for publication by A&

QCD near the Light Cone

Starting from the QCD Lagrangian, we present the QCD Hamiltonian for near light cone coordinates. We study the dynamics of the gluonic zero modes of this Hamiltonian. The strong coupling solutions serve as a basis for the complete problem. We discuss the importance of zero modes for the confinement mechanism.Comment: 32 pages, ReVTeX, 2 Encapsulated PostScript figure

Phyllosticta citricarpa and sister species of global importance to Citrus.

Several Phyllosticta species are known as pathogens of Citrus spp., and are responsible for various disease symptoms including leaf and fruit spots. One of the most important species is P. citricarpa, which causes a foliar and fruit disease called citrus black spot. The Phyllosticta species occurring on citrus can most effectively be distinguished from P. citricarpa by means of multilocus DNA sequence data. Recent studies also demonstrated P. citricarpa to be heterothallic, and reported successful mating in the laboratory. Since the domestication of citrus, different clones of P. citricarpa have escaped Asia to other continents via trade routes, with obvious disease management consequences. This pathogen profile represents a comprehensive literature review of this pathogen and allied taxa associated with citrus, focusing on identification, distribution, genomics, epidemiology and disease management. This review also considers the knowledge emerging from seven genomes of Phyllosticta spp., demonstrating unknown aspects of these species, including their mating behaviour.TaxonomyPhyllosticta citricarpa (McAlpine) Aa, 1973. Kingdom Fungi, Phylum Ascomycota, Class Dothideomycetes, Order Botryosphaeriales, Family Phyllostictaceae, Genus Phyllosticta, Species citricarpa.Host rangeConfirmed on more than 12 Citrus species, Phyllosticta citricarpa has only been found on plant species in the Rutaceae.Disease symptomsP. citricarpa causes diverse symptoms such as hard spot, virulent spot, false melanose and freckle spot on fruit, and necrotic lesions on leaves and twigs.Useful websitesDOE Joint Genome Institute MycoCosm portals for the Phyllosticta capitalensis (https://genome.jgi.doe.gov/Phycap1), P. citriasiana (https://genome.jgi.doe.gov/Phycit1), P. citribraziliensis (https://genome.jgi.doe.gov/Phcit1), P. citrichinaensis (https://genome.jgi.doe.gov/Phcitr1), P. citricarpa (https://genome.jgi.doe.gov/Phycitr1, https://genome.jgi.doe.gov/Phycpc1), P. paracitricarpa (https://genome.jgi.doe.gov/Phy27169) genomes. All available Phyllosticta genomes on MycoCosm can be viewed at https://genome.jgi.doe.gov/Phyllosticta

Functional Determinants in Quantum Field Theory

Functional determinants of differential operators play a prominent role in theoretical and mathematical physics, and in particular in quantum field theory. They are, however, difficult to compute in non-trivial cases. For one dimensional problems, a classical result of Gel'fand and Yaglom dramatically simplifies the problem so that the functional determinant can be computed without computing the spectrum of eigenvalues. Here I report recent progress in extending this approach to higher dimensions (i.e., functional determinants of partial differential operators), with applications in quantum field theory.Comment: Plenary talk at QTS5 (Quantum Theory and Symmetries); 16 pp, 2 fig

Low-energy electric dipole response in 120Sn

The electric dipole strength in 120Sn has been extracted from proton inelastic scattering experiments at E_p = 295 MeV and at forward angles including 0 degree. Below neutron threshoild it differs from the results of a 120Sn(gamma,gamma') experiment and peaks at an excitation energy of 8.3 MeV. The total strength corresponds to 2.3(2)% of the energy-weighted sum rule and is more than three times larger than what is observed with the (gamma,gamma') reaction. This implies a strong fragmentation of the E1 strength and/or small ground state branching ratios of the excited 1- states.Comment: 7 pages, 6 figure

Probing Ionization Energies for Trace Gas Identification: The Micro Photo Electron Ionization Detector (PEID)

Micro gas sensors detect the presence of substances, but can hardly identify them. We developed a novel approach of probing referenceable ionization energies. It extends the photoionization principle towards tunable energies via replacement of photons by accelerated photo electrons. The device comprises UV-LED illumination, an atmospherically stable photoelectron emission layer with a nano-vacuum electronics accelerator realized in thin film technology and charged particle measurement. A voltage variation at the accelerator provides electrons of tunable energies. We were able to prove that variable electron energies can be used for substance detection. The resulting system reaches ambient conditions operability. The actual limitations and challenges are discussed