869 research outputs found

    Three Dimensional Mapping of Texture in Dental Enamel

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    We have used synchrotron x-ray diffraction to study the crystal orientation in human dental enamel as a function of position within intact tooth sections. Keeping tooth sections intact has allowed us to construct 2D and 3D spatial distribution maps of the magnitude and orientation of texture in dental enamel. We have found that the enamel crystallites are most highly aligned at the expected occlusal points for a maxillary first premolar, and that the texture direction varies spatially in a three dimensional curling arrangement. Our results provide a model for texture in enamel which can aid researchers in developing dental composite materials for fillings and crowns with optimal characteristics for longevity, and will guide clinicians to the best method for drilling into enamel, in order to minimize weakening of remaining tooth structure, during dental restoration procedure

    The Stress Transmission Universality Classes of Periodic Granular Arrays

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    The transmission of stress is analysed for static periodic arrays of rigid grains, with perfect and zero friction. For minimal coordination number (which is sensitive to friction, sphericity and dimensionality), the stress distribution is soluble without reference to the corresponding displacement fields. In non-degenerate cases, the constitutive equations are found to be simple linear in the stress components. The corresponding coefficients depend crucially upon geometrical disorder of the grain contacts.Comment: 7 pages, 1 figur

    Effects of augmented exercise therapy time after stroke: a meta-analysis

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    <p><b>Background and Purpose:</b> To present a systematic review of studies that addresses the effects of intensity of augmented exercise therapy time (AETT) on activities of daily living (ADL), walking, and dexterity in patients with stroke.</p> <p><b>Summary of Review:</b> A database of articles published from 1966 to November 2003 was compiled from MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, PEDro, DARE, and PiCarta using combinations of the following key words: stroke, cerebrovascular disorders, physical therapy, physiotherapy, occupational therapy, exercise therapy, rehabilitation, intensity, dose–response relationship, effectiveness, and randomized controlled trial. References presented in relevant publications were examined as well as abstracts in proceedings. Studies that satisfied the following selection criteria were included: (1) patients had a diagnosis of stroke; (2) effects of intensity of exercise training were investigated; and (3) design of the study was a randomized controlled trial (RCT). For each outcome measure, the estimated effect size (ES) and the summary effect size (SES) expressed in standard deviation units (SDU) were calculated for ADL, walking speed, and dexterity using fixed and random effect models. Correlation coefficients were calculated between observed individual effect sizes on ADL of each study, additional time spent on exercise training, and methodological quality. Cumulative meta-analyses (random effects model) adjusted for the difference in treatment intensity in each study was used for the trials evaluating the effects of AETT provided. Twenty of the 31 candidate studies, involving 2686 stroke patients, were included in the synthesis. The methodological quality ranged from 2 to 10 out of the maximum score of 14 points. The meta-analysis resulted in a small but statistically significant SES with regard to ADL measured at the end of the intervention phase. Further analysis showed a significant homogeneous SES for 17 studies that investigated effects of increased exercise intensity within the first 6 months after stroke. No significant SES was observed for the 3 studies conducted in the chronic phase. Cumulative meta-analysis strongly suggests that at least a 16-hour difference in treatment time between experimental and control groups provided in the first 6 months after stroke is needed to obtain significant differences in ADL. A significant SES supporting a higher intensity was also observed for instrumental ADL and walking speed, whereas no significant SES was found for dexterity.</p> <p><b>Conclusion:</b> The results of the present research synthesis support the hypothesis that augmented exercise therapy has a small but favorable effect on ADL, particularly if therapy input is augmented at least 16 hours within the first 6 months after stroke. This meta-analysis also suggests that clinically relevant treatment effects may be achieved on instrumental ADL and gait speed.</p&gt

    Polypharmacy and comorbidities during pregnancy in a cohort of women with migraine

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    Objective: To describe longitudinal patterns of medication use throughout pregnancy in women with migraine. Methods: We used the IBM MarketScan healthcare claims database in the US to create a cohort of pregnancies enrolled between 2011–2015 resulting in live or stillbirth. Migraine headache was identified based on ICD-9-CM diagnosis codes or procedure codes recorded in clinical encounters. Outcomes were patterns of prescriptions filled for medications that may be used to prevent migraine (antiepileptics, antihypertensives, antidepressants) or treat acute episodes (opioids, triptans, acetaminophen) and of other comorbid conditions (hypertension, psychiatric diagnoses, epilepsy). We used group-based multi-trajectory models to cluster women into similar longitudinal patterns of prescription fills. Results: Of 859,501 pregnancies, 8168 had migraine. Within migraineurs, before pregnancy, the most commonly filled prescription was for a triptan (43.2%), followed by opioids (26.7%), acetaminophen (26.2%), antidepressants (24.9%), antiepileptics (18.6%) and antihypertensives (12.3%). Antiepileptics, antidepressants, and triptans were frequently discontinued early in pregnancy with few new users, while antihypertensives were discontinued by some users, but continued or initiated by a minority of users late in pregnancy. Opioids and acetaminophen were used intermittently throughout pregnancy. Comorbidities included hypertension (10.8%), epilepsy (4.7%), depression (14.0%), and anxiety (15.6%). Polypharmacy involving both preventive and acute medications was most common before pregnancy (31.4%) and declined in first trimester (14.7%). In all, 25.9% of women filled prescriptions for two or more acute medications before pregnancy. Conclusions: Medication use patterns during pregnancy for women with migraine are complex. Patterns of polypharmacy and comorbidity during pregnancy highlight an under-studied area relevant for maternal and child health outcomes

    Rapid non-contacting resistivity logging of core

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    We demonstrate a non-contact approach to whole-core and split-core resistivity measurements, imaging a 15 mm-thick, dipping, conductive layer, producing a continuous log of the whole core and enabling the development of a framework to allow representative plugs to be taken, for example. Applications include mapping subtle changes in grain fabric (e.g. grain shape) caused by variable sedimentation rates, for example, as well as the well-known dependencies on porosity and water saturation. The method operates at relatively low frequencies (i.e. low induction numbers), needing highly sensitive coil pairs to provide resistivity measurements at the desired resolution. A four-coil arrangement of two pairs of transmitter and receiver coils is used to stabilize the measurement. One ‘coil pair’ acts as a control, enabling the effects of local environmental variations, which can be considerable, to be removed from the measurement at source. Comparing our non-contact approach and independent traditional ‘galvanic’ resistivity measurements indicates that the non-contact measurements are directly proportional to the reciprocal of the sample resistivity (i.e. conductivity). The depth of investigation is discussed in terms of both theory and practical measurements, and the response of the technique to a variety of synthetic ‘structures’ is presented. We demonstrate the potential of the technique for rapid electrical imaging of core and present a whole-core image of a dipping layer with azimuthal discrimination at a resolution of the order of 10 mm. Consequently, the technique could be used to investigate different depths within the core, in agreement with theoretical predictions

    The Local Bubble and Interstellar Material Near the Sun

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    The properties of interstellar matter (ISM) at the Sun are regulated by our location with respect to the Local Bubble (LB) void in the ISM. The LB is bounded by associations of massive stars and fossil supernovae that have disrupted natal ISM and driven intermediate velocity ISM into the LB interior void. The Sun is located in such a driven ISM parcel. The Local Fluff has a bulk velocity of 19 km/s in the LSR, and an upwind direction towards the center of the gas and dust ring formed by the Loop I supernova remnant interaction with the LB. When the ram pressure of the LIC is included in the total LIC pressure, and if magnetic thermal and cosmic ray pressures are similar, the LIC appears to be in pressure equilibrium with the local hot bubble plasma.Comment: Proceedings of Symposium on the Composition of Matter, honoring Johannes Geiss on the occasion of his 80th birthday. Space Science Reviews (in press

    Theoretical study of incoherent phi photoproduction on a deuteron target

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    We study the photoproduction of phi mesons in deuteron, paying attention to the modification of the cross section from bound protons to the free ones with the aim of comparing with recent results at LEPS. For this purpose we take into account Fermi motion in single scattering and rescattering of the phi to account for phi absorption on a second nucleon as well as the rescattering of the proton. We find that the contribution of the double scattering is much smaller than the typical cross section of gamma p to phi p in free space, which implies a very small screening of the phi production in deuteron. The contribution from the proton rescattering, on the other hand, is found to be not negligible compared to the cross section of gamma p to phi p in free space, and leads to a moderate reduction of the phi photoproduction cross section on a deuteron at forward angles if LEPS set up is taken into account. The Fermi motion allows contribution of the single scattering in regions forbidden by phase space in the free case. In particular, we find that for momentum transferred squared close to the maximum value, the Fermi motion changes drastically the shape of d sigma / dt, to the point that the ratio of this cross section to the free one becomes very sensitive to the precise value of t chosen, or the size of the bin used in an experimental analysis. Hence, this particular region of t does not seem the most indicated to find effects of a possible phi absorption in the deuteron. This reaction is studied theoretically as a function of t and the effect of the experimental angular cuts at LEPS is also discussed, providing guidelines for future experimental analyses of the reaction.Comment: 17 pages, 16 figure

    Time-variability in the Interstellar Boundary Conditions of the Heliosphere: Effect of the Solar Journey on the Galactic Cosmic Ray Flux at Earth

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    During the solar journey through galactic space, variations in the physical properties of the surrounding interstellar medium (ISM) modify the heliosphere and modulate the flux of galactic cosmic rays (GCR) at the surface of the Earth, with consequences for the terrestrial record of cosmogenic radionuclides. One phenomenon that needs studying is the effect on cosmogenic isotope production of changing anomalous cosmic ray fluxes at Earth due to variable interstellar ionizations. The possible range of interstellar ram pressures and ionization levels in the low density solar environment generate dramatically different possible heliosphere configurations, with a wide range of particle fluxes of interstellar neutrals, their secondary products, and GCRs arriving at Earth. Simple models of the distribution and densities of ISM in the downwind direction give cloud transition timescales that can be directly compared with cosmogenic radionuclide geologic records. Both the interstellar data and cosmogenic radionuclide data are consistent with cloud transitions during the Holocene, with large and assumption-dependent uncertainties. The geomagnetic timeline derived from cosmic ray fluxes at Earth may require adjustment to account for the disappearance of anomalous cosmic rays when the Sun is immersed in ionized gas.Comment: Submitted to Space Sciences Review
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