Estudio de la abducción del hombro mediante videofotogrametría (VFG) y radiología seriada (RX) simultánea

El complejo articular del hombro posee la mayor movilidad de todas las articulaciones del cuerpo. Está formado por un conjunto de estructuras: articulación escapulohumeral, acromioclavicular, esternoclavicular, escapulotorácica (seudoarticulación de la escápula con la pared torácica) que actuan coordinadamente unas con otras para situar la extremidad superior y, en definitiva la mano, en cualquier sitio del espacio. El estudio del movimiento de este complejo articular del hombro ha sido motivo de muchas investigaciones que han generado temas de controversia durante los últimos cien años. Desde su origen, las articulaciones han ido evolucionando hasta especializarse para efectuar unos determinados movimientos más específicos y precisos, al mismo tiempo que han ido abandonando otros. La articulaciones multiaxiales, las más proximales de las extremidades como el muslo, son las que han persistido con un mayor grado de movilidad y las que, por tanto, requieren un control muscular más preciso. La evolución hacia la bipedestación, implica una serie de cambios: aparición de lordosis en la columna, aumento del diámetro transversal del tórax juntamente con un desplazamiento hacia atrás de la clavícula y la escápula permitiendo así mayor amplitud de movimientos, sobretodo en la rotación y en la función prensil de la extremidad superior. En el muslo, se sacrificó la estabilidad para adquirir más movilidad4

The mechanics of reinforcement of polymers by graphene nanoplatelets

A detailed study has been undertaken of the mechanisms of stress transfer in polymeric matrices with different values of Young's modulus, Em, reinforced by graphene nanoplatelets (GNPs). For each material, the Young's modulus of the graphene filler, Ef, has been determined using the rule of mixtures and it is found to scale with the value of Em. Additionally stress-induced Raman bands shifts for the different polymer matrices show different levels of stress transfer from the polymer matrix to the GNPs, which again scale with Em. A theory has been developed to predict the stiffness of the bulk nanocomposites from the mechanics of stress transfer from the matrix to the GNP reinforcement based upon the shear-lag deformation of individual graphene nanoplatelets. Overall it is found that it is only possible to realise the theoretical Young's modulus of graphene of 1.05 TPa for discontinuous nanoplatelets as Em approaches 1 TPa; the effective modulus of the reinforcement will always be less for lower values of Em. For flexible polymeric matrices the level of reinforcement is independent of the graphene Young's modulus and, in general, the best reinforcement will be obtained in nanocomposites with strong graphene-polymer interfaces and aligned nanoplatelets with high aspect ratios

INTERLAYER COUPLING AND THE METAL-INSULATOR TRANSITION IN Pr-SUBSTITUTED Bi(2)Sr(2)CaCu(2)O(8+y)

Substitution of rare-earth ions for Ca in Bi2Sr2CaCu2O8+y is known to cause a metal-insulator transition. Using resonant photoemission we study how this chemical substitution affects the electronic structure of the material. For the partial Cu-density of states at E_F and in the region of the valence band we observe no significant difference between a pure superconducting sample and an insulating sample with 60% Pr for Ca. This suggests that the states responsible for superconductivity are predomi- nately O-states. The partial Pr-4f density of states was extracted utilizing the Super- Koster-Kronig Pr 4d-4f resonance. It consists of a single peak at 1.36eV binding energy. The peak shows a strongly assymetric Doniach-Sunjic line- shape indicating the presence of a continuum of electronic states with sharp cut off at E_F even in this insulating sample. This finding excludes a bandgap in the insulating sample and supports the existance of a mobility gap caused by spatial localization of the carriers. The presence of such carriers at the Pr-site, between the CuO_2 planes shows that the electronic structure is not purely 2-dimensional but that there is a finite interlayer coupling. The resonance enhancement of the photoemission cross section, at the Pr-4d threshold, was studied for the Pr-4f and for Cu-states. Both the Pr-4f and the Cu-states show a Fano-like resonance. This resonance of Cu-states with Pr-states is another indication of coupling between the the Pr-states and those in the CuO_2 plane. Because of the statistical distribution of the Pr-ions this coupling leads to a non-periodic potential for the states in the CuO_2 plane which can lead to localization and thus to the observed metal-insulator transition.Comment: Gziped uuencoded postscript file including 7 figures Scheduled for publication in Physical Review B, May 1, 1995

Disorder and chain superconductivity in YBa_2Cu_3O_{7-\delta}

The effects of chain disorder on superconductivity in YBa_2Cu_3O_{7-\delta} are discussed within the context of a proximity model. Chain disorder causes both pair-breaking and localization. The hybridization of chain and plane wavefunctions reduces the importance of localization, so that the transport anisotropy remains large in the presence of a finite fraction $\delta$ of oxygen vacancies. Penetration depth and specific heat measurements probe the pair-breaking effects of chain disorder, and are discussed in detail at the level of the self-consistent T-matrix approximation. Quantitative agreement with these experiments is found when chain disorder is present.Comment: 4 pages, 2 figures, submitted to PRB rapid communication

Graphene Photonics and Optoelectronics

The richness of optical and electronic properties of graphene attracts enormous interest. Graphene has high mobility and optical transparency, in addition to flexibility, robustness and environmental stability. So far, the main focus has been on fundamental physics and electronic devices. However, we believe its true potential to be in photonics and optoelectronics, where the combination of its unique optical and electronic properties can be fully exploited, even in the absence of a bandgap, and the linear dispersion of the Dirac electrons enables ultra-wide-band tunability. The rise of graphene in photonics and optoelectronics is shown by several recent results, ranging from solar cells and light emitting devices, to touch screens, photodetectors and ultrafast lasers. Here we review the state of the art in this emerging field.Comment: Review Nature Photonics, in pres

The role of water fittings in intensive care rooms as reservoirs for the colonization of patients with Pseudomonas aeruginosa

International audienceOBJECTIVE: To assess the role of the water environment in the Pseudomonas aeruginosa colonization of patients in intensive care units in the absence of a recognized outbreak. DESIGN AND SETTING: Prospective, single-centre study over an 8-week period in two adult ICUs at a university hospital. Environmental samples were taken from the water fittings of rooms once per week, during a 8-week period. Patients were screened weekly for P. aeruginosa carriage. Environmental and humans isolates were genotyped by using pulsed-field gel electrophoresis. RESULTS: P. aeruginosa was detected in 193 (86.2%) of the 224 U-bend samples and 10 of the 224 samples taken from the tap (4.5%). Seventeen of the 123 patients admitted were colonized with P. aeruginosa. Only one of the 14 patients we were able to evaluate was colonized by a clone present in the water environment of his room before the patient's first positive sample was obtained. CONCLUSION: The role of the water environment in the acquisition of P. aeruginosa by intensive care patients remains unclear, but water fittings seem to play a smaller role in non-epidemic situations than expected by many operational hospital hygiene teams

The superconductor-insulator transition in 2D dirty boson systems

Universal properties of the zero temperature superconductor-insulator transition in two-dimensional amorphous films are studied by extensive Monte Carlo simulations of bosons in a disordered medium. We report results for both short-range and long-range Coulomb interactions for several different points in parameter space. In all cases we observe a transition from a superconducting phase to an insulating Bose glass phase. {}From finite-size scaling of our Monte Carlo data we determine the universal conductivity $\sigma^*$ and the critical exponents at the transition. The result $\sigma^* = (0.55 \pm 0.06) (2e)^2/h$ for bosons with long-range Coulomb interaction is roughly consistent with experiments reported so far. We also find $\sigma^* = (0.14 \pm 0.03) (2e)^2/h$ for bosons with short-range interactions.Comment: Revtex 3.0, 54 pages, 17 figures included, UBCTP-93-01

Pneumococcal carriage in sub-Saharan Africa--a systematic review.

BACKGROUND: Pneumococcal epidemiology varies geographically and few data are available from the African continent. We assess pneumococcal carriage from studies conducted in sub-Saharan Africa (sSA) before and after the pneumococcal conjugate vaccine (PCV) era. METHODS: A search for pneumococcal carriage studies published before 2012 was conducted to describe carriage in sSA. The review also describes pneumococcal serotypes and assesses the impact of vaccination on carriage in this region. RESULTS: Fifty-seven studies were included in this review with the majority (40.3%) from South Africa. There was considerable variability in the prevalence of carriage between studies (I-squared statistic = 99%). Carriage was higher in children and decreased with increasing age, 63.2% (95% CI: 55.6-70.8) in children less than 5 years, 42.6% (95% CI: 29.9-55.4) in children 5-15 years and 28.0% (95% CI: 19.0-37.0) in adults older than 15 years. There was no difference in the prevalence of carriage between males and females in 9/11 studies. Serotypes 19F, 6B, 6A, 14 and 23F were the five most common isolates. A meta-analysis of four randomized trials of PCV vaccination in children aged 9-24 months showed that carriage of vaccine type (VT) serotypes decreased with PCV vaccination; however, overall carriage remained the same because of a concomitant increase in non-vaccine type (NVT) serotypes. CONCLUSION: Pneumococcal carriage is generally high in the African continent, particularly in young children. The five most common serotypes in sSA are among the top seven serotypes that cause invasive pneumococcal disease in children globally. These serotypes are covered by the two PCVs recommended for routine childhood immunization by the WHO. The distribution of serotypes found in the nasopharynx is altered by PCV vaccination