Can real-time visual feedback during gait retraining reduce metabolic demand for individuals with transtibial amputation?

The metabolic demand of walking generally increases following lower extremity amputation. This study used real-time visual feedback to modify biomechanical factors linked to an elevated metabolic demand of walking in individuals with transtibial amputation. Eight persons with unilateral, traumatic transtibial amputation and 8 uninjured controls participated. Two separate bouts of real-time visual feedback were provided during a single session of gait retraining to reduce 1) center of mass sway and 2) thigh muscle activation magnitudes and duration. Baseline and post-intervention data were collected. Metabolic rate, heart rate, frontal plane center of mass sway, quadriceps and hamstrings muscle activity, and co-contraction indices were evaluated during steady state walking at a standardized speed. Visual feedback successfully decreased center of mass sway 12% (p = 0.006) and quadriceps activity 12% (p = 0.041); however, thigh muscle co-contraction indices were unchanged. Neither condition significantly affected metabolic rate during walking and heart rate increased with center-of-mass feedback. Metabolic rate, center of mass sway, and integrated quadriceps muscle activity were all not significantly different from controls. Attempts to modify gait to decrease metabolic demand may actually adversely increase the physiological effort of walking in individuals with lower extremity amputation who are young, active and approximate metabolic rates of able-bodied adults

Momentum distributions in time-dependent density functional theory: Product phase approximation for non-sequential double ionization in strong laser fields

We investigate the possibility to deduce momentum space properties from time-dependent density functional calculations. Electron and ion momentum distributions after double ionization of a model Helium atom in a strong few-cycle laser pulse are studied. We show that, in this case, the choice of suitable functionals for the observables is considerably more important than the choice of the correlation potential in the time-dependent Kohn-Sham equations. By comparison with the solution of the time-dependent Schroedinger equation, the insufficiency of functionals neglecting electron correlation is demonstrated. We construct a functional of the Kohn-Sham orbitals, which in principle yields the exact momentum distributions of the electrons and the ion. The product-phase approximation is introduced, which reduces the problem of approximating this functional significantly.Comment: 8 pages, 5 figures, RevTeX

Topical clobetasol for the treatment of toxic epidermal necrolysis: study protocol for a randomized controlled trial.

BackgroundToxic epidermal necrolysis (TEN) is a rare systemic allergic drug eruption with high patient mortality. Currently, no established treatments have been shown to be effective for TEN beyond supportive care. Prior studies of systemic corticosteroids have yielded conflicting data, with some showing a possible benefit and others reporting in increased mortality. However, topical steroids have shown promise for treatment of ocular sequelae of TEN, such as scarring and vision loss. We have designed a randomized controlled trial to evaluate topical clobetasol for treatment of the epidermal manifestations of TEN. In addition, we propose genetic studies to characterize the TEN transcriptome and alterations in cutaneous gene expression that might occur following topical steroid treatment.Methods/designThis split-body randomized, double-blind, placebo-controlled Phase IIa proof-of-concept trial will evaluate the safety and efficacy of once-daily topical clobetasol applied to the skin of patients with TEN. This multicenter trial will recruit a total of 15 patients between the ages of 12 and 85 from the University of California Davis Medical Center and Shriners Hospital for Children inpatient burn units. Designated treatment areas on opposite sides of the body will be treated with blinded clobetasol 0.05% ointment or control petrolatum ointment daily for 14 days. On day 3 of therapy, a biopsy will be taken from the treated area for genetic studies. The primary study aims will be to establish the safety of topical clobetasol treatment and determine the time to cessation of skin detachment for the control and clobetasol-treated areas. Secondary endpoints will evaluate efficacy using parameters such as time to 90% re-epithelialization and percentage of affected skin at 0, 3, 6, 9, 12 and 15 days. Genomic DNA and RNA will be obtained from biopsy samples, to characterize the TEN transcriptome and identify changes in gene expression after topical steroid treatment.DiscussionTopical steroids have shown promise for treating ocular complications of TEN, but to date have not been evaluated for cutaneous manifestations of the disease. This trial will investigate clinical and molecular outcomes of topical clobetasol application and hopefully provide insight into the disease pathophysiology.Trial registrationClinicalTrials.gov NCT02319616. https://clinicaltrials.gov/ct2/show/NCT02351037

Impurity-assisted Andreev reflection at a spin-active half-metal-superconductor interface

The Andreev reflection amplitude at a clean interface between a half-metallic ferromagnet (H) and a superconductor (S) for which the half metal's magnetization has a gradient perpendicular to the interface is proportional to the excitation energy $\varepsilon$ and vanishes at $\varepsilon=0$ [B\'{e}ri {\em et al.}, Phys.\ Rev.\ B {\bf 79}, 024517 (2009)]. Here we show that the presence of impurities at or in the immediate vicinity of the HS interface leads to a finite Andreev reflection amplitude at $\varepsilon=0$. This impurity-assisted Andreev reflection dominates the low-bias conductance of a HS junction and the Josephson current of an SHS junction in the long-junction limit.Comment: 12 pages, 2 figure

Precision spectroscopy of the 3s-3p fine structure doublet in Mg+

We apply a recently demonstrated method for precision spectroscopy on strong transitions in trapped ions to measure both fine structure components of the 3s-3p transition in 24-Mg+ and 26-Mg+. We deduce absolute frequency reference data for transition frequencies, isotope shifts and fine structure splittings that are in particular useful for comparison with quasar absorption spectra, which test possible space-time variations of the fine structure constant. The measurement accuracy improves previous literature values, when existing, by more than two orders of magnitude

A Frequency Comb calibrated Solar Atlas

The solar spectrum is a primary reference for the study of physical processes in stars and their variation during activity cycles. In Nov 2010 an experiment with a prototype of a Laser Frequency Comb (LFC) calibration system was performed with the HARPS spectrograph of the 3.6m ESO telescope at La Silla during which high signal-to-noise spectra of the Moon were obtained. We exploit those Echelle spectra to study the optical integrated solar spectrum . The DAOSPEC program is used to measure solar line positions through gaussian fitting in an automatic way. We first apply the LFC solar spectrum to characterize the CCDs of the HARPS spectrograph. The comparison of the LFC and Th-Ar calibrated spectra reveals S-type distortions on each order along the whole spectral range with an amplitude of +/-40 m/s. This confirms the pattern found by Wilken et al. (2010) on a single order and extends the detection of the distortions to the whole analyzed region revealing that the precise shape varies with wavelength. A new data reduction is implemented to deal with CCD pixel inequalities to obtain a wavelength corrected solar spectrum. By using this spectrum we provide a new LFC calibrated solar atlas with 400 line positions in the range of 476-530, and 175 lines in the 534-585 nm range. The new LFC atlas improves the accuracy of individual lines by a significant factor reaching a mean value of about 10 m/s. The LFC--based solar line wavelengths are essentially free of major instrumental effects and provide a reference for absolute solar line positions. We suggest that future LFC observations could be used to trace small radial velocity changes of the whole solar photospheric spectrum in connection with the solar cycle and for direct comparison with the predicted line positions of 3D radiative hydrodynamical models of the solar photosphere.Comment: Accept on the 15th of October 2013. 9 pages, 10 figures. ON-lINE data A&A 201

Laser frequency combs for astronomical observations

A direct measurement of the universe's expansion history could be made by observing in real time the evolution of the cosmological redshift of distant objects. However, this would require measurements of Doppler velocity drifts of about 1 centimeter per second per year, and astronomical spectrographs have not yet been calibrated to this tolerance. We demonstrate the first use of a laser frequency comb for wavelength calibration of an astronomical telescope. Even with a simple analysis, absolute calibration is achieved with an equivalent Doppler precision of approximately 9 meters per second at about 1.5 micrometers - beyond state-of-the-art accuracy. We show that tracking complex, time-varying systematic effects in the spectrograph and detector system is a particular advantage of laser frequency comb calibration. This technique promises an effective means for modeling and removal of such systematic effects to the accuracy required by future experiments to see direct evidence of the universe's putative acceleration.Comment: Science, 5th September 2008. 18 pages, 7 figures (7 JPG files), including Supporting Online Material. Version with higher resolution figures available at http://astronomy.swin.edu.au/~mmurphy/pub.htm