Doping driven magnetic instabilities and quantum criticality of NbFe2_{2}

Using density functional theory we investigate the evolution of the magnetic ground state of NbFe$_{2}$ due to doping by Nb-excess and Fe-excess. We find that non-rigid-band effects, due to the contribution of Fe-\textit{d} states to the density of states at the Fermi level are crucial to the evolution of the magnetic phase diagram. Furthermore, the influence of disorder is important to the development of ferromagnetism upon Nb doping. These findings give a framework in which to understand the evolution of the magnetic ground state in the temperature-doping phase diagram. We investigate the magnetic instabilities in NbFe$_{2}$. We find that explicit calculation of the Lindhard function, $\chi_{0}(\mathbf{q})$, indicates that the primary instability is to finite $\mathbf{q}$ antiferromagnetism driven by Fermi surface nesting. Total energy calculations indicate that $\mathbf{q}=0$ antiferromagnetism is the ground state. We discuss the influence of competing $\mathbf{q}=0$ and finite $\mathbf{q}$ instabilities on the presence of the non-Fermi liquid behavior in this material.Comment: 8 pages, 7 figure

A new method to measure anatomic knee alignment for large studies of OA: data from the Osteoarthritis Initiative

SummaryObjectiveTo develop and validate a new and improved software method to rapidly determine femur–tibia angle (FTA).MethodsThree readers, two skilled and one unskilled, without any formal medical training, measured FTA in 142 subjects from the Osteoarthritis Initiative (OAI). The reader reliability was assessed using the intra-class correlation coefficient (ICC), root mean square standard deviation (RMSSD), and Bland–Altman plots, comparing the existing and new FTA methods. Gender-specific linear regression assessed the relationship of FTA with the hip–knee–ankle angle (HKA).ResultsThe ICC (RMSSD) for intra- and inter-reader reproducibility of the existing FTA method was 0.96 (0.77°) and 0.92 (1.38°), respectively, and for the new technique was 0.98 (0.25°) and 0.98 (0.37°), with similar results for all three readers. Bland–Altman 95% limits of agreement were greater than ±2° for the existing, and ±1° for the new method. The r-value for the relation of FTA to HKA was 0.68 and 0.72 for the existing and new methods, respectively. Varus (HKA ≤ −2°)/neutral (−2° < HKA < 2°)/valgus (HKA ≥ 2°) alignment based on predicted HKA agreed moderately with measured HKA (weighted kappa = 0.53), and had moderate sensitivity (73%) and specificity (84%) for varus malalignment. The new FTA was related to HKA using a linear equation with a slope of 0.98 and an offset of 4.0°.ConclusionsSince it is largely automated and uses unambiguous anatomical landmarks, the new method is highly reproducible and can be made on a standard posteroanterior (PA) knee radiograph by a relatively unskilled reader

Leg-length inequality is not associated with greater trochanteric pain syndrome

INTRODUCTION. Greater trochanteric pain syndrome (GTPS) is a common condition, the pathogenesis of which is incompletely understood. Although leg-length inequality has been suggested as a potential risk factor for GTPS, this widely held assumption has not been tested. METHODS. A cross-sectional analysis of greater trochanteric tenderness to palpation was performed in subjects with complaints of hip pain and no signs of hip osteoarthritis or generalized myofascial tenderness. Subjects were recruited from one clinical center of the Multicenter Osteoarthritis Study, a multicenter population-based study of community-dwelling adults aged 50 to 79 years. Diagnosis of GTPS was based on a standardized physical examination performed by trained examiners, and technicians measured leg length on full-limb anteroposterior radiographs. RESULTS. A total of 1,482 subjects were eligible for analysis of GTPS and leg length. Subjects' mean ± standard deviation age was 62.4 ± 8.2 years, and 59.8% were female. A total of 372 lower limbs from 271 subjects met the definition for having GTPS. Leg-length inequality (difference ≥ 1 cm) was present in 37 subjects with GTPS and in 163 subjects without GTPS (P = 0.86). Using a variety of definitions of leg-length inequality, including categorical and continuous measures, there was no association of this parameter with the occurrence of GTPS (for example, for ≥ 1 cm leg-length inequality, odds ratio = 1.17 (95% confidence interval = 0.79 to 1.73)). In adjusted analyses, female sex was significantly associated with the presence of GTPS, with an adjusted odds ratio of 3.04 (95% confidence interval = 2.07 to 4.47). CONCLUSION. The present study found no evidence to support an association between leg-length inequality and greater trochanteric pain syndrome.National Institutes of Health and National Institute of Child Health and Human Development (5K12HD001097-08); National Insititues of Health and National Institue on Aging (1 U01 AG18832; 1 U01 AG18820; 1 U01 AG19069, 1 U01 AG18947

Epidemiologic studies for osteoarthritis: new versus conventional study design approaches

Current insights into osteoarthritis epidemiology Osteoarthritis (OA) is the most common form of arthritis. Symptomatic knee OA occurs in approximately 13% of persons who are aged 60 and older Epidemiology is the study of the occurrence of disease in populations and its association with characteristics of people and their environments. Epidemiologic studies have provided much information about the occurrence of OA. Disease in the knee is common, especially among the aged; hip OA is less prevalent in most populations than disease in the knee; and for disease in the hand, radiographic OA is nearly universal in older people, whereas symptoms are less frequent. Studies have also shown that, for most joints, women who are olde

Examining sex differences in knee pain: the Multicenter Osteoarthritis Study

SummaryObjectiveTo determine whether women experience greater knee pain severity than men at equivalent levels of radiographic knee osteoarthritis (OA).Design and methodsA cross-sectional analysis of 2712 individuals (60% women) without knee replacement or a recent steroid injection. Sex differences in pain severity at each Kellgren–Lawrence (KL) grade were assessed by knee using visual analog scale (VAS) scale and Western Ontario and McMaster Universities Arthritis Index (WOMAC) with and without adjustment for age, analgesic use, Body mass index (BMI), clinic site, comorbid conditions, depression score, education, race, and widespread pain (WSP) using generalized estimating equations. Effect sizes (Cohen's d) were also calculated. Analyses were repeated in those with and without patellofemoral OA (PFOA).ResultsWomen reported higher VAS pain at all KL grades in unadjusted analyses (d = 0.21–0.31, P < 0.0001–0.0038) and in analyses adjusted for all covariates except WSP (d = 0.16–0.22, P < 0.0001–0.0472). Pain severity differences further decreased with adjustment for WSP (d = 0.10–0.18) and were significant for KL grade ≤2 (P = 0.0015) and 2 (P = 0.0200). Presence compared with absence of WSP was associated with significantly greater knee pain at all KL grades (d = 0.32–0.52, P < 0.0001–0.0008). In knees with PFOA, VAS pain severity sex differences were greater at each KL grade (d = 0.45–0.62, P = 0.0006–0.0030) and remained significant for all KL grades in adjusted analyses (d = 0.31–0.57, P = 0.0013–0.0361). Results using WOMAC were similar.ConclusionsWomen reported greater knee pain than men regardless of KL grade, though effect sizes were generally small. These differences increased in the presence of PFOA. The strong contribution of WSP to sex differences in knee pain suggests that central sensitivity plays a role in these differences