Evolution in design of integral leg prosthesis leads to improved outcomes

Developments of surgical attachments for bone-anchored prostheses are slowly but surely winning over the initial disbelief in the orthopedic community. Clearly, this option is becoming accessible to a wide range of individuals with limb loss. Seminal studies have demonstrated that the pioneering procedure relying on screw-type fixation engenders major clinical benefits and acceptable safety. The surgical procedure for press-fit implants, such as the Integral-Leg-Prosthesis (ILP) has been described Dr Aschoff and his team. Some clinical benefits of press-fit implants have been also established. Here, his team is once again taking a leading role by sharing the progression over 15 years of the rate of deep infections for 69 individuals with transfemoral amputation fitted with three successive refined versions of the ILP. By definition, a double-blind randomized clinical trial to test the effect of different fixation’s design is difficult. Alternatively, Juhnke and colleagues are reporting the outcomes of action-research study for a cohort of participants. The first and foremost important outcome of this study is the confirmation that the current design of the IPL and rehabilitation program are altogether leading to an acceptable rate of deep infection and other adverse events (e.g., structural failure of implant, periprosthetic factures). This study is also providing a strong insight onto the effect of major phases in redesign of an implant on the risk of infection. This is an important reminder that the development of a successful osseointegrated implant is unlikely to be immediate but the results of a learning curve made of empirical and sequential changes led by a reflective clinical practice. Clearly, this study provided better understanding of the safety of the ILP surgical and rehabilitation procedure while establishing standards and benchmark data for future studies focusing on design and infection of press-fit implants. Complementary observations of relationship between infection and cofounders such as loading of the prosthesis and prosthetic components used would be beneficial.Further definitive evidences of the clinical benefits with the latest design would be valuable, although an increase in health related quality of life and functional outcomes are likely to be confirmed. Altogether, the authors are providing compelling evidence that bone-anchored attachments particularly those relying on press-fit implants are an established alternative to socket prostheses.

Integral Transformations of Volterra Gaussian Processes

We study integral representations of Gaussian processes with a pre-specified law in terms of other Gaussian processes. The dissertation consists of an introduction and of four research articles. In the introduction, we provide an overview about Volterra Gaussian processes in general, and fractional Brownian motion in particular. In the first article, we derive a finite interval integral transformation, which changes fractional Brownian motion with a given Hurst index into fractional Brownian motion with an other Hurst index. Based on this transformation, we construct a prelimit which formally converges to an analogous, infinite interval integral transformation. In the second article, we prove this convergence rigorously and show that the infinite interval transformation is a direct consequence of the finite interval transformation. In the third article, we consider general Volterra Gaussian processes. We derive measure-preserving transformations of these processes and their inherently related bridges. Also, as a related result, we obtain a Fourier-Laguerre series expansion for the first Wiener chaos of a Gaussian martingale. In the fourth article, we derive a class of ergodic transformations of self-similar Volterra Gaussian processes.

Testing and Modeling of MR Damper and Its Application to SDOF Systems Using Integral Backstepping Technique

Magnetorheological dampers are intrinsically nonlinear devices, which make the modeling and design of a suitable control algorithm an interesting and challenging task. To evaluate the potential of magnetorheological (MR) dampers in control applications and to take full advantages of its unique features, a mathematical model to accurately reproduce its dynamic behavior has to be developed and then a proper control strategy has to be taken that is implementable and can fully utilize their capabilities as a semi-active control device. The present paper focuses on both the aspects. First, the paper reports the testing of a magnetorheological damper with an universal testing machine, for a set of frequency, amplitude, and current. A modified Bouc-Wen model considering the amplitude and input current dependence of the damper parameters has been proposed. It has been shown that the damper response can be satisfactorily predicted with this model. Second, a backstepping based nonlinear current monitoring of magnetorheological dampers for semi-active control of structures under earthquakes has been developed. It provides a stable nonlinear magnetorheological damper current monitoring directly based on system feedback such that current change in magnetorheological damper is gradual. Unlike other MR damper control techniques available in literature, the main advantage of the proposed technique lies in its current input prediction directly based on system feedback and smooth update of input current. Furthermore, while developing the proposed semi-active algorithm, the dynamics of the supplied and commanded current to the damper has been considered. The efficiency of the proposed technique has been shown taking a base isolated three story building under a set of seismic excitation. Comparison with widely used clipped-optimal strategy has also been shown.

Existence and approximations of solutions to some fractional order functional integral equations

In this paper we shall study a fractional order functional integral equation. In the first part of the paper, we proved the existence and uniqueness of mile and global solutions in a Banach space. In the second part of the paper, we used the analytic semigroups theory oflinear operators and the fixed point method to establish the existence, uniqueness and convergence of approximate solutions of the given problem in a separable Hilbert space. We also proved the existence and convergence of Faedo-Galerkin approximate solution to the given problem. Finally, we give an example.

Path-integral formulation for Levy flights: Evaluation of the propagator for free, linear, and harmonic potentials in the over- and underdamped limits

Levy flights can be described using a Fokker-Planck equation, which involves a fractional derivative operator in the position coordinate. Such an operator has its natural expression in the Fourier domain. Starting with this, we show that the solution of the equation can be written as a Hamiltonian path integral. Though this has been realized in the literature, the method has not found applications as the path integral appears difficult to evaluate. We show that a method in which one integrates over the position coordinates first, after which integration is performed over the momentum coordinates, can be used to evaluate several path integrals that are of interest. Using this, we evaluate the propagators for (a) free particle, (b) particle subjected to a linear potential, and (c) harmonic potential. In all the three cases, we have obtained results for both overdamped and underdamped cases. DOI: 10.1103/PhysRevE.86.061105

Site-specific N-Linked Glycosylation of Receptor Guanylyl Cyclase C Regulates Ligand Binding, Ligand-mediated Activation and Interaction with Vesicular Integral Membrane Protein 36, VIP36

Guanylyl cyclase C (GC-C) is a multidomain, membrane-associated receptor guanylyl cyclase. GC-C is primarily expressed in the gastrointestinal tract, where it mediates fluid-ion homeostasis, intestinal inflammation, and cell proliferation in a cGMP-dependent manner, following activation by its ligands guanylin, uroguanylin, or the heat-stable enterotoxin peptide (ST). GC-C is also expressed in neurons, where it plays a role in satiation and attention deficiency/hyperactive behavior. GC-C is glycosylated in the extracellular domain, and differentially glycosylated forms that are resident in the endoplasmic reticulum (130 kDa) and the plasma membrane (145 kDa) bind the ST peptide with equal affinity. When glycosylation of human GC-C was prevented, either by pharmacological intervention or by mutation of all of the 10 predicted glycosylation sites, ST binding and surface localization was abolished. Systematic mutagenesis of each of the 10 sites of glycosylation in GC-C, either singly or in combination, identified two sites that were critical for ligand binding and two that regulated ST-mediated activation. We also show that GC-C is the first identified receptor client of the lectin chaperone vesicular integral membrane protein, VIP36. Interaction with VIP36 is dependent on glycosylation at the same sites that allow GC-C to fold and bind ligand. Because glycosylation of proteins is altered in many diseases and in a tissue-dependent manner, the activity and/or glycan-mediated interactions of GC-C may have a crucial role to play in its functions in different cell types.

Markov chain splitting methods in structural reliability integral estimation

Monte Carlo simulation methods involving splitting of Markov chains have been used in evaluation of multi-fold integrals in different application areas. We examine in this paper the performance of these methods in the context of evaluation of reliability integrals from the point of view of characterizing the sampling fluctuations. The methods discussed include the Au-Beck subset simulation, Holmes-Diaconis-Ross method, and generalized splitting algorithm. A few improvisations based on first order reliability method are suggested to select algorithmic parameters of the latter two methods. The bias and sampling variance of the alternative estimators are discussed. Also, an approximation to the sampling distribution of some of these estimators is obtained. Illustrative examples involving component and series system reliability analyses are presented with a view to bring out the relative merits of alternative methods. (C) 2015 Elsevier Ltd. All rights reserved.

First-principles study of the influence of different interfaces and core types on the properties of CdSe/CdS core-shell nanocrystals

With the expanding field of nanoengineering and the production of nanocrystals (NCs) with higher quality and tunable size, having reliable theoretical calculations to complement the experimental results is very important. Here we present such a study of CdSe/CdS core-shell NCs using density functional theory, where we focus on dependence of the properties of these NCs on core types and interfaces between the core and the shell, as well as on the core/shell ratio. We show that the density of states and the absorption indices depend rather weakly on the type of interface and core type. We demonstrate that the HOMO wavefunction is mainly localised in the core of the nanocrystal, depending primarily on the core/shell ratio. On the other hand the LUMO wavefunction spreads more into the shell of the nanocrystal, where its confinement in the core is almost the same in each of the studied structural models. Furthermore, we show that the radiative lifetimes decrease with increasing core sizes due to changes in the dipolar overlap integral of the HOMO and LUMO wavefunctions. In addition, the electron-hole Coulomb interaction energies follow a similar pattern as the localisation of the wavefunctions, with the smaller NCs having higher Coulomb interaction energies.

Stress intensity factors calculation in anti-plane fracture problem by orthogonal integral extraction method based on femol

For an anti-plane problem, the differential operator is self-adjoint and the corresponding eigenfunctions belong to the Hilbert space. The orthogonal property between eigenfunctions (or between the derivatives of eigenfunctions) of anti-plane problem is exploited. We developed for the first time two sets of radius-independent orthogonal integrals for extraction of stress intensity factors (SIFs), so any order SIF can be extracted based on a certain known solution of displacement (an analytic result or a numerical result). Many numerical examples based on the finite element method of lines (FEMOL) show that the present method is very powerful and efficient.

The mixed-type integral equations for transient elastodynamic plane crack problems

In the present paper, by use of the boundary integral equation method and the techniques of Green fundamental solution and singularity analysis, the dynamic infinite plane crack problem is investigated. For the first time, the problem is reduced to solving a system of mixed-typed integral equations in Laplace transform domain. The equations consist of ordinary boundary integral equations along the outer boundary and Cauchy singular integral equations along the crack line. The equations obtained are strictly proved to be equivalent with the dual integral equations obtained by Sih in the special case of dynamic Griffith crack problem. The mixed-type integral equations can be solved by combining the numerical method of singular integral equation with the ordinary boundary element method. Further use the numerical method for Laplace transform, several typical examples are calculated and their dynamic stress intensity factors are obtained. The results show that the method proposed is successful and can be used to solve more complicated problems.

Numerical-Value Perturbation Method with Application of Solving Convective-Diffusion Integral Equation

The convective--diffusion equation is of primary importance in such fields as fluid dynamics and heat transfer hi the numerical methods solving the convective-diffusion equation, the finite volume method can use conveniently diversified grids (structured and unstructured grids) and is suitable for very complex geometry The disadvantage of FV methods compared to the finite difference method is that FV-methods of order higher than second are more difficult to develop in three-dimensional cases. The second-order central scheme (2cs) offers a good compromise among accuracy, simplicity and efficiency, however, it will produce oscillatory solutions when the grid Reynolds numbers are large and then very fine grids are required to obtain accurate solution. The simplest first-order upwind (IUW) scheme satisfies the convective boundedness criteria, however. Its numerical diffusion is large. The power-law scheme, QMCK and second-order upwind (2UW) schemes are also often used in some commercial codes. Their numerical accurate are roughly consistent with that of ZCS. Therefore, it is meaningful to offer higher-accurate three point FV scheme. In this paper, the numerical-value perturbational method suggested by Zhi Gao is used to develop an upwind and mixed FV scheme using any higher-order interpolation and second-order integration approximations, which is called perturbational finite volume (PFV) scheme. The PFV scheme uses the least nodes similar to the standard three-point schemes, namely, the number of the nodes needed equals to unity plus the face-number of the control volume. For instanc6, in the two-dimensional (2-D) case, only four nodes for the triangle grids and five nodes for the Cartesian grids are utilized, respectively. The PFV scheme is applied on a number of 1-D problems, 2~Dand 3-D flow model equations. Comparing with other standard three-point schemes, The PFV scheme has much smaller numerical diffusion than the first-order upwind (IUW) scheme, its numerical accuracy are also higher than the second-order central scheme (2CS), the power-law scheme (PLS), the QUICK scheme and the second-order upwind(ZUW) scheme.

Propagation properties of off-axis Hermite-cosh-Gaussian beam combinations through a first-order optical system

Based on the Collins integral formula, the analytic expressions of propagation of the coherent and the incoherent off-axis Hermite-cosh-Gaussian (HChG) beam combinations with rectangular symmetry passing through a paraxial first-order optical system are derived, and corresponding numerical examples are given and analysed. The resulting beam quality is discussed in terms of power in the bucket (PIB). The study suggests that the resulting beam cannot keep the initial intensity shape during the propagation and the beam quality for coherent mode is not always better than that for incoherent mode. Reviewing the numerical simulations of Gaussian, Hermite-Gaussian (HG) and cosh Gaussian (ChG) beam combinations indicates that the Hermite polynomial exerts a chief influence on the irradiance profile of composite beam and far field power concentration.

Criação e trajetória de uma Agência no âmbito do Estado integral : o caso do SEBRAE

Este trabalho procura investigar o processo que deu origem ao Serviço Brasileiro de Apoio às Micro e Pequenas Empresas (SEBRAE), assim como a sua trajetória desde a criação até os dias atuais. O SEBRAE foi constituído, em 1972, no âmbito do Ministério de Planejamento e Coordenação Geral (MPCG) do governo Garrastazu Médici (1969-1974). A partir do fim dos anos 70, quando a crise do capital começou a produzir efeitos no país, a agência iniciou um processo paulatino de transformação, culminando na sua privatização, ocorrida no primeiro ano do governo Collor de Mello (1990-1992). Este processo consolidou a sua passagem definitiva da sociedade política para a sociedade civil e alterou, em grande medida, a função da agência junto ao bloco no poder. Ainda que algumas operações não tenham sofrido mudanças significativas, os seus agentes incorporaram definitivamente o papel de formuladores e de disseminadores de ideologia em apoio à consolidação de uma nova fase do capital. Neste sentido, o SEBRAE cumpre, nos dias atuais, o papel de produzir consenso na sociedade em torno da importância econômica e social das micro e pequenas empresas, auxilia a formulação de políticas públicas e leis voltadas para esta questão e, por fim, assume a função ética do Estado, através da qual realiza a tarefa educativa dos indivíduos visando ao "universal". A história da agência é analisada à luz das reflexões de Gramsci sobre hegemonia e Estado integral, capazes de, entre outros aspectos, auxiliar a compreensão das relações mediatas estabelecidas entre agências da sociedade civil e o bloco no poder

Uma experiência de formação de professores em serviço: curso de atualização de professores de escolas de horário integral

Esta investigação tem como tema a proposta de formação de professores em serviço do Curso de Atualização de Professores de Escola de Horário Integral, realizado no segundo governo de Leonel Brizola, no Estado do Rio de Janeiro (1991 1994), durante o Segundo Programa Especial de Educação (II PEE). Este estudo objetivou analisar a proposta de formação de professores em serviço, focalizando este Curso como uma das iniciativas desta formação e, partindo dela identificar contribuições significativas, produzidas naquele tempo e espaço específico, que possam enriquecer e suscitar questões para os debates atuais sobre a formação continuada de professores. Ao empreender esta tarefa se julgou necessário delinear a trajetória do I E II PEE para melhor compreensão da evolução deste plano e de sua proposta de formação de professores, até a elaboração do Curso. Após a retomada do II PEE, frente à necessidade de reestruturação pedagógica dos Centros Integrados de Educação Pública (CIEPs) foi criado o Curso, em convênio com a UERJ. O ponto mais importante identificado nesta proposta de formação foi considerar a escola como lócus de formação continuada tendo como base o saber do professor neste processo. Aspecto como se pode constatar, de grande relevância atualmente nas discussões sobre a temática, mas que naquele momento foi uma inovação. Supõe-se que os resultados deste trabalho poderão contribuir para ampliar os debates em torno das questões voltadas para a formação continuada de professores, e ainda, ampliar os debates, bem oportunos, sobre criação de diferentes alternativas de escolas públicas de horário integral, com suas proposta de formação para atender a uma necessidade da sociedade contemporânea e fundamentar ações de gestores das políticas públicas de Educação.

Atenção integral ao idoso no contexto da estratégia da saúde da família: um olhar sobre a formação e práticas médicas

A Estratégia de Saúde da Família (ESF) foi criada como a principal iniciativa de reorientação do modelo assistencial no SUS, ao mesmo tempo em que a população brasileira envelhecia. As equipes da SF estão lidando com a atenção à saúde deste contingente populacional sob a influência de aspectos técnicos, institucionais e culturais adversos como a sua frágil capacitação, a não interligação da rede, e o escasso valor social dado ao velho na sociedade. Este estudo foca a atenção ao idoso, no contexto da implementação da Estratégia e Saúde da Família (ESF), no Estado do Rio de Janeiro, utilizando metodologia qualitativa. Seu objetivo geral é conhecer a atenção ao idoso no contexto de trabalho da Estratégia de Saúde da Família no Estado do Rio de Janeiro. Especificamente pretendeu-se conhecer a percepção dos profissionais de saúde acerca do envelhecimento e suas consequências sobre a atenção ao idoso na ESF; discutir o papel da ESF numa rede de atenção ao idoso, analisando a organização da rede e analisar o processo de trabalho na atenção ao idoso. Utilizando métodos descritivos e analíticos, três conjuntos de dados foram articulados: dados sobre o contexto do Programa de Saúde da Família em cada município, dados relativos aos conhecimentos técnicos das equipes sobre atenção ao idoso e dados relativos à percepção dos profissionais sobre a atenção ao idoso na ESF. Como técnicas de coleta de dados foram utilizadas a entrevista individual, o grupo focal e a análise documental os dados. Foram realizados 54 entrevistas individuais e 6 grupos focais para a criação de Fluxogramas Descritores e Discussões de Casos. Participaram 6 equipes de 3 municípios do Estado do Rio de Janeiro. Da análise dos dados emergiu o papel de ESF na rede de atenção ao idoso, o que permite a determinação de conteúdos, habilidades e atitudes que precisam ser desenvolvidos como um todo nos profissionais, e nos médicos em particular. Também está clara a necessidade de articulação de uma rede de atenção ao idoso, integrada, composta por serviços e níveis de atenção diferentes e intersetorial, que permita uma prática de cuidado e a promoção de um envelhecimento saudável. Chegamos a conclusão que a formação e as práticas destes profissionais, em particular do médico, precisam ser entendidas de um modo integrado e inseridas na graduação e pós-graduação. O treinamento das equipes, já instaladas, deveria ser trabalhado dentro das premissas da educação permanente e acompanhado de um trabalho de articulação de uma rede de atenção para o idoso, de forma a permitir seu resolutividade. Desenvolver as competências para os profissionais de saúde da ESF, sem desenvolver a competência do sistema de saúde não terá efeito significativo na qualidade da atenção prestada.